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Frequently Asked Questions


  1. Can I see a physical therapist without a Doctor's order?
    In Oklahoma, you can receive out-patient physical therapy for up to 30 days without a referral from your physician.
     
  2. Can I choose any physical therapy clinic?
    Yes, you have the right to go where you want to for physical therapy.  There are some insurance companies that dictate where they will pay or how much they will pay for services, but neither the insurance company nor doctor can tell you where you have to go.

  3. Can I consult with a physical therapist before I begin treatment?
    Yes, feel free to email your questions or call.  We can give you some information, but will be better equipped to consult with you after a thorough evaluation.  After the evaluation, your findings will be discussed with you in detail. Any additional questions after the evaluation can be asked at that time.
     
  4. Is it true “no pain, no gain”?
    This is definitely not true in most cases.  This is not to say that there will be no pain.  However, in most cases, pain is a sign that there are abnormal forces on body parts or tissue and that the exercise/activity needs to be modified to make the gains needed while providing the right stimulus to improve the health of the injured part/tissue.
     
  5. Will I be given a home program?
    Most every patient receives home exercise instructions and/or recommendations for modification of activities to promote improved health of the involved parts.
     
  6. How long is each individual treatment?
    Evaluation and treatment sessions are scheduled for 60 minutes, they can range from 30 to 90 minutes.
     
  7. Will I be seen by a licensed physical therapist?
    You will always be evaluated by a licensed physical therapist and seen each visit by that same therapist.
     
  8. Will I receive one on one treatment?
    Most definitely.
     
  9. Do you provide pool therapy?
    We do not have a pool.  We do have the Newton unloading device that allows for exercise of the lower spine and lower extremity joints with decreased load (dialed-in to the pound) that is similar to exercising in the pool.  In fact, using the Newton, we can unload up to 120 pounds from a patientís body weight. This can allow the patient to complete a high number of challenging and meaningful repetitions without experiencing pain.
     
  10. Do you treat Fibromyalgia?
    Most definitely.
     
  11. Why go to a Physical Therapist?
    First,  not all physical therapists treat in the same way.  Our bodies are living, metabolizing, biologic tissues that when given optimal conditions can heal. Determining what abnormal or unbalanced force is interfering with the healing process and helping you to create an optimal healing environment is our goal.
     

    That sounds great, but what does it really mean? Patients typically arrive here after months - sometimes years - of being frustrated by something that just won't heal. Initially, we want to make sure the problem you are having is neuro-musculoskeletal and within our realm of treatment.

    Neuro-musculoskeletal tissues include nerve, muscle, tendon, ligament, bone, and cartilage. All of these tissues respond to different stimuli for healing. The problems we see most involve people who do not know:

    • what tissues exactly are the problem
    • how to exercise or stimulate a healing response
    • how to prevent constnt re-injuring through daily activities  

  12. What can I expect on my first visit?
    First, we want to hear your story. Physical therapists are like detectives putting all the pieces together to identify the most likely suspect. We determine what tests and measurements are needed to find out what is interfering with your body's ability to heal. Our physical exam of you includes observation of your posture and movement patterns, palpation to detect the altered tension in your tissue (muscles, fascia, nerve...), strength and sensation tests, and/or tests for specific provocation to narrow down the suspects.

    Sometimes the problem is obvious, but what to do about it is not. Again, we screen for any complicating factors specific to you then hel you develop the best plan of action. This plan includes finding the appropriate healing stimulus or "exercise" or "activity", modification of daily activities and postures (standing, sitting and sleeping postures), and of course, manual techniques as indicated.


  13. Who needs orthotics?
    Custom orthotics are great for patients who want to obtain the optimal biomechanical alignment of the feet and ankles, improve muscle balance in the lower extremities, and reduce abnormal stress to the joints of the foot, ankle, knee, hip, and spine.  Often, the alignment of the foot is a major contributor to this “malalignment,” even if there is no complaint of foot pain.
    Some diagnoses that can benefit from Custom Orthotics are: hypermobile feet, hypomobile feet, exessive pronators, arthritis in hips, knees and feet, tendinitis, overuse injuries to lower extremeties joints and muscels/tendons/ligaments, lower back pain, foot fractures and deformities.
     
  14. How are orthotics made?
    To receive orthotics, you must first undergo a thorough biomechanical evaluation (unlike any other one you have had before) which includes an assessment of your posture, joint ROM and mechanics, and myofascial flexibility.  We will be looking at all your joints and how your joints and muscles are affected by the alignment of your feet. We then take casts of your feet in their neutral position (subtalar neutral position).  Molds of your feet are made from these casts, and the orthotics are made from these molds,so that your orthotics will support YOUR feet in the optimal position for YOUR body.

    You will return for a follow-up visit within 2-3 weeks to be fitted with the orthotics and instructed on how to break them in appropriately.  Three weeks later (or sooner if needed), another visit or telephone conversation is scheduled to assess your tolerance and benefit. For some, ongoing physical therapy will be scheduled during this period of time.

  15. What are orthotics made of?
    Depending on your body weight and degree of correction desired, orthotics are usually made of semi-rigid materials.  These are durable materials that should not crack or deteriorate under normal conditions.  Accommodative, semi-flexible orthotics (although not as durable as the semi-rigid to rigid orthotics) are sometimes indicated for the diabetic foot or for the foot that lacks the ability to tolerate full correction.

    For semi-rigid to rigid orthotics, a variety of top covers are used for comfort and shock absorption.  Over time, however, these coverings will wear and may need to be replaced.

  16. How much do orthotics cost?
    The cost of custom orthotics is $400.00 per pair. Buying them off the shelf at a retail store instead of getting them custom made at PTC could cost you up to 50% more and you need to know that you are getting a "generic" orthotic and not one designed to improve your joint and muscle function.