Your lymphatic system plays an important role in maintaining fluid balance and supporting your immune system. When fluid builds up or your lymphatic system needs additional support, you may experience swelling, heaviness, tightness, or discomfort.
Lymphatic therapy uses specialized, gentle techniques to encourage lymphatic fluid movement and support your body's ability to manage fluid. At Optimize, we take an individualized approach to care, combining hands-on techniques with education, movement, and other strategies when appropriate.
Your Body Deserves Specialized Care
Because your body and your health history are unique, your care plan should be, too.
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Lymphatic Wellness
This can benefit those with:
- Venous Insufficiency
- Lipedema
- Lymphedema
- Post-Surgical Swelling
- Primary or Congenital Lympathatic Disorders
- Post-radiation for oncologic treatments
- Refitting of lymphedema garments
Not everyone with swelling concerns needs significant reduction. If your swelling is mild, then you may benefit from lymphatic wellness instead!
This can help with :
- Swelling/bloating
- Fatigue
- Headaches
- Immune Response
- Sleep
- Joint Pain/stiffness
- Muscular Recovery
- Constipation
If you have significant swelling or specific diagnoses causing your swelling, you may be more appropriate for lymphatic physical therapy!
Lymphatic Therapy
Find the Right Care for You
Specialized treatment for swelling, fluid management, and recovery.
Gentle, hands-on care focused on comfort and well-being.
Initial Evaluation- Lymphatics Session
This service is designed for individuals experiencing significant swelling, are post-surgical, or have been diagnosed with lymphedema, lipedema, or significant venous insufficiency.
$160 for a 90-minute session
This service includes hands-on assessment and treatment with manual lymphatic drainage, followed by an overview of your current functioning and what you can do at home to help your flow!
Lymphatic Wellness Session
This service is for individuals who do not have a formal diagnosis of lymphedema, lipedema, or venous disease but want to support their lymphatic system and overall wellbeing.
$150 for a 90-minute session
While we do not bill insurance directly, many patients choose to use HSA or FSA cards for eligible services. Some insurance plans may also offer out-of-network reimbursement—though coverage varies.
We’re always happy to provide a detailed receipt (superbill) upon request so you can check with your insurance provider if reimbursement is available.
Optimize is a self-pay, out-of-network practice. This allows us to provide longer, one-on-one sessions without the limitations often required by insurance companies.
- Longer appointments
- Personalized, unrushed treatment
- Care driven by your needs—not insurance restrictions
Frequently Asked Questions
Lymphatic Physical Therapy is intended for people who need skilled treatment for diagnosed lymphatic conditions, significant swelling, or certain post-surgical concerns. Lymphatic Wellness is designed for appropriate clients seeking wellness-focused manual lymphatic drainage without a diagnosed lymphatic dysfunction or post-surgical need. Your therapist can help determine which service best fits your situation.
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You don’t have to know.
I evaluate both systems because they are highly connected — fluid congestion increases pelvic tension, and pelvic tension restricts lymph flow. We follow your body’s response and choose what works best for you.
Yes. I am trained in lymphatic therapy and work with many clients who have lipedema or suspect they do.
I help reduce pain, inflammation, swelling, and heaviness through gentle manual lymphatic drainage and movement-based flow.
There is no one-size-fits-all treatment schedule. The number and frequency of sessions depend on your symptoms, medical history, goals, and response to treatment. Your therapist can discuss an individualized plan after evaluating your needs.
Yes. During sessions, I help measure, select, and guide you through ordering the correct compression (not all compression is appropriate for lipedema). I also help with pneumatic compression pump recommendations and can coordinate with vendors and physicians if needed.
I am an out-of-network provider, which means your treatment plan is based on what you need, not what insurance approves. I provide superbills for reimbursement upon request.
Gentle, calming, 90-minute treatments that support drainage, reduce inflammation, and decrease pain. No machines, no gimmicks — hands-on therapy that supports flow.
Yes — HSA/FSA cards can be used for therapy sessions (and sometimes wellness sessions depending on your plan).
- See you 1:1 for the entire session
- Treat the root cause, not just what insurance “approves”
- Use the full pelvic + lymphatic model without restrictions
If you have good coverage- awesome! You can still choose to see me or use your hospital providers who are also amazing!
Yes — and wellness sessions make a perfect gift for post-op clients, mamas, and anyone who needs a reset.
A tank top and loose-fitting shorts are recommended when possible. Your comfort and privacy are always a priority, and your therapist will explain what is needed before treatment.
Yes — and wellness sessions make a perfect gift for post-op clients, mamas, and anyone who needs a reset.
No. Certain medical conditions may make lymphatic treatment inappropriate or require medical clearance. If you have heart or kidney disease, speak with your physician before booking. Your therapist will review your health history and help determine whether treatment is appropriate.
Optimize Physical Therapy and Wellness is located in St. Charles County, Missouri at two locations; The Back Pain Center at
2530 State Hwy K, O'Fallon, MO 63368 and Mirella Aesthetics at 400 Lake St Louis Blvd #1, Lake St Louis, MO 63367.
Optimize Physical Therapy and Wellness is proud to serve patients from Lake Saint Louis, Troy, Wentzville, O’Fallon, New Melle, St. Peters, Weldon Spring, Wright City, Moscow Mills, Warrenton, and the greater St. Louis Area.
