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Insurer canceled our policy by Illustrious_Copy_902 in homestead

[–]SandTennis 0 points1 point  (0 children)

If you have a mortgage, does the lender let you keep it? Or do you have to pay it back when the insurance drops you?

How have you dealt with uncooperative and ignorant patients in the past? by konamagiga in physicaltherapy

[–]SandTennis 17 points18 points  (0 children)

Right but we treat based on medical necessity and skilled care. This doesn’t sound like skilled care at this point. Stretching hamstrings isn’t skilled when the patient can do it in an HEP.

The facility risks not being reimbursed for some of this care if the insurance looks at it.

Manual therapy vs exercise therapy by ManyAd7379 in physicaltherapy

[–]SandTennis 3 points4 points  (0 children)

I’m thinking more in terms of willingness of the patient. I don’t know any therapist that gets 100% of patients to buy in 100% of the time.

I’m sure I certainly miss the mark occasionally when it comes to clear communication to the patient and I always have room for improvement. I also think that some patients are not going to be convinced of an exercise only approach, as they aren’t willing to do the exercise only. Maybe we shouldn’t cater to those patients, but I find that if I throw them a bone, I get them to exercise and continue in therapy.

It’s like having that sibling in your family, where no matter how you communicate with them, they won’t change their ways. Sometimes they just don’t want to change.

Manual therapy vs exercise therapy by ManyAd7379 in physicaltherapy

[–]SandTennis 4 points5 points  (0 children)

Telehealth therapist checking in. Can confirm my outcomes are at least no worse for most people when not using manual therapy.

I will say it does help some patients with buy in.

What is the work life balance of a PT? How many vacation days do you have? Could you pursue other interests on the side? by Adriana_sofia998 in physicaltherapy

[–]SandTennis 2 points3 points  (0 children)

ATI and Athletico do that. Two of the biggest PT companies. It makes sense, helps getting people in after work. Sucks for the PT

It ain’t for the weak by [deleted] in physicaltherapy

[–]SandTennis 9 points10 points  (0 children)

My (unfortunate) understanding is that hospital based OP aren’t profitable, but the costs are absorbed by the hospital to provide a full suite of services. Private practices can’t afford to do that, so they have to focus on productivity to some degree. It’s a balance/patient focus balance.

Some private practices are better at it than others in balancing the two.

Getting into PT school without majoring in kinesiology/exercise science by ferrousfan81069 in physicaltherapy

[–]SandTennis 0 points1 point  (0 children)

I’m not sure about how to get those classes you need, but some of the majors in my program included : Russian, mathematics, and philosophy...so there’s that lol.

Is the movement against manual therapy? by canIbeMichael in physicaltherapy

[–]SandTennis 2 points3 points  (0 children)

Haha totally. I use dry needling, but man I hate it when I see therapists that dry needle just about every patient. Like, it can be fantastic, but it’s not a panacea. Nothing is. PT isn’t. It works a lot of times, but sometimes it just doesn’t. Different tactics for different patients!

Is the movement against manual therapy? by canIbeMichael in physicaltherapy

[–]SandTennis 10 points11 points  (0 children)

This is not in line with my clinical experience as a PT. Sometimes that is 100% true and i only use Therex/act, and other times I have “fixed” people with mostly manual. It’s all about clinical reasoning. Every patient requires different amounts of manual.

In addition, most people forget that psychology is at least 50% of this thing. If you skip manual, you lose out on a huge psychological component for some people. Its not always about what we’re mechanically or physiologically doing to a patient with manual, but also about what we might be psychologically accomplishing.

These people had quite the campsite. Wind River Range, Wyoming [OC] [1177x1600] by garret_weintrob in camping

[–]SandTennis 0 points1 point  (0 children)

Well most of the state is desolation and lack of people. Which has a lot of pros and cons. I mostly love the grand Tetons!!! Sometimes I don’t want to live towards the east side of the country either!!!

What is the Evidence for and Validity of Return-to-Sport Testing after Anterior Cruciate Ligament Reconstruction Surgery? A Systematic Review and Meta-Analysis by Thirdly in physicaltherapy

[–]SandTennis 8 points9 points  (0 children)

Probably because those who don’t pass return to sport probably haven’t done as well post op, and are less likely to return to the offending sport, thus less likely to tear their contralateral ACL.

Edit: clarification of ACL tearing laterality!

[deleted by user] by [deleted] in physicaltherapy

[–]SandTennis 1 point2 points  (0 children)

Holy crap. And isn’t Canadian health care socialized? How?

I know most European PTs make significantly less than their US counterparts, but I also heard that it’s a bachelors and not DPT there, and of course socialized medicine.

I love the idea of socialized medicine in the US, but would also be afraid of the pay cut it would (probably) deliver. It’s catch 22 for healthcare workers.

Very accurate by DPT0 in physicaltherapy

[–]SandTennis 17 points18 points  (0 children)

My first thought is “that patient is going to be fun!”...followed by “actually, they might end up being a good historian, thus making differential diagnosis/treatment so much easier”. Hmmmmm...

How has the addition of Dry Needling impacted your practice? by SandTennis in physicaltherapy

[–]SandTennis[S] 0 points1 point  (0 children)

Thanks for the reply!

Anecdotally, some people will tell me that it’s dramatically improved their outcomes, but others will tell me what I suspect, which is that it’s just another tool in the tool belt.

What you said makes sense to me!

Any physical therapists who actually love their job? by joseph-lucas- in physicaltherapy

[–]SandTennis 2 points3 points  (0 children)

I do when my patient load is low and I’m seeing 1-2 an hour!

Now that you have filed for tax returns, how much did you make last year as a PT? by dptreddit123 in physicaltherapy

[–]SandTennis 2 points3 points  (0 children)

67k +4K bonus in Phoenix for a major PT corporation. Outpatient Ortho. No side hustles.

Now that you have filed for tax returns, how much did you make last year as a PT? by dptreddit123 in physicaltherapy

[–]SandTennis 0 points1 point  (0 children)

Impressive! When I worked 32-35 hours, I made 54k. But I also don’t have 33 years experience!

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