Pain Management

Man suffering from back pain working at office desk

Back pain, neck pain, joint discomfort, numbness, and tingling can significantly impact your daily life. At ProSynergy Physical Therapy, we conduct a thorough assessment to identify the root cause of your pain – not just treat the symptoms – and develop a personalized treatment program based on the most current research.

Your customized plan may include manual therapy, therapeutic exercises, ultrasound, neuromuscular electrical stimulation, laser therapy, and other evidence-based modalities. Our goal is not only to reduce your pain but to restore full function and prevent recurrence.

We help patients suffering from lumbar and cervical spine pain, sciatica, herniated discs, arthritis, plantar fasciitis, muscle tension, carpal tunnel syndrome, and other painful conditions.

  • What happens during my first visit?

    During your first visit you can expect the following:

    Arrive at your appointment with your paperwork completed (you can download it from our website – see the paperwork or forms link).
    You will provide us with your referral for physical therapy if you have one. If you don’t have a referral, let us know when you schedule your first visit with us (note – a referral is not always needed).
    We will copy your insurance card.
    You will be seen for the initial evaluation by the therapist.
    The therapist will discuss the following:
    Your medical history.
    Your current problems/complaints.
    Pain intensity, what aggravates and eases the problem.
    How this is impacting your daily activities or your functional limitations.
    Your goals with physical therapy.
    Medications, tests, and procedures related to your health.
    The therapist will then perform the objective evaluation which may include some of the following:
    Palpation – touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
    Range of Motion (ROM) – the therapist will move the joint(s) to check for the quality of movement and any restrictions.
    Muscle Testing – the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
    Neurological Screening – the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
    Special Tests – the therapist may perform special tests to confirm/rule out the presence of additional problems.
    Posture Assessment – the positions of joints relative to ideal and each other may be assessed.

    The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient’s input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

  • What do I need to bring with me?

    Make sure you bring your physical therapy referral (provided to you by your doctor) and your payment information. If your insurance is covering the cost of physical therapy, bring your insurance card. If you are covered by Workers’ Compensation, bring your claim number and your case manager’s contact information. If you are covered by auto insurance or an attorney lien, make sure you bring this information.

  • How should I dress?

    You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem, it is best to wear shorts. For a shoulder problem, a tank top is a good choice, and for low back problems, wear a loose fitting shirt and pants, again so we can perform a thorough examination.

  • How long will each treatment last?

    Treatment sessions typically last 30 to 60 minutes per visit.

  • How many visits will I need?

    This is highly variable. You may need one visit or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations.

  • Why is physical therapy a good choice?

    More than half of all Americans are suffering from pain. Whether it is a recent episode or chronic, an ABC News/Stanford study revealed that pain in America is a serious problem. However, many do not even know that physical therapists are well equipped to not only treat pain but also its source.

    Physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and physical therapists can help correct the disorder and relieve the pain.

  • Why should I choose a private practice physical therapist?

    Who is better to see, a PT that works for a physician or a PT that owns a private practice? We leave it up to you to draw your own conclusions but here are some facts. The studies indicate there were more treatments (visits per patient were 39% to 45% higher in physician owned clinics) and the cost was greater for those patients that attended a physician owned physical therapy practice (both gross and net revenue per patient were 30% to 40% higher)1.

    Another study indicated that licensed and non-licensed therapy providers spent less time with each patient in physician owned clinics and physical therapy assistants were substituted for physical therapists.2

    Another older study concluded that “Therapists who had treated patients through direct access were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access.”3

    We believe that we can provide you with the highest quality of care available and do it in a cost-effective manner.4 You will work closely with your physical therapist and in most instances, your case will be managed by the same physical therapist from the beginning to the end of your experience with us.

    Mitchell, J., Scott, E., Physician Ownership of Physical Therapy Services: Effects on Charges, Utilization, Profits, and Service Characteristics, Journal of the American Medical Association, 1992.
    “Joint Ventures Among Health Care Providers in Florida,” State of Florida Health Care Cost Containment Board, 1991.
    Domholdt E, Durchholz AG. Direct access use by experienced therapists in states with direct access. Phys Ther. 1992 Aug;72(8):569-74.
    Federal Office of the Inspector General May 1, 2006 – This report calls into question billing processes done by non-physical therapist owned practices.

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Whether you are recovering from an injury, managing chronic pain, or rehabilitating after surgery, our expert team is here to help. Reach out to us today to claim your complimentary initial screening or to book your customized treatment session.