How To Find a Specialist Physical Therapist

Not all physical therapists are the same.  I don’t just mean in personality, either.  I am talking about in their specialty skills.  Just like you would not go to a cardiologist for an ankle sprain, you would not go to an orthopedic physical therapist after surviving a stroke or being diagnosed with Parkinson’s or Multiple Sclerosis.

Perhaps this is not wide-spread knowledge yet, but there are physical therapists that specialize in treating people with neurologic deficits.  Neurologic specialist physical therapists help clients recover from anything from peripheral nerve injuries to severe damage to the brain and/or spinal cord.  Examples of common diagnoses that would be included are stroke, brain injury, spinal cord injury, Guillain-Barre Syndrome, peripheral neuropathy, amputation, multiple sclerosis, Parkinson’s Disease, brain and/or spinal cord tumors, and dystonia.

So how do you find the right PT??  A certified neurologic physical therapist will have the initials “NCS” after his or her name, which stands for Neurologic Certified Specialist.  An NCS physical therapist has worked in a setting with people who have neurologic deficits for a minimum of 2 years or has gone through a credentialed neurologic residency program.  These therapists have received concentrated training in neurology and have passed a credentialing exam given by the American Board of Physical Therapy Specialties (ABPTS).  You can use the ABPTS website – abpts.org – and click on the “find a specialist” link to find an NCS in your area.  You can also use the American Physical Therapy Association’s (APTA) website – apta.org – to find a specialty physical therapist in your area by clicking on “Find a PT” at the top of the page.   Search engines and Facebook are also ways to search for a specialty physical therapist near you.  Type “NCS physical therapist” or “neurologic physical therapy” and your city into the search box to locate some potential therapists near you.

Because neurologic specialist physical therapists are entrenched in the field, they are more current on the research and treatment strategies will help you best.  Why does that matter?  When you work on things that actually get you better, you get better sooner, which saves you time and money!  NCS therapists will also arm you with the tools necessary to be successful for a lifetime of wellness. 

Maybe you are in an area where an NCS is not available.  Here are some key items to ask your potential physical therapist so you know they will efficiently lead you to successful achievement of your goals:
   1)   Have you seen someone with a neurologic condition before? How often?
a.     Experience in one neurologic condition may carry-over into another.  Feel free to ask if the therapist has seen someone with your specific condition, but don’t be completely turned off if they haven’t but have experience in other neurologic conditions.
   2)   Have you taken any continuing education courses for my condition or other neurologic conditions?
   3)   What is your background or therapy approach?
a.     Some therapists may have a background in Pilates, dance, football, etc.  Knowing your potential therapist’s background can help you decide whether they might be a nice match for you and your preferred style of training.
   4)   I have _________ problem (walking, balance, wheelchair seating, drop foot, forward posture, nerve pain, etc), what is your experience in treating this and what types of things would you do for it?
a.     You may not know what all of the specific treatment strategies mean, but this will give you an idea of the breadth of knowledge and creativity of the therapist.  You want someone who is going to problem-solve the best solutions for you, specifically, and who is willing to work on this with you.
   5)   How much one-on-one time is spent with the therapist?
a.     This is an important question as a number of clinics are scheduled such that the therapist sees you for only a short time (15-30 min) at the beginning of the session, then you would see an aide for the rest of the time.  Finding a location where you can spend the most time possible with the physical therapist is ideal because he or she is the one trained in analyzing your movements and assessing your needs.  There are wonderful aides out there, but they are not trained to assess you or evaluate your specific needs.  Their role is to take you through exercises that you could often do on your own.
   6)   How many visits could I get/how much does each visit cost? And do you accept my insurance?
a.     These are always good questions to ask and good information to get.  Do not be turned off by clinics that do not accept insurance, however.  There is a growing number of specialty clinics that are not accepting insurance due to the restrictions that shrinking reimbursement has on a practice.  By going to a clinic that does not accept insurance but that specializes in what you need, you may actually save time and money by getting exactly the care you need in fewer visits. 


Looking for a specialist PT in the Los Angeles area--check us out at www.reactivept.com

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