In-home physical therapy for spinal stenosis in San Gabriel
A licensed physical therapist comes to your home for outpatient therapy. Covered by Medicare Part B, supplement plans, and major insurers.
Covered by Medicare, supplement plans, and major insurersCovered by Medicare, supplement plans, and major insurers
Where we visit
Where we visitHome visits across San Gabriel
A licensed physical therapist comes to you for outpatient therapy for spinal stenosis. Covered by Medicare and major insurers.
Request a home visitPhysical therapists
Physical therapists who treat spinal stenosis and visit homes in San Gabriel
Arek Kourouyan, DPT, OCS, SCS
Visits offered in this area
Medicare
Blue Shield of California
Anthem Blue Cross+5 moreMy name is Arek. I’m a Doctor of Physical Therapy who specializes in orthopedic and sports-related injuries, with experience working with both active individuals and high-level athletes. I earned my Doctorate in Physical Therapy from the University of Southern California in 2020 and completed advanced orthopedic (2022) and sports (2024) physical therapy residencies through Adventist Health Glendale. My approach focuses on identifying the why behind your pain and creating a highly individualized plan to help you move better, feel stronger, and return to the activities you enjoy. I value clear communication, hands-on care, and progressive exercise, and I believe physical therapy should be collaborative, empowering, and tailored to you, not a one-size-fits-all approach.
Laurie Kietzman-Greer, DPT
Visits offered in this area
MedicareSelf-Pay / HSA/FSAI'm a physical therapist in practice since 2007 in diverse patient care settings. After graduating with a doctorate in physical therapy from Rockhurst University, I established solid clinical experience at the outpatient clinic of a trauma level 1 county hospital for 4 years. There I rotated annually through inpatient floors to assist in the ICU and cardiac care units, allowing a depth of understanding for the spectrum of patients needs from acute illness to home. From there, I dove further into work with under-served communities and moved with my family to the Dominican Republic. I worked collaboratively on curriculum revision and taught physical therapy at the local university, researched, provided clinical education and treated a wide variety of patients for 7 years. Now back in the US since 2018, I'm happy to bring my rich experience and bilingual Spanish skill set to treat patients in their homes and community settings. I am a certified clinical instructor and bring a deep concern for my patient's well-being to my care.
How it works
From your request to physical therapy at home
Request a home visit
Pick your physical therapist and tell us how to reach you.
We verify your coverage
We handle insurance verification, copays, and scheduling within 48 hours.
Your PT comes to you
In-home evaluations and follow-ups with a licensed physical therapist.
Your doctor is updated
We'll fax the plan of care and ongoing progress notes to your physician.
Request a home visit
Pick your physical therapist and tell us how to reach you.
We verify your coverage
We handle insurance verification, copays, and scheduling within 48 hours.
Your PT comes to you
In-home evaluations and follow-ups with a licensed physical therapist.
Your doctor is updated
We'll fax the plan of care and ongoing progress notes to your physician.
San Gabriel, greater Los Angeles
Physical therapy for spinal stenosis near San Gabriel
Looking for a physical therapist for spinal stenosis near San Gabriel? HealthSpark connects patients in San Gabriel with licensed physical therapists who come to their home for outpatient physical therapy, covered by Medicare Part B and major insurers. No homebound requirement.
What is spinal stenosis?
Spinal stenosis is a narrowing of the spaces in your spine that can put pressure on the spinal cord or the nerves that branch from it. It most commonly affects the lumbar spine (lower back), though it can also occur in the cervical spine (neck). The classic lumbar stenosis symptom is leg pain or cramping that comes on with walking and is relieved by sitting or bending forward (called 'neurogenic claudication'). It develops gradually and is most common in people over 60. PT can significantly improve function and quality of life — and many people avoid surgery.
Common symptoms
- Leg pain, cramping, or heaviness with walking that's relieved by sitting
- Numbness or tingling in the legs or feet
- Lower back pain, especially with standing or walking
- Symptoms that improve when you bend forward (leaning on a shopping cart helps)
- Difficulty walking long distances
- Weakness in the legs
- Less commonly: bladder or bowel changes (a red flag — see a doctor immediately)
- Symptoms that have come on gradually over months or years
What causes spinal stenosis?
