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Frequently Asked Questions

Everything patients ask before they come in, answered. Still have one? Call 800-974-4378.

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Your first visit video

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Questions

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What happens during my first visit?

Arrive with your paperwork completed. Bring your referral if you have one (a referral is not always needed). We copy your insurance card, then the therapist performs the initial evaluation.

The therapist discusses:

  • Your medical history
  • Your current problems and complaints
  • Pain intensity, what aggravates and eases it
  • How it is impacting your daily activities
  • Your goals with physical therapy
  • Medications, tests, and procedures related to your health

Then the objective evaluation, which may include:

  • Palpation for tenderness, swelling, tissue integrity, temperature, and inflammation
  • Range of motion: quality of movement and any restrictions
  • Muscle testing for strength and quality of contraction
  • Neurological screening: how nerves communicate with muscles, sensation, reflexes
  • Special tests to confirm or rule out additional problems
  • Posture assessment

The therapist then formulates a list of problems and how to treat them, and a plan is developed with your input: visits per week, how many weeks, home programs, education, short- and long-term goals, and what is expected after discharge. The plan is created with input from you, your therapist, and your doctor.

What do I need to bring with me?

  • Prescription for physical therapy from your referring physician
  • Insurance card(s)
  • Government-issued photo ID
  • Appropriate clothing so the area being evaluated can be assessed
  • Minors must be accompanied by a parent or guardian for the first visit
  • Patient forms, or arrive at least 15 minutes early to complete paperwork

How should I dress?

Wear loose-fitting clothing that exposes the area we will evaluate and treat. Shorts for a knee problem, a tank top for a shoulder, a loose shirt and pants for the low back.

How long will each treatment last?

Treatment sessions typically last 30 to 60 minutes per visit.

How many visits will I need?

Highly variable. You may need one visit or months of care depending on your diagnosis, the severity of your impairments, and your history. You are re-evaluated monthly, and when you see your doctor we provide a progress report with our recommendations.

Why is physical therapy a good choice?

More than half of all Americans are suffering from pain, recent or chronic. Many do not know that physical therapists are well equipped to treat not only pain but its source. PTs are experts at treating movement and neuro-musculoskeletal disorders, and pain often accompanies a movement disorder.

What do physical therapists do?

Physical therapists are experts in movement and function. They help patients with orthopedic problems like low back pain or knee surgery reduce pain and regain function, help people recover after a stroke, and work on preventing injury, loss of movement, and even surgery. The cornerstones of treatment are therapeutic exercise and functional training, plus hands-on care, joint mobilization, and modalities like ultrasound, heat, and ice. Only qualified physical therapists, or physical therapist assistants working under their direction, can provide physical therapy. All 50 states offer some form of direct access, so you are not necessarily required to see your physician first.

Reference: APTA

Why are people referred to physical therapy?

Usually because of a movement dysfunction associated with pain: trouble bending at the low back, sleeping on a shoulder, getting out of a chair, playing sports, or walking. Physical therapists treat these movement dysfunctions and the pain that comes with them.

Why should I choose a private practice physical therapist?

Studies indicate visits per patient were 39% to 45% higher and cost 30% to 40% more in physician-owned physical therapy clinics, with less therapist time per patient. We believe we can provide the highest quality of care available and do it cost-effectively. In most instances your case is managed by the same physical therapist from beginning to end.

Mitchell & Scott, JAMA 1992; Florida Health Care Cost Containment Board 1991; Domholdt & Durchholz, Phys Ther 1992; Federal OIG May 2006.

Who pays for the treatment?

In most cases health insurance covers your treatment. See our insurance page for the plans we accept, and talk to our receptionist so we can clarify your coverage.

Who will see me?

You are evaluated by one of our licensed physical therapists, and he or she treats you during subsequent visits. Unlike clinics where you see someone different each time, we keep a one-on-one relationship for continuity of care.

Are there physical therapy specialists?

