Flexible Endoscopic Evaluation of Swallowing (FEES) Test

If You Need A Swallowing Study, There’s No Reason to Go to D.C.! We’ve Got You Covered Right Here in Brandywine!

Your physician has referred you to one of our Speech-Language Pathologists to test your ability to swallow. You will have an examination called a Flexible Endoscopic Evaluation of Swallowing (FEES) test.

What happens during a FEES test?

A Speech-Language Pathologist (SLP) who is specially trained in doing a FEES test will have you get comfortable in a seated position, while a small camera called an endoscope, is placed in one of your nostrils and moved through your nose into your throat.

The SLP will give you varying consistencies of food and/or drink that has been safely colored with green food coloring. The color shows up clearly on their device so they can view food and liquid as it moves through your throat.

The pictures taken using the endoscope allow the SLP to review the images with you once you have completed the test.

Is a FEES test safe? Does it hurt?

The passing of the endoscope through your nose may cause some discomfort at first. Once the endoscope is above your throat, any discomfort you are feeling will stop. The test is extremely safe with a low risk of complications or side effects. The amount of food and/or drink you are given by the SLP will be carefully controlled. The test lasts approximately 45 to 50 minutes.

How should I prepare for my FEES test?

The great thing is there is no preparation necessary. There are no meal or medication restrictions. You can eat and drink as you normally do, prior to the appointment. If you are currently receiving your food and/or drink through a feeding tube you can take your feeds as normal up until your appointment. Your feeding tube does not need to be removed before the test.

What happens afterwards?

The exam is recorded on video so you can view portions of it right after it is over. Recommendations will be discussed with the SLP at the time of the test and a full report is sent to your referring physician.

Where can I go to have this test done?

You do not have to go far. You do not even have to travel into the District for this test. In fact, you can have the test performed really close to home, right here in your own backyard! The MedStar Health Physical Therapy at Brandywine, MD clinic is close by and convenient for you to come in for a FEES test. We’re located at: 13950 Brandywine Road, Brandywine, MD 20613 or call 301-782-2250 to make an appointment.

Astym® Therapy

A new type of soft tissue treatment called Astym®  is a manual, tool-based treatment designed to treat soft tissue dysfunctions that contribute to pain and movement restrictions.  A physical therapist uses a set of plastic tools ranging in size, and glides them over the patient’s skin along the path of the muscles, ligaments, and tendons to stimulate the body’s natural healing response.  This treatment, in addition to a customized physical therapy program incorporating stretching, strengthening, and manual therapy, has been proven through a variety of research to decrease pain and improve function even when other methods have failed.

Because Astym® solely addresses soft tissues, it will not relieve pain associated with nerve impingement, osteoarthritis, disk involvement, or spinal degeneration.

Astym®  can commonly be used for:

  • Achilles tendinopathy
  • Tendonitis of the foot and ankle
  • Plantar fasciitis
  • Medial and lateral epicondylitis of the elbow
  • Hamstring and calf strains
  • Non-radicular low back/neck pain
  • Upper trapezius tightness/cervicogenic headaches
  • Patellar tendinopathy

MedStar Health Physical Therapy at Chevy Chase - South, MD, is located at 5454 Wisconsin Avenue Suite 401 (street level). 

To schedule an appointment to see if ASTYM is right for you, please call 301-215-4481

Contact Information

To schedule an appointment to see if ASTYM is right for you, please call 301-215-4481.

Adaptive Yoga

adapted-yoga

Adaptive Yoga is a seated class intended for anyone in the community with a physical disability. The class is free and participants are encouraged to attend consistently week to week. Each class is tailored to participants’ needs and focuses on gentle seated exercises to improve strength and flexibility and meditation practices to reduce stress. Participants must contact Allison Huck at [email protected] prior to attending their first class.

Classes:

In lieu of in person classes, we are currently streaming on Wednesdays at 5:30pm. Please reach out to Allison at [email protected] for streaming link.

 

More Information

For more information on the Adapted Yoga program, please contact

Allison Huck, CTRS
(202) 877-1933

or

[email protected]

 

To view MedStar NRH Adapted Yoga flyer, please click here.

