March is National Athletic Training Month

By Kayla Schneider, LAT

“Athletic trainers are impacting change in health care. Together, with doctors, coaches, school administrators, military leaders, government officials, performing arts organizations and legislators, ATs are reshaping how injuries are treated and, more importantly, prevented. The future of health care requires action before, during and after an injury and ATs Impact Health Care Through Action.” - National Athletic Training Association (2020)

At APTSM, our very own Athletic Trainers are contributing to the health and well-being of athletes on and off the field. In the Appleton Area High Schools, St. Mary Central High School and Lawrence University, our AT’s are making strides in injury care and prevention through nutrition education, weather monitoring, working closely with coaches and strength coaches on tools and strategies for injury prevention, and acting as liaison between athletes, parents, coaching staff, PT’s and physicians to carefully coordinate care for the athletes. Off the field, our AT’s are providing services to more than 20 locations across north and east-central Wisconsin including factories, police and fire settings. These services come in the form of preplacement evaluations, ergonomics and safety programs, job counseling, supervised work conditioning programs and wellness programs and coordinating with employers, safety managers, physicians, and physical therapists. Their efforts all lead to decreasing the number of injuries, time lost on work restrictions and helping to make companies more competitive in their markets.

By taking these preventative measures, being the rapidly available medical professionals at the onset of injuries, and being able to direct care along the best path, active populations are seeing better outcomes. Athletic Trainers are leading the charge in changing healthcare for the better.

Learn more about our Athletic Trainers here.

Or call us at 920-991-2561

Hand Therapy

By ASHT (American Society of Hand Therapists)

What is hand therapy?

Hand therapy is the art and science of evaluating and treating injuries and conditions of the upper extremity (shoulder, arm, elbow, forearm, wrist and hand). Hand therapy uses a number of therapeutic interventions to help return a person to their highest level of function. It evolved from the need for a specialist with the knowledge and experience required to manage the challenging recovery of complex hand and upper extremity injuries

What is a hand therapist?

A hand therapist is an occupational or physical therapist who, through advanced continuing education, clinical experience and integration of knowledge in anatomy, physiology and kinesiology, has become proficient in treatment of pathological upper extremity conditions resulting from trauma, disease, congenital or acquired deformity.

What does a hand therapist provide?

Hand therapists bridge the gap from medical management of upper extremity conditions to successful recovery, allowing individuals to function normally in their daily lives. Hand therapists provide non-operative interventions, preventative care and post-surgical rehabilitation for a wide variety of upper extremity disorders, from simple fingertip injuries to complex replanted extremities. Patients with chronic conditions, such as arthritis, or neurologic conditions, such as a stroke, can benefit from hand therapy through education on joint protection and energy conservation, and with recommendations for adaptive equipment or devices to improve function. A hand therapist employs a variety of techniques and tools, including activity and exercise programs, custom orthotic fabrication, management of pain and swelling and wound and scar care. A hand therapist can also be a consultant in the industrial world, training employees and recommending modifications of workstations and alternative work methods to help ensure healthy work styles of all employees.

Where do hand therapists work?

• Hospitals

• Rehabilitation centers

• Industrial medicine facilities

• Privately owned therapy clinics

• Sports medicine facilities

• Academia

Why APTSM?

At Advanced Physical Therapy & Sports Medicine we have a dedicated team of Occupational Therapists who specialize in hand therapy. Our hand therapists offer a variety of treatments to develop or maintain functional living in those with certain physical conditions or musculoskeletal disorders.  They focus on the client, placing a paramount focus on client goals. If you or a loved one suffers from hand-related aches and pains, call us today and set up a free, 15-minute consultation to receive expert advice from one licensed hand/occupational therapists— 920-991-2561

Keeping your Resolution & Physical Therapy

Kris Tebo, PT, DPT

With the new year people begin to set goals and make resolutions. Losing weight, getting to the gym more often or getting into "better shape" are all common. These all require increasing your amount of physical activity. More activity is great for your health, energy levels, sleep, and mood. However, ramping up your activity level too quickly can lead to pain, injury and disappointment if your body isn't ready for it. Your physical therapist is an expert in movement and can help you safely reach your fitness goals.

