The Science of Socialization
Friendship isn’t just good for the soul — it’s essential for healthy aging. Discover the surprising science behind socialization, its impact on your brain, body, and heart, and why nurturing connection is one of the most powerful ways to thrive at any age.
By: Dr. Katie Wadland, PT, DPT, Board-Certified Geriatric Clinical Specialist
Owner: Healthy Aging Physical Therapy
Earlier this month, I returned from a very special trip: a full week away in Sedona with my best friends — my college roommates. Since meeting back at ‘the turn of the century’ (how ridiculous does that sound ?1?), our lives have taken us in many different directions: new careers, marriages, divorces, losses, love, babies, teenagers (😫) moves across states - even moves across oceans! And like many adult friendships, the day-to-day demands of life often mean that we go far too long without seeing each other face to face.
But no matter what else is happening in our lives, we've remained religious about one thing: scheduling our annual girls weekend. Even when it’s just a long weekend over the summer, we’ve kept the tradition alive. This year was the first time we carved out a full week — and let me tell you, it was pure magic.
More than the hikes, the incredible views, or the late nights laughing until we cried, what made it so meaningful was simply the connection. That feeling of being truly known, truly supported, and truly in the moment with people who have walked beside you through all of life’s changes. And it reminded me how critical — and how scientifically essential — social connection is for our health.
What Happens Inside Your Body When You Connect
When we connect meaningfully with others, it’s not just a "nice feeling" — our bodies actually respond biologically:
Oxytocin, sometimes called the “bonding hormone,” is released, promoting feelings of trust, belonging, and relaxation.
Levels of cortisol, our main stress hormone, decrease when we engage in positive social interaction, helping reduce inflammation and boost immune function.
Dopamine and serotonin — the "feel good" neurotransmitters — increase, improving mood, energy, and even pain tolerance.
Meaningful social interaction can even lower blood pressure and support cardiovascular health over time.
In short, connection is not just emotional — it’s chemical. Your brain and body are wired to thrive on human interaction.
(Source: Harvard Health Publishing, 2021; National Institutes of Health, 2022)
How Our Social Networks Change Over Time
It’s also normal that how and when we socialize evolves throughout life:
As children, friendships are constant and casual, woven into daily school and playtime.
In adolescence, friendships intensify, shaping identity and emotional development.
As new parents, social circles often shrink, with focus centered on caregiving and family demands.
In midlife and later adulthood, social opportunities can decline as retirement, relocation, health issues, or caregiving responsibilities arise.
Without mindful effort, social isolation can sneak up, making connection even more critical as we age.
Why Socialization Matters for Healthy Aging
We often think about diet and exercise as the pillars of healthy aging (and they are), but strong social connections are just as essential to long-term health and well-being. In fact, research shows:
More than one-third of adults over age 45 report feeling lonely, and nearly one-fourth of adults over age 65 are considered socially isolated.
Loneliness is often considered as harmful as smoking 15 cigarettes a day and raises the risk of heart disease by 29% and stroke by 32%.
Social isolation significantly increases the risk of premature death from all causes, comparable to risks posed by smoking, obesity, and physical inactivity.
Older adults with strong social ties have better cognitive health, lower depression and anxiety rates, and stronger physical health overall.
(Source: National Academies of Sciences, Engineering, and Medicine, 2020)
The simple truth is: connection heals. It protects, energizes, and helps us live not just longer — but better.
Small Steps to Build (or Rebuild) Your Social Connections
If you’re feeling the need for more connection in your life — you're not alone. And it’s never too late to take steps to strengthen your social well-being:
Reach out to an old friend you haven't spoken to in a while.
Join a local class or club that sparks your interest — fitness, art, volunteering, book clubs, or travel groups.
Explore virtual communities if distance or transportation is a barrier.
Schedule regular get-togethers, even if just for a coffee or walk.
Be open to making new friends — every stage of life can bring new connections.
