Hands On HealthCare 

Massage • Manual Therapy • Spa Services   

  Best Rated And Reviewed Local Medical Massage and Day Spa Located In Commack, Long Island

Explore the world of  Advanced Medical Therapy ! Understand why Hands On is "The Physician's Choice!" Serving Long Island since 1999. Our reputation is built on intergrity and a commitment to results!

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ADVANCED MEDICAL MASSAGE 

The significant impact chronic pain has on 50 million Americans is a concern for all health care providers. Chronic pain sufferers are among the most underserved patients in the United States, further exacerbating this growing public health crisis. This group of patients faces many challenges –appropriate access to care, lack of validation of pain as a significant problem, the invisibility of pain and long-term insurance struggles. Our goal is to provide the best possible care for patients with chronic pain and understand their need for specialized attention. In our practice we work with people with acute and chronic pain, in addition to anxiety and stress.

We strive to provide the highest quality care and outcome based massage therapy services. Our wide spectrum of modalities includes soft tissue mobilization, myofascial release, manual lymph drainage and trigger point therapy. We believe you will find that we offer superior care and we understand the importance of keeping the doctor informed of their patient’s care. Evaluation and progress reports will always be sent in a timely manner. Patients will always be referred back to their doctor regarding questions, concerns or additional needs.

We are recognized as a leader in Advanced Medical Massage in Suffolk County, Long Island. Massage therapists recognize us as specialists, due to our ongoing on-site training. We specialize in John Barnes Myofascial Release, Trigger Point Therapy and additional manual therapies.  This type of work is often the answer regarding Pain, Injury and Disease. We offer many different Advanced Techniques and Types of Massage. We are an Official Recommended Community Provider for Memorial-Sloan Kettering Cancer Center for Massage Therapy.

YOUR PERSONALIZED TREATMENT PLAN

A personalized treatment plan is designed just for you! Rather than a massage "routine", we determine a personalized treatment plan specifically geared towards your needs. The treatment strategy will take into account your problem area, your general health, your time constraints, affordability and of course, your desired goals. Pain vs. discomfort vs. tightness are all considered. Most No-fault insurance will cover this type of massage work.

We will try to pull together information to create an understanding of why you are experiencing particular symptoms and how massage therapy may or may not help. This is not a diagnosis. It is more like putting a puzzle together. Many variables are taken into account. Some examples would be, the health of the tissue involved, how long this problem has existed, etc.

Massage Therapy has many wonderful general health benefits, but if you have a specific goal, such as symptomatic relief from a health related condition, then this would be the time to find out if massage can help you.

Treatment methods and goals may change. We will re-evaluate your personalized treatment plan as your state of health changes. We may find that with time, fewer sessions are needed, and different methods need to be used, etc. Again, there is no massage "routine".

Many times a Massage Therapy session can be 30 minutes long and involves doing specific, focused work. Very often, a patient will benefit from more frequent sessions, such as two thirty minutes sessions, rather than a single one hour session. Of course, this will depend on the person and the ailment that they are trying to resolve. One-hour sessions can be wonderful, but they are not always necessary in order to meet a specific goal.

A one-hour full body massage can enhance your general health and well being. This is enough time for a deeply relaxing session and possibly enough time to pay special attention to a problem area. One and half-hours will consist of a full body massage and focused work on a particular problem area, as well.

Having a personalized treatment plan will allow you to manage your own health. It will allow you to gain some control over your sense of well being. It will allow a partnership in which we work together toward specific goals and is designed just for you!

We offer a series of "prevenative maintenance" sessions
.These discounted series allow you to come in for 'regular tune-ups', instead of waiting for a problem to occur or recur. We encourage you to take good care of your health and we are willing to 'lend a hand', by discounting our rates and therefore, making it more affordable. We encourage you to take advantage of these packages!

Often some of the benefits that you obtain from your session can be applied at home. These benefits may include new breathing techniques, gentle stretches, and different methods you can use to help release tension, whether it is emotional or muscular.
Hands On HealthCare Massage Therapy and Wellness Day Spa of Commack Long Island Is Cancer  Aware!
We are please to announce that we've been verified as CancerAware by Wellness for Cancer
We accept most No-Fault Insurance, sometimes referred to Auto Injury Massage. We are a provider for some HMO's. Please contact us to see if we are a provider for your particular HMO. We suggest that you call your insurance carrier to find out if Massage Therapy is a covered benefit when given by a Licensed Massage Therapist. If it is, find out if there are any requirements, such as a prescription. Should you find that Massage Therapy is covered, we will call to confirm it with your carrier. We now offer a NON-PARTICIPATING HMO RATE! In order to qualify, please obtain a prescription from your doctor. It is the same prices as the 6 session package rate, without buying the package. Please call the office for details.
WORKING "HAND IN HAND" WITH OTHER HEALTHCARE PROFESSIONALS

We are proud and thankful to work with so many fine physicians, NPs and PAs! Our referrals from other Healthcare Providers have doubled this past year!

