Frequently Asked Questions (FAQ)
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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 prescription for physical therapy.
- 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 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.
- Psychophysiological Assessment - sensors will be placed on your body to measure various readings such as breathing rate, muscle response, sweat, strength of pulse, and temperature. You will be asked to complete tasks followed by some rest periods. A report is formed based on your performance and recovery.
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 therapy referral (provided to you by your doctor) and your payment information. Good Works will provide you with a receipt for services if you wish to file a claim with your provider.
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.
Do I need a prescription?
No. California law (AL-2012) allows direct access to Physical Therapy services. http://www.apta.org/uploadedFiles/APTAorg/Advocacy/State/Issues/Direct_Access/DirectAccessbyState.pdf. However, if your plan is to attempt reimbursement for the charges through your insurance, you must have a prescription from a physician indicating the proper codes for treatment and attend an evaluation from Good Works within 90 days of that prescription.
Why is Psychophysiology and Chronic Pain 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 about the specialty of Pscyhophysiology for pain management.
Chronic Pain physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Psychophysiologists are experts in making people aware of how patterns of pain are maintained in the body. Using both, you can learn how to control your pain to enable a better quality of life.
Can you provide me with a diagnosis?
No. This is something that your medical doctor will provide for you. At this point in time, physicians are typically the health care providers that will provide you with a medical diagnosis.
How does the billing process work?
Currently, the billing accepted is cash, check or credit card. Good Works Psychophysiology and Physical Therapy is investigating the ability to deal with insurance companies, including Workers Compensation, on a case by case basis.