Just like exercising your body or eating nourishing food, tending to your social life is an important part of caring for your health.
As I was reminded during my week in Sedona, it’s not about where you go — it’s about the people you walk beside. Connection is a vital ingredient in the recipe for healthy aging — and one of the most joyful, too.
The Healthy Aging Difference: How Our Team Culture Transforms Patient Care
"At Healthy Aging Physical Therapy, we don’t just work alongside each other—we work with each other. From co-treating and skill-sharing to supporting one another through challenges, our culture is built on trust, collaboration, and a deep commitment to our patients. Because behind every 1:1 patient session, there’s an entire team working together to make it a success. And that’s what makes all the difference."
Written by: Dr. Katie Wadland, PT, DPT, Board-Certified Geriatric Clinical Specialist
Owner: Healthy Aging Physical Therapy
Not our hands…or our sweaters 🙃
Why I Call our Staff my 'Team'
When I first started hiring therapists to join me at Healthy Aging Physical Therapy, I had a vision for something different. I never wanted a traditional workplace with a rigid hierarchy where a boss dictates orders and employees follow along. That just didn’t sit right with me (also, seemed kinda lonely…). Instead, I imagined a co-op-style environment—one where we all work together, share responsibilities, and create a thriving ecosystem of care, both for our patients and for one another.
I wanted to create an environment without closed-door meetings or red tape, with a culture of transparency and kindness where we could work together through challenges and also celebrate our wins. While I didn't know exactly what I was doing in many ways, I felt pretty clear in this path, and I’ve found that this philosophy has shaped how we operate and led to strength in our reputation. We all contribute to both our wins and our challenges, and that philosophy has shaped everything about how we operate.
From the very start, I made conscious decisions to build a workplace culture that reflects this team-oriented approach:
Our meetings aren’t “Staff Meetings” — they’re Team Meetings because we all have a seat at the table. We meet not only to review updates and discuss patient care but also to review practice finances as a team so we are all on the same page. We take turns teaching each other—sharing responsibilities for monthly in-services and journal reviews.
Our 1:1 meetings aren’t “Performance Reviews” — they’re Mentorship Meetings, focused on growth, not judgment. They’ve become a time to check in, to see how things are going both professionally and personally, and set goals together to move forward over the next year.
Our compensation model isn’t based on traditional raises (which are often either absent or so small they barely feel meaningful in healthcare). Instead, we have a profit-sharing bonus model where all disciplines (therapists, trainers, office managers) share equally in our collective success—because we’ve worked equally hard to get there.
I support and encourage co-treats, shadowing, and other learning opportunities as paid time so we can learn from each other, improving patient care and learning from our best resources — our own teammates.
Over the past five years, these intentional choices have evolved into a culture that I am so grateful for—one that I can feel in every interaction with our team and our patients. But what’s even more incredible is that this culture isn’t just a feeling anymore. It’s showing up in tangible, objective ways, and I see it every single day in the way our team steps up for each other and our patients.
Here are just a few ways I've seen this team-oriented culture manifest:
Leveraging Each Other’s Strengths – Our clinicians actively seek each other out for consults and co-treats, ensuring that every patient gets the benefit of multiple perspectives. Some of our therapists are ortho rock stars, while others (ahem…me) are more specialized in neurorehab, wheelchairs, and vestibular therapy. Instead of staying in our silos, we share our knowledge so that we all grow professionally — and our patients receive the best possible care.
Going Beyond Patient Care – I often overhear (or 'over-read' in our chats and emails) that our therapists go above and beyond their typical duties. Our therapists frequently step in to help with office tasks and phone calls, and they take the time to care for their patients in ways beyond the duties of therapy. Whether it's taking the time to water their plants each week, bringing holiday-themed decor to use for balance activities, or spending those extra few minutes to really get to know their to patients, these are the skills you don't learn in school — but they are the qualities that make the Healthy Aging experience so special.
