APTA position on Direct Access for Physical Therapy and Physical Therapists

This is a nice summary for Direct Access to Physical Therapy which in Kentucky is available to all. This comes directly from the American Physical Therapy Association/ 

Direct Access to Physical Therapy Services: Overview

The Problem

While state law generally allows patients to seek evaluation and treatment from a licensed physical therapist without a prescription or referral from a physician, patients are limited in their ability to do so in many states by arbitrary and unnecessary restrictions. These restrictions are typically in the form of time and visit limits, previous diagnosis requirements, limited patient populations, or requiring a referral for certain types of treatment. These restrictions do not recognize the professional training and expertise of the licensed physical therapist nor do they serve the needs of those patients who require physical therapy but whose care is unnecessarily interrupted by these restrictions..

The Solution

Amend current statutes at the state level to remove arbitrary limitations on direct access to physical therapy services.

Rationale

In the age of health care reform, state legislatures continue to seek solutions that will expand access to the health care services the citizens of their state need while also addressing the growth in health care costs. One of the most effective tools for cost control and increased access is easily attainable yet often overlooked and underutilized by the legislatures - that of direct access to the services of nonphysician health care professionals.

Physical therapy is the case in point. Entry into the profession and practice of the profession are stringently regulated by all states, and as highly trained health care professionals, physical therapists have a proven track record of effectively treating millions of patients. Physical therapists are well-qualified, both through formal education and clinical training, to evaluate a patient's condition, assess his or her physical therapy needs and, if appropriate, safely and effectively treat the patient. Physical therapists are also well-qualified to recognize when patients demonstrate conditions, signs and symptoms that should be evaluated by other health care professionals before therapy is instituted. Physical therapists recognize when it is appropriate to refer patients to these other health care professionals for consultation.

Every state, the District of Columbia, and the US Virgin Islands have all recognized the safety and benefits of direct access to physical therapy by removing from their statutes, all or some of the referral requirements or provisions for a physical therapy evaluation and treatment. However, if your state laws continue to include out-dated and unnecessary barriers to direct patient care by physical therapists, please consider the benefits of reform. By amending the physical therapy practice act in your state, you will be providing your constituents with an additional entry point into the traditional medical system, increased choice in the selection of a health care professional, access to less expensive and more timely care, and a simple, yet, extremely effective way to meet the goals of increased access and cost containment.

For additional information on direct access, please contact APTA's state government affairs department at 800/999-2782, ext. 3161.

Chose one that 

Specializes in Dry Needling 

with Advance Training

By making your own decision as to your Physical Therapist then you are taking charge of you, as the most important member of your health care team

You are entitled to choose the most appropriate health care professional to meet your goals. 

You have that Freedom of Choice! 

You have the freedom to choose your own Physical Therapist

How does the dry needling method work: Mechanism of Action
it appears to allow the sarcomere to resume its resting length³ and activate inhibitory dorsal horn interneurons? This implies that DN causes opioid-mediated pain suppression and also blocks any incoming noxious stimulus into the dorsal horn by activating the serotonergic and noradrenergic descending inhibitory systems.⁴

In addition, the levels of two biochemical drop significantly following DN. There is a decrease in local concentrations of substance P and calcitonin gene–related peptide; this development may correlate with the systematic reduction of pain following deep DN.⁵

Furthermore, there are studies currently under way that are using multiple imaging techniques to visualize the cascade of physiologic changes that are possible with the introduction of filiform needles into an MTrPs.

Many of us have areas in our body that feel tense all the time or feel like a hard ball in the muscle.By inserting fine needles into these tight areas, we elicit a “twitch response” or a brief contraction followed by an immediate and long lasting relaxation. 

The needle can treat very deep parts of the muscle, the technique can achieve amazing pain relief that you never thought possible.

Muscular tightness and spasm can lead to compression and irritation of the nerves. When nerves are irritated, they cause a protective spasm of all the muscles to which they are connected. This contributes to the decreased mobility and pain in the area. 

I treat multiple orthopedic and neurological conditions helping patient achieve long-term benefits

I specialize in Dry Needling, an extremely effective technique that uses a very fine acupuncture needle to “deactivate” or “shut down” a trigger points or painful knotted areas in your muscles therapy to improve and maximize a patient’s performance and ability.  

Benefits:
Pain control

1.      Normalizes biochemical electrical dysfunction of motor end plates

2.      Reduces muscle tension Restores/increases motion and function

3.      Desensitizes super-sensitive structures

4.      Promotes healing response in tissue Accelerates return to active rehabilitation