Factors That Affect Pain Levels

Did you know that pain is a multifactorial experience, influenced not only by specific tissue injuries but also by numerous social and psychological factors? Today, we delve into these factors, emphasizing the intricate connections between pain and psychological aspects. Exploring the intricate connections between pain and psychological factors is essential for a comprehensive understanding, as stress, anxiety, and mood disorders can significantly contribute to the complexity of the pain experience. Addressing these non-physical elements is crucial for a comprehensive understanding of the pain experience and developing holistic approaches to pain management, ultimately improving overall well-being. Furthermore, the prolonged activation of stress responses has been associated with changes in neural plasticity, potentially amplifying the persistence of pain signals.

Stress levels

When stressed, the body releases chemicals affecting the pain pathway and decreasing access to "feel-good" brain chemicals like dopamine. This can lead to increased muscle tension, poor sleep, emotional dysregulation, and other factors impacting pain perception. Chronic stress exacerbates pain conditions through inflammatory responses, compromises the immune system, and creates a challenging interplay with mental health, intensifying the perception of pain. Furthermore, the prolonged activation of stress responses has been associated with changes in neural plasticity, potentially amplifying the persistence of pain signals. Additionally, adopting stress management techniques, such as mindfulness and relaxation exercises, can play a crucial role in mitigating the impact of stress on both the psychological and physiological aspects of pain experience.

Hormones and Brain Chemicals

For both men and women, shifts in both sex hormones and neurotransmitters, such as serotonin and dopamine, affect sensitivity to pain. For instance, recent research suggests that pain varies throughout a woman's menstrual cycle. Furthermore, men may experience alterations in pain sensitivity related to factors like stress levels and lifestyle changes, showcasing the intricate interplay between hormonal fluctuations and pain experiences in both genders. Individual differences in genetic predispositions also contribute to the unique ways hormones and brain chemicals influence pain perception, underscoring the importance of personalized approaches in pain management.

Fear and Emotions

According to a growing body of neuroscience research, pain pathways in the brain are tightly linked with and influenced by emotions. Fear and anxiety, for example, have been shown to heighten pain perception by modulating neural circuits involved in the processing of painful stimuli. Additionally, positive emotions and a supportive social environment have been found to have analgesic effects, dampening the intensity of pain signals in the brain. Understanding the intricate interplay between emotions and pain pathways is essential for developing targeted interventions that address the emotional aspect of pain and enhance overall well-being.

Prior Exposure To Pain

The same pain pathways that are affected by emotions are also shaped both by early painful or traumatic experiences as well as later painful stimuli. Prior exposure to pain can induce neuroplastic changes in the central nervous system, leading to heightened pain sensitivity. Individuals with a history of chronic pain conditions or trauma may experience an amplification of pain responses due to alterations in the neural circuits associated with pain processing. Understanding the impact of prior pain exposure on the neurobiology of pain is crucial for developing targeted interventions that address the complex interplay between emotional and historical factors in shaping an individual's pain experience.

Poor Sleep

Evidence indicates that inadequate sleep can lead to signaling malfunctions in the areas of the brain that manage responses to painful stimuli. Moreover, disrupted sleep patterns have been linked to an increased perception of pain intensity and decreased pain tolerance. Chronic sleep deprivation may contribute to the dysregulation of neurotransmitters involved in pain modulation, exacerbating the overall experience of discomfort. Additionally, incorporating sleep hygiene practices and addressing sleep disturbances are essential aspects of comprehensive pain management strategies aimed at improving both sleep quality and pain outcomes.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

The Essential Role of Physical Therapy in Knee Replacement Surgery Prehab and Rehab

Knee replacement surgery is a transformative procedure for individuals grappling with chronic knee pain and limited mobility. While the surgery itself is a pivotal step towards a pain-free life, the key to long-term success lies in the comprehensive care patients receive both before and after the procedure. Physical therapy plays a crucial role in maximizing outcomes through prehabilitation (prehab) and rehabilitation (rehab). Here we'll delve into the essential contributions of physical therapy in enhancing the overall success of knee replacement surgery.

