When is referral for physical therapy appropriate? A referral for physical therapy is appropriate any time a patient’s symptoms and impairment may be related to the musculoskeletal system. Physical therapists are movement experts and address impairments in the locomotor system and its intersection with the nervous system. There are of course many areas of specialization. Mine is orthopedic physical therapy, which is the conservative treatment of musculoskeletal disorders and neuromuscular dysfunction through the use of orthopedic manual therapy, therapeutic exercise, ergonomics, movement- and posture re-education etc. There is strong support in the scientific literature for the combination of manual therapy and therapeutic exercise in the treatment of the majority of the most common musculoskeletal disorders. The current entry level physical therapy degree is a clinical doctorate, and the state of Illinois grants direct access to physical therapy. This means that physical therapy is the most appropriate initial referral for patients in need of conservative management and care for musculoskeletal disorders, as well as pre- and postsurgically for prehab and rehab. The physical therapist’s evaluation includes a screening for potential red flags and a patient not currently appropriate for physical therapy will be referred back to you. Therefore, a referral to physical therapy can also constitute a screening tool for whether the patient’s presenting complaint is musculoskeletal in nature or not. After referring a patient for physical therapy you will receive a thorough evaluation report, as well as regular progress reports to keep you posted about your patient's progress. Physical therapy does not need to constitute a stand-alone intervention, but can effectively be combined with medical management, acupuncture etc. How do I write a script for physical therapy? Your referral only needs to include the patient’s main complaint, e.g. “low back pain” and your name and credentials. The physical therapist will evaluate the patient and determine the classification, cause and appropriate treatment plan for the patient. Who can refer to physical therapy? In the state of Illinois any healthcare practitioner such as MD, DO, DPM and DDS etc are welcome to refer patients to physical therapy. Medicare requires a referral or a sign-off on the patient's treatment plan by one of the above-mentioned professionals writing the first month of care. Will my patients be able to use their health insurance for physical therapy services? I am in network with BCBS and I am a Medicare provider. Patients covered by other healthcare plans will receive an itemized superbill complete with ICD-10 codes and CPT codes and may submit this to their respective insurance company for reimbursement of their services. Questions? Please do not hesitate to contact me at any time via text or voice at 847-208-8063 or via email. More news and information about physical therapy here. References: Beattie et al. Patient Satisfaction With Outpatient Physical Therapy: Instrument Validation. Physical Therapy, 82(6). (2002). Resnik et al. Predictors of Physical Therapy Clinic Performance in the Treatment of Patients With Low Back Pain Syndromes. Physical Therapy 88.9 (2008)
27 Comments
Jred Hatty
8/3/2022 03:45:22 pm
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10/3/2018 02:10:45 pm
If you want to remove the swear pain of backbone during walking and sleeping near a spinal cord then you must go to the hospital of physiotherapist for a test of MRI and also discuss the report of MRI with a senior doctor of physiotherapist and you must understand the import suggestions of a doctor with the steps of a exercise which is helpful for you to eliminate this kind of health problem rapidly with in a short interval of time ,otherwise your pain will be increase day by day ,So you must take care of your self and avoid to take a medicine without the opinion of a senior doctor .
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10/24/2018 11:12:33 pm
Recently, my brother is ranting about his back pain, so, my mom suggested for him to go to a physical therapist. It was discussed here that physical therapy is one of the initial referral for patients in need of care for musculoskeletal disorders. Furthermore, it's recommended to hire professional physical therapists for quality health care.
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11/9/2018 05:08:00 pm
Thanks for pointing out physical therapists will provide you with regular progress reports about your standing with your rehabilitation plan. My dad is going to need a knee replacement after falling over a flight of stairs last night. I know he wouldn't want to take a lot of months or years getting back to full speed, so I will be sure that going into physical therapy will be able to show him his progress regularly so that he can stay more motivated.
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12/4/2018 05:07:48 pm
Lilian, great job educating people on when and how to access physical therapy. Well written articles like this are sure to help more people become aware of their option for PT treatment.