Spinal stenosis is almost always caused by age-related changes in the spine — bone spurs from arthritis, thickened ligaments, bulging discs, or facet joint enlargement that all narrow the spinal canal. Less commonly it can be caused by a herniated disc, spinal injury, or congenital narrow canal. The narrowing itself doesn't always cause symptoms — it depends on whether nerves are actually being compressed and inflamed.
How home visits help with spinal stenosis
Evaluation at home.The first visit is a full evaluation in the patient's home. The physical therapist asks about the history and goals, watches how the patient moves in the rooms they live in, and builds a plan of care.
Treatment where it happens. Visits follow that plan: hands-on treatment where it helps, and exercises taught with the furniture, stairs, and floors the patient uses every day.
The doctor stays in the loop.The plan of care goes to the patient's doctor, with progress notes as therapy continues, and follow-up visits run until the goals in the plan are met.
Frequently asked questions
Is there a physical therapist for spinal stenosis near San Gabriel?
Yes. 2 of our licensed physical therapists who treat spinal stenosis visit homes in San Gabriel, along with nearby Alhambra, San Marino, and Rosemead. Visits are outpatient physical therapy, covered by Medicare Part B and major insurers, with no homebound requirement.
Will I need surgery for spinal stenosis?
Most people don't. Research shows that for moderate stenosis, PT and exercise produce similar outcomes to surgery for most patients over 1–2 years. Surgery is typically reserved for severe cases with significant weakness, progressive symptoms, or quality-of-life impact that doesn't respond to conservative care.
Why does bending forward help my symptoms?
Bending forward (lumbar flexion) opens up the spinal canal and reduces pressure on the compressed nerves. That's why people with stenosis often feel better leaning on a shopping cart or pushing a stroller — and why flexion-based exercises are central to PT for this condition.
Can I still exercise with stenosis?
Yes — exercise is one of the most important parts of managing stenosis. The trick is choosing the right exercises (typically flexion-based, low-impact) and modifying around your symptoms. A stationary bike, swimming, and walking with sit breaks all work well for most patients.
Will my walking distance ever improve?
For most patients, yes. With consistent PT and a structured walking program (intervals with sit breaks to start), walking tolerance gradually improves. Many patients double or triple their pain-free walking distance over a few months.
Is in-home physical therapy covered by Medicare?
Yes. In-home visits are covered by Medicare Part B. We're also in-network with Blue Shield, Anthem, Cigna, UnitedHealthcare, Aetna, Humana, and other major plans, and we verify your benefits before the first visit so there are no surprise costs.
Will I see the same physical therapist each visit?
Yes. You're matched with a licensed physical therapist for your evaluation and every follow-up visit on the same plan of care.
Do you visit homes in San Gabriel?
Yes. Our physical therapists visit homes in San Gabriel and across greater Los Angeles, within about a 20-minute drive of where they're based. The best way to check your address is to get started and enter your ZIP code.
Is this the same as home health?
No. This is outpatient physical therapy that happens in your home, covered by Medicare Part B. Home health is a different Medicare benefit for people who are homebound, and it usually comes with nursing and other services. You don't need to be homebound to see us.
Can I see you while I'm getting home health care?
Not at the same time. Medicare doesn't cover outpatient Part B therapy while you're in a home health episode. Once your home health care ends, we can start. If you're not sure, ask us and we'll check.
Do I get to choose my physical therapist?
Yes. We have physical therapists across greater Los Angeles. You can learn about each one and request a visit with the one you want.
Do you accept my supplement plan?
Yes, we accept most Medicare supplement and secondary plans. When you book, we check your coverage in real time.
I've already reached the Medicare therapy limit. Can I still be seen?
Yes. Medicare covers therapy past that amount when it's medically necessary. Your physical therapist's evaluation and work with your doctor decide whether your care qualifies.
Can I pay cash?
For services Medicare doesn't cover, like wellness and fitness sessions, yes. Your physical therapist can talk through what that looks like, and we'll ask you to sign a Medicare notice (an ABN) before any service Medicare may not pay for.
Can you work with my family member or caregiver?
Yes. Your family member or caregiver can coordinate your care and be our go-to person. They can book for you on our page for caregivers.