What happens during my first visit?
During your first visit you can expect the following:
- Arrive at your appointment with your paperwork completed
(you can download it from our website - see the paperwork or
forms link)
- You will provide us with your prescription for physical
therapy.
- We will copy your insurance card.
- You will be seen for the initial evaluation by the
therapist.
- The therapist will discuss the following:
- Your medical history.
- Your current problems/complaints.
- Pain intensity, what aggravates and eases the
problem.
- How this is impacting your daily activities or your
functional limitations.
- Your goals with physical therapy.
- Medications, tests, and procedures related to your
health.
- The therapist will then perform the objective evaluation
which may include some of the following:
- Palpation - touching around the
area of the pain/problem. This is done to check for the
presence of tenderness, swelling, soft tissue integrity,
tissue temperature, inflammation, etc.
- Range of Motion (ROM) - the
therapist will move the joint(s) to check for the
quality of movement and any restrictions.
- Muscle Testing - the therapist is
checking for strength and the quality of the muscle
contraction. Pain and weakness may be noted. Often the
muscle strength is graded. This is also part of a
neurological screening.
- Neurological Screening - the
therapist may check to see how the nerves are
communicating with the muscles, sensing touch, pain,
vibration, or temperature. Reflexes may be assessed as
well.
- Special Tests - the therapist may
perform special tests to confirm/rule out the presence
of additional problems.
- Posture Assessment - the positions
of joints relative to ideal and each other may be
assessed.
The therapist will then formulate a list of problems you are
having, and how to treat those problems. A plan is subsequently
developed with the patient's input. This includes how many times
you should see the therapist per week, how many weeks you will
need therapy, home programs, patient education,
short-term/long-term goals, and what is expected after discharge
from therapy. This plan is created from input from you, your
therapist, and your doctor.
What do I need to bring
with me?
Make sure you bring your physical therapy referral
(provided to you by your doctor) and your payment
information. If your insurance is covering the cost
of physical therapy, bring your insurance card. If
you are covered by Workers' Compensation, bring your
claim number and your case manager's contact
information. If you are covered by auto insurance or
an attorney lien, make sure you bring this
information.
How should I
dress?
You should wear loose fitting clothing
so you can expose the area that we will
be evaluating and treating. For example,
if you have a knee problem, it is best
to wear shorts. For a shoulder problem,
a tank top is a good choice, and for low
back problems, wear a loose fitting
shirt and pants so we can perform
a thorough examination.
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How long will
each treatment last?
Treatment sessions typically last 30 to
60 minutes per visit
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How many
visits will I need?
This is highly variable. You may need
one visit or you may need months of
care. It depends on your diagnosis, the
severity of your impairments, your past
medical history, etc. You will be
re-evaluated on a monthly basis and when
you see your doctor, we will provide you
with a progress report with our
recommendations.
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Why is
physical therapy a good choice?
More than half of all Americans are
suffering from pain. Whether it is a
recent episode or chronic, an ABC
News/Stanford study revealed that pain
in America is a serious problem.
However, many do not even know that
physical therapists are well equipped to
not only treat pain but also its source.
Physical therapists are experts at
treating movement and neuro-musculoskeletal
disorders. Pain often accompanies a
movement disorder, and physical
therapists can help correct the disorder
and relieve the pain.
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Is physical
therapy painful?
For many patients, one of the primary
objectives is pain relief. This is
frequently accomplished with hands-on
techniques, modalities such as
ultrasound, electrical stimulation,
and/or heat or cold therapy. Movement
often provides pain relief as well. Your
physical therapist will provide you with
the appropriate exercises not only for
pain relief but to recover range of
motion, strength, and endurance. In
some cases, physical therapy techniques
can be painful. For example, recovering
knee range of motion after total knee
replacement or shoulder range of motion
after shoulder surgery may be painful.
Your physical therapist will utilize a
variety of techniques to help maximize
your treatment goals. It is important
that you communicate the intensity,
frequency, and duration of pain to your
therapist. Without this information, it
is difficult for the therapist to adjust
your treatment plan
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Is my
therapist licensed?
Physical therapists (PT's) and physical
therapist assistants (PTA's) are
licensed by the State of Virginia.
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Who pays for
the treatment?
In most cases, health insurance will
cover your treatment. Check our Physical
Therapy page so see our accepted
insurance coverages. Sometimes there is
a small copay that is needed. Make sure
you talk to our receptionist so we can
help you clarify your insurance
coverage.
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What do
physical therapists do?
You have probably heard of the
profession of physical therapy. Maybe
you have had a conversation with a
friend about how physical therapy helped
get rid of his or her back pain, or you
might know someone who needed physical
therapy after an injury. You might even
have been treated by a physical
therapist yourself. But have you ever
wondered about physical therapists--who
they are and what they do? Many people
are familiar with physical therapists'
work helping patients with orthopedic
problems, such as low back pain or knee
surgeries, to reduce pain and regain
function. Others may be aware of the
treatment that physical therapists
provide to assist patients recovering
from a stroke (e.g., assisting them with
recovering use of their limbs and
walking again). The ability to
maintain an upright posture and to move
your arms and legs to perform all sorts
of tasks and activities is an important
component of your health. Most of us can
learn to live with the various medical
conditions that we may develop, but only
if we are able to continue at our jobs,
take care of our families, and enjoy
important occasions with family and
friends. All of these activities require
the ability to move without difficulty
or pain.
Because physical therapists are
experts in movement and function, they
do not confine their talents to treating
people who are ill. A large part of a
physical therapist's program is directed
at preventing injury, loss of movement,
and even surgery. Physical therapists
work as consultants in industrial
settings to improve the design of the
workplace and reduce the risk of workers
overusing certain muscles or developing
low back pain. They also provide
services to athletes at all levels to
screen for potential problems and
institute preventive exercise programs.
With the boom in the golf and fitness
industries, a number of physical
therapists are engaged in consulting
with recreational golfers and fitness
clubs to develop workouts that are safe
and effective, especially for people who
already know that they have a problem
with their joints or their backs.
The cornerstones of physical therapy
treatment are therapeutic exercise and
functional training. In addition to
"hands-on" care, physical therapists
also educate patients to take care of
themselves and to perform certain
exercises on their own. Depending on the
particular needs of a patient, physical
therapists may also "mobilize" a joint
(that is, perform certain types of
movements at the end of your range of
motion) or massage a muscle to promote
proper movement and function. Physical
therapists also use methods such as
ultrasound (which uses high frequency
waves to produce heat), hot packs, and
ice. Although other kinds of
practitioners will offer some of these
treatments as "physical therapy," it's
important for you to know that physical
therapy can only be provided by
qualified physical therapists or by
physical therapist assistants, who must
complete a 2-year education program and
who work only under the direction and
supervision of physical therapists.
Most forms of physical therapy
treatment are covered by your insurance,
but the coverage will vary with each
plan. Most states do not legally require
patients to see their physicians before
seeing a physical therapist. Most of the
time all you have to do is ask your
doctor if physical therapy is right for
you.
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