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Frequently Asked Questions


1. I’ve tried physical therapy in the past and didn’t get better, what makes you different?

At Refine we have more freedom and control because we are an out-of-network provider. We don’t have to worry about double booking clients, waiting for insurance approval, or having the insurance company dictate what treatment options we can use. With most insurance approved providers, it's unheard of to be seen one-on-one in a typical clinic setting, but this allows for the best quality of care. It allows time to complete a thorough history and examination to determine where your pain is coming from and what other factors are contributing to the pain. In a traditional setting there simply isn’t the time to accomplish this.

2. What conditions do you treat?

We treat all musculoskeletal and some neurological conditions. This list is not all-inclusive, but common conditions seen are:

  • Strains/sprains

  • All joint-related pain (low back, hip, knee, shoulder, ankle, neck, etc)

  • Cervicogenic headaches

  • Vertigo

  • Benign Paroxysmal Positional Vertigo (BPPV)

Please note, as a doctorate level trained clinician if clients are displaying signs and symptoms that are concerning, you will be referred to your physician to be evaluated. We will never continue to treat you if we feel you need further care.

3. Is dry needling the same as acupuncture?

No.  We are by no means experts regarding the study of acupuncture, however, the goal of dry needling is to treat the neuromusculosketal system based on pain/referral patterns, muscular dysfunction, and other orthopedic signs and symptoms that are dependent upon the physical examination and assessment. This helps guide the treatment and appropriateness. Whereas acupuncture is the technique for balancing the flow of energy, known as Qi or Chi which is believed to flow through meridians pathways in your body at pre-determined points.

4. How many sessions will I need?

That depends on different factors such as how long you’ve had this pain, how severe it is, what type of work you do, etc. With that said, the general timeframe we give clients is between 4-6 sessions. You should feel some degree of improvement within 1-2 sessions.

Package pricing and shortened sessions of 30 minutes are available. After the evaluation we will discuss the best plan of care and determine the most cost effective route.

5. Do I need a prescription or referral for physical therapy?

There is limited direct access in the state of Michigan. This means you can be seen without a prescription for 21 days, afterwards you will need one. Staff at Refine can help you obtain this.

Medicare beneficiaries are not able to be seen by an out of network provider. However, we can direct you to some great clinicians in the area.

7. Do you accept HSA?

Yes. We take HSA/FSA, cash, credit cards, and checks.

8. What should I wear?

We recommend wearing loose fitting clothing. Also, please wear something that can expose the area where you are seeing us for (ie wearing a tank top if you’re having shoulder issues).

9. Where are you located?

We are located within Core Revolution Studio in Birmingham, Michigan. 

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