Sunday, June 8, 2014

PT in a Box


logoI am currently practicing Physical Therapy in a CrossFit box here in the New Orleans area.  I actually rent a  room inside CrossFit Roux. I am there because I believe that fitness is one of the answers to a healthy painfree life.  I also believe the CrossFit is an excellent way to get fit.



I was reading this article by a fellow physical therapist/crossfitter/strongman  and thought I should share it here:  How partnering with a therapist or chiropractor can benefit your box.  I feel that if you belong to or own a gym, you need to work with a good Physical Therapist, Chiropractor, Orthopedist or good Massage Therapist.  If not, you are leaving some great gains on the table, and some easily correctable "injuries" left  unattended will result in attrition.

I have been asked by an acquaintance on how to know who to choose when you need healthcare services between and PT, Chiropractor, and Orthopedic Surgeon.  It seems like a simple question, however it really is pretty complex.  The answer is it depends.

If you are willing to look into the admission requirements for Physical Therapy, Chiropractic care and Medical school you will see that there is very little difference between the 3.  Therefore most of the people are smart.   The Orthopedic Surgeon has an additional 5 years post graduate study in general orthopedics and then can go on to specialize even further with fellowships that last another 1 - 2 years.    It is what you study, practice and enjoy when you get out of your initial training that make the difference between these practitioners.   It is the years following basic studies through continuing education and influences by their mentors that make all the difference.

On somewhat of a side note, generally most post-operative care is the same from therapist to therapist. 
Physical Therapy

Traditionally there has been tension between Chiropractors and Physical Therapists, between Chiropractors and Orthopedic Surgeons as well as Physical Therapy with Orthopedics.  However in my experience we have training in similar or sometimes the same techniques and have similar practices.  There are many practices that actually have Orthopedists, Chiropractors and Physical Therapists working together.   Taping, ART, Graston, FMS, etc. traditionally are techniques used by both Physical Therapists and Chiropractors.  Now they are even used by athletic trainers and massage therapists.  Thrust techniques or manipulations are used by both PT and Chiropractors who have the training to do so.  I have great respect for some Chiropractors, Orthopedists, and Massage Therapists.  I have also been a patient of all of these healthcare professionals in the past.  Just as I have helped others in the Physical Therapy, Massage, Athletic Trainer, Chiropractic and Orthopedic communities.

Chiropractic Care
I have been trained in manipulations, adjustments, or thrust techniques as chiropractors call them, but generally don't use them in my practice.  I have found that I can get better results without them and don't want to mess with the risks.  If you are looking for thrusts or manipulations you may want to schedule an appointment with a Chiropractor or a PT who does so.  You can private message me if you want referrals to some good ones.

Orthopedic Surgery
If you are looking for some excellent soft tissue work I can also recommend some great Massage Therapists and Physical Therapists depending on the type of work you are seeking.

If you feel that your problem may be a surgical one or you want to treat it with medication then I recommend an Orthopedist.  I happen to know some really good ones, including one I know very well.  Let me know what your problem is and I can refer you to someone who can help you.

If you are currently going to Physical Therapy, an Orthopedist or a Chiropractor and it isn't working, you need to go someplace else!  No one likes to waste money or time.  If your problem isn't a surgical one, or you don't want surgery, and your current therapist hasn't helped you, the answer is to try another.  Everyone knows different stuff.  Everyone is different!  Some people will respond to me in two visits when they couldn't with a Chiropractor in 6 months, and unfortunately vice versa.  It just depends on the person and the problem.  As you know I specialize in self-care...it will only work if you do your homework.  So there you have it...a long winded non answer on who to select.  It is really up to you.  My advice is to ask around and use the services of those who are also interested in what you do.

By the way, I know Chiropractors, Orthopedic Surgeons and other Physical Therapists who also practice MDT or the McKenzie Method all over the world.  Next week I will discuss how you know if this method is for you. In the meantime you know what I am going to say "Everyone Deserves a Good Mechanical Assessment and Treatment Plan!"  Check out Grimmpt.com or call 504-228-0524 to set up your evaluation today!

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