Adaptive Sports Camp

Adaptive Sports Summer Camp 

We are sorry to announce that the Adaptive Sports Camp 2020 has been cancelled due to the Pandemic.  Please check back for info regarding all day sports clinics and dates for 2021. 

June 29th - July 2nd, 2020 & July 20th - July 24th, 2020

Two weeks of sports, recreation, and fun!

Adaptive activities include basketball, tennis, lacrosse, boccia, swimming, badminton, volleyball, adaptive fitness, games, crafts and field trips!

Date and Time:
June 29th - July 2nd, 2020 & July 20th - July 24th, 2020

9 a.m. - 4 p.m

Location:
Trinity University
125 Michigan Avenue NE, Washington, D.C. 20017

Participants:
Ages 6-18 with a physical disability (i.e., spinal cord injury, spina bifida, amputation, cerebral palsy, dwarfism, or any other orthopedic and neuromuscular impairments)
Campers do NOT need to use a chair for daily living to attend.

Campers must be able to propel wheelchair independently.  

Cost:

  • Week 1- $160
  • Week 2- $200

NO SPORTS EXPERIENCE NEEDED. Equipment will be provided. Bring your own lunch. 

Hosted by MedStar NRH Adaptive Sports Program in partnership with the HSC Health Care System’s Kids in Action.

Registration is now open! Please download and complete the registration form provided below. Completed registration forms can be sent by mail, email or fax to Joan Joyce.

Adaptive Sports Camp Registration Form 2020

Mail: MedStar NRH  ATTN: Joan Joyce  102 Irving Street, NW    Washington, DC 20010

Fax: 202-723-6071 (Attn: Joan Joyce) 

For more information email Joan Joyce.

Contact Information

For more information, please contact Joan Joyce at [email protected] or (202) 877-1420.

Thrower’s Shoulder Program

Thrower’s Shoulder Program

MedStar Sports Medicine and MedStar Health Physical Therapy have developed a comprehensive throwing program to include range of motion and strengthening of shoulder, scapula, elbow, wrist, hip, knee, ankle, and core stability. The throwing motion is broken down into six phases: windup, stride, arm cocking, arm acceleration, arm deceleration, and follow through. During an individualized assessment, therapists will look at the key muscles required to complete each phase of throwing. Our mission is to provide a rehabilitation and prevention program to minimize the risk of injury, and develop more power and stabilization throughout the throwing motion.

The Thrower’s Shoulder program can be customized to fit audiences of various ages, from individualized sessions to sessions that include an entire team. Every situation is unique, and we are able to accommodate individual needs and create a package that will work best for the individual or team.

Common Baseball Conditions Treated:

  • Rotator Cuff Syndrome
  • Primary Shoulder Instability
  • Glenoid Labral Tears
  • Biceps Tendon Pathology
  • Tendonitis (shoulder and elbow)
  • Muscle Strains (flexor pronator)
  • Nerve Injuries (radial entrapment, pronator teres syndrome, ulnar entrapment)
  • Compressive Injuries (osteochondrosis, articular cartilage, loose bodies)
  • Osteophyte Formation
  • Ulnar Collateral Ligament Injuries

Throwers’ Rehabilitation Program:

  • Shoulder Strengthening
  • Dynamic Scapular Control
  • Core Stabilization
  • Closed Kinetic Chain Activities
  • Upper Extremity Plyometrics
  • Lower Extremity Power Development
  • Throwing Protocols
  • Hitting Protocols

Throwers’ Injury Prevention Program:

  • Arm Care Program
  • Core Stabilization
  • Video Analysis
  • Throwers Screens

For more information, please contact Justin Cooper at [email protected] 

Thrower’s Shoulder Program Locations:

MARYLAND

ANNE ARUNDEL COUNTY

Athletic Performance, Inc.