We appreciate the trust you have shown in us and will continue to provide your patient's with truly exception care!


Please also note that :Pregnant women are being told that it is illegal to receive a massage! $25 Body Rubs are people rubbing Varicose Veins!
Inexperienced therapists working for Massage Franchises are be harassed about contraindications and the owners are making decisions, not the therapists!
THESE ARE STORY'S I HAVE HEARD DIRECTLY FROM THE SOURCES! All right here in Commack!
Please make sure when you send your patient's for Massage, you send them to an established, professional facility!
Medical professionals are becoming more knowledgeable about the benefits of Massage Therapy and Manual Lymph Drainage. Primary Medical Doctors, Internists, Orthopedists, Neurologists, Chiropractors, etc. are prescribing Massage Therapy for treatment of injury, pain and illness. Research has proven that Massage Therapy has been shown to promote healing of all types and therefore, is now earning itself a place in the traditional medical world. Many of these Health Care Providers are encouraging their patients to utilize Massage Therapy as a form of treatment.
 
Why Refer Patients to Hands on HealthCare?
Initial Evaluation and Progress Reports will always be sent to you in a timely manner; enabling you to keep up to date on your patient's care.

Patients will always be referred back to you regarding their continued care.

You will provide your patients with a full range of therapeutic care by building a relationship with a professional, qualified Massage Therapist.

You will be able to offer your No-Fault patients another alternative form of pain relief that is usually a covered benefit.

We offer a Non-Participating HMO rate when accompanied by a prescription.

30 minute sessions are more typical than 1 hour sessions-Keeping costs down. (Often equivalent to less than 2 co-pays and yet we often offer so much more than other providers.)

Your patients will know immediately if HOHCMT is helping. They will feel better for longer periods of time between visits, either with a reduction of the amount of pain or less pain for longer periods or even both! It's simple, each session will last longer and longer, that's what re-educating a muscle is all about!

Your patients want Massage Therapy. Refer them to someone you know you can entrust their care to, and who also wants to work together for their mutual benefit.

OUR GOAL IS TO GET PATIENTS IN FOR MEDICAL MASSAGE, GET THEM BETTER AND GET THEM OUT! THIS IS HOW WE BUILT OUR REPUTATION...NO LINGERING, NO EXCESSIVE VISITS!
There is a difference between helping someone FEEL better (sedative massage) and helping them GET better, (re-educating the muscle.) We understand the difference and so will the patients!

Our Commack location is conveniently assessable via the LIE and Northern State Parkway

INSURANCE

 
We accept most No-Fault Insurance, sometimes referred to Auto Injury Massage. We are a provider for some HMO's. Please contact us to see if we are a provider for your particular HMO. We suggest that you call your insurance carrier to find out if Massage Therapy is a covered benefit when given by a Licensed Massage Therapist. If it is, find out if there are any requirements, such as a prescription. Should you find that Massage Therapy is covered, we will call to confirm it with your carrier. We now offer a NON-PARTICIPATING HMO RATE! In order to qualify, please obtain a prescription from your doctor. It is the same prices as the 6 session package rate, without buying the package. Please call the office for details.

DEFINING THE DIFFERENCE BETWEEN MEDICAL AND THERAPEUTIC MASSAGE

 
Very often there can be a fine line between medical and therapeutic massage therapy. For instance, general discomfort in an area usually responds very well to a therapeutic session. If pain or discomfort was due to a tight, over stimulated muscle, you can expect to feel better after the session. Often it is a terrific jumpstart to getting better. However, very often, the muscle and soft tissue need to be re-educated. This will enable them to get and stay better. An example would be a short, contracted muscle being re-taught to stay properly lengthened, thereby allowing proper blood flow, nerve innervations, full range of motion and a decrease in pain or discomfort. Medical geared massage incorporates many of the same techniques as therapeutic massage, along with more advanced modalities. The goal of medical techniques is to produce permanent changes or in some cases, such as paraplegia, to maintain the health of the tissue. We measure the results of medical massage by noting a reduction of pain or discomfort for longer periods of time between sessions. Below you will find a general guideline outlining the major differences between medical and therapeutic massage. However, I strongly recommend asking the advice of your therapist or if you have any reason to believe that medically geared massage would be more beneficial to you than therapeutic massage, please don’t hesitate to arrange for a consultation. A consultation will consist of reviewing your medical history, a hands-on evaluation and a determination as to whether we believe that medical geared massage sessions would be in your best interest. We do not charge for consultations.
Medical Massage Therapy Session Therapeutic Massage Therapy Session
-Treats the muscles, *fascia and **Trigger Points -Treats the muscles, may affect *fascia and
-Addresses shortened and over- lengthened **Trigger Points
muscles -Addresses shortened muscles
-Sedates or stimulates muscles -Sedates muscles and the mind
-Specific, focused work, based on a treatment plan -Most often incorporates a full body session
-Feedback from the client during the session is -Feedback is welcome, but not usually necessary
customary -Feels Great!
-Often, sessions can produce some temporary
discomfort
30-45 minute sessions. 30-60-90 minute sessions
Each session will generally last longer and longer. The length of results will vary
Most often for: Most often for:

