FAQs

Poffers private-pay services and a limited number of sliding-scale appointments based on availability. Contracted rates may also be available for facilities, practices, surgical offices, and other healthcare partners.

Contact me for rates, availability, and payment options.

Treatments can be provided in your house, in outpatient settings, through contacted facilities, depending on the service type and client needs.

t this time, services are offered on a private-pay basis while I complete the credentialing process with commercial and federal insurance plans.

I am actively working toward expanding insurance coverage. Please check back for updates, or contact me directly with questions about payment options and current availability.

The number of treatment varies immensely depending on your presentation and overall medical situation and most importantly your goals.

I offer free consultations call or teams message to discuss your goals.

No. A formal diagnosis is not required for private-pay treatment. If your symptoms suggest further medical evaluation is needed, I may recommend follow-up with your healthcare provider.

Obtaining a lymphedema or lipedema diagnosis can be challenging as lymphedema/lipedema receives limited attention in many medical training programs.

If you go to your regular primary care provider (PCP) and your concerns are dismissed or you are told that nothing can be done, try not to get discouraged. Seeking a second opinion from a provider with experience in lymphatic or vascular conditions can make a significant difference.

Lymphedema diagnosis is typically made by a medical provider based on your symptoms, medical history, and physical exam. Depending on your presentation, your provider may also order imaging or vascular testing to rule out other causes of swelling and evaluate lymphatic function.

If you are in the Denver area, Vascular Institute of the Rockies is one local option for evaluation of vascular and swelling-related conditions. They are familiar with lymphedema and lipedema as it related to vascular disease. You can also ask your PCP for a referral to a vascular specialist or another provider familiar with lymphedema.

A provider I highly regard is Karen Herbst, MD, PhD, a board-certified endocrinologist and nationally recognized expert in lipedema, lymphatic disorders, and diseases of adipose connective tissue. She is based out of Tuscan, Arizona but also is available for Telehealth appointments.

• lymphedema

• lipedema

• cancer related swelling

• plastic and cosmetic surgery recovery

• Post traumatic swelling

• Chronic venous insufficiency and phlebolymphedmea

• Chronic edema

• Fibrosis and tissue hardening

• General wellness and relaxation

If you’re unsure whether lymphatic treatment is right for you, I offer a free consultation call to discuss your symptoms, goals, and concerns and help determine the most appropriate next steps for your care.

True/Absolute contraindications from lymph therapy would include:

• Active infection or cellulitis - esp when presenting with increased redness, warmth, rapid increasing swelling, fever, or systemic illness. Treatment is typically postponed until infection is cleared.

• Suspected or untreated blood clot (DVT) - esp when presenting with new unilateral swelling, warmth, redness, tenderness, or unexplained pain should be medically evaluated prior to treatment.

• Acute or untreated congestive heart failure (CHF)- we do not want to put further stress on heart that cannot adequately manage increase volume of fluids.

• Acute kidney failure or sever uncontrolled renal dysfunction - we do not want to mobilize fluid if kidneys are failing. please be medically cleared to obtain MLD if renal failure is suspected.

• Acute medical instability - this includes shortness of breathe, chest pain, fever, uncontrolled blood pressure, or other systemic symptoms that warrant medical assessment.

Relative precautions to MLD include:

• significant peripheral artery disease

• significant vascular disease

• active cancer

• pregnancy

• recent surgery

• certain thyroid conditions when working around the neck

• recently radiated tissue

For these conditions treatments should be individualized and must be cleared from medical team. Safety comes first.

Prior to treatment, your therapist will review your medical history and current symptoms to determine whether lymphatic therapy is appropriate or may require medical evaluation and/or clearance before treatment begins.