Dr. Sarah Gullans

At Prestige Health and Wellness, we offer a wide range of insurance and self-pay options to provide the best service to our patients. Below is a summary of our accepted insurances:

• Aetna US Healthcare: We accept most PPO and POS plans. Note: HMO plans are not accepted.
• Blue Cross Blue Shield (BC/BS) of New York and out-of-state: We accept most PPO and POS plans. Note: HMO plans are not accepted.
• Cigna: Chiropractic care is covered, including Cigna International.
• Meritain Health
• Private Healthcare Systems (PHCS)
• United Healthcare: We accept most PPO and POS plans. Note: HMO plans are not accepted.
• Most International Insurance Providers

Please be informed that deductibles and co-insurance specifics may differ among plans.

• Patients are responsible for any co-pays and co-insurance expenses.
• While most insurance plans cover a range of chiropractic,, physical therapy, acupuncture and occupational therapy, it's advisable to check with our office for insurance verification.
• Some insurance agreements allow us to offer our services without requiring an external referral from a physician or the insurance company itself.

1. Initial Assessment:The first step in determining the right treatment option is to undergo an initial assessment. During this assessment, one of our healthcare professionals will thoroughly evaluate your condition. This may include discussing your medical history, performing physical examinations, and possibly conducting diagnostic tests like X-rays or MRI scans if needed. The assessment helps us understand the nature and extent of your health concern.
2. Consultation:Following the assessment, you will have a consultation with our healthcare provider who will explain the findings and the available treatment options. We will take the time to address your questions, concerns, and preferences, allowing you to make an informed decision.
3. Personalized Treatment Plan:Your healthcare provider will work with you to create a personalized treatment plan that takes into consideration your unique needs, goals, and any relevant medical history. This plan may involve a single treatment modality or a combination of services that are best suited to address your condition.
4. Benefits and Risks:Your healthcare provider will also discuss the potential benefits and risks associated with each treatment option. Understanding both the positive outcomes and any potential side effects or limitations is crucial in making an informed decision.
5. Collaborative Decision-Making:At Prestige Health and Wellness, we believe in a collaborative approach to healthcare. We encourage open communication between you and your healthcare provider to ensure that your treatment plan aligns with your goals and comfort level. You have the final say in determining which treatment option is right for you.
6. Ongoing Evaluation:As you progress through your treatment plan, your healthcare provider will continuously monitor your response to the chosen therapy. If necessary, adjustments to your treatment plan can be made to ensure that you are receiving the most effective care.

1. Contact Us Directly:The quickest way to check for same-day appointment availability is to contact our office directly. Our friendly and knowledgeable staff will be able to provide you with real-time information regarding openings and help you schedule an appointment.</p
2. Urgent Needs:If you have an urgent healthcare need, please let our team know. We prioritize the well-being of our patients and will do our best to accommodate you as soon as possible.
3. Flexible Scheduling:Our facility offers a variety of services, and the availability of same-day appointments may vary by service type. Some services, such as Chiropractic care and Acupuncture, may be more readily available for same-day appointments, while others, like Occupational Therapy, Physical Therapy, or certain Massage Therapy sessions, may require a bit more lead time to schedule.
4. Advance Booking:To increase your chances of securing a same-day appointment, especially for specific treatments or with specific healthcare providers, we recommend booking in advance whenever possible.

At Prestige Health and Wellness, your well-being is our top priority, and we want to ensure that your first visit is both informative and comfortable. When you arrive for your initial appointment, you can expect a warm and welcoming environment where our experienced team of healthcare professionals will work with you to assess your musculoskeletal condition and create a personalized treatment plan. Here's a detailed overview of what you can anticipate during your first visit, specifically focusing on the initial medical examination for your musculoskeletal concern.

1. Comprehensive Health History:

   Your first visit begins with a thorough review of your medical history. We'll discuss any prior injuries, surgeries, or chronic conditions that might be relevant to your current concern. Understanding your overall health is essential for tailoring your treatment plan.

2. Symptom Assessment:

   We will listen attentively as you describe your current symptoms, including the location, duration, and intensity of any pain or discomfort. This helps us pinpoint the areas that require attention and understand the nature of your musculoskeletal issue.

3. Physical Examination:

   Our healthcare professionals will conduct a physical examination specific to your musculoskeletal condition. This may include:

   • Range of motion assessments to evaluate joint and muscle flexibility.
   • Orthopedic tests to identify potential sources of pain or discomfort.
   • Palpation of affected areas to locate tender points, muscle tightness, or signs of inflammation.
   • Neurological examinations to assess reflexes and nerve function.

