Choosing a PT first can often lead to better outcomes and lower out of pocket cost.

Consider Physical Therapy First

Many people with pain or joint issues immediately turn to their primary care physician for guidance, only to be referred to physical therapy as the potential solution for their pain and discomfort.  Often times it seeing a physical therapist first can lead to better outcomes and lower out of pocket cost.  Moreover, if your physical therapist determines that therapy is not the best course of action, she/he will refer you to the appropriate doctor.  Here are some reasons why the team at Southeastern Physical Therapy believes seeing a physical therapist early in the diagnosis stage can be beneficial:

Early Physical Therapy (PT) leads to better outcomes

Studies have shown that people who receive physical therapy sooner have better outcomes, lower costs, are less likely to have surgery, use opioids or have unnecessary testing. Because back pain is so common, there is a lot of outcome data from people with back pain. A study of 150,000 insurance claims published in Health Services Research, found that those who saw a physical therapist at the first point of care had an 89 percent lower probability of receiving an opioid prescription, a 28 percent lower probability of having advanced imaging services, and a 15 percent lower probability of an emergency department visit. Unfortunately, only 2% of people with back pain start with PT, and only 7% get to PT within 90 days.

Early PT saves money

The rising cost of healthcare is well known and early physical therapy is something that has been shown to reduce costs without reducing the effectiveness of treatment. A study published in the Journal of Orthopaedic and Sports Physical Therapy (JOSPT) showed that patients who obtained physical therapy via direct access had significantly lower medical costs—an average of $1,543 less per patient than those who chose referral from a physician. They also had significantly fewer visits and spent significantly fewer days in care.

Surgery may not be as effective as you think

Many patients look to surgery as the fix for their pain, but surgeries aren’t always as effective as patients believe. A large study looking at worker’s comp patients with back pain found that people who have surgery have a 1 in 4 chance of having a repeat surgery, a 1 in 3 chance of a major complication, and a 1 in 3 chance of never returning to work again. Recent large studies of arthroscopic surgeries for meniscal tears have shown no difference in outcomes between people who have surgery and those who don’t. Other procedures with questionable effectiveness include kyphoplasty, vertebroplasty, and injections for nonspecific back pain.

So, if you were planning on seeing your primary care physician (PCP) or a specialist for an orthopedic condition or pain and you haven’t seen a physical therapist yet, you should consider making PT your first stop. You could end up getting better faster for less money and you might avoid riskier treatments like opioids or surgery.

About Southeastern Physical Therapy

Founded in 1999, Southeastern Physical Therapy (SEPT) is locally owned by Darren Cady, a physical therapist. We are proud of our long-term commitment and service to Buncombe County, Henderson County and the surrounding areas.

Southeastern Physical Therapy leads the way in sports rehab and physical therapy – treating orthopedic, muscular, bone and joint injuries, ailments and pain. Whether it is a sprain or post- operative repair, we have the experience and expertise to do the best job and get the results you deserve.

Southeastern works with all provider networks and welcomes walk-ins. All insurances are accepted, including Medicare and Medicaid. And, with 8 outpatient locations and over 50 Physical Therapists and Physical Therapist Assistants, Southeastern will provide you the care and attention you need with the convenience of a clinic near you.

Learn more about Southeastern Physical Therapy at: www.southeastpt.com.

A PT can help you choose the ideal workout plan

Are Your Workouts Giving You What You Want?

How much thought have you put into the exercises you’re going to use for your next workout? Did you choose them yourself, or did you find them on the internet or in a magazine? What’s your workout designed for? Do those goals match yours? Are the exercises even safe for you? Using the wrong program can lead to wasting time in the gym, frustration, plateaus in progress and injury. As physical therapists, the team at Southeastern Physical Therapy does more than help people overcome injuries.  Our team is also skilled in establishing and evaluating exercise programs to help patients live a healthier lifestyle.  Let’s take a closer look at what goes into program design and the cost of getting it wrong.

Exercise Selection

There are many things to think about when choosing specific exercises. Machine vs. free weights, isolation vs. compound lifts, number of reps and sets, etc. Each one of these factors affects the results, so making the wrong choices could lead to wasting time working on the wrong things, limit your results or lead to injury.

Technique

If you choose the right exercises, but don’t know how to do them properly you will again limit your results, or worse, end up injured. Poor technique leads to inefficient movement and limits the power your muscles can create. It also changes the load on your muscles, joints, and ligaments which can lead to pain and injury.

Volume

Volume is a way of thinking about how much work you’re doing during a workout. Doing a few reps with a heavy weight or a lot of reps with a light weight could end up being the same volume. Same goes for running a shorter distance quickly uphill vs a longer run at a slower pace on flat terrain. If your volume is too great you won’t recover well between workouts and create the possibility of injury. Too little volume and you won’t see results.

Progression

If you’ve been doing the same exercises with the same weight and the same number of reps and sets, you’re not progressing. Same goes if you jump on the treadmill for the same amount of time with the same settings each time. To make progress, things have to change and the program that works for your first 6 months won’t work for you 2 years down the road.

Designing an exercise program is a complex challenge with a lot of factors to consider. Most people have a history of injuries and don’t have perfect movement in every joint which further complicates things. If you’re not making progress or just want to make sure your workouts are as effective as they can be, have your physical therapist take a look at your program. Or, contact our team at Southeastern Physical Therapy.  Your PT can help design an individualized program to help you reach your goals while keeping you safe and injury free.

