Implications of early Physical Therapy for Low Back Pain

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Low back pain is one of the most common and most problematic musculoskeletal conditions to affect the adult population.  This weeks article looks at how physical therapy, namely early and guideline adherent PT, affect this condition as well as the overall cost required to treat these patients.

 

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This weeks article discussion is proudly sponsored by:

The Institute of Clinical Excellence

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The Institute of Clinical Excellence is dedicated to building physical therapist version 2.0. From population health and fitness athlete management, to courses on PT for performing artists, triathletes, and those in persistent pain, this company offers everything a PT needs to thrive in todays market.  Better yet, there is an extensive selection of online course offerings to suit those looking to minimize travel burden. Check out all of this and more at www.ptonice.com!

 

Be sure to share your thoughts on this topic by submitting a comment below.

 

3 Comments

  1. Eric S. says:

    Great article, I love the sample size to really validate the results. I need to read back through but had a few questions on the guideline adherent PT. I was a little unclear on what the guidelines were.

    As far as early PT intervention goes, I think it is often times exactly what’s needed and is something that our profession is making a big push for.

  2. Jamie C says:

    I agree that early intervention is something that can definitely help this population. Our profession seems to be making a push for early intervention not just with this group but across the board. I think as direct access for PTs continues to catch on, we will be better able to help these patients in the acute phase of injury.

  3. Pete Stucchi says:

    A hidden pearl inside this study is the number of patients receiving a PT referral. I find it crazy is that only 16% of patients who presented with LBP actually received a referral to PT.

    I manage a two year old practice in a very rural Colorado setting with three established (10+ years) PT clinics in a 3 mile radius. Over the past two years, I have not “stolen” and have not experiences many people who have switched from other providers to come to my clinic. I have focused my marketing on reaching out to those 84% of people not getting PT. Educating what PT can do for them and that they don’t have to live with this limitation.
    I feel we miss the boat so often as a profession when there are 84% of any population not utilizing a service that will make their lives easier and will ease such a burden a broken healthcare system. What must we do, as a profession, to close this gaping hole?

    We do have to be careful, as the authors state, that the population and medical system they are reporting on is a single payer system and there are professional implications on adherence to their PT program for a portion of this population (active duty). I also agree with their comment that their adherence to “practice guidelines” was vague by using CPT codes to determine if the clinical practice guidelines were utilized.

    I would love to see this type of study done on non-military populations.

    Overall great information for a highly qualified group of researchers. It’s great to see those names together so many years after they started their excellent journey together.

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