443-645-3162

BALTIMORE
MedStar Harbor Hospital Sports Medicine

410-350-8372

MedStar Health Physical Therapy at Timonium

410-512-5820 

CARROLL COUNTY

MedStar Health Physical Therapy at Westminster

410-751-7930

HARFORD COUNTY

MedStar Health Physical Therapy at Bel Air

410-877-8078 

HOWARD COUNTY

MedStar Health Physical Therapy at Ellicott City

410-997-1063

MONTGOMERY COUNTY

NRH Rehabilitation Network at Olney

301-260-3280

NRH Rehabilitation Network at Germantown

301-916-8500

VIRGINIA

MedStar Health Physical Therapy at McLean

703-288-8260

Washington, DC

MedStar Health Physical Therapy at Lafayette Centre

202-416-2110

Breast Cancer Rehabilitation

Breast Cancer Rehab

The Breast Cancer Rehabilitation Program offers services provided by physical and occupational therapists that have been extensively trained in skilled treatment procedures for lymphedema management and breast cancer rehabilitation. Our rehabilitation program has been developed based on our therapists’ training and working knowledge of current medical management of breast cancer, including local and systemic treatments and reconstructive procedures.

Program Highlights

Services by physical and occupational therapists are brought together to develop an individualized treatment plan to restore the patient to the highest level of functioning. A major focus of our program is to educate and instruct the patient in self-help techniques to begin to manage the condition independently. Our services are available at multiple sites for patient convenience.

Our breast-cancer specialty services include scar management, range of motion, and instruction on techniques to reduce the risk of lymphedema for women who have undergone mastectomy, axillary dissection or reconstructive surgery. For women with lymphedema, treatment may include instruction in skin care and limb health, lymph drainage massage and bandaging techniques, and ordering compression garments and lymphedema pumps. Treatment for all patients include exercise, gentle conditioning, and stretching to improve strength and restore function. An evidence-based strength training program called Strength After Breast Cancer might also be implemented for those patients interested in gaining back their strength to their fullest potential.

Aspects of the treatment program include any or all of the following, based on the patient’s need as determined by the patient and physician.

Pre-Surgical Assessment:

  • Baseline information on daily level of function, needs and goals
  • Posture analysis
  • Baseline flexibility and strength assessments
  • Baseline limb girth measurements
  • Patient education on post-operative shoulder mobility exercises, breathing exercises, posture, lymphedema precautions and daily activity guidelines

Post-Operative Assessment:

  • Shoulder motion, upper extremity strength and girth measurement
  • Cardiovascular assessment when tolerated
  • Functional limitations

Lymphedema Management

When lymphedema presents, the patient is offered a comprehensive approach to restoremaximum level of function. Treatment may include:

  • Manual lymphatic therapy
  • Gradient compression bandaging of the limb
  • Fitness programs for flexibility and strength
  • Posture and breathing exercises
  • Aerobic and conditioning exercises
  • Therapy for frozen or weakened shoulder or other muscle imbalances

Other Specialty Services:

  • Psychological Counseling
  • Pain Management/Acupuncture
  • Integrative Medicine
  • Nutrition Counseling
  • Stress Management
  • Prosthetic, Clothing and Personal Image Options

Locations

Washington, D.C.

Maryland

Baltimore City

Baltimore County

Carroll County

Harford County

Montgomery County

Prince George's County

St. Mary's County

Virginia

Make an Appointment

For more information about Cancer Rehabilitation at MedStar National Rehabilitation Network, please call

202-877-1957

 

Related Services

 

Patient Resources

Head and Neck Cancer Rehabilitation

Head-and-Neck-Cancer

Head and neck cancer is the term used to identify a number of malignancies, including cancer of the mouth, nose, throat, and salivary glands. Treatment will vary from individual to individual and may include surgery, chemotherapy and radiation therapy, alone or in combination.

Rehabilitation is a critical part of recovery, as most patients suffer from a number of conditions resulting from the disease process that ultimately impact their day-to-day functioning.  At MedStar National Rehabilitation Network (MedStar NRH), a team of rehabilitation experts works collaboratively to help patients cope with these medical issues.