Pain, CT Syndrome, TMJ, Sciatica, Herniated Discs, Scoliosis, Migraines, Muscle Spasms, M.S., Whiplash, Injuries, Chronic muscle tightness/tension, etc.

Stress, Discomfort, Insomnia, Depression, Fatigue, High Blood Pressure, Muscle tightness/tension, Asthma, etc
 
*Fascia is a tough connective tissue that spreads throughout the body in a three-dimensional web from head to foot. Much like a highly fluid, elastic body stocking, it functions without interruption. Fascia comes together at the end of muscles to become tendons, which attach to bones. It has been estimated that if every structure of the body except the fascia were removed, the body would retain its shape. A malfunction of one of the body’s systems due to trauma, poor posture, or inflammation can cause a binding, impinging or adhering of the fascia either to itself or to another body structure such as a muscle, bone or organ. This results in an abnormal pressure on any or all of the body’s components. Binding and restrictions in one area will affect other parts and areas of the body, similar to pulling on one end of a sweater, another area will be affected. The treatment used to treat myofascial restrictions is referred to as Myofascial Release.

**Trigger points are accumulations of waste products around a nerve receptor. Trigger points form in muscles and/or fascia, which has been overused or injured. They can present themselves as sharp pain, dull ache, tingling, pins and needles, etc. Active trigger points are those, which cause discomfort. Latent trigger points wait silently in the muscle for a future stress to activate them. It is common to attribute this discomfort to other conditions. The treatment used to treat trigger points is referred to as Trigger Point Therapy.
Health Articles
Frequently Asked Questions Regarding Medical Massage

Are massage therapists being accepted on insurance provider panels?
As health plans recognize the efficacy of massage and its value, as well as the competency of massage therapists, the number of therapists on insurance provider panels is rapidly increasing.

How do I determine what type of massage therapy my patients should have and whether they need to see someone who specializes in a particular massage or touch technique?
The best approach is to find a qualified, professional massage therapist who can determine and/or recommend massage appropriate for the situation.

What does a massage therapist do that a physical therapist usually does not?
Massage Therapists focus on the normalization of soft tissues affected by stress, injury, and illness through the use of manual techniques that improve circulation, enhance muscular relaxation, relieve pain, reduce stress or promote health and well being. These techniques may include, but are not limited to soft tissue manipulation, active and passive stretching, myofascial release and trigger point therapy. Application of hot and cold therapies is permitted when necessary. Massage Therapy does not consist of strengthening the muscles or exercise. Licensed Massage Therapists do not diagnose, however they may include assessments, such as a range of motion evaluation, in order to monitor changes and or goals. Massage therapists have extensive training specific to their field. Physical therapists have training in basic massage, but not the specialized education of massage therapists.

Does the patient have to completely disrobe? 

The patient can dress down to their level of comfort 

Who are massage therapists?
Massage therapists are licensed health professionals who apply a variety of scientifically developed massage techniques to the soft tissue of the body to improve muscle tone and circulation. Massage therapists work to enhance well-being, reduce the physical and mental effects of stress and tension, prevent disease, and restore health.

What techniques do massage therapists use at HOHCMT?
Our Massage therapists use many different massage techniques and methods. These include the following, among others: Medical Massage, Swedish/European Massage, Connective Tissue Massage, Neuromuscular Massage (Trigger Points), Myofascial Release and Manual Lymph Drainage.

Is a prescription required?
No, with the exception of No-Fault and Worker's Comp, who require a prescription for billing purposes. However, a script is always helpful, so that we know exactly what you recommend and for which diagnosis. Massage therapists may provide services that lead to improved health and muscle function, but they do not diagnose medical diseases or disorders. They evaluate patients/clients in terms of health and disease in order to know what massage technique should be used and when to make referrals to other health care practitioners.