About Southeastern Physical Therapy

Founded in 1999, Southeastern Physical Therapy (SEPT) is locally owned by Darren Cady, a physical therapist. We are proud of our long-term commitment and service to Buncombe County, Henderson County and the surrounding areas.

Southeastern Physical Therapy leads the way in sports rehab and physical therapy – treating orthopedic, muscular, bone and joint injuries, ailments and pain. Whether it is a sprain or post- operative repair, we have the experience and expertise to do the best job and get the results you deserve.

Southeastern works with all provider networks and welcomes walk-ins. All insurances are accepted, including Medicare and Medicaid. And, with 8 outpatient locations and over 50 Physical Therapists and Physical Therapist Assistants, Southeastern will provide you the care and attention you need with the convenience of a clinic near you.

Learn more about Southeastern Physical Therapy at: www.southeastpt.com.

Stay Home, Stay Safe

Buncombe County has implemented a Stay Home, Stay Safe declaration effective at 8:00 PM on Thursday, March 26th, 2020 (click link below to read more).

Friendly reminder that Southeastern Physical Therapy will remain open under this declaration. The US Department of Homeland Security has classified Physical and Occupational Therapies as essential critical services. We will continue to follow all CDC recommendations and policies at our facilities. In addition to keeping our clinics clean and open, we are now offering Telehealth PT visits online and In-Home visits for anyone interested.

Call (828) 785-1486 or email darren.cady@gmail.com to learn more and see if your insurance covers these new services. Blue Cross Blue Shield, UHC, Cigna, MedCost, some Humana and some Aetna cover Telehealth PT services already.

READ MORE

Neutral Bracing for Spinal Stability

Neutral bracing for spinal stability. Learn to use your core to improve posture and stability at the lumbar spine. Correct use improves function and reduces stress on lumbar musculature.

#backpain #sept #southeasternphysicaltherapy #PT #core #stability #education #lumbago #wncpt

Headed back to the gym? Try these tips

By Darren Cady
Originally posted at Blue Ridge Now January 2020

Whether you are new to exercise or getting back into a routine after a break, it’s essential to start slowly and intentionally. With the following tips, you’ll set yourself up for success and reduce your risk of injury.

Note: Always consult with your physician before beginning an exercise routine.

Seek professional guidance: An exercise physiologist, certified fitness trainer or physical therapist can help you choose the right exercises for your body and health goals. He or she can also show you how to properly perform each exercise, so you reduce your risk of injury.

Start small: Begin with 10 to 15 minutes of exercise three days a week. As your fitness level improves, you can increase the intensity and duration of your workouts.

Go low and slow with weights: It’s easy to hurt yourself by attempting to lift weights that are too heavy. Even if you used to lift a certain amount a few months or years ago, you should still start lighter to avoid injury. Once you can comfortably complete a set of 10 to 12 reps with excellent form, you can gradually increase your weight.

Take rest days: Prevent overuse injuries and burnout by scheduling in at least one day off from exercise each week. This allows your muscles to rebuild and recover.

Mix up your workouts: For the best fitness results, incorporate cardiovascular activity, strength training and flexibility exercises into your routine.

Get your heart pumping: Cardiovascular exercise helps keep your heart healthy and releases feel-good endorphins. Try running, walking, swimming, cycling, kickboxing, aerobics, dance or recreational sports. Work your way up to 150 minutes of moderate exercise or 75 minutes of vigorous exercise each week.

Incorporate strength training: Strength training boosts your metabolism, strengthens your muscles and helps prevent injuries. Try weightlifting, resistance band training, Pilates, barre exercises, or bodyweight exercises, like pushups, lunges and squats. Aim to do two strength-training sessions weekly for each major muscle group, including your upper body, lower body and core.

Don’t forget to stretch: Stretching can help decrease muscle soreness and stiffness, improve your range of motion, and the risk of injury. Stretching is safest when your muscles are warm from exercise.

Wear the right shoes: Supportive, comfortable shoes are essential to a good workout. Choose the right pair based on your activity of choice, whether it’s running, walking, cross-training or hiking.

Stay hydrated: While there’s no specific amount of water that’s right for everyone, the American Council on Exercise suggests drinking 17 to 20 ounces of water two to three hours before exercising, 8 ounces of water 20 minutes before your workout, 7 to 10 ounces every 10 to 20 minutes while exercising, and 8 ounces of water within 30 minutes after you finish working out.

Listen to your body: If you feel pain, are lightheaded or have trouble catching your breath, stop exercising immediately and take a break. If you are very sore or tired one day, it’s OK to take a day off to rest and recover. Contact your doctor if you experience chest pain or difficulty breathing.

The benefits of regular exercise:

If you need motivation, here are some benefits of regular exercise: more energy, healthy body weight, increased self-confidence, better mood and mental health, less stress, better sleep, improved balance and coordination, lower risk of falls, less arthritis pain, and reduced risk of diabetes, heart disease, and certain types of cancer.

With the right plan and mindset, you can reach your fitness goals and feel better than ever this year.

To find a primary care provider near you, visit www.pardeehospital.org.

Darren Cady is the director of Pardee Outpatient Rehab.