Sharing Knowledge – Whether it's helping a teammate learn to write a letter of medical necessity, sharing resources, or meeting up for a “pizza and transfers” party, our therapists share their time and knowledge because they want to improve their skills for their patients and learn from each other.
Supporting Each Other in Good Times and Bad – Whether it’s celebrating a wedding, a new baby, or supporting a team member struggling, I've seen our therapists organize gifts and care packages. They cheer each other on when someone earns a new certification or reports a 'win' with a patient. Small gestures like this make a big impact and reinforce that we are more than coworkers—we are a team that genuinely cares about each other.
Stepping Up When It Matters – When someone on our team is sick or on vacation, others jump in to cover patients outside of their usual territories. There’s no grumbling, no reluctance — just a shared commitment to making sure our patients receive consistent care.
What This Means for Our Patients
All of this translates into amazing patient care. When a team operates with trust, collaboration, and mutual support and respect, this gets passed on to the patient experience. They receive more comprehensive, well-rounded treatment, benefitting from a group of clinicians who are constantly learning from and helping each other. I say it all the time, and I truly mean it—happy therapists = happy patients.
While our model is rooted in 1:1 patient-centered care, what many don't realize is that behind that '1' is 18 teammates working together to encourage their success. And that’s what makes Healthy Aging Physical Therapy different. And the results speak for themselves — just take a look at some of our recent testimonials and reviews from our Healthy Aging community!
Want to Join our Team? We’re always in search of amazing Physical and Occupational Therapists, and Personal Trainers ready to do things differently. Check out our Careers page to learn more, or submit your application by clicking below!
PIVOT! The Key to Moving Forward in Health, Wellness, and Life
Feeling stuck in your health, habits, or life? It’s time to PIVOT! Inspired by the iconic Friends scene, this post explores how small, intentional shifts can create lasting change—whether in fitness, nutrition, mindset, or therapy. Learn how modern physical and occupational therapy has evolved from passive treatments to patient-driven care, backed by science like the OPTIMAL Theory. At Healthy Aging Physical Therapy, we help patients make meaningful changes by setting personalized goals, overcoming barriers, and embracing movement as medicine. You don’t have to climb the whole staircase - just take the next step.
Written By: Dr. Katie Wadland, PT, DPT, Board-Certified Geriatric Clinical Specialist
Owner: Healthy Aging Physical Therapy
"PIVOT! PIVOT!"
Lately, my kids have been watching Friends from the beginning, and as a ’90s girl myself, it’s been a total nostalgia trip. The quotes, the scenes, the moments that were so ingrained in my younger years are suddenly playing in the background of my house again. And of course, one of my all-time favorites - and probably yours too - is the Pivot scene.
You know the one. Ross, Chandler, and Rachel are attempting to move a couch up a narrow staircase, and as they get wedged in the corner, Ross repeatedly shouts "PIVOT! PIVOT!" in sheer desperation. The couch, of course, is going nowhere.
And as hilarious as that scene is, it also got me thinking - sometimes in life, we feel just as stuck. Whether it’s our health, our habits, our work, or something deeply personal, we often find ourselves wedged in a corner, unsure how to move forward. But just like Ross (though hopefully with a little more success), the solution is often simple: We have to pivot.
Why Pivoting is Essential
We tend to believe that change is impossible or overwhelming. Maybe it’s because we see others seemingly doing so much better, or because we’ve tried before and failed. Maybe we tell ourselves the odds are stacked against us.
But here’s the thing: we don’t have to see the climb the whole staircase - we just have to take the first step.
A pivot isn’t about a massive overhaul. It’s not about solving everything at once. It’s about shifting direction just enough to create momentum. And once we start moving, it becomes easier to make the next best choice, climb that next step - make our way towards the top.
Getting Patients to Pivot
As physical and occupational therapists, the hardest thing we face isn’t learning the latest new technique or mastering clinical documentation. It’s getting our patients to make changes - getting them to pivot toward better health.