4. Diagnostic Imaging (if necessary):

   In some cases, X-rays or other imaging studies may be required to gain a more comprehensive view of your musculoskeletal condition. If this is deemed necessary, we will discuss the process and ensure you receive the necessary diagnostics.

5. Initial Diagnosis and Discussion:

   Following the examination, our healthcare team will provide you with an initial diagnosis. We will explain our findings and the nature of your musculoskeletal condition in detail. We encourage you to ask questions and discuss your concerns or expectations.

6. Treatment Plan Development:

   Based on the diagnosis and your specific needs, we will collaborate with you to create a customized treatment plan. This plan may involve a combination of our services, such as chiropractic care, physical therapy, occupational therapy, acupuncture, and massage therapy. We will outline the goals, expected outcomes, and the recommended course of treatment.

7. Patient Education:

   During your first visit, we believe in empowering you with knowledge about your condition. Our healthcare professionals will educate you on what to expect during your treatment, including the potential benefits and any lifestyle modifications that may be necessary.

8. Treatment

   Based on the care plan we have developed for you and if there are no contraindications presented in any earlier components of your first visit, we may decide it will be beneficial to start your comprehensive therapy journey on the first visit.

9. Scheduling and Follow-Up:

   We will assist you in scheduling future appointments for your treatment sessions. These appointments will be tailored to your treatment plan, ensuring you receive the care you need to address your musculoskeletal condition effectively.

At Prestige Health and Wellness, we are committed to providing the highest level of care and support during your journey to better health. Your first visit is a crucial step in understanding your condition and creating a plan for healing and recovery. We look forward to working closely with you to address your musculoskeletal concerns and guide you towards a pain-free and improved quality of life.

1. Chiropractic and Physical Therapy:Combining chiropractic adjustments with physical therapy can be particularly effective for musculoskeletal issues. Chiropractic care can help address joint misalignments, while physical therapy can focus on strengthening and rehabilitating muscles.
2. Physical Therapy and Massage Therapy:A session that combines physical therapy exercises and techniques with massage therapy can provide a well-rounded approach to healing. Physical therapy helps improve mobility, while massage therapy can relieve muscle tension and reduce pain.
3. Acupuncture and Chiropractic:For patients seeking relief from pain and discomfort, a session that combines acupuncture and chiropractic care can address both structural and energy-related issues, promoting overall well-being.
4. Occupational Therapy and Massage Therapy:Patients with specific functional limitations can benefit from occupational therapy, while massage therapy can help reduce stress and enhance relaxation, making it an excellent combination for those looking to improve their overall quality of life.
5. Acupuncture and Massage Therapy:Combining acupuncture and massage therapy can be an excellent choice for relaxation and stress relief, as well as for addressing specific conditions that may benefit from the holistic approach of both therapies.

At Prestige Health and Wellness, we understand that our patients often have busy schedules, and we aim to provide effective and efficient care while also ensuring your comfort. The duration of a chiropractic treatment session can vary depending on several factors, including the specific needs and conditions of the patient. On average, a chiropractic treatment session typically lasts between 30-45 minutes.

The initial chiropractic appointment, which includes a thorough assessment, may take a bit longer, typically around 45 minutes to an hour. During this first visit, our chiropractor will conduct a comprehensive evaluation, which includes discussing your medical history, performing physical exams, and possibly taking X-rays if necessary. This thorough assessment helps us understand your condition and create a personalized treatment plan.

Subsequent chiropractic sessions, which involve spinal adjustments and other therapeutic interventions, are typically shorter in duration. The chiropractor will focus on the specific areas of concern and perform adjustments or other manual therapies as needed to address your musculoskeletal issues.

Our goal is to provide you with effective care that meets your individual needs while respecting your time constraints. Your chiropractor will work with you to develop a treatment plan that not only addresses your condition but also fits your schedule. If you have any questions about the duration of chiropractic sessions or would like to discuss your specific needs, please feel free to reach out to us. We are here to provide you with the highest quality care and ensure your comfort throughout the treatment process.

Our expert team integrates various therapeutic methods, offering an unparalleled approach to your well-being. From the intricate biomechanics of the head and neck to the critical functionality of the spine and extremities, we employ a combination of specialized chiropractic care, physical and occupational therapies, and acupuncture. This comprehensive strategy allows us to effectively manage a spectrum of conditions, providing relief, enhancing healing, and ensuring a return to optimal health. Dive into our specific care areas below to learn more about how our holistic and patient-centered approach can bring balance, strength, and mobility back into your life.

