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Why is Physical Therapy Important What is a Physical Therapist When Should I See a Physical Therapist What Will a Physical Therapist Do What Are the Treatments My Physical Therapist May
Use

Why is
Physical Therapy Important
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Orthopedic patients typically have a deficiency that
needs to be addressed. For example, patients with carpal tunnel
syndrome may have weakness of specific hand muscles that require
targeted exercises. Knee conditions such as chondromalacia may be
due in part to muscle imbalance around the knee joint. A physical
therapist can teach exercises that specifically target muscles to
improve function and decrease problems. |
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Physical therapists are knowledgeable about surgical
procedures, treatment goals, musculoskeletal anatomy, and can tailor
their efforts to improve the well-being of the patient. After a
procedure such as a hip replacement or ACL reconstruction, it is
important that therapy is guided by the surgical procedure. Some
surgery places limits on weight-bearing and range of motion; a
therapist is knowledgeable of these limits and can help ensure a
successful outcome. |
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For patients with neurological and musculoskeletal
injuries and disabilities, physical therapy is a cornerstone of
management. |
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Physical Therapy aims to restore
movement and function, relieve pain, and prevent illness and
injury |
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Physical Therapy is the evaluation and
treatment of numerous physical conditions of all age
groups |
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Physical Therapy includes practice in
sports medicine, fitness and health, the performing arts, industrial
screenings, and with women's health issues such as pregnancy or
incontinence issues |
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Physical Therapy helps people lead more
active and independent
lives. |
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What
is a Physical
Therapist
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A
physical therapist is a specialist trained to work with a patient to
restore their activity, strength, and motion following an injury or
surgery. Physical therapists (PT) can teach patients specific
exercises, stretches, and techniques, and use specialized equipment
to address problems that cannot be managed without PT
training. |
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A
Physical Therapist completes training at a School of Physical
Therapy that is approved by the Commission On Accreditation in
Physical Therapist Education. Physical Therapy programs are usually
within the College of Health-Related Professions at university
settings. |
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A
Physical Therapist must pass qualifying state examinations and be
licensed or registered in the state in which the physical therapist
practices once their educational requirements and clinical rotations
are completed. |
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When Should I See a Physical
Therapist
You should see a physical therapist
when:
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you
have suffered an injury--to decrease pain and restore movement and
function |
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after surgery--to restore strength,
range of motion, balance and function |
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if
your illness or injury interferes with your daily normal tasks and
your ability to function |
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if
your child has had birth defects
before accidents or injuries occur to prevent difficulties in the
future. |
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What Will a Physical Therapist
Do
A Physical Therapist will perform an evaluation of your
problem or difficulty. This includes:
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Taking a history of a
problem |
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Evaluating your problem by performing specific tests
and measures to assess the problem. |
A Physical Therapist will then develop a treatment plan and
goals and then administer the appropriate treatment to aid in recovery of
a problem or dysfunction including:
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Patient education to teach you how deal with a current
problem and how to prevent this problem from recurring in the
future |
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Provision of "hands on techniques" like massage or
joint mobilizations skills to restore joint motion or increase soft
tissue flexibility |
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Aiding in postural reconstruction and movement
awareness |
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Therapeutic exercise instructions to help restore
strength, movement, balance, or coordination as a guide towards full
functional recovery |
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Functional training for work-related issues, and home
activities, and recreational or sports
interests |
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Basic mobility skills such as learning to move and get
out of bed, transferring to a chair, walking with crutches or
special devices on stairs or varied
terrain |
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Utilizing specific treatment methods or "modalities"
which include properties of heat, cold, air, light, water,
electricity, sound and mechanical energy that will help decrease
pain and increase movement and function. Those include
hot/cold packs, ultrasound, electrical stimulation, iontophoresis,
phonophoresis and TENS. (See below for more
information) |
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Monitoring one's progress and adjust treatments and
treatment goals as appropriate |
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Consulting with other health
professionals to facilitate one's
recovery |
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What Are the Treatments My Physical Therapist May
Use
Physical
therapists use a variety of treatments to help bring their patients to
recovery. Below are a few of the treatments that physical therapists use
daily that can help strengthen, relax, and heal muscles
modalities.
Hot
packs: A
superficial moist heating source to relax muscles and relieve pain by
increasing local blood supply.
Cold packs/ice
massage: The use
of individual packs or a fon–n of ice to decrease sensitivity of painful
areas and relax muscle spasm. The cold causes a slowing of nerve impulses
to the muscle and via vassal constriction, a decrease circulation allowing
for a decrease in inflammation.
Ultrasound: Uses a diathermy type unit as a voltage generator and a
porch crystal to produce ultrasonic energy. The high frequency waves
produce deep heat as well as a "micro massage" of tissue substance. As a
result increase circulation and muscle relaxation is obtained. Ultrasound
is often used with cortisone cream, phonophoresis, to help decrease acute
inflammation.
Electrical
stimulation:
Electrical currents of various frequencies are put through a muscle to
improve circulation, caused some form of muscle contraction, and decrease
pain. It is effective in acute, subacute and rehabilitative phases of a
patient's recovery.
Iontophoresis is accomplished by using an electrical stimulator to drive
a prescribed medication (usually an anti–inflammatory) into the tissue.
Iontophoresis is used when there is one small local point of pain or
spasm.
Phonophoresis is accomplished by using ultrasound to drive a prescribed
medication (usually and antiinflammatory) into the tissue. The medication
is mixed with the ultra sound gel and is useful when there is a large area
to be treated.
TENS–
Transcutaneous Electrical Nerve Stimulation: It is the form of electrical
stimulation that has found to be successful in the relief of pain. It is
commonly use in home programs for patients.
Therapeutic
exercise: There
are many possibilities of therapeutic exercises, and the physical
therapist may choose to –use it for prevention, rehabilitation or
maintenance. Exercises may be classified in a variety of ways: Passive -
Active Resistive - Progressive resistive
Home exercise are given
to compliment those exercises given in the clinic. The patient can then
continue to work on his/her problem at home between therapy sessions.
Massage: There are different methods of massage:
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Friction: A deep circular massage, to stimulate
a muscle to increase its toneness and /or its arterial perfusion, or
to express swelling. Also to break up scar tissue in ligaments
lesions. |
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Trigger points: Firm digital pressure
applied to a hyper irritable spot in the muscle or fascia that is
painful on compression and can give rise to referred pain,
tenderness, and even autonomic phenomenon.
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Soft
tissue and joint mobilization/myofascial release: Manual skills are used to
test and treat muscle and skeletal problems. They include passive
physiological joint movements and passive excessary joint movements.
The physical therapist will use mobilization to decrease pain and
decrease muscle spasm, increase range of movement and improve the
quality of movement. These techniques stretch the joint capsule,
associated ligaments and affected muscles.
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Spray and
stretch:
Flouromethane is sprayed over a muscle while it is stretched. The
therapist continues to stretch the muscle as the flouromethane if sprayed
on. The flouromethane acts to cool the skin over the muscle to inactivate
the trigger points and therefore increase range of motion.
Whirlpool: Either warm or cold water used for upper or lower
extremities to increase blood supply and promote healing. Used with
orthopedic and pediatric problems; also to cleanse open wounds and ulcers.
Paraffin: A wax treatment primarily for treatment of hands, used to
increase blood supply and promote healing.
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