I read the WebMD article on types of physical therapy. Can a physical therapist diagnose whether a muscle or joint is weak, unstable or vulnerable after mobilizing the muscle or joint? It is possible that the mobilization doesn't have an immediate effect on the muscle or joint. I may need to use the muscle/joint in a rigorous exercise like jazz dance after my therapy session. Also, in physical evaluation, can he identify other points of vulnerability that can affect my full recovery? For example, if my main problem is strain in my SI joint (S1 vertebra), can he check if its supporting structures or weakness in the lumbar back muscles/discs (L1 to L5 vertebra) are vulnerable and may need to be treated too?View Thread
Thanks for clarifying Dr. Abaci. The synergy between the physician and therapist is important, and unfortunately, missing at the therapy center I was going to in India. This center's therapy is being overseen by "experts" from The Institute of Physical Art, Colorado, USA.View Thread
Hi! I am from India. I understand that a physical therapist cannot replace an orthopaedic specialist. But they can help you with recovery from pain by applying various manual therapy techniques like mobilization. They should also be able to define a treatment or exercise plan to aid better range of motion in joints, rest or modification in activities to aid recovery from pain. They should be able to determine whether or not a joint or muscle is ready for vigorous exercise soon after manual therapy. I referred to a physical therapist's role recently in a publication "Today's Physical Therapist" from the American Physical Therapy Association (http://www.apta.org/uploadedFiles/APTAorg/Practice_and_Patient_Care/PR_and_Marketing/Market_to_Professionals/TodaysPhysicalTherapist.pdf ). It seems to confirm my understanding.
My concern is that some physical therapists are either not skilled enough to perform their job completely and prevent further injuries in the patient, or do not educate the patient properly. I have suffered at the hands of a physical therapist who neglected to do this and ended up with anterior displacement of my lumbar spine disc. I had continued my dance and exercise alongside my manual therapy sessions. It is possible my joint was weak or unstable after the therapy session and could not withstand the stress of my dance/exercise.
I now urge everyone in this forum to be very careful when they go to any physical therapist. Ensure that the therapist has practical experience. Ask a lot of questions to understand your treatment , why it is best suited to you, what precautions you need to take, what exercises you can/cannot do, the state of your joint/muscle being treated etc.View Thread