Yes. Orthopedic (OCS), manual therapy, geriatric (GCS), sports (SCS), fitness and wellness, hand therapy (CHT), women’s health, industrial rehabilitation and FCEs, pediatric (PCS), aquatic, cardiac and pulmonary (CCS), neurological (NCS), balance and vertigo, amputee, wound care, electrophysiology (ECS), lymphedema, and osteoporosis specialists. Premier Rehab’s focus is orthopedics, manual therapy, aquatic therapy, hand therapy, balance and vertigo, and women’s health.

Is physical therapy painful?

For many patients, pain relief is a primary objective, and hands-on techniques, modalities, and movement itself provide it. Some techniques can be painful, like recovering knee range of motion after a total knee replacement. Tell your therapist the intensity, frequency, and duration of your pain so the plan can be adjusted.

What types of treatments will I receive?

Dozens of interventions exist, chosen for your problem:

  • Active & assisted range of motion
  • Stationary bicycle
  • Gait training
  • Isometrics & isotonics
  • Soft tissue mobilization
  • Joint mobilization
  • PNF
  • Posture training
  • Progressive resistive exercise
  • Passive range of motion
  • Stretching
  • Cold therapy
  • Neuromuscular electrical stimulation
  • Neck & pelvic traction
  • Heat
  • Iontophoresis
  • TENS
  • Ultrasound
  • Whirlpool

Will I get a massage at physical therapy?

Massage may be part of your treatment. It is used to facilitate venous return from a swollen area, relax a tight muscle, or relieve pain. Contrary to common thought, massage does not increase circulation.

What happens if my problem or pain returns?

Flare-ups are not uncommon. Give us a call. We may suggest you come back, return to your doctor, or simply modify your daily activities or exercise routine.

Can I go to any physical therapy clinic?

In most cases you have the right to choose any clinic. Our practice is a provider for many insurance plans. Call us and we will answer your questions.

Can I go directly to my physical therapist?

All fifty states have some form of direct access. If you are not making significant improvement within 30 days, the therapist refers you to or back to your physician. Seeing a physical therapist first is safe and can save hundreds or thousands of dollars.

Can my therapist provide me with a diagnosis?

In most states physical therapists cannot make a medical diagnosis. Your medical doctor provides that. Physical therapists are important members of your medical team.

How does the billing process work?

Similar to your doctor’s office. The therapist bills your insurance, Workers’ Comp, or you based on CPT codes; the payer processes the claim and pays per its fee schedule; an Explanation of Benefits goes to you and to us with any balance due. Payment often completes within 60 days, but six months is not unusual when information is missing or misunderstood along the way.

What will I have to do after physical therapy?

Some patients continue home exercises, some choose a gym program, and others return to normal activities. Tell your therapist your goals so a custom program can be built for you.

Is my therapist licensed?

Physical therapists and physical therapist assistants are licensed by their respective states.

How do I choose a physical therapy clinic?

  • The therapist should be licensed in the state
  • The first visit should include a thorough history and exam before treatment
  • Your goals should be discussed in detail on the first visit
  • Care should include a variety of techniques: hands-on, soft tissue, exercise, and modalities when needed
  • Do they have a service that addresses your problem?
  • Do they take your insurance or work with you if not?
  • Conveniently located, since sitting and driving aggravate orthopedic problems
  • Hours of operation that fit your life
  • Can they provide satisfaction survey results?
  • The therapist should provide the treatment
  • Can you briefly interview the therapist before the first visit?
  • Ask family and friends who they recommend

No Surprises Act: your right to a Good Faith Estimate

You have the right to receive a Good Faith Estimate explaining how much your care will cost. Providers must give patients who do not have insurance, or who are not using insurance, an estimate of the bill for items and services, including related costs like tests, equipment, and facility fees. Ask for it in writing at least one business day before your service. If you receive a bill at least $400 more than your estimate, you can dispute it. Save a copy. Questions: www.cms.gov/nosurprises or call us.

What is your privacy policy?

Our privacy practices and terms are published on the Doctors of Physical Therapy site: Privacy Policy.

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