At Custom Physical Therapy, we come across many people who are not aware that it is their right to choose where they do their physical therapy. We also see patients who do not know that they can (and should) request their doctor to refer them to physical therapy if they think they need it.
Most people are referred to us by their physician, physician’s assistant, nurse practitioner, case manager or chiropractor. These providers partner with us in your recovery. We work together, as your “recovery team”, to provide the needed interventions for your speedy recovery.
What about you? How should you be involved in the decision-making process?
1. You must be an informed consumer of healthcare.
Thus this blog! We want you to use this blog as an information source, a place to discuss (POST) your questions with other members of the Custom Physical Therapy community and our clinicians. Learn! Learn! Learn! Being informed takes effort on your part. We are here to answer any questions either by phone, in person or after you post them on the blog. Your choice. Obviously, we cannot give you concrete medical advice through the blog but we can give you access to information that may be in our head! We can direct you to appropriate resources if need be. This is an invitation to you whether you are a patient of ours, a prior patient or someone who has not visited our three clinics at all.
2. Actively participate in your healthcare.
To do this you need to be informed sufficiently to ask questions. Yes, you need to ask questions. Lots of them! Ask questions until you understand what interventions are being proposed by your doctor, nurse practitioner, physician’s assistant, case manager, physical therapist or chiropractor. This new understanding you have allows you to accept or reject what interventions we propose. You can also request other interventions – as long as you, the patient, are informed, i.e. you have done your homework! Educate yourself then actively participate in your care.
3. Make sure you know who you want to treat you.
Which clinic you attend and which provider (physical therapist) you want to be treated by is your choice. As long as they are on your insurance provider list (in-network) you will be covered by in-network benefits and typically pay less out-of-pocket than if you see someone who is out-of-network. You can, however, go out-of-network if your provider of choice hasn’t signed a contract with your health insurance company. You may then have a higher out-of-pocket expense.
At Custom Physical Therapy we try to match your out-of-network out-of-pocket cost to your in-network cost. So, never think you cannot see us if we are out-of-network. We will check your benefits and let you know what your out-of-pocket cost will be before you schedule your first appointment.
When should you request physical therapy if your doctor or other healthcare provider does not recommend it to you?
For any musculoskeletal issue there is a high likelihood physical therapy will benefit you. Afterall, we specialize in the rehabilitation of musculoskeletal problems. These include, but are not limited to, low back pain, neck pain, headaches, shoulder problems (weakness, pain, stiffness), arm and leg problems, ankle sprains, and numerous other conditions. If you are unsure, call us at one of our clinics and we will be honest with you and tell you if we are an appropriate route to get you back to full function.
Regarding low back pain, research has documented the longterm benefits of physical therapy when started within 2 weeks of the onset of low back pain. Treatment with medications only (anti-inflammatories, muscle relaxers and/or pain killers) and no physical therapy resulted in an 85% reoccurrence within 1 year of resolution of the episode of low back pain, which took 3 months on average to resolve. Medical management combined with physical therapy (specific exercises and manual therapy interventions) only had a 35% reoccurrence! That’s a huge difference! Worthwhile I would say! It is totally appropriate for you to request physical therapy at the initial visit to your doctor for your low back pain.
Another condition where you should specifically request physical therapy immediately is for an ankle sprain, even if it is a slight one. Chronic ankle sprains may occur if early rehabilitation is not pursued. There is a greater likelihood of arthritis in the ankle joint each time you traumatize the joint by spraining it. Research on ankle sprains shows that one sprain leads to another and then another if the brain’s ability to control the ankle in unstable situations (known as proprioception) is not retrained. This involves being instructed in specific exercises to enable the brain to “adjust” to the faulty information, due to the ankle sprain, arising from the muscles, ligaments and tendons which control the ankle joint.
- Be proactive with your healthcare and learn as much as you can.
- Ask questions to gain understanding.
- You choose who you see for physical therapy.
- You can and should request physical therapy when you think it is needed.
YOUR CALL TO ACTION!
- Post a question concerning your health on this blog. If we do not know the answer, we will find it for you from another expert in the field.
- Check out the videos on the blog and rate them. Why do you think they are good?
- What topics would you like to see covered in this blog?
- Ask a friend to do action 1 through 3 above. This will get our information out to many others with your help.
See you for the next post! Plan on once a week visits to this blog for new information!