People think of physical therapists as the people to see after an injury, but a visit before you change your activity level could prevent injury in the first place. An evaluation by your PT will include assessment of your strength, range of motion, and functional movement patterns - think jumping, running, squatting, carrying. Most common injuries from new fitness routines are caused by underlying weakness, range of motion deficits, or compensatory movement patterns. Your PT will find these during your assessment. They can then prescribe exercises to address the issues found and get you safely moving toward your goals.

The other common way people get injured working towards their resolution is over-training, or doing too much too soon. Physical therapists are also experts in exercise prescription and program design. Your PT can help you create a routine specific to your needs and goals that will progress appropriately and keep you out of trouble. So stop only thinking of your PT after you're injured. In this case, it's true that an ounce of prevention is worth a pound of cure. Seeing your physical therapist early on can keep you on track, injury-free, and help you reach your goals for the new year!

Check out one of our earlier blogs here to learn about what you can be doing to reach your goals.

APTSM does offer performance training, bridge training (for those transitioning out of therapy and into a more intensive exercise program) and FREE 15-minute consultations. So call us today and schedule your appointment and get back on track with your resolutions. 920-991-2561

Some material in this blog is provided by the Prive Practice Section of APTA

Annual Movement Screens

Ron Lawrence, PT, MSPT, CSCS

Start Your Year With an Annual Movement Screen

Your car needs regular maintenance, so you probably have a mechanic. Your eyes and teeth are important, so you see your optometrist and dentist regularly. You get an annual physical from your family physician. You might even be getting ready to see your accountant to get your yearly income tax done. What about your physical therapist? Do you and your family have one? If not, you should. Your body is a lot like your car. It's got multiple systems, all of which are complex, and all of which have to be working well for it to function. Physical therapists are experts in maintaining, diagnosing, and treating the movement system. Like the braking or ignition system in a car, most people only think of the movement system when it's not working the way it should.

DON'T NEGLECT YOUR MOVEMENT SYSTEM

Similar to the systems in your car, problems with your movement system are much easier to deal with if they're caught and treated early. This prevents small issues from becoming larger ones. For example, if you have a little bit of weakness and balance that's not quite up to par, improving those early could prevent a sprained ankle, or a fall and a broken wrist.
An annual movement screen from your physical therapist can find small issues that you may not have noticed with your strength, balance, flexibility, or coordination. Many of these minor issues can be fixed with a few exercises at home, or with just a few visits.

WHAT TO EXPECT

A screen of your movement system is quick and easy. Your annual visit may include:
● A history of your injuries, as well as a health history
● Assessment of your strength, balance, flexibility, etc.
● A review of your movement goals (do you want to run a marathon? Get on and off the floor easily playing with your grandkids?)
● A review and update of your exercise program

Several APTSM locations perform Functional Movement Screens and our Appleton North and Shawano locations perform 30 min Annual Physical Therapy Wellness Check-ups.

Start the Year Right, Prevent and Treat Shoulder Pain

Phil Sorensen, PT, CSCS

From Thanksgiving through Christmas & New Years I have had more friends and family members ask me about their painful shoulders than any other body area. Not one had a specific injury. Pain developed with use/reaching, exercise, work and in most cases was interfering with their ability to sleep. The good news for them was their condition is very treatable and responds well with physical therapy. The longer you ignore symptoms and the repetitive pain with daily use, reaching, etc. the more challenging it can become to relieve. Structure of the Shoulder: In most parts of the body, the bones are surrounded by muscles. In the shoulder region, however, the muscle and tendons are surrounded by bone. If you tap the top of your shoulder, you can feel bone immediately under the skin, this is called the acromion of the scapula. Directly under this bone is the rotator cuff, a group of four muscles and tendons. In the image below, the supraspinatus is one of the tendons that are most commonly involved. It along with the bursa (a fluid-filled sack) is positioned right between the humerus (upper arm bone) and the acromion that you tapped. This structure of muscle-tendon between bones is a contributing factor to the development of impingement syndrome (shoulder bursitis, rotator cuff or biceps tendinopathy).