Understanding Prehabilitation: Setting the Stage for Success

Prior to knee replacement surgery, patients can benefit significantly from prehabilitation – a proactive approach focused on strengthening the supporting structures of the affected joint and optimizing overall physical health. Physical therapists collaborate closely with patients to craft prehab programs tailored to their unique needs. By incorporating targeted exercises, flexibility training, and cardiovascular conditioning, prehab aims to:

• Enhance muscle strength: Strengthening the muscles surrounding the knee joint is crucial for providing support and stability.

• Improve range of motion: Prehab helps increase flexibility, making it easier for patients to regain full movement post-surgery.

• Boost cardiovascular health: Engaging in cardiovascular exercises improves overall fitness, promoting a speedier recovery.

Post-Surgery Rehabilitation: A Path to Full Recovery

Following surgery, the focus shifts to rehabilitation, where physical therapy becomes even more critical. The rehabilitation phase typically commences shortly after surgery and continues for 3 to 4 months. Physical therapists guide patients through a carefully designed regimen that includes:

• Progressive exercises: Tailored exercises are gradually introduced to rebuild strength and endurance.

• Gait training: Learning to walk properly with the new joint is a key aspect of rehab, ensuring a natural and efficient gait pattern.

• Pain management: Physical therapists employ various techniques to manage post-operative pain, facilitating a smoother recovery.

• Monitoring progress: Regular assessments help therapists adjust the rehab plan according to the patient's progress, ensuring optimal outcomes.

Physical therapy for knee replacement surgery extends beyond exercises, embracing a holistic approach that addresses all aspects of recovery. Techniques such as manual therapy, targeted exercises, and patient education play a pivotal role in providing a well-rounded rehabilitation experience.

• Manual therapy: Hands-on techniques help improve joint mobility, reduce swelling, and alleviate pain.

• Targeted exercises: Customized exercises focus on specific muscle groups, bringing patients closer to regaining full functionality.

• Patient education: Informing patients about self-care, home exercises, and lifestyle modifications empowers them to actively participate in their journey towards optimal recovery.

In the pursuit of regaining optimal functionality and enjoying a pain-free life after knee replacement surgery, physical therapy is the guiding force. From prehabilitation to post-surgery rehabilitation, the expertise of physical therapists ensures a comprehensive and personalized approach to recovery. By incorporating targeted exercises and a holistic repertoire of techniques, physical therapy plays a pivotal role in maximizing the success of knee replacement surgery. Embrace the transformative power of physical therapy and take the first steps towards a stronger, more mobile future.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

The Role of Physical Therapy in Alleviating Sciatica Pain

Sciatica, a condition characterized by pain radiating along the sciatic nerve, can be an excruciating experience that significantly impacts daily life. Whether caused by a herniated disc, spinal stenosis, peripheral nerve entrapment, or other underlying issues, the discomfort associated with sciatica can be debilitating. However, there's hope for those grappling with sciatic nerve pain with physical therapy. In this blog post, we'll delve into how physical therapy can be a game-changer in managing and alleviating sciatica.

Sciatica pain can range from a mild ache to sharp, burning sensations, often accompanied by tingling or numbness. Sciatica typically results from compression or irritation of the sciatic nerve, commonly caused by a herniated disc, spinal stenosis, or even muscle imbalances. Sciatica doesn't discriminate and can affect individuals across various age groups and lifestyles. Those who lead sedentary lives or have jobs requiring prolonged sitting may be more prone to sciatic nerve issues. Additionally, pregnant women, due to changes in posture and added pressure on the lower back, and older adults, who may experience degenerative changes in the spine, are more susceptible. However, anyone, regardless of age or background, can find themselves facing the challenges of sciatic pain. Recognizing the diverse factors that contribute to sciatica is crucial for tailoring effective physical therapy interventions that cater to the unique needs of each individual.

Targeted Stretching and Strengthening Exercises:

Physical therapists design customized exercise programs to address the specific causes of sciatica. Nerve mobility exercises help alleviate pressure on the sciatic nerve, provide nutrition to the affected areas, and improve the overall mobility of the nerve during functional movements. Strengthening exercises focus on reducing undue stress on the nerve, improve the resiliency of the nerve during activity, and build strength in the supporting structures, such as the glutes and hamstrings. A tailored regimen can improve flexibility, reduce symptoms, and promote overall spinal health.