We all know how easy it is to get stuck. We get set in our habits, convinced that things are unchangeable, too difficult, or simply not worth the effort. Our patients often feel the same way. When we encourage them to move more, to push past their comfort zones, or to try a new approach to managing pain, we’re often met with resistance. And honestly? We get it. Change is hard. But change is also necessary.
The key is not expecting someone to change everything all at once - it’s helping them take just one step. They don’t need to see the whole staircase. They just need to find where they can pivot in a way that makes sense for their life and circumstances.
How the Therapy Profession Has Pivoted
The role of the physical and occupational therapist has changed dramatically over the years. When I, and many of my colleagues, went to school, therapy education was focused on fixing. The emphasis was on what we, the clinician, could do to the patient - through our hands, through mobilization, through guiding patients through movement patterns. Most of the continuing education available after graduation were in specific manual therapy techniques or skilled handling techniques - designed to help people recover movement after an injury or a stroke. We were trained to believe that if we just applied the right technique, the body would heal.
But then science evolved. And guess what? It turns out, long-term improvements in movement, strength, or in pain reduction don’t come from what we do to a patient. They come from what the patient does for themselves.
The research is clear: Passive interventions - where the clinician is doing all the work - do not lead to long-term improvements in pain or function. What does work? Movement. Nutrition. Stress Management. Sleep. The things we put into our bodies. The activities we do with them. The rest we need to make sure that they get. And most importantly - the habits we build and maintain.
So, as science has changed, so have we. The field of rehabilitation has had to pivot. And as individual therapists, we’ve had to pivot with it. Because it doesn’t help anyone to keep doing the same thing that doesn’t work (isn’t that the definition of insanity?).
We've had to shift from focusing on what we can do to a patient to what we can empower a patient to do for themselves.
And science supports this shift - research like the OPTIMAL Theory (Wulf & Lewthwaite, 2016) highlights that people improve more when they:
Believe they can improve (Enhanced Expectancies). Patients need to experience small wins to build confidence in their ability to change.
Have control over their choices (Autonomy Support). When patients feel like they have control over their own care (rather than being told what to do), they are more likely to follow through.
Focus on meaningful goals (External Focus of Attention). Instead of instructing a patient to “activate their glutes,” we might tell them to “push the floor away” or “root down and rise up, like a tree.”
It turns out, progress isn’t just about prescribing the perfect exercise - it’s about creating the right conditions for motivation, autonomy, and confidence to grow.
This is why Healthy Aging Physical Therapy does things differently.
How We Help Patients Pivot Toward Better Health
At Healthy Aging Physical Therapy, we don’t set goals for our patients - we set them with our patients.
✔️ Every patient fills out a self-assessment survey to help them identify what truly matters in their daily life.
✔️ We don’t just hand out exercises; we help our patients work through barriers that might get in the way of making lasting change.
✔️ We recognize that every patient is a whole person - not just a broken arm or a leg, or a back in pain. Every patient has a personal history, experiences, and individual challenges that impact their health and their sense of self-efficacy - or lack of it.
✔️ We take the time to understand our patients - their goals, their fears, and what drives them - because we know that real progress only happens when it’s meaningful to the person doing the work.
And let’s be honest - it’s not all unicorns and rainbows. We work with older adults. Many of them have 80+ years of experience, opinion, and habits that are sitting right there with them. That’s a lot of lived experience to navigate! But that’s why we take the time to build trust, to have real conversations, and to help our patients figure out where they can pivot to make the next best choice for themselves.
Final Thoughts: The Power of Small Shifts
At the end of the day, therapy (just like life) isn’t about finding a magic fix - it’s about making small, meaningful shifts in the right direction.
The next time you feel stuck - whether in your health, your career, or your personal life - channel your inner Ross Geller. Take a deep breath, assess the situation, and find your next best move.
Just remember: you don’t have to move the whole couch at once. You just have to pivot.