Muscles of the Shoulder: Proper rotator cuff (RC) and scapular muscle strength is critical in both preventing and treating shoulder pain/impingement. The RC role is to keep the ball of the humerus in the correct position with the scapula. The rotator cuff enables the other major muscles of the arm, the deltoid and Latissimus dorsi (“lats”), to properly perform their job during reaching, lifting, pushing, or pulling. Balanced strength around the shoulder blade, in the lower & middle trapezius, rhomboids & serratus anterior (scapulothoracic) muscles, is crucial for shoulder blade movement and shoulder mechanics. Weakness and imbalance in these muscles and/or the RC is another primary factor with impingement syndrome, shoulder bursitis & rotator cuff tendinopathy. Corrective Measures: Learning proper technique to balance the previously mentioned muscles in various positions then progressing to movements can be complex and is where the skills of a PT are of great benefit to optimize your time and efforts. Below is a link to a video demonstrating a great shoulder stability exercise that engages these muscles using a small looped band while doing a small forward reach. CLICK HERE

In addition to developing proper rotator cuff & scapulo-thoracic muscle strength, it’s important to address adequate shoulder, rib cage & thoracic (upper back) mobility. Your physical therapist will assess, treat and instruct you in things you can do to improve your mobility. In most cases, shoulder impingement, bursitis, &/or rotator cuff tendon injuries can be completely rehabilitated and should leave no residual effects once a person has recovered. Shoulder pain can be debilitating by limiting your ability to exercise and perform daily tasks. Start the year out right, be proactive in the care of your shoulder. Call and set up an appointment to see a PT today. The longer a condition is left untreated, the more potential for harm and tissue damage which may lead to a longer recovery process.

Contact us to start your recovery or prevention journey today!

Tiny Habits Make a Difference

Written by:  Lara Bleck, PT

How many times have you made a New Year’s resolution, but either never started or only succeeded for a short time? This is probably no surprise but according to U.S. News & World Report, 80 percent of New Year's resolutions fail by February.  Forming habits can be easy. So let’s talk about how we can set ourselves up for success!

Tiny Habits might be just what you need to succeed.  BJ Fogg, PhD, Behavior Specialist with Stanford University, established the Tiny Habits method when he wanted to develop the habit of flossing his teeth daily.  Easy behaviors don’t require motivation, and small changes over time lead to long-term behavior change.  BJ Fogg defines a Tiny Habit as a new behavior that you do at least once a day, that takes you less than 30 seconds to accomplish, and that requires little effort.  It must be a ridiculously easy behavior. And it must always be introduced right after an existing, established behavior.  This after behavior is called your anchor.   Here is how it works:

Tiny Habit recipe: “After I [anchor behavior], I will  [tiny behavior].”  

Step 1: Pick your tiny habit.  Your goal at this point is to establish a routine, not ‘run a marathon’. 

Step 2:  Select the right anchor.  The tiny behavior should fit naturally into your life, so selecting the right anchor is critical.  3 characteristics of a good anchor include:

1.      Same frequency as your tiny behavior

2.      Same location as your tiny behavior

3.      Same theme as your tiny behavior

Step 3:  Get Started!  Take a moment to celebrate each time you do the behavior.  It could be a simple fist pump, but allow yourself to feel successful each time.

Step 4:  Check and adjust your tiny habit.  Remember, making the behavior super simple and built into your routine will allow you to make it an automatic part of your life.  Something about your recipe may not work perfectly right away.  You might need a different anchor, or make the behavior even more tiny.  That is OK.  Have fun revising the recipe, and just keep going.

