What is physical therapy?
Physical therapy is a treatment program that helps decrease
your pain and restore your strength and range of motion.
Your health care provider may recommend physical therapy
after an injury or surgery to help you fully recover.
Physical therapy is also used to teach people how to move
properly to prevent injuries.
What is a physical therapist?
A physical therapist is a health care professional that is
an expert in treating muscle and skeletal problems that
affect your ability to move and function in daily life. A
physical therapist is trained in an accredited program
within a college or university. They are required to be
licensed in the state in which they practice.
What can I expect from physical therapy?
On your first visit the physical therapist will examine you
and ask you about your health history and any problems you
are having. The therapist will then do a series of tests
and measures, such as checking your range of motion and
strength. Once your problem has been identified, the
therapist will discuss a care plan with you. Your care plan
may include frequent visits with a physical therapist for
weeks or months until you have reached your treatment goals.
There are several types of treatments that a physical
therapist may give you. The treatments you have will depend
on your problem or condition. During your visit, your
physical therapist may do the following:
Physical treatments: These treatments help increase your
muscle and joint flexibility, decrease pain and swelling,
and help wounds and injured tissues heal.
- deep heating (using ultrasound and diathermy)
- cold packs and ice massage
- whirlpools and water therapy
- hot packs and paraffin baths.
Electrotherapeutic treatments: These treatments are used to
decrease pain, swelling, and muscle spasms, retrain and
strengthen weak muscles, and help wounds and soft tissues
heal.
These treatments include:
- biofeedback (where you learn to control muscle or brain
activity)
- electrical muscle stimulation
- transcutaneous electrical stimulation (TENS) (electrodes
placed on your skin stimulate the nerves just below to
help block the pain).
- iontophoresis (medicine is put into the injured area
using electrical current)
- neuromuscular electrical stimulation (NMES).
Manual therapy: Many treatments that fall under this term
refer to any "hands-on" treatment provided by the therapist.
The purpose is to increase your range of motion and strength
and to decrease pain and swelling. Manual therapy
techniques may include:
- massage
- movements that help your joints and soft tissues.
Therapeutic exercise: The goal of therapeutic exercise is
to restore and maintain strength, joint and muscle
flexibility, balance, coordination, posture, and endurance.
Many physical therapy treatments include some form of
exercise (such as riding a stationary bike).
Mechanical traction: This treatment uses a machine to
mildly separate the joints of the spine and reduces spinal
compression. Traction is most often used for patients with
neck or back pain.
Can physical therapy be painful?
While the overall goal of physical therapy is to reduce your
pain, the process may sometimes be painful. It is important
to tell your therapist if you have any pain or discomfort
during or following treatment. Many therapists recommend
the use of ice on the painful area immediately after doing
any exercise.
How long will I go to physical therapy?
How often you see a physical therapist will depend on your
specific condition and your individual goals. It is
important at the start of physical therapy to let your
therapist know what activities you would like to return to.
It is also important to note that physical therapy may
continue on an ongoing basis in the form of a home exercise
program. Many patients are discharged from physical therapy
with instructions to continue with particular exercises at
home. These exercises may play an important role in
preventing your injury from happening again.
How can I receive physical therapy?
In most cases, a medical provider such as a physician,
physician's assistant, or nurse practitioner refer you to
physical therapy. In some states, patients have direct
access to physical therapy and do not need a referral. It's
a good idea to check with your insurance company to
determine the extent of coverage for physical therapy.


Disclaimer: This content is reviewed periodically and is subject to
change as new health information becomes available. The
information provided is intended to be informative and educational and is not a
replacement for professional medical evaluation, advice, diagnosis or
treatment by a healthcare professional.
HIA File GEN4420F.HTM Release 9.0/2006. Copyright © 2006 McKesson Corporation and/or one of its subdiaries. All Rights Reserved.
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