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Several of the most common questions patients about physical therapy are answered
below.
1. What is Physical Therapy?
Physical Therapy (PT) is considered a conservative treatment method addressing
the treatment, healing and prevention of injuries and disabilities. PT focuses
primarily, but not solely, on pain relief, promoting healing, and restoring
function and movement associated with injury. Other areas within physical therapy
are ergonomic (body mechanic) training, fitness/ wellness, and especially education
and prevention.
2. What can a Physical Therapy program do for me that I cannot do on
my own?
Many patients may think that they know how to properly exercise, manage their
pain and rehabilitate themselves. I have commonly been given explanations from
patients for why they do not need therapy - for example, "I have had this before
and I know what works for me" or "I know what is causing this, because my neighbor
had the same thing so I will just do what she did" and attempt to manage themselves.
A Physical Therapist is a specialist skilled and educated specifically in proper
rehabilitation. We are continually educated as to management for different dysfunctions,
differentiation of one dysfunction/injury from another and work closely with
the referring physician in the development of a rehabilitation program specifically
designed for each individual. The other important aspect to remember with physical
therapy is that each individual is different. We all have different types of
bodies, different patterns of movement, alignments and habits. A physical therapist,
along with their trained staff, monitors each individual and attempts to correct
improper movements, alignments and habits.

Most importantly with therapy comes education. Because of healthcare guidelines
and reimbursement changes, your physician may not have the time needed to explain
exactly what your injury/dysfunction/disability is and why/how it occurred.
Your therapist is specialized in this and many times is the person who will
educate you about the specifics of your problem and what the course of action
will be to correct it and hopefully prevent it from reoccurring. PT focuses
on education, correction and prevention.
3. How long is it going to take?
This is such a popular question. It seems that everyone has to have timelines,
which is understandable because we all have lives to lead. Your physical therapist
is aware that rehabilitation can be an imposition. I explain that because each
person is different, rates of healing are different. I can usually get an idea
of your progress within two weeks. I explain to my patients that even though
they have other things to do, rehab is important. Although rehab takes time,
it also took time for the injury to progress to the point of causing pain or
contirbuting to injury.
Physical therapists want their patients to understand that although we are
here to teach and rehabilitation them, their Home Program it is their responsibility.
The Home Program is a major contributing factor to how quickly the patient recovers.
4. Who benefits from physical therapy?
Many and all can benefit from physical therapy. As an active therapist, I work
out and always observe others. I very rarely come across individuals with perfect
body mechanics, training techniques or movement patterns. This is where wellness
comes into play. Typically, the most appropriate patients are those who have
been in accidents (work, auto, or falls), athletes with overstress injuries,
patients with arthritis, pre- and post-operative patients, and people with general
deconditioning or strains.
5. What will I have to do in physical therapy?
PT generally encompasses pain relief, strength and flexibility training, proper
postural alignment, regaining movement or range of motion, improving and correcting
posture, endurance training, relaxation and stress relieving techniques, balance
and coordination training, proper walking, education, safety awareness and development/implementation
of a home exercise program.
Remember that each individual is different, so each rehab/physical therapy
experience and program is different. Be patient with yourself, your physician
and your physical therapy staff. Healing takes time, diligence and compliance.
If you think you may be a candidate for physical therapy, speak to your physician
or to a therapist. We never will say "no" to questions.
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