So here is my plan: I had 3 exercises I needed to start:  squats, planks and push-ups.  I first look for existing, established behaviors I could tie the new behaviors to.  The ones I picked are: drinking a glass of water (which I do 6 times a day), going to the restroom (4-5 times a day), and taking my dog out.

Next I matched up some exercises that I would like to do regularly with those established behaviors. Using Fogg’s formulation, here’s how that looks:

·        After I drink a glass of water, I will do 2 body-weight squats.

·        After I go the restroom, I will do a 5 second plank

·        After I take the dog out, I will do 4 push-ups.

Once the routine is established, I’ll focus on scaling up.

As a physical therapist it’s easy to preach motivation and get someone fired up in the moment.  Where the strategy falls short is over time.  Motivation is unreliable as it’s based on human emotions.  Mini habits are so effective because they: eliminate the need to rely on motivation, allow you to consistently perform your desired behavior with ease, and utilize a series of small wins to snowball success.

Are you ready to start 2020 on the right foot?

Source:  BJ Fogg at TED-xFremont

(December 5, 2012)

Forget big change, start with a tiny habit

Back Pain during Pregnancy and Postpartum

Amanda Uting, PT, DPT

Back pain is common during pregnancy, with the prevalence of low back pain during pregnancy estimated to be between 50-75%. Back pain during pregnancy increases the risk of pain after delivery; more than one-third of women that have back pain during pregnancy still having back pain at 18 months postpartum. Back pain can decrease your ability to do normal activities at work and around the house, limit your exercise, and impair your sleep.

What may contribute to increase pain during pregnancy?

· Weight gain and postural changes: Women with a normal BMI are encouraged to gain 25-35 lbs during pregnancy. This weight gain, along with postural changes related to a growing uterus and baby, puts more stress on your joints.

· Joint laxity

· Fluid retention: results in increased pressure on soft tissues

How can physical therapy help you during pregnancy and after delivery?

As musculoskeletal experts, physical therapist have an important role in decreasing pain and improving function during pregnancy and during the postpartum period. Working with a physical therapist may include the following:

• Patient education

○ Exercise and safe return to exercise postpartum

○ Posture and breastfeeding positioning

○ Healthy bladder habits

○ Scar mobilization for Cesarean deliveries

• Safe manual therapy techniques.

• Home exercises.

Below are some exercises that may be beneficial for you to relieve back pain and increase strength for the physical demands of motherhood.  During pregnancy, please check with your healthcare provider before starting any home exercises.

○ Shoulder blade squeezes: Squeeze your shoulder blades down and back and hold for 2-3 seconds. Perform 10-20 reps. This is a great exercise during or after feeding your baby to counteract a forward shoulders posture.

○ Chest stretch: Stand in an open doorway and rest your palms on the doorframe with your elbows at shoulder height. Lean forward to feel a gentle stretch in the front of your shoulder and chest. Hold 30 seconds and repeat 1-2 times.

○ Cat/cow: On your hands and knees, gently relax your stomach towards the floor and then arch your back up towards the ceiling. Perform 10-20 reps in each direction.                                    

○ Bird dog: From a hands and knees position, attempt to push your abdominals towards the floor, and look forward; then contract your abdominals and arch your back, as if you are trying to hug baby in with your ab muscles. Keep your back flat as you extend one arm. If this feels easy, extend one arm with the opposite leg. Hold for 1 second. Perform 10-20 reps on each side.

○ Child’s pose: From a hands and knees position, bring your big toes to touch and sit your hips back. Let your stomach relax between your knees and feel a stretch in your back as your arms stay extended forward.

In addition, pelvic health physical therapists with specialized training can help patients that experience:

· pelvic pain

· urinary frequency or incontinence

· disastasis recti (abdominal separation)

If you are interested in the benefits of physical therapy during pregnancy or after giving birth, please get in touch with Advanced Physical Therapy & Sports Medicine at (920) 991-2561.

References:

Katonis P, A Kampouroglou, A Aggelopoulos, K Kakavelakis, S Lykoudis, A Makrigiannakis, K Alpantaki Pregnancy-related low back pain. Hippokratia. 2011 Jul-Sep; 15(3): 205–210.