Education and Lifestyle Modifications:

Physical therapists educate patients about the factors contributing to sciatica and guide them in making lifestyle changes. This may include advice on proper body mechanics, ergonomic improvements in the workplace, and the incorporation of regular exercise into their routine to maintain spinal health.

Pain Management Strategies:

Physical therapists employ various pain management techniques to alleviate acute pain. This may include:

• Soft tissue massage: isolated massage techniques focused on reducing pain around the sciatic nerve distribution or reliving tension in muscles contributing to over stressing the nerve.

• Ice or Heat Therapy: Alternating between ice and heat can help reduce inflammation and soothe muscle spasms.

• Electrotherapy: Techniques such as transcutaneous electrical nerve stimulation (TENS) can provide relief by disrupting pain signals.

• Dry Needling: A technique where thin needles are inserted into trigger points or tight bands of muscles to release tension and alleviate pain.

Additionally, physical therapists teach patients self-management strategies, such as proper body mechanics and relaxation techniques, empowering them to take an active role in their recovery.

The timeline for recovery from sciatica varies from person to person. Some individuals may experience relief within a few weeks of starting physical therapy, while others may require a more extended period. Factors influencing recovery time include the severity of the condition, the individual's overall health, and their commitment to following the prescribed treatment plan. Consistency in attending physical therapy sessions, adhering to exercise routines, and implementing lifestyle modifications are crucial for optimizing the recovery process. It's essential for individuals with sciatica to be patient and persistent, as gradual improvement is often seen over time with dedicated rehabilitation efforts.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at PhysioLogic Physical Therapy clinic in Aledo, TX. 

Reclaiming Strength: The Benefits of Training to Failure in Physical Therapy Rehab Facilities

Physical therapy rehabilitation facilities are often associated with gentle exercises and gradual progress. However, an emerging approach is changing the landscape of rehab – Training to Failure. This method, once reserved for athletes and bodybuilders, is finding its place in rehab settings, offering a range of benefits that can aid in faster recovery and improved outcomes. In the rehab setting, physical therapist are able to use this theory to help maximize outcomes while also minimizing risk of injury by manipulating the variables to achieve hypertrophic effects.

Accelerated Muscle Rehabilitation:

Training to failure involves performing exercises until you cannot complete another repetition with proper form. This intensity stimulates muscle fibers to a higher degree, promoting faster muscle rehabilitation. As a result, patients can regain strength and functionality more quickly, speeding up the recovery process.

Enhanced Muscle Fiber Recruitment:

When patients push themselves to failure, they recruit a larger number of muscle fibers compared to traditional rehab exercises. This enhanced recruitment can lead to better muscle activation, helping patients regain strength and coordination faster.

Overcoming Muscle Atrophy:

Muscle atrophy is a common challenge during the recovery process, particularly after injuries or surgeries. Training to failure can combat muscle loss by providing a strong stimulus for muscle growth. The increased demand on muscles prompts them to adapt and rebuild, minimizing the effects of atrophy.

Improved Neural Adaptations:

Training to failure challenges not only the muscles but also the nervous system. This approach helps rewire the neural pathways responsible for muscle control and coordination. The result is improved neural adaptations, which contribute to better movement patterns and overall functionality.

Time-Efficient Workouts:

Training to failure often involves fewer repetitions due to the intensity of the exercises. This means that patients can achieve significant muscle activation and growth in a shorter amount of time. This can be especially beneficial for patients with busy schedules or limited exercise time.

Breaking Through Plateaus:

Plateaus in rehabilitation progress can be frustrating. Training to failure introduces a new stimulus that can break through these plateaus and help patients achieve new levels of strength and functionality

Improved Functional Strength:

While traditional rehab exercises focus on functional movements, training to failure takes it a step further. Patients are pushed to perform exercises that mimic real-life activities at a higher intensity, translating to improved functional strength for daily tasks.

Long-Term Benefits:

The effects of training to failure aren't limited to the rehab facility. The strength and muscle gains achieved during the process can have lasting effects, contributing to a more resilient and capable body even after the rehabilitation program concludes.