Wheelchairs 101: Understanding Wheelchair Options, Coverage and the Acquisition Process
Discover the options, coverage, and process involved in selecting the right wheelchair. From custom manual and power wheelchairs to scooters, learn how a well-matched chair can improve mobility, independence, and quality of life. Healthy Aging Physical Therapy offers in-home assessments to ensure your wheelchair fits your unique needs and living environment. Contact us today to start your journey to enhanced mobility!
Written By: Dr. Katie Wadland, PT, DPT, Board-Certified Geriatric Clinical Specialist
Owner: Healthy Aging Physical Therapy
As a physical therapist, I have had the privilege of working with many individuals who rely on wheelchairs to maintain their independence and quality of life. The reasons for needing a wheelchair are as diverse as wheelchair users themselves, and a well-matched chair can make a world of difference. From those with new spinal cord injuries who require an agile, lightweight manual chair to take the place of walking in the setting of traumatic paralysis, to the patient who has had a stroke and now needs a specialized ‘hemi-chair’ designed for propulsion with one side of the body, each journey is unique.
While many people initially see a wheelchair as a step back, I often see it as a step forward. A wheelchair can open doors to independence, freedom of mobility, and a reduced reliance on caregivers. Although I sometimes encounter hesitation or pushback when bringing up the idea of a wheelchair, I frequently find that once the process is complete, my patients experience newfound freedom and vastly improved quality of life.
In my current practice, I most often work with patients with neurodegenerative diseases, like multiple sclerosis (MS) or Parkinson’s Disease, who can still ambulate part of the time but may need a wheelchair with custom features, like the ability to tilt-in-space, elevate seat height or powered mobility, to manage fatigue, enable longer-distance mobility, support posture in the presence of kyphosis and scoliosis and maintain independence in their daily tasks. Most recently, I had the opportunity to help my own mother obtain a custom power wheelchair. After living with Parkinson’s disease (PD) for 20 years, her postural impairments began affecting her ability to breathe, function, and manage back pain. The chair provided her with much-needed relief and now allows her to access her facility’s dining room even during periods when walking is too difficult due to ‘off times’ and back pain.
(PS: You’ll see some pictures from my mom’s assessment and fitting throughout the blog - special thanks to Derek Logan, PT, ATP from REQ for your help with this process!)
No two reasons for needing a wheelchair are the same. This is why a thorough assessment by a knowledgeable therapist, in collaboration with a skilled vendor, is essential to finding the best solution for each individual’s needs. At Healthy Aging Physical Therapy, we frequently provide wheelchair assessment training in conjunction with a variety of local vendors and I’d like to take this opportunity to shed some light on what this typically entails.
Wheelchairs, Scooters and Powered Mobility Options
When it comes to mobility devices, there are many options to consider. The choice between a standard wheelchair, a custom manual or power chair, or a scooter depends on the user’s specific functional and medical needs. Each type of mobility aid comes with its own set of features, costs, and considerations.
Scooters
Scooters are three - or four-wheeled motorized devices for individuals who can sit upright and operate controls but require assistance for longer distances due to weakness or cardiopulmonary conditions. Scooters are an excellent choice for those with some mobility but who experience fatigue with walking. They are often not covered by insurance and usually require an out-of-pocket investment ranging from $800 to $3,000. Many scooters can break down or fold up for transportation and can be tried at local durable medical equipment vendors and pharmacies.
PS: The above image is from the movie Thelma. If you haven’t seen it yet, stop reading and go watch it:)
Transport Wheelchairs
Transport wheelchairs are often purchased online or at medical supply stores and are the lightest, most easily transportable wheelchairs available. They typically have small wheels and limited seat and lumbar support; this enables them to be light enough to transport easily in and out of the car, but are also not designed for long term use as they do not provide adequate postural support for the user. Transport wheelchairs are not typically covered by insurance (unless you meet the criteria for a standard chair, but cannot self-propel and have a 24/7 caregiver who can assist) and cost anywhere from $100-$300 typically.