What credentials do New York licensed massage therapists have?
New York licensed massage therapists have completed a massage training program, including the following: · courses in anatomy, physiology, neurology, myology, pathology, hygiene, first aid, CPR, and infection control procedures · course work, training and practice in the theory and techniques of both oriental and western massage In addition, New York massage therapists have passed a State licensing examination.

What is Manual Lymph Drainage and what is it for?
Manual Lymph Drainage, or MLD, is a medical treatment that stimulates lymphatic activity, aiming to reduce fluid build-up, remove toxins, and strengthen the immune system. Its commonly used to reduce swelling, improve chronic conditions such as chronic pain, and post-operative swelling and bruising. To find out more, view our articles on Manual Lymph Drainage and Complete Decongestive Therapy.

For Stress, Pain,  Injury and Disease

TMJ

Carpal Tunnel Syndrome

Pelvic Pain and Discomfort

Migraines

Whiplash

Trigger Points

Thoracic Outlet Syndrome

Disc Herniations

Sciatica

Chronic and Acute Pain

Myofascial Pain

Depression

Arthritis

Radiculitis

Pregnancy

Muscle related pain or discomfort


and of course.... so much more!

Physician Prescribed Manual Therapy
A system of manually applied techniques designed to reduce pain, establish normal tissue tension, create a positive tissue environment and to normalize the movement of the musculoskeletal system. PPMT (Physician Prescribed Manual Therapy) is a result oriented treatment that is specifically designed to resolve conditions that have been diagnosed and prescribed by a Physician or other Licensed Health Care Provider. PPMT may also include techniques such as Neuromuscular Re-education, Trigger Point Work, etc. PPMT is manual therapy to the PRIMARY area of the client's chief complaint. The PPMT protocol involves several progressive steps or stages of treatment that attempt to correct abnormal conditions affecting the joint complex.

 
Medical Massage
This type of massage focuses on treatments of injuries, pathologies and rehabilitation. The target tissues may include muscles, tendons, ligaments, skin, joints, or other connective tissue, as well as lymphatic vessels, or organs of the gastrointestinal system. Very often sessions may include other manual therapy techniques as well.
 
Trigger Point Therapy
A trigger point is an area of a muscle that refers pain sensations to other parts of the body. Trigger Point Therapy applies pressure to these points in order to deactivate them leading to immediate release of tension and improved muscular functioning. This work is based upon the trigger point research and manuals of Dr. Janet Travell, President Kennedy’s personal physician. Sometimes this work is incorporated into other styles of massage therapy such as neuromuscular therapy (NMT.)  See Separate Article on Trigger Point Therapy. This work is only done by our Advanced Medical Massage Therapists.

 

Neuromuscular Therapy
Neuromuscular Therapy (NMT) is used for pain relief and specific problems. Structural and postural imbalances are identified through an initial postural assessment. These are then addressed through systematic and site specific massage. There are five principles to Neuromuscular Therapy: Postural Distortion, Biomechanical Dysfunctions, Trigger Points, Nerve Compression/Entrapment, Ischemia. This work is only done by our Advanced Massage Therapists.

 

Myofascial Release

Myofascial release refers to the manual massage technique for stretching the fascia (a complex supportive web throughout the body that affects all components of the musculoskeletal, nervous and visceral systems) then releasing bonds between fascia, integument and muscles with the goal of eliminating pain, increasing range of motion and equilibrioception. Myofascial release usually involves applying shear compression or tension in various directions or by skin rolling. It is used to evaluate and treat restrictions in the body's connective tissue. Myofascial release can be used to treat chronic pain, injuries, general aches and pains. Plantar Fasciitis, Myofascial Pain Disorder and Fibromyalgia are common conditions treated with Myofascial Release.  This work is only done by our Advanced Massage Therapists.

 
*Manual Lymph Drainage

MLD, is a gentle lymphatic massage technique used to clear up blockages in the lymphatic system allowing lymph to flow more freely. The lymphatic system is a series of ducts, nodes and organs that balances the body's fluid levels. It also supplies the body with important immune cells. When this system becomes blocked, swelling the blocked area occurs. The therapy is used to treat a variety of conditions such as lymphedema, burns, fluid retention, lymph node removal, allergies, chronic fatigue syndrome, chronic mastitis, and headaches. During a Manual Lymphatic Drainage session the therapist works on the skin directly with no massage lotion or oil. The patient may stay fully dressed.