While training to failure offers numerous benefits, it's crucial to note that this approach should be implemented under the guidance of experienced physical therapists. Safety, proper form, and gradual progression are essential components to ensure that patients reap the rewards without risking injury. As the realm of rehabilitation continues to evolve, training to failure proves that pushing boundaries can lead to remarkable recovery outcomes.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

Introducing PhysioLogic: Premier Physical Therapy for Joint Replacement Recovery in Parker County!

🏥 Recover with Confidence 🏥

Are you seeking top-notch care after knee or hip joint replacement surgery? Look no further! PhysioLogic is your trusted partner in Parker County for superior physical therapy services.

👩‍⚕️ Expert Therapists: Our highly skilled team of experienced therapists specializes in post-surgical rehabilitation. With our 1 on 1 therapist to patient treatment model, you'll receive personalized and evidence-based care that is tailored to your unique needs.

💪 Speed up Recovery: We employ cutting-edge techniques and state-of-the-art equipment to accelerate your recovery process. Regain strength, mobility, and independence faster than ever before.

🌟 Comprehensive Approach: At PhysioLogic, we take a holistic approach to your healing journey. We focus not only on physical rehabilitation but also on pain management, functional restoration, and overall well-being.

👥 Supportive Environment: Our friendly and compassionate staff will guide you every step of the way. We prioritize your comfort and ensure a nurturing environment where you feel empowered to achieve your recovery goals.

🌐 Convenient Location: We are conveniently located on FM 1887, near downtown Aledo; accessing our exceptional care has never been easier. We bring exceptional physical therapy right to your neighborhood!

🌟 Choose Excellence: Join countless satisfied patients who have entrusted their joint replacement recovery to PhysioLogic. Regain your strength, reclaim your life, and get back to doing what you love!

📞 Call now to schedule your appointment at (817) 615 - 9214  or visit our website https://www.physiologictx.com/ to learn more. Let PhysioLogic be your partner on the path to a full and active life! 

🌟 PhysioLogic: Your Journey to Optimal Recovery Starts Here! 🌟

Your physical therapy guide to stay safe in the summer heat

In Texas, Summer time means it’s heating up, and it’s time to prepare to keep yourself safe from the harsh weather. According to the Fort-Worth Telegram, North Texas temperatures have been steady through June averaging around 99 degrees Fahrenheit, give or take, but may start reaching around 100 degrees in July. Our physical therapists at Physiologic have some tips on how to keep safe while exercising or recovering with physical therapy this season. 

Need the great outdoors? Stay in the shade.

When nature calls, we tend to listen, but we have to keep in mind that high temperatures can be detrimental to our health and counter the benefits of exercise when we don’t prepare. If your exercise routine includes walking around the neighborhood, hiking, swimming, or other outdoor activities, remember to stay in shaded areas. Try switching your route to naturally shaded areas with large trees or covered areas. It will keep your body temperature lower than working out under the scorching sun.

Suit up! But with the right clothes for the Summer.

We are far past coat season. Our physical therapists recommend dressing the way you would for a physical therapy session: wear loose-fitting, comfortable clothing. For the summer heat, try wearing ventilated clothing, like lightweight material or fitness attire. Most of all, if you find yourself under the sun, wear a cap. Adding a sun hat or cap to your outfit can help you create your own shade, protect your skin, and prevent injury.

When in doubt, stay inside.

If it gets too hot, stay inside. Throughout Texas, there have been a number of recorded heat waves, according to National Public Radio. It can be dangerous and even lead to fatality to exercise in scorching weather. Don’t worry! Indoor exercise is just as beneficial to your physical fitness and recovery, and we have plenty of exercises you can do at home. Or you can get a wellness membership and come and workout at Physiologic at our Aledo clinic alongside our physical therapists!

Do not forget the golden rule: STAY HYDRATED.

Always have water near you when working out, whether you are indoors or outdoors. Bring an extra water bottle if you are unsure about how much you’ll need before a workout. When the temperature rises, our bodies perspire more to regulate our body temperature. This means more water loss. The fix? Up your water intake, and always make sure you are staying hydrated.

CAUTION: Signs of overheating

If the heat creeps up on you and you feel unease, STOP exerting energy. The Center for Disease Control and Prevention states that heat-related illnesses, such as heat stroke, heat exhaustion, or heat cramps, are preventable. Common warning signs of overheating include a high body temperature, nausea, excessive sweating during exercise, muscle pain, spasms, or cramps, passing out, confusion, tiredness, or weakness. For more information, visit the CDC.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various physiologic conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX.