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12/5/2018 07:13:08 pm
My brother has a backache and is having a hard time walking because of it. According to this, physical therapy is an appropriate referral for people who needs care for a musculoskeletal disorder. Furthermore, it's recommended to go to trusted hospitals for quality physical therapy.
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1/23/2019 08:59:37 pm
I recently hurt my back and I don't how to relieve the pain. I might talk to my doctor to see about who they would recommend for physical therapy. Perhaps if I do find someone, they could come to my home and help me out there.
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1/30/2019 07:55:28 pm
My brother is an athlete and he broke her leg when he accidentally tripped while walking down the stairs. It was explained here that therapy and therapeutic exercise in the treatment may help his condition. Furthermore, it's recommended to go to trusted professionals when considering orthopedic rehabilitation.
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1/31/2019 07:44:26 pm
I really appreciate this information on physical therapy. My husband needs to go to physical therapy. I'll have to look into finding the best place for him.
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4/30/2019 02:01:15 am
My sister broke her leg and she wants to have her injury heal right away. It was explained here that it will be best to go to a therapist who is referred by a trusted doctor. Moreover, it's recommended to consult experts when in need of orthopedic rehabilitation.
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I liked that you explained that manual therapy and therapeutic exercise treatment will help musculoskeletal disorders. I would imagine that experiencing pain in the back or another body part would be frustrating. If my doctor referred me to physical therapy, I would be hopeful that it would help me recover faster than I would at home.
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7/10/2019 08:13:30 am
Excellent outline. Thanks for the information sounds so great and helpful. Kudos!
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8/28/2019 02:58:16 pm
I had two knee surgeries when I was in high school, so I find it interesting you can only recommend physical therapy if you have certain criteria. I had physical therapy for a few weeks and it was really exciting to see my progress from one session to another. If I could re-do it, I would probably go for a little bit longer so that my knees don't have the problems they do.
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1/13/2020 01:04:59 pm
It's good to know that physical therapy is most appropriate for management of musculoskeletal disorders. My brother has been telling me about how he 's been having some trouble walking recently. I'll share this information with him so that he can look into his options for professionals who can help him with this.
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Lilian Holm
1/13/2020 04:23:37 pm
Good luck to your brother! The earlier you address dysfunction, the better.
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1/15/2020 05:43:41 pm
Thanks for the information about physical therapy. I need to find someone to help with my rehab. I injured my shoulder a while ago and it's still hurting.
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4/23/2020 12:18:43 am
Thank you for sharing that a physical therapist is excellent for those who are looking to relief themselves of numerous aches. The other day my doctor informed me that I should consider seeing a physical therapist for my wrists as I am often typing on the computer. I will ask him to write a referral letter.
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7/9/2020 09:38:57 am
I like what you said about using a physical therapist to evaluate and determine the treatment plan for musculoskeletal problems. My sister wants to make sure she has a good range of motion in the coming weeks. I'll share this information with her so that she can look into her options for physical therapists who can help her with this.
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11/29/2020 12:21:12 pm
Before joining a center here for physical therapy near me, I wanted to go in with the right information, and this blog helped me gain all that and more!
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Lilian Holm
11/29/2020 02:00:36 pm
Glad to hear you enjoyed it! You can also find my articles on https://lilianholm-42032.medium.com/
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4/21/2021 12:55:17 am
You made a good point when you shared that physical therapy is suitable for patients who are in need of conventional management and care for musculoskeletal complications. My friend just mentioned the other day that she is concerned about her husband who is dealing with backaches after he played rugby with his old friends a few weeks ago. I will suggest to her looking for a reliable medical facility that offers physical therapy for her husband.
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Dexter Tamara
5/30/2022 12:36:27 pm
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8/2/2022 02:49:49 am
I've been hearing a lot about musculoskeletal disorders recently, and I seem to be experiencing some myself. No matter what I try, the shoulder and back pain I have been dealing with never truly goes away, so maybe therapy is the correct way to deal with it. As soon as I find a physical therapy clinic in the area, I'll get some help from them.
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