 

Oncology Massage
Offers a beneficial touch to cancer patients without making their conditions worse. The focus of oncology massage is generally on creating a gentle, nurturing environment for the patient, allowing the patient to relax.
 
Breast Massage
Massaging the breast tissue, once thought to be too sexual in nature, now is a treatment for the prevention and treatment of breast cancer. The ribs under the breasts and along the sides of the breast need to be cleared of toxin buildup. The sternum, clavicle and armpit area are addressed to facilitate lymph flow. Massage can also be used to assist in recovery of mastectomies and breast surgeries. See Article on Proactive Self Care for Breast Health


Swedish Massage Therapy
This is the most common type of massage therapy in the United States. A collection of techniques designed for relaxation, using massage oils and long, slow strokes. Many of the therapeutic effects include increased circulation, increased flexibility, removal of lactic acid and toxins, relaxes nervous system, and stimulates the skin. Techniques can be modified to treat injuries and muscular related problems.

 
Pregnancy Massage
Yes, we have those special tables with removable belly and breast recesses!
Massage therapists who are certified in pregnancy massage know the proper way to position and support the woman's body during the massage, and how to modify techniques. Pregnancy massage is used to reduce stress, decrease swelling, relieve aches and pains, and reduce anxiety and depression. The following guidelines have been established by the American College of Obstetrics and Gynecology. A woman in any of these categories should obtain a release from her primary care provider before receiving a massage. 1) The pregnancy is high risk, i.e., the mother has used fertility methods to get pregnant or has had difficulty getting pregnant naturally, 2) She has miscarried in the first trimester of previous pregnancies, 3) She has a cardiac disorder (heart or pulmonary problems), 4) She has a history of problems in pregnancy, 5) There is a multiple pregnancy (twins, triplets, etc.), 6) The mother is under age 20 or over 35, 7) The mother has asthma, 8) The mother has been exposed to illegal drugs. Only our therapists with additional training in Pre-natal Massage will work on Pregnant woman with pain.

John F. Barnes Myofascial Release Approach


The fascia surrounds every cell in the body, and when it loses its pliability due to trauma (physical or emotional), it hardens and compresses underlying tissues. This prevents the tissue from functioning at its maximum potential. JFB Myofascial Release techniques allow the fascia to release and disengage from the underlying tissue, which in turn improves function. Often it takes more than 5 minutes of gentle, sustained pressure, to release an area of underlying tissue. Because the fascia is a continuum of tissue throughout the body, it is not uncommon to feel a sensation in other parts of the body. Picture, if you will, a water balloon: When you press on one part, a second area actually stretches outward and is effected by the pressure that you placed on the first area. This is a very similar feel to MFR. The water balloon scenario is similar to our own body sensation considering we are made up of 60-70 percent water. Releasing the tissue will often be a catalyst for client movement.


It is not uncommon to feel the fascia in 2 or more areas at the same time. In addition, you may also feel emotions come up. This is believed to be, in part, due to memory recall that the body (not just the brain) holds on to. As the tissue lets go, very often an issue can be let go as well. MFR sessions encourage client participation. If the therapist is holding an area waiting for the fascia to release, and the client feels like stretching or moving (un-winding) or feels the pressure elsewhere, the client should move the way they feel they should, and also verbalize to the therapist what they feel their body is trying to tell them. Yes we, the client and the therapist, listen to the body, also known as the real expert, regarding this unique person.


The therapist's responsibility is not to force change (as in Trigger Point Therapy, etc.), but allow for subtle, yet very effective MFR releases. It is a whole body approach, not a fragmented approach. In other words, everything is connected and is treated as such. It certainly brings to mind the expression, "sometimes less is more."  

A postural analysis will be done and may be the deciding factor on where to begin treatment. Clients need to wear a bathing suit or sports bra, or shorts and a tank top. The session will take place over (not under) a sheet, so that the therapist can note the client’s body response. Communication is key and is encouraged. Self-treatment at home is also of utmost importance. Please purchase the book Comprehensive Myofascial Self Treatment by Joyce Karnis Patterson, PT. The book is available through Amazon.com for $35.00. You should have it prior to your first session. In addition, please read the article The Missing Link In Your Treatment and view the following videos Myofascial Unwinding and Self Myofascial Unwinding.


Another great short video on fascia can be seen here: https://www.facebook.com/RealBodywork/videos/vb.393606657357164/144573145680412/?type=2&theater

There is much more information on JFB Myofascial Release available at MyofascialRelease.com and on Youtube. Education will help you understand the body you live in. We hope to join you on your journey to wellness. Please don't hesitate to contact us with any questions or concerns.