The MedStar NRH team brings together the expertise of rehabilitation physicians, physical therapists and speech-language pathologists—all who have extensive experience in cancer rehabilitation. The team works hand-in-hand with surgeons, otolaryngologists, radiation oncologists, medical oncologists and patients to develop a plan of care to help manage or prevent side effects.

Common medical issues

Radiation therapy is the most common form of treatment for head and neck cancer—and a major source of medical complications. While it may prove effective in destroying cancer cells, it can also damage healthy cells in the treatment area. Many patients develop scarring in the area of radiation, called radiation fibrosis, that results in the thickening of skin—and tightness of muscles.

Surgery to remove cancerous tissue and chemotherapy to kill cancer cells can result in difficult side effects, as well.

Common complications include:

  • Altered texture of the skin
  • Trismus—difficulty opening the jaw
  • TMJ—Temporomandibular joint dysfunction that can cause pain when the jaw is opened
  • Xerostomia—dryness in the mouth
  • Dysphagia—problems chewing or swallowing due to muscle weakness or changes in structures of the face, mouth and pharynx after surgery
  • Dysarthria—difficulty speaking clearly due to muscle weakness or changes in the structures of the face, mouth and pharynx after surgery
  • Dysgeusia—reduced or altered sense of taste
  • Mucositis—painful inflammation and ulceration in the lining the mouth or digestive tract
  • Cervical dystonia—neck muscle spasms, pain, or posture change
  • Lymphedema—swelling in the face or neck
  • Headaches and migraines
  • Posture abnormalities, shoulder problems
  • Cancer related fatigue
  • Cognitive challenges, such as reduced attention, mental sharpness, as a result of chemotherapy
  • Neuropathy—chemotherapy induced nerve pain, tingling, numbness, or impaired balance 

Personalized assessment

The hallmark of the program is its interdisciplinary framework that begins with a comprehensive medical evaluation. Our team of cancer rehabilitation specialists come together using state-of-the-art evaluation techniques to assess the multifaceted medical issues that are the hallmark of head and neck cancer. Then the team integrates evaluation findings to develop innovative treatment plans for their clients.

Medical interventions

Our physicians will typically prescribe a comprehensive rehabilitation program of physical and/or speech therapy designed to address the primary problems that are impeding patients’ ability to perform daily tasks.

In addition, Our physicians may prescribe:

  • Rehabilitation equipment to enhance function
  • Oral or topical medications to decrease pain and/or spasms
  • Injections for musculoskeletal pain or spasm, such as anesthetic, corticosteroid or botulinum toxin 

Physical therapy

A number of physical therapy techniques will be employed depending on a patient’s unique functional problems. These may include:

  • Manual therapy and techniques to relax tissue, increase range of motion and decrease pain
  • Therapeutic exercise to improve strength in the jaw, cervical spine and shoulder, increase range of motion and improve posture
  • Lymphedema management including lymphatic massage, exercises, patient education, and compression garment recommendations
  • Techniques to improve soft tissue mobility for range of motion and communication in patients with TMJ
  • Pain management, including electrical stimulation and gentle neck traction to minimize pain at the surgical site and surrounding structures
  • Aquatic therapy in a heated pool to assist with range of motion, stretches and pain management 

Communication, swallowing and cognition

For patients suffering from issues related to communication and swallowing, speech-language pathologists will develop a plan of therapy that may include:

  • Techniques to help patients produce speech more clearly, naturally and confidently
  • Strategies to promote safe swallowing of liquids, food and medication
  • Exercises to increase range of motion and decrease pain
  • Use of a splinting device to reduce pain and increase mobility
  • Use of augmentative and alternative modes of communication, such as an electrolarynx, electronic devices, or other aids
  • Methods to manage concerns about memory or other thinking skills

Service Locations:

Montgomery County

 

Make an Appointment

For more information about Cancer Rehabilitation at MedStar National Rehabilitation Network, please call

202-877-1957

 

Related Services

 

Patient Resources

Lymphedema Management

Lymphedema management program at MedStar NRH

The Lymphedema Management Program offers services provided by physical and occupational therapists that have been extensively trained in skilled treatment techniques for lymphedema management. Our rehabilitation program has been developed based on our therapists’ training and working knowledge of current medical management of primary and secondary lymphedema and related rehabilitative needs.