Standard Manual Wheelchairs
Standard manual wheelchairs are the most basic option covered by insurance, and are often used for short-term needs or rental purposes. These chairs are manually propelled and typically cost between $100 and $500. They are ideal for individuals who do not require specialized features and need a temporary mobility solution. Medicare and other insurance plans may cover standard wheelchairs if they are deemed medically necessary, and are often issued during hospital stays in a ‘rent to own’ manner in which the Medicare beneficiary pays a small amount a month for thirteen months and then ‘owns’ the wheelchair.
Custom Manual Wheelchairs
Custom manual wheelchairs are tailored to the user’s specific dimensions and functional requirements. These chairs may include lightweight frames, adjustable seating, and positioning supports to enhance comfort and postural alignment. They are commonly used by individuals with conditions such as spinal cord injuries or neurological disorders. Custom manual wheelchairs generally cost between $1,500 and $5,000, depending on the materials and features. Custom manual wheelchair acquisition requires a wheelchair assessment by a therapist and vendor team, a visit with a doctor who will provide documentation to certify medical necessity, and insurance coverage often requires detailed documentation to justify the need for customization.
Power Wheelchairs
Power wheelchairs are motorized devices designed for individuals who have limited upper body strength or severe postural issues. These chairs can include advanced features such as recline, tilt-in-space, and elevation to address complex needs. Power wheelchairs are best suited for individuals with conditions like MS, Parkinson’s disease, or other impairments that significantly limit strength and mobility. The cost of a power wheelchair can range from $2,000 to over $20,000, depending on the level of customization and technology. Medicare typically covers power wheelchairs, but only after a thorough assessment to establish medical necessity. These assessments need to be provided by a therapist and vendor team, and the individual will also need to visit with their doctor who will need to complete additional paperwork (‘Face to Face’ visit) to support the medical necessity of this device.
Fun Fact: The average custom power chair weighs between 200 and 300 pounds. And, no, you cannot lift it into the trunk of your car!
Beyond Mobility: Other Important Reasons to Consider a Wheelchair
While mobility is often the primary reason for a wheelchair, there are several other important considerations that influence the need for a specific type of chair.
Preventing Skin Breakdown and Pressure Ulcers
For individuals who spend long hours in their wheelchairs, proper seating and support are critical to prevent skin breakdown and pressure ulcers. Specialized cushions, adjustable seat angles, and recline and tilt-in-space features can help individuals redistribute pressure and protect vulnerable areas, ensuring comfort and long-term skin health.
Providing Postural Support
Postural support is essential for individuals with trunk weakness or structural deformities. A well-designed wheelchair can enhance alignment, improving not only comfort but also critical functions like breathing and digestion. For example, we might choose to increase the seat angle (aka ‘seat dump’) and use a contoured seat back to improve pelvic alignment and maintain a healthy posture throughout the day, reducing pain and fatigue.
Enhancing Functional Abilities
Wheelchairs with advanced features can improve functional abilities in daily life. Elevating seat mechanisms, for instance, allow users to reach higher surfaces such as kitchen counters and cabinets, enabling tasks like cooking and cleaning. Additionally, alternative drive options like head controls or adapted joysticks can enable mobility even in users with limited hand function.
Reducing Caregiver Reliance
By addressing mobility and functional needs comprehensively, a wheelchair can reduce reliance on caregivers. This increased independence not only improves the user’s quality of life but also eases the burden on family members and care teams and can improve family dynamics considerably.
How do I get a Custom Wheelchair?
Acquiring the right wheelchair is a multi-step process that involves collaboration between the patient, therapist, and vendor. Here is what to expect:
Initial Wheelchair Assessment: Your therapist and vendor team will conduct a comprehensive assessment of the individual’s mobility, strength, posture, and functional needs. This evaluation helps determine the type of wheelchair that will best meet the user’s requirements. These can be done in a Wheelchair Clinic or at-home with a provider like Healthy Aging Physical Therapy. You will have the opportunity to trial a chair similar to the one you will likely end up with to see if it would be a good fit.