ANNOUNCEMENT: DRY-NEEDLING WORKSHOP JULY 22!

Have you been considering dry-needling? That’s what we are here for! Physiologic Physical Therapy will be hosting a FREE dry-needling workshop from 10:30 a.m. to 12:30 p.m. on Saturday, July 22, 2023! Join us at our clinic in Aledo, TX for brunch and find out if you are a good candidate for dry-needling! 

What will you learn?

Learn if you are a good candidate for dry-needling from our certified physical therapists! This two-hour event features a one-hour presentation on dry-needling, a Q&A with experts, and brunch! This is a casual event, and we welcome anyone interested in learning more about dry needling, physical therapy, and Physiologic. Sign up here.

What Is Dry Needling?

Dry-needling (DN) involves the insertion of thin needles into muscular and connective tissues for the management of soft tissue injury and pain. In short, DN reduces pain quickly through the release of your body’s self-produced pain relievers. Dry-needling also ramps-up a localized tissue healing response for long-term resolution. These effects can be enhanced with the attachment of electrical stimulation to the needles.

Who: Physiologic Physical Therapy

What: Dry-needling workshop

When: 10:30 a.m. to 12:30 p.m., Saturday, July 22, 2023

Where: 709 N FM 1187, Suite 500, Aledo, TX, 76008

Why: Come have fun and learn more about physical therapy and dry needling at our FREE dry needling workshop!

Are X-Rays Necessary to Diagnose Pain?

Most people don’t know that physical therapists can provide treatment without an imaging diagnostic, such as X-Rays, MRIs, or Ultrasounds (US). During your initial visit, they can accurately predict if you have an underlying condition that requires further testing. In almost all cases, an x-ray is not necessary to diagnose pain, and a patient can start physical therapy to get pain relief without spending extra medical costs on extra tests. Advanced diagnostic tests are only needed when pain is too severe to treat solely with physical therapy. A physical therapist can then provide a referral for any diagnostic imaging they need to properly provide care, which studies show has a 91% rate of accuracy.

What is an X-Ray?

An X-Ray is one of many diagnostic tests, which are used to determine what illness or condition a patient has. X-Rays use radiation waves to take images of bone tissue using radiation waves. They can show a range of abnormalities, including bone fractures, arthritis, scoliosis, tumors, infection, and even fluid in the lungs. Although it is painless, radiation waves can be detrimental to health if used in excess. 

How much is an X-Ray?

In Texas, a single X-Ray test can cost anywhere from $75 to over $200, depending on whether your insurance covers it or not. Self-pay and high deductible plans often show how expensive an X-Ray exam can be for a patient. Although it can be used efficiently for diagnosis, it can also be an extra medical cost that can be avoided by visiting a physical therapist first. 

When is an X-Ray not necessary and when is it beneficial?

Pain that seems to come from no apparent cause and/or gradually increases would NOT cause a call for additional diagnostic testing. This is the most common situation when a patient presents with onset pain. A physical therapist can not only evaluate pain, but they can also treat pain! If during physical therapy, your pain worsens or does not change, then you should speak to your physical therapist about an underlying condition preventing you from getting better, according to verywellhealth. 

Is it safe to see a PT before going to the doctor or getting x-rays? 

YES, it’s safe. As a matter of fact, research shows that seeing a physical therapist early on in your course of pain often leads to improved short-term and long- term outcomes. Furthermore, physical therapists are trained to identify red flags that require immediate medical attention by a doctor, or imaging such as x-rays. 

How can I be sure?

Sometimes, pain can feel more severe than it is, which leads patients to seek more drastic treatment options before considering physical therapy. However, studies show that physical therapists are 75% likely to be accurate about your condition during the first evaluation. Orthopedic surgeons are likely to be 80% to put it into perspective. When it comes to diagnosing pain, physical therapists will know if your condition is complex or if you can start physical therapy right away. 

How will my physical therapist be sure?

Physical therapists are trained to spot any “red flags” that point to a more complex musculoskeletal condition or something else. By analyzing your range of motion, gait, posture, functional mobility, and symptoms, physical therapists can determine what the best care plan is for each patient. They will work closely with a patient’s care team, including the referring physical and other specialists, to create a safe and effective physical therapy plan. 