Kanakaris Nikolas, Roberts Craig S, Giannoudis Peter V. Pregnancy-related pelvic girdle pain: an update  BMC Medicine 2011. 9(15)

Sabino J, Grauer JN. Pregnancy and low back pain. Curr Rev Musculoskelet Med. 2008;1(2):137–141.

Ostgaard H, et al. Back pain in relation to pregnancy: A 6 year follow-up. Spine. 1997; 22:2945-50.

Larsen EC, et al. Symptom-giving pelvic girdle relaxation in pregnancy. Prevalence and risk factors. Acta Obstet Gynecol Scand. 1999; 78: 105-110.

Kesikburun, S., Güzelküçük, Ü., Fidan, U., Demir, Y., Ergün, A., & Tan, A. K. (2018). Musculoskeletal pain and symptoms in pregnancy: a descriptive study. Therapeutic advances in musculoskeletal disease, 10(12), 229–234. doi:10.1177/1759720X18812449

“Exercise during Pregnancy” https://www.acog.org/Patients/FAQs/Exercise-During-Pregnancy

“Exercise during Pregnancy” http://americanpregnancy.org/pregnancy-health/exercise-during-pregnancy/

“ACOG Committee Opinion” https://www.acog.org/Clinical-Guidance-and-Publications/Committee-Opinions/Committee-on-Obstetric-Practice/Optimizing-Postpartum-Care

“Pregnancy and Low Back Pain: Physical Therapy Can Reduce Back and Pelvic Pain During and After Pregnancy”J Orthop Sports Phys Ther 2014;44(7):474. doi:10.2519/jospt.2014.0505

Can Physical Therapy lessen or stop headaches/migraines?

Dennis Kaster, PT

Did you know that physical therapists are able to significantly decrease or eliminate headaches and or migraines?  Many times headaches and migraines are triggered by muscle tension or tightness in your neck.  These muscle issues can be alleviated with some simple corrections to poor posture and muscle weakness or tightness.  There are many ways that a physical therapist can help you to get rid of your headaches and migraines.  Physical therapy is a great alternative to taking expensive medications which can be detrimental to some of your body organs— like your liver.  Treatments like Botox can be very expensive and have only temporary effects.  The corrections that a physical therapist makes can be lifelong.  Here are some ways a physical therapist can help to decrease your headaches or migraines.

Posture – If you have poor posture or are looking down a great deal, this can cause the muscles that hold your head up to pull extra hard on the back of your skull.  This can trigger headaches and migraines.  By improving your posture or modifying your work station, these same muscles will not pull as hard on the back of your skull.

Ergonomic setup – if your workstation or even areas that you do crafting in are not set up correctly, this can put extra stress on your body and neck.  Simple things like wearing reading glasses instead of bifocals when you are at your computer can make a big difference.  A physical therapist can help you to set up your work stations to put less stress on your body.

Dry needling – This is a newer technique that can give instant relief for headaches and migraines.  I have seen some patients get total relief from migraines and headaches after just a couple of treatments using this technique combined with other treatments listed here.  This technique involves putting very thin needles into the sore muscles causing headaches and migraines.  It is very simple and takes only a few minutes to do.  Call one of our clinics for more details on this awesome technique.

Stretching – Muscle tightness can definitely trigger migraines and headaches.  A physical therapist can give you stretches specifically for the individual muscles that are causing your headaches or migraines.

Strengthening – Weak muscles in your neck and upper chest area can also contribute to your migraines and headaches.  A physical therapist can give you specific strengthening exercises to better support your head and neck.

Soft tissue mobilization – Many times the muscles in your neck and upper back can be very sore and have “knots” or trigger points in them, or just be tight.  A physical therapist can do soft tissue mobilization, a very specific type of massage, which will help to alleviate muscle tightness and trigger points in your muscles.

