Beginning Treatment and FAQ’s

Answers to Common Questions

How many visits will I need?

Each patient’s needs are different. Some patients come for 4-6 sessions, while others return on a monthly basis for “tune-ups” once the initial plan of care is finished. Studies show that, on average, patients who receive manual-therapy-based therapy, like Advanced Muscle Recovery provides, see longer results with fewer sessions.

What should I wear to treatment?

Please bring shorts, a t-shirt, and athletic shoes to your session.

What side effects can I expect after the treatment?

Most patients report being sore after the dry needling procedure. The soreness is described as if you have over-done it in a workout and typically it lasts between a few hours and two days.

How long does it take for the dry needling procedure to work?

Typically, it takes several visits for a positive reaction to take place. We are trying to cause mechanical and neurochemical changes without any pharmacological means. Therefore, we are looking for a cumulative response to achieve a certain threshold after which the pain cycle is disturbed.

I’ve tried dry needling without success. Why should I try Advanced Muscle Recovery dry needling?

Not all dry needling techniques are the same. It has become very popular in the midwest recently and there are many ways to learn these techniques and training courses can also vary greatly. Additionally, many who practice dry needling do not maintain their certification nor do they keep up with updated techniques.

Once I am feeling better, how often do I need to come back to maintain my progress?

The musculoskeletal system is under constant pressure from gravity, stress, work, etc. A regular exercise program combined with good posture can prevent many problems. If the pain comes back, tune-ups are recommended to treat and prevent serious injuries.

What if I have to cancel or miss my appointment?

Cancellations should be made within 24 hours of a scheduled appointment. If a cancellation occurs with less than 24 hours notice, and the appointment cannot be filled, the patient will be billed a $50 cancellation fee.

Why choose an out-of-network or cash-based practice?

You have health insurance that you pay for every month. So why should you go out of network or choose to pay cash for physical therapy? There are actually many benefits and we want to tell you about them.

1) One on one time with your physical therapist.
Therapy offices are usually quite busy. You see large rooms filled weight multiple tables and numerous patients. Typically, there are not the same number of patients as there are therapists. Most clinics have their therapists see multiple patients at the same time. This means your entire appointment is not just for you. When you go out of network to a cash-based therapist, that drastically limits the overhead involved with billing insurance as well as low reimbursement that drives many clinics to be forced to see more than one patient at once. We only see one patient with one therapist at a time. It’s just you and the therapist for your entire appointment. The increased time spent with your therapist cuts down on the number of treatments needed because you can accomplish so much more in every single session.

2) Who is providing the treatment when you’re in therapy?
Most busy clinics employ support staff to assist with your therapy session. This decreases the amount of quality time spent with your therapist. Having one on one sessions also eliminates time having to switch between multiple people which diminishes continuity of care. Even when you call or email, you communicate with a therapist. This means you get educated throughout your treatment, can have immediate adjustments to your plan, and having a trained eye on you to ensure you are doing everything correctly to get the most out of each visit.

3) Insurance limitations.
We all know medicine, including therapy is being dictated by insurance more than ever. While therapy patients can see a physical therapist without being referred by a physician, many insurance companies still require a referral. Or worse, they usually require authorization, meaning you can’t start therapy until they say you can. Many insurance plans have a limited number of visits, or markers that when met, won’t cover any more visits. Most plans have a therapy benefit but won’t pay anything until you’ve met your deductible. This means you are
paying full price out of pocket anyway until you reach an oftentimes very high deductible. We believe physical therapists should be making the decisions about your therapy, not your insurance company. That is why we choose to be out of network.

4) How often do you need to go to therapy?
If you ask most people that have been to therapy before, they will tell you that they usually went to therapy 2 or 3 times each week which last 6 to 12 weeks. That could end up being up to 36 visits (assuming insurance companies don’t cut you off before that). With a cash-based payment model, because of the complete 1:1 time with your therapist, you usually end up needing far fewer visits. Our average number of visits ends up being between 6-9 visits. We emphasize what you need to be doing at home on your own in order to get better. Although it means more homework, you will also have a better understanding of why it’s so important and how coming to therapy doesn’t necessarily mean having to stop doing your favorite activities. Fewer therapy visits also mean less time away from work, fewer times you need to work around your family schedule or deal with traffic.

5) How easy it is to reach your therapist if you have a question or concern.
If you go to a large therapy practice, you’d often need to leave a message and wait for a returned phone call. Part of our business model is having open communication with our patients, even between sessions. You can reach us any time either by email or texting. We welcome it!

6) Oftentimes PT visits have a certain amount of time filled with passive things you can do at home.
Passive treatments like ice and heat and steam may feel good but ultimately won’t fix your problem. Wouldn’t you rather spend your time in therapy addressing our problem and actually fixing it? We don’t use passive modalities because we believe your valuable time and money are better spent doing things that will make a lasting change to fix your problem.

7) Can you get wellness or injury prevention visits?
Most insurance companies do not cover musculoskeletal wellness or injury prevention visits by a physical therapist. However, these services are so important. It is MUCH less expensive to prevent injuries from occurring than it is to treat them after they have occurred. We would much rather work with patients on getting stronger and more mobile to prevent injuries instead of treating them after they have sustained an injury. You have annual physicals with your MD. You take your car in for maintenance to prevent engine failure. Why wouldn’t you do the same for your body, especially if you want to continue an active lifestyle?

If you’ve been to therapy before and it “didn’t work” or you felt like it was a waste of time, try us and see how we’re different.

How much time do you get with the therapist each session?

You are one on one with the therapist. No PT assistants, no techs. Many of our competitors charge similar rates for only 30 minutes of treatment.

Can I use my insurance to pay for treatment?

Payment is due at the time of service, however, we can provide you with an invoice that can be submitted to your insurance. Our fees are well below our competitors to accommodate our self-pay and out-of-network patients.

What forms of payment do you accept?

HSA, FSA, credit card, cash, or check.

Do you have a referral program?

Refer a new patient and receive $25 off your next visit.


Indiana is a direct access state which means that patients do not have to obtain a prescription for physical therapy from their physician prior to starting treatment. Advanced Muscle Recovery Physical Therapy utilizes a direct-pay business model which allows us to provide clinical treatment based on the need of each individual without third-party insurance reviews, network restrictions, and visit limitations. Patients pay for the treatment at the time of service using Health Savings Account (HSA), Flexible Spending Account (FSA), credit card, cash, or check. We can easily provide a visit summary complete with codes and pricing for insurance reimbursement.

Free Screening


15-20 minute phone consultation

New Patient Evaluation
& Treatment


This includes a thorough 60-90 minute evaluation and one on one treatment with the physical therapist.

60-Minute Treatment


This 60-minute treatment option can be upgraded to include an additional 30 minutes for $75.

Maintenance Visits


“Tune-ups” are under 30 minutes and are recommended to continue to treat and prevent serious injuries.


Before we begin treatment, the form below will need to be completed. Please either print them and bring them along with you to your appointment, or email them in advance to [email protected]. If you plan to complete these forms on-site, please arrive 20 minutes early to not cut into your treatment time.

Providing exemplary services that allow our patients to move better, feel better, and perform at their highest level.

Advanced Muscle Recovery Physical Therapy