Therapist/Vendor Collaboration: The therapist works closely with the wheelchair vendor to determine the best type of wheelchair for you, and identifies any necessary modifications or adaptations to meet your needs. They then work together to fill out the necessary paperwork and complete a Letter of Medical Necessity.
Documentation Submission: The prescribing physician, therapist and vendor provide detailed paperwork, including the assessment findings and justification for medical necessity. This documentation is submitted to Medicare or other insurance providers for approval.
Approval and Order Placement: Once the paperwork is approved, the vendor places the order for the wheelchair. Once approved, the equipment is ordered and the wheelchair is prepared for you. For custom manual or power chairs, this step may involve further adjustments and fittings.
Delivery and Fitting: Once the wheelchair is ready, your vendor and therapist will meet with you again to deliver the chair and provide any additional modification that may be needed. Things like the arm rest height and head rest position will need to be set for you specificically to ensure the best fit. If there are any larger issues, your vendor may take pieces of the chair back to be adapted as needed.
Wheelchair Training: Now the fun begins! Just like learning to drive a car, learning to drive your new wheelchair will take some practice. Your therapist will work with you to learn to drive it forward, backwards and to turn so you can safely and efficiently navigate your home and community.
Timeline for Custom Chairs: The entire process, from evaluation to delivery, can take anywhere from 6 to 12 weeks if everything goes smoothly. This timeline depends on the complexity of the chair and the speed of approval from insurance providers and can take up to 6 months at times if there are delays along the way.
Will Medicare Pay for my Wheelchair?
Medicare provides coverage for wheelchairs under its Part B Durable Medical Equipment (DME) benefit, but specific criteria must be met. Most commercial plans also have a DME benefit that is typically based on, or similar to, Medicare standards. Coverage is available when a physician prescribes a wheelchair for use in the home due to a medical condition that limits mobility. Here’s an overview of how this coverage typically works:
Eligibility Requirements: Once you meet with your therapist and vendor team to trial your wheelchair and determine your needs, a physician must then conduct a face-to-face assessment and document the medical necessity of the wheelchair. This documentation is then submitted to Medicare for review.
Types of Wheelchairs Covered: Medicare covers basic manual chairs (rent to own), custom manual chairs, and power wheelchairs if the features are medically justified.
Scooters: Medicare may cover scooters in limited circumstances, such as when mobility is restricted both inside and outside the home, but this coverage is less common.
Costs: For approved devices, Medicare typically covers 80% of the cost, leaving the user responsible for the remaining 20%, either out-of-pocket or through supplemental insurance.
Modification and Replacement: Generally speaking, Medicare expects your custom chair to last at least 5 years. Should your chair require modifications or repair within that five year time frame, you will need to work with your vendor to fix your current chair in most situations. If modifications are required due to a change in your medical status, they may be covered by medicare, but repairs due to wear and tear may be an out of pocket cost. After five years is up, you may be eligible for a new chair should you demonstrate medical necessity for a new chair at that time.
Choosing the right wheelchair is a collaborative process that requires a deep understanding of the individual’s needs and goals. By working closely with a skilled therapist and an experienced vendor, users can find a solution that not only meets their medical requirements but also improves their quality of life. Whether it’s a lightweight manual chair for someone with a spinal cord injury or a custom power chair for postural support, the right match makes all the difference.
At Healthy Aging Physical Therapy, we are proud to offer custom wheelchair assessments in the comfort of your home. This approach can be incredibly beneficial, not only for individuals who may find it difficult to access a clinic but also for tailoring recommendations to fit seamlessly into your living environment. By evaluating how a wheelchair will work within your home - from navigating doorways to accessing essential spaces - we can ensure the best possible outcome for your mobility and independence. If you or someone you know could benefit from an in-home wheelchair assessment, we encourage you to reach out to learn more about how we can help.