Ultrasound/Electrical stimulation – Ultrasound is a modality that helps to relax muscle tissue and promote healing.  Electrical stimulation is a modality that can help to decrease pain and inflammation in the tissues.  Either or both of these can be used to help decrease your pain or muscle tightness.

Unfortunately, one of the best-kept secrets is that physical therapy is a relatively cheap and easy way to decrease or eliminate headaches and migraines without taking expensive and powerful medications. 

Please call one of our clinics today.  We can do a free screen with you to let you know if we think we can help you.  Most insurances do not require a physician referral to physical therapy, so you can call and set up an appointment without having to see a physician first.  We look forward to helping you take control of your life and to eliminate the crippling effects of headaches and migraines.

Osteoarthritis of the Thumb CMC Joint

Written by: Tammy Vanevenhoven PT, DPT, CHT

As the season of fall hovers over us and the leaves begin to fall, the temperatures outside continue to fall as well. For those who suffer from arthritic hands stiffness and pain, it can quickly be felt by the changes in the temperature. Osteoarthritis is the most common of all joint diseases. It often affects the larger weight-bearing joints of the hips and knees, but it also commonly affects the smaller joints of the hands; especially the base of the thumb called the CMC joint (carpometacarpal joint). The CMC joint of the thumb is considered a saddle joint that allows the thumb its vast ability to grasp objects of various shapes and sizes, to open doors, jars, and packages, etc. It also allows pinching-- a more precision type movement for writing, buttoning, using scissors, picking up small objects or turning a key. We need our thumbs as they contribute to 60% of our hand function.

Signs and Symptoms of CMC joint arthritis are:

*pain at the base of the thumb after activity

*pain with active movement of the thumb especially with pinch

*morning stiffness

*joint tenderness to palpation

*crepitus (crunching noise in the joint) with thumb movement

*joint deformity with bony nodules felt at base of thumb

*weakness of hand grip (opening a jar, sealed packages, etc.) or with pinch (writing, buttoning, turning a key, etc.)

How is CMC joint arthritis diagnosed?

Usually a standard radiographic x-ray will show joint space narrowing, bony changes such as spur formation, and joint erosion. Based on the x-ray, the arthritic changes are usually classified as mild, moderate, or severe joint destruction.

What can be done non- surgically to help the painful arthritic thumb?

A certified hand therapist (CHT) or an occupational therapist can be of great help in alleviating pain in the arthritic thumb by fabricating a thumb spica splint that stabilizes the base of the thumb while still allowing use of the thumb tip for light pinch and grip activities. Stiffness can be reduced by using a paraffin bath that is composed of paraffin wax and mineral oil which is then melted to a therapeutic warm temperature which molds around the bony prominences of the hand to help soothe pain and improve movement of the joint. Your hand therapist will also educate you on joint protection by recommending built up handles on objects that are difficult to grip such as tools, scissors, writing and eating utensils. Key adapters can also be placed on your keys to allow ease with key pinch. An electric can opener can also be used to avoid stressing the arthritic thumb with a manual can opener. Protecting the hands from the cold weather is very important. Wearing mittens and using warming packs if you like to be outdoors will help keep your hands from getting stiff and painful while you cross country ski, ice fish or while taking a winter hike.

What does the surgery for CMC joint replacement entail?

CMC joint arthroplasty is the most common joint replacement of the arthritic hand. The beak ligament reconstruction, or the LRTI, is the most common surgical procedure performed. The hand has, thankfully, many muscles that perform the same function. They are called “spare parts.” The eroded CMC joint is removed and one of these extra tendons of the hand/wrist is sacrificed and bundled up to fill in the joint space at the base of the thumb. Patients are placed in a cast and often external pins are inserted for extra immobilization.  At four weeks the cast and pins are removed, and the patients are placed in a forearm-based thumb spica splint and sent to therapy to see a certified hand therapist or an occupational therapist that specializes in treatment of the hand. Therapy includes gentle progressive range of motion to restore normal movement of the thumb, fingers and concurrent wrist; which becomes stiff from being in the cast. Swelling control and pain management are treated by working on scar mobility to avoid tendon adherence. Hypersensitivity often occurs from the surgeons having to retract the superficial radial nerve to perform the operation. Therapists can ease this sensitivity by performing desensitization exercises to calm the nerve pain. Restoring functional hand strength while appreciating joint protection and education of patients for life-long care for the arthritic thumb are just some of the various ways your hand therapist can help.