Services by physical and occupational therapists are brought together to develop an individualized treatment plan to restore the patient to the highest level of functioning. A major focus of our program is to educate and instruct the patient in self-help techniques to begin to manage primary or secondary lymphedema independently.

Individualized Treatment Programs

Aspects of the treatment program include any or all of the following, based on the patient’s needs as determined by the patient and physician:

  • Education: Origin of lymphedema, precautions and lifestyle modification, and current management techniques.
  • Pre- and Post- Surgical Assessments: For patients at risk for secondary lymphedema, a rehabilitation physician can perform a pre- and post-operative baseline assessment of current daily functional level, flexibility, strength, and arm measurements.

Treatment Options

Based on evaluation findings, the following treatment options are available:

Lymphedema management - When lymphedema presents, the patient is offered a comprehensive approach to restore maximal level of function. Treatment may include      

  • Manual lymphatic therapy
  • Gradient compression bandaging of the limb
  • A comprehensive exercise prescription for flexibility, strength and edema management
  • Posture and breathing exercises
  • Aerobic and conditioning exercises
  • Sequential compression pump if indicated

Rehabilitation for:

  • Limited range of motion
  • Weakness of the affected limb
  • Pain
  • Correcting muscle imbalances which may have resulted from surgery
  • Fitness programs to restore pre-diagnosis activity levels

 

Make an Appointment

For more information about Cancer Rehabilitation Physician Specialists at MedStar National Rehabilitation Network, please call

202-877-1621

 

For cancer therapy services, please call

844-914-3878

 

Related Services

 

Patient Resources

Locations

LSVT LOUD™ and LSVT BIG™ Locations in Maryland, Virginia and Washington, DC

Certifications Resource List

MARYLAND

Baltimore City/County

  • MedStar Good Samaritan Hospital
    • Eileen Carden, MS, CCC-SLP
      • LSVT LOUD Certified
    • Kate Gerber, MS, CCC-SLP
      • LSVT LOUD Certified
    • Anneliese Massey, MPT
      • LSVT BIG Certified
    • Jennifer McDivitt, PT
      • LSVT BIG Certified
    • Charlene Foote, OTR
      • LSVT BIG Certified

Carroll County

Charles County

Harford County

Montgomery County

Prince George’s County

VIRGINIA

  • MedStar Health Physical Therapy at McLean
    • Lindsey Greenwald, PT, DPT
      • LSVT BIG Certified
    • Katie Fair, MS, OTR/L
      • LSVT BIG Certified
    • Suzanne Coyle, MA, CCC-SLP
      • LSVT LOUD Certified
    • Brownrigg Snow, MS, CCC-SLP
      • LSVT LOUD Certified

 

WASHINGTON, DC

  • MedStar Health Physical Therapy at Irving Street - Neurorehabilitation Center
  • Irving Street—Speech Department (LOUD) - 202-877-1440 
    • Rohini Rao, MS, CCC-SLP
      • LSVT LOUD Certified 
    • Janice Coles, MS, CCC-SLP
      • LSVT LOUD Certified
  • Irving Street—Therapy Department (BIG) - 202-877-1760
    • Sarah Anscher, PT, DPT
      • LSVT BIG Certified
    • Elizabeth Ljung, PT, DPT
      • LSVT BIG Certified
    • Rachel Oster, PT, DPT
      • LSVT BIG Certified
    • Sarah Ouwerkerk, OTR/L
      • LSVT BIG Certified
    • Helen (Lola) Oyebefun PT, DPT
      • LSVT BIG Certified

Locations

Spinal Cord Injury Rehabilitation Services Locations

Inpatient Spinal Cord Service at MedStar National Rehabilitation Hospital

MedStar National Rehabilitation Hospital

102 Irving Street, NW
Washington, DC 20010

For more information about the Spinal Cord Program at MedStar National Rehabilitation Hospital, please call 202-877-1152.

 

Outpatient spinal cord services are available at the following locations:

Washington, D.C.

Virginia