As of January 1, 2014, California law under AB1000 allows licensed physical therapists to provide direct physical therapy evaluation and treatment services for a period of up to 45 calendar days or 12 visits, whichever occurs first, after which time a physical therapist may continue providing you with physical therapy treatment services only after receiving, from a person holding a physician and surgeon’s certificate issued by the Medical Board of California or by the Osteopathic Medical Board of California, or from a person holding a certificate to practice podiatric medicine from the California Board of Podiatric Medicine and acting within his or her scope of practice, a dated signature on the physical therapist’s plan of care indicating approval of the physical therapist’s plan of care and that an in-person patient examination and evaluation was conducted by the physician, surgeon or podiatrist.
Direct Access benefits our patients in that:
1. It allows you to expedite treatment, saving time and money.
2. Eliminates delays that can result in decreased functional outcomes and frustration.
3. Allows for earlier return to work and an earlier return to daily activities, reduce the need for long-term care by providing early intervention.
Studies show that immediate care for most injuries can reduce the healing time. We can refer you to a licensed MD, DPM, or other medical professionals for conditions/symptoms outside our scope of practice.
We will be happy to contact your insurance provider to determine your benefits in terms of direct access coverage. In many cases with direct access, insurance companies are now reimbursing because they realize that it costs less when you, our patient, have the choice to access physical therapy without delay. Our physical therapists will work with you to establish a plan of care that will accomplish your goals and maintain efficiency of treatment.
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1.Beware of physical therapy offices that provide only a passive type of therapy such as using only hot/cold pack, massage, electrical stimulation and ultrasound. These treatments may feel good for a very short period afterwards, but they are not a cure to your problem.
2.Beware of physical therapist who do not teach you something new for your problem during each appointment, whether it be a new exercise or self-help tip.
Change positions regularly to give your muscles the rest needed to support you better when you return. If you’re sitting, stand up. If you’re bending over, stand and arch backward. A 60 second break every 20 minutes is ideal. Walk 30-minutes briskly on a flat surface. Its important to keep your body’s circulation working well. This helps to increase healing. If pain arises take breaks as needed.
Should your pain become severe, apply ice to the area for 20 minutes. Do not put directly on the skin.
Do not sit longer than 15 consecutive minutes.
Use foot ease, curb, etc. for one leg during prolonged standing to lower pressure on your back.
Sleep on your side with pillows between the knees or on your back with pillows under your knees.