About Physiologic Physical Therapy 

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various physiologic conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

Top 5 Reasons To Consider PT First for Pain!

When it comes to your well-being, aches and injuries can lead to changes in mood, decrease in motivation, and health complications. Depending on the severity of discomfort, it can be hard to execute daily activities, such as work, school, exercise, running errands, or socializing. However, there are simpler solutions than surgery. Studies show how choosing physical therapy for pain leads to long-term improvement and offers multiple benefits over other medical options, such as medication or surgery.

Top 5 reasons to consider physical therapy for pain first!

1. Receive Expert Care

Physical therapists are trained to examine and conservatively manage musculoskeletal and nervous system conditions. PTs are able to identify red flags that require immediate medical attention or evaluation by specialists. 

2. Save Time

PCPs and orthopedic specialists will often refer patients to physical therapy as a first line treatment for pain or injury. But did you know that a referral or prescription is not required to see a physical therapist for the initial 2 weeks in Texas? Furthermore, seeking physical therapy within two weeks of an injury or onset of pain is associated with quicker recovery. 

3. Save Money

Early physical therapy has been associated with less doctor’s visits, less surgeries and injections, and less opioid medication. A study conducted by Fritz et al. demonstrated that total medical costs for lower back pain were $2736.23 lower for patients receiving early physical therapy. 

4. Avoid surgeries.

Patients that seek physical therapy for injuries or pain-related conditions often improve substantially with physical therapy in terms of overall pain and function. As a matter of fact, multiple studies found no significant difference in long-term outcomes for patients with low back degenerative disk disease (including pain, health status, satisfaction, or disability) regardless of whether the patient elected for fusion or nonoperative treatment. 

5. Avoid pain medications

 There is high quality evidence that exercise therapy reduces pain and improves both long term and short term function. As a matter of fact, the CDC recommends PT as an effective alternative to opioid medications. 

Are you experiencing pain?

If you experience chronic pain or have suddenly acquired an injury, health condition, or onset pain, you might be wondering when it’s time to see a doctor. Pain should never keep you from your daily activities. If you notice any differences in your mood, physical ability, or productivity, talk to your physician about seeing a physical therapist.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various physiologic conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

What to Expect at Your First PT Visit!

What happens in the first physical therapy visit?

Unlike many other doctor appointments, physical therapy requires exercises and motion, which deter many patients about starting their physical therapy journey. Physical therapists will create a treatment plan that gradually allows you to improve your movement, decrease the severity of your injury, and manage pain. The first appointment for any physical therapy treatment will include evaluation, diagnosis, and planning a physical therapy treatment plan.

What should I wear?

Wear clothes that you would wear to the gym: clothes that allow you to sweat, bend, lift, squat, and exercise. A physical therapist will want to see the full range of motion your body can handle to determine what the best treatment plan is. At Physiologic, our doctors recommend wearing loose-fitting comfortable clothing or exercise/athletic attire. Avoid wearing restrictive clothing, excessive jewelry, and denim jeans.

How long does an initial evaluation last?

Your first appointment will last anywhere from 45 minutes to 60 minutes. Time is divided by evaluation and treatment planning. It’s always better to come in 10-15 minutes early for your first physical therapy appointment to fill out paperwork before your session begins.

How much will the first visit cost? What about insurance?

Prices vary depending on the clinic, the condition, and insurance policies. This price will vary depending on your insurance provider and what they cover. Some patients will only have to pay a small copay or physical therapy may be fully covered. Physiologic office staff will run your benefits before your first appointment to get an estimated cost for your treatment. Our physical therapists will work with you to create a financial plan that works for you.

Do I need a referral?

The state of Texas allows for patients to see a physical therapist without a referral for the initial consultation. After the first treatment, you will have 14 days to be seen as many times as necessary. A significant number of conditions can be treated and improved within that time frame. However, if you believe you need further physical therapy treatments, our doctors can help you find a referring provider and discuss your options. Go to our website’s FAQs for more information.