Join the Healthy Aging Physical Therapy Team
Looking for a rewarding career in healthcare? Healthy Aging Physical Therapy is hiring Physical Therapists, Occupational Therapists, Personal Trainers, and Massage Therapists in the Medford/Melrose/Stoneham area. We offer a sustainable, therapist-first environment with flexible scheduling, streamlined documentation, profit-sharing, and collaborative team culture. Join us to thrive in your career and make a real impact on patients’ lives! Apply now to be part of our innovative and supportive practice."
Okay, time for some real talk.
The healthcare world right now? Let’s call it what it is: a bit of a disaster. Therapists are overworked, underpaid, and often put in situations where they can’t do their best work. Add inflation and Medicare cuts to the mix, and it’s not just clinicians who are struggling - practice owners are feeling the squeeze too.
But what if there’s a better way? What if there’s a practice out there committed to addressing these issues head-on? That’s what we’ve built at Healthy Aging Physical Therapy.
Why Healthy Aging Physical Therapy is Different
1. Beating Burnout
We’ve worked hard to create an environment that supports our therapists. Our full-time caseload is only six patient visits a day. That’s it. This allows you to actually breathe during your day and deliver the high-quality care your patients deserve.
We’ve also streamlined documentation with thorough but efficient systems, using elaborate quick texts and templates. These tools save time without sacrificing quality. We’re equally focused on patient and therapist satisfaction because, honestly, you can’t have one without the other. Happy therapists = happy patients - and we take happiness seriously around here.
2. Support and Collaboration
At Healthy Aging PT, you’re not alone. Our team thrives on collaboration, celebrating victories together and supporting one another through challenges. Whether it’s mentorship, ongoing education, certification opportunities, or equipment - we’ve got your back. Our number one goal is to help you grow and thrive.
3. Financial Stability and Growth
We’re realistic about the financial challenges in healthcare, but we’re also forward-thinking. We’ve diversified our income streams with our Wellness 365 program, a cash-based service that not only provides incredible value to our patients but also offsets the decline in insurance reimbursements. This approach ensures sustainability for our practice and sets us apart as a leader in innovative care.
For our staff, we’ve reimagined compensation. Instead of the small, insignificant 1-2% annual raises typically offered in healthcare, we share the profits. Each team member receives a percentage of our profits based on hours worked. When we work hard and grow together, we all share in the rewards.
The Result? One Incredible Team
Our approach has created an amazing team culture. Our therapists love what they do, and it shows in both their satisfaction and our patient experience. (Just check out our 59 Five Star Google reviews!)
What Do We Need Now? YOU.
We’re growing, our waitlists are long, and we need exceptional therapists to help us meet the demand. Here’s who we’re looking for:
Physical Therapists + Occupational Therapists for the Medford/Melrose/Stoneham/Wakefield area.
Personal Trainers + Massage Therapists opportunities available across all our our service areas!
We need people with the right mix of experience, compassion for the patient experience, and passion for their work. If you’re someone who values ownership of your time, wants better work/life balance, craves true meaning in your work, and loves being part of a supportive team - we want to hear from you.
Our Hiring Process
We take hiring seriously because finding the right fit matters. Here’s how it works:
Phone Chat: We’ll schedule a time to chat, so you can be clear from the outset on what what working at Healthy Aging is like, and what the role requires.
Shadow Day: Come spend a day with us to see how we work and how you fit with our team.
Open Book Policy: I’ll tell you how much I love working here, but clearly, I’m a bit biased;) To make sure you have all the info you need to make the best decision, I’m always happy to connect you with current or even past employees so you can ask the questions you may not feel comfortable asking in the interview.
If you, or someone you know, fits the bill, please reach out. We’re excited to grow our team and provide opportunities for therapists to thrive while making a real impact in our communities and in our patients’ lives.