Our practice specializes in the intricate biomechanics of the head and neck. We offer comprehensive care, including precise chiropractic adjustments, physical therapy, occupational therapy to reduce and prevent pain, and acupuncture, to promote healing, alleviate pain, and restore function. Our approach addresses a range of conditions, from tension headaches and migraines to complex disorders like cervical radiculopathy and TMJ.

We prioritize spinal health through a blend of chiropractic adjustments, physical and occupational therapies, and acupuncture. This holistic approach addresses conditions like sciatica, herniated discs, chronic back pain, and more, focusing on natural healing, pain relief, and preventative strategies.

Our expert team provides specialized care for the shoulder and clavicle area, understanding its vulnerability to injury. We combine chiropractic care with physical therapy, occupational modifications, and acupuncture to treat conditions ranging from rotator cuff injuries and frozen shoulder to more severe cases like clavicle fractures and post-operative rehabilitation.

Focusing on these essential structures, our team employs custom exercise regimens, practical environmental adaptations, and specialized acupuncture techniques. We handle various conditions, including carpal tunnel syndrome, tennis elbow, arthritis, and more, ensuring your daily activities promote joint health.

We address these critical weight-bearing joints with an interdisciplinary approach. Through therapeutic exercises, gait training, acupuncture, and lifestyle adaptations, we manage and treat conditions like hip bursitis, knee osteoarthritis, ACL/MCL injuries, meniscal tears, and more, aiming to restore functionality and improve your daily life quality.

Our comprehensive care for these areas is designed to provide relief, promote natural healing, and improve functionality across various conditions, employing a mix of specialized techniques tailored to each patient's needs.

Read more about the conditions we treat

At Prestige Health and Wellness in the bustling heart of New York City, we are dedicated to offering a comprehensive range of services that focus on your well-being. Our team of dedicated professionals comprises Chiropractors, Physical Therapists, Occupational Therapists, Acupuncturists, and Massage Therapists, all working together to provide you with the highest quality care tailored to your unique needs. We understand that our clients come from all walks of life, and their health concerns are equally diverse. To address this, we've designed a variety of services and therapies that can help you achieve your health and wellness goals.

• Chiropractic Care:
  Services: Chiropractic care encompasses spinal alignment and extremity joint adjustments, spinal and joint mobilization, X-rays for diagnosis, manual therapies like Myofascial release and Graston Technique, therapeutic exercises, electric stimulation, therapeutic ultrasound, Kinesio Taping, Cold Laser Therapy, Mechanical Traction Decompression, and Electromyography/Nerve Conduction Velocity (EMG/NCV) Studies.
  Therapeutic Benefits: Chiropractic care is highly effective for correcting spinal and joint misalignments, alleviating pain, improving mobility, and addressing complex musculoskeletal issues. It can also help with pain control, scar tissue management, and promoting faster healing.
• Physical Therapy:
  Services: Our Physical Therapy program involves therapeutic exercises, manual therapies (such as Myofascial release and Graston Technique), electrical stimulation, therapeutic ultrasound, mechanical traction decompression, gait training, running gait analysis. .
  Therapeutic Benefits: Physical therapy is invaluable for recovering from injuries, enhancing muscle strength, improving mobility, and managing pain. It can also accelerate healing and diagnose nerve-related problems.
• Occupational Therapy:
  Services: Our Occupational Therapy services are designed to help you regain functional independence in your daily life, incorporating ADL and IADL training, cognitive rehabilitation, sensory integration therapy, and visual rehabilitation.
  Therapeutic Benefits: Occupational therapy aids in enhancing cognitive function, improving sensory processing, and facilitating independent living, particularly for those who may have experienced injuries or have special needs.
• Acupuncture:
  Services: Our skilled Acupuncturists utilize acupuncture techniques to stimulate specific points on the body, promoting natural healing and relaxation.
  Therapeutic Benefits: Acupuncture is known for its holistic healing benefits, reducing pain, stress, and anxiety, and improving overall wellness.
• Massage Therapy:
  Services: Our licensed Massage Therapists offer a range of modalities, including Swedish, deep tissue, and sports massage, tailored to your specific needs.
  Therapeutic Benefits: Massage therapy provides relaxation and relief from muscle tension, stress, and pain, promoting physical and mental well-being.

At Prestige Health and Wellness, our collective mission is to be your trusted partner on your journey to a healthier, pain-free life. Our dedicated and experienced team is committed to offering you a diverse array of services and therapies to address various musculoskeletal concerns and help you achieve your health and wellness goals. We invite you to experience the transformative power of our services and look forward to helping you achieve the best version of yourself.