Getting the most out of your first physical therapy visit

Whether you are new to physical therapy or you're getting back into treatment, your physical therapist will know how to make you feel at ease on your first visit. Our physical therapists aim to make you feel confident and well-informed about your long-term physical therapy treatment. The first visit marks the start of your recovery journey, and our doctors will guide you every step of the way.

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various physiologic conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX. 

Who’s Who at My PT Office?

Every physical therapy clinic has a team of medical practitioners and office staff working together to create the best patient experience. Physical therapy treatment is often long-term, requiring multiple visits. Patients will get to know their physical therapy team and office staff well by the time their treatment is complete. 

Your PT a.k.a The DPT.

A DPT stands for Doctor of Physical Therapy, or more commonly referred to as a physical therapist. These are the primary doctors that patients will interact with at a physical therapy clinic. DPTs are the ones in charge of evaluating, diagnosing, and managing treatment for issues related to movement dysfunction or pain. ChosePT, a consumer information website provided by the American Association of Physical Therapists, states that since 2000, physical therapy students need a minimum of 3 years of post-graduate studies to practice. 

Your PTA

Larger clinics with multiple doctors may have additional health practitioners, known as physical therapy assistants, whom provide care to patients in accordance with the physical therapy plan of care established during your initial evaluation. PTA’s are licensed health care providers with extensive education in therapeutic exercise and various manual therapy techniques to restore your normal function. Their role may vary from clinic to clinic, but they often work closely with patients throughout their recovery journey “to improve movement, strength, and coordination (ChosePT).”

Your office staff a.k.a The Glue!

Every clinic will have a team of people working the front desk or behind the scenes to ensure the clinic runs efficiently, as well as work on your behalf to get your PT visits covered as much as possible by your insurance. Physical therapy office staff do more than meets the eye but some of their duties include: scheduling patients, checking patients’ insurance benefits and eligibility, claim submission, claim resolution and resubmission if needed, and help you communicate your needs to your providers.

What about certifications and specializations?

Many physical therapists are certified to provide additional treatments or services, such as dry needling. Others specialize in specific therapies, diagnostic techniques, or areas of the body. Below are three examples of certifications and specializations that a physical therapist may have.

Dry-Needling Certified DPT

Dry needling is a skilled technique that involves the insertion of thin monofilament needles into muscular and connective tissues for the management of musculoskeletal injuries or pain. There are several theories that describe the mechanism of action for Dry Needling, with promotion of tissue remodeling at the injury site and ramp up of pain inhibiting pathways being the most commonly accepted by researchers and clinicians.

If you are experiencing any of the above, please contact us at PhysioLogic to get evaluated by our Certified Dry-Needling Physical Therapists, Dr. Phillip Edwards and Dr. John Lee Peña

Pelvic Floor Physical Therapy DPT

A DPT who specializes in pelvic floor physical therapy treats conditions such as vaginismus, urinary or fetal incontinence, and pain during intercourse. Pelvic floor physical therapy focuses on using physiological exercises to strengthen, stretch, and relax the muscles in the pelvis, according to verywellhealth. It is for both women and men.

If you are experiencing any of the above, please contact us at PhysioLogic to get evaluated by our Certified Pelvic Floor Specialist, Dr. Hillary Hummel-Kerbs.

Certified Cranio-Facial Practitioner DPT

If you are experiencing recurrent headaches, neck aches, or jaw pain; a Certified Cranio-Facial Practitioner (CCP) can help you to locate specific areas of impairment to strengthen and/or increase range of motion as needed. This can help to improve function and decrease pain. Most dysfunction of the head, neck, and jaw can be related to sustained postures. A cranio-facial certified DPT can assess posture and movement to prescribe exercises that may alleviate prolonged pressure on cervical and facial joints and muscles. Treatment helps manage symptoms such as headaches, TMJ, and dizziness/vertigo.

If you are experiencing any of the above, please contact us at PhysioLogic to get evaluated by our Certified Craio-Facial Practitioner, Dr. John Lee Peña

About Physiologic Physical Therapy

At Physiologic Physical Therapy, we offer evidence-based, specialized treatment for various physiologic conditions. If you are having recurrent pain, discomfort, or issues with specific body parts, talk to your doctor about seeing a physical therapist. We help guide our patients through their physical therapy journey. Learn more about the services we provide at Physiologic Physical Therapy clinic in Aledo, TX.