Frequently Asked Questions

What is the process for starting therapy?

Please fill out the form above or contact Hand N Hand Home rehab for the intake process and current availability. This involves collecting information about you, your insurance, your doctor and the issue you are hoping to get therapy for. Then, we will connect you with a therapist who can help you. The first visit with your therapist will be an evaluation where we will gather information by asking you questions, having you perform tests or testing your physical or cognitive abilities. We may also do a home accessibility & safety assessment. All this information will help determine what the best plan for you is based on your needs. Your therapist will then help set up an ongoing schedule with you. If you have a co-pay or deductible, this will be sent out by our office.

What areas do you travel to?

Each therapist has their own areas they are able to travel to and is dependent on current availability. Typically we are able to travel to Multnomah, Washington and Clackamas counties. Other counties will be considered on a case by case basis and areas over 15 miles from the therapists home address will incur a $50 fee per session.

Do I need a prescription or referral from my doctor for therapy?

Although Oregon is a state that allows you to see your OT or PT before getting a doctor's referral, your doctor will need to sign off on the therapist's plan of care saying they agree with the plan in order to continue therapy. We will work with your doctor to make sure this happens, but it is best to contact your doctor directly to let them know you are hoping to start therapy & make sure they dont have any concerns in order to expedite the process.

What is Lipedema and how is different than lymphedema?

Lipedema is a congenital condition resulting in abnormal adipose (fat) deposits. It is a loose connective tissue disorder that does not respond to diet and exercise like normal fat. Lipedema often causes pain, swelling and easy bruising. Tissue texture is often soft, pillowy with nodules under the skin that feel like rice or peas. It occurs more frequently in women than men. Lipedema often is seen in certain distributions in the body including it is symmetrical, increased adipose in the hips and thighs & upper arms, but the feet and hands are often spared. Lipedema is different from lymphedema. However, lipedema often disrupts lymphatic flow and can result in lymphedema, “lipo-lymphedema” *At Hand N Hand, we are able to treat lipedema using manual lymphatic techniques, recommend appropriate compression, treat co-occuring lymphedema if needed, and provide a tailored exercise plan.