If you would like more information in treating your arthritic hands you can call Advanced Physical Therapy and ask to speak to a certified hand therapist or occupational therapist that can assist you in answering your questions. APTSM New London phone: (920)982-0100.

October is National Physical Therapy Month!

Adam Wirtz, DPT, PT, OCS

In celebration of National Physical Therapy Month, I thought it would be beneficial to share some facts about our profession:

Physical therapists (PT’s) are movement experts who optimize quality of life through prescribed exercise, hands-on care, and patient education.  PT’s and the licensed physical therapist assistants (PTA’s) they may team with provide care across the lifespan to anyone of any ability.

There are many benefits to physical therapy. Some of which include the following:

Ø It can maximize your movement. PT’s can identify, diagnose, and treat movement problems.  Pain-free movement is essential for good quality of life, your ability to earn a living, and your ability to remain independent.

Ø Personalized care that meets your specific needs.  PT’s design individualized treatment plans to address each patients’ needs, challenges, and goals.  PT’s and PTA’s improve patient mobility, manage/decrease pain and other chronic conditions, recovery from injury/surgery, and aim to prevent future injury and chronic disease.

Ø Accessibility.  PT’s and PTA’s provide care in a variety of settings including hospitals, private practices, outpatient clinics, homes, schools, sports and fitness facilities, work settings, and nursing homes.

Ø Active participation in care.  PT’s and PTA’s empower and motivate people to be active participants in their care.  They also work in collaboration with other medical professionals to make sure patients receive high quality, comprehensive care.

Ø Reduces use of opioids.  In certain situations, when dosed appropriately, prescription opioid medications can be an appropriate part of medical care.  However, current CDC guidelines are urging medical providers to consider safer alternatives to opioids, like physical therapy, for most long-term pain management.  Opioids have several risks including depression, overdose, and addiction; plus withdrawal symptoms when stopping use.

Ø Avoid surgery.  Before undergoing expensive or invasive surgery, consider physical therapy first.  There is mounting evidence that physical therapy can be as effective, or in some cases, even better than surgery for conditions such as meniscal tears and knee osteoarthritis, rotator cuff tears, spinal stenosis, and degenerative disk disease.

Now that you are aware of some of the benefits of PT, let’s address the topic of direct access.

Did you know that you have the freedom to choose your own physical therapist?

Ø  Currently, you may be evaluated by a PT without a physician’s referral in all 50 states and the District of Columbia.  In addition, all 50 states and the District of Columbia allow some level of treatment by a PT without a physician’s referral.  This is referred to as “direct access” to physical therapy services.

Ø  Some insurance policies may require you to see a primary care provider or physician prior to seeing a physical therapist.  Also, some insurers may limit your access to preferred providers only.  Contact your insurance company to make sure you are aware of any of these policies.

Ø  If you have Medicare as your primary insurance, you are able to see a PT for an evaluation without a physician’s referral.  The PT would then send the plan of care to the patient’s physician for signature.  Once this is signed, treatment can be continued.

Ø  Your physician may refer you for physical therapy that is provided in the physician’s office, or to a facility in which the physician has a financial interest.  However, you are not obligated to attend PT in any specific facility or location.  You can choose where you would prefer to attend physical therapy and which licensed physical therapist you would like to see- if you have a preference.

Now that you know all about the benefits of PT and your ability to choose your physical therapist, the next time you have an aching knee, a bum shoulder, or an injured lower back, consider finding a physical therapist to help you get back to moving well!

You can find a physical therapist in your area at www.moveforwardpt.com