What conditions do you Treat?

A better question is- "what don't we treat?" As Doctors of Physical Therapy, we diagnosis and treat all musculoskeletal and most neuromuscular conditions of the body, most of which impair your ability to move and function in your daily life without limitations or discomfort. Our professional governing body, the American Physical Therapy Association (APTA) has a wonderful patient resource page, providing background information on common conditions any physical therapist can treat successfully. We uphold this standard list and surpass it with our collective areas of general and expert level specialty care here at Physio PDX. 

In addition to the standard conditions listed by the APTA, Physio PDX offers expert level treatment for the following commonly under recognized or poorly treated conditions: 

  • Temporomandibular Disorders (TMD, previously known as TMJ)
  • Chronic Elbow, Wrist and Hand Overuse injuries 
  • Post-operative care for wrist and hand surgeries 
  • Chronic Headache Conditions (including Migraines)
  • Whiplash and MVA related injuries
  • Concussion Related Injuries (new and old)
  • Benign Paroxismal Positional Vertigo (BPPV)
  • Exercise Related Overuse Injuries 
  • All Work related Injuries (Worker's Compensation Claims accepted)
  • Persistant/Chronic Pain of any body region (low back, neck, hip, etc.) 

Regardless of what you are coming in with, you will be in competent hands.

I've Tried PT in the past, and it didn't work. Why should I try again? 

Whether we want to admit it or not, our bodies change and shift with the natural course of time. Secondly, our bodies are incredible at sub-conscious self-preservation and adaptation to the mechanical stresses of their daily tasks and positions. Any subtle (or not so subtle) changes to our lifestyle have the potential to influence how our bodies adapt and behave. What was tried throughout your last PT experience may no longer be appropriate for you to try now based on what factors may be playing into prolonging your painful state. At Physio PDX, we believe it is crucial to work with a therapist that understands how to evaluate the current version of you and match you to a treatment course that is both appropriate for your present condition, and practical for fitting into your daily life. We also value providing general guidelines for how things should change for you over time. If you are willing to give PT another chance, we'd love the opportunity to help you, and rekindle your faith in your ability to move without pain.

How Many Visits Will I need? 

The number of visits, length of each visit, and how frequently they happen is always negotiable, based on your treatment needs, time constraints, and financial preference. At Physio PDX, patients are offered the opportunity to receive personalized one-on-one care for up to one hour for each session, and most conditions are well managed by 4-8 visits. Our goal is to see you improve and become capable of maintaining your rehabilitation gains independently. If that isn’t happening, your therapist may need to reconsider whether PT is the best course of action in treating your condition, or they need to re-evaluate your condition and change the treatment approach to improve outcomes.

We will not advocate for you to continue seeing us if you are not seeing or feeling significant objective progress in 3-4 sessions, max. Sometimes the best we can do for you is recognize when someone else is needed to join your treatment team to get you all the way well. We have a wide network of clinicians in Medicine, Complimentary and Alternative practitioners, Physical Therapists, Fitness and Nutritional Experts, Mental Health resources, and Dental Professionals, who we refer to on a regular basis. If Physio PDX cannot meet all your needs, we can certainly help you connect with someone  who can. 

How can paying Cash for PT save me money? 

The purpose of a Cash Pay clinic design like Physio PDX, is to remove the so called "middle man" of insurance companies, from having a say about how you receive treatment. Insurance companies place significant restrictions on the therapy process such as how many visits the patient gets, the duration of each visit in time, the time period in which visits must take place, and what services are deemed "medically necessary." Each of these aspects of care are clinical decisions, which should ideally be made by the clinically trained medical expert (i.e. your therapist) based on your individual presentation.

This system is highly efficient: It is a research supported fact that the longer amount of time you spend in pain, the less positive your response to intervention will be, and the more money it will take to recover. The current design of our healthcare system is partially responsible for this delay in patients receiving care. At Physio PDX, we understand persistent pain, and endeavor to reduce the amount of time you spent hurting  to increase  your chances of a positive response to conservative management. Call, and get scheduled immediately. No waiting for insurance authorization or physician referrals. No unnecessary expensive medical testing or medication trial periods. No "wait-and-see."  Shorter pain experience = Better outcomes, less pain, less cost.  

This system is cost effective for the patient: If you have a very high deductible (say, $5000 for easy math), and you haven't met it, you will end up paying less out of pocket for your episode of care at Physio PDX, for better, more personalized care versus what it would cost to be seen in network. Here's how:

Scenario 1: Typical PT Experience

  • You go to a clinic that takes your insurance. You are seen for 6 visits, each billed to your insurance at a rate of $400 per visit. Assume you have a $30 co-pay.
  • Total cost per visit: $400 visit cost + $30 co-pay = $430
  • Total cost of episode of care=  6 x $430 =  $2580 out of your pocket. (Because you haven't met your deductible!)
    • Factors to consider: duration of each visit, who is providing your care, what types of treatment techniques are being employed to help you, and if your particular condition is even covered by your insurance. 
      • Average PT clinic:
        • Visit length: 30-40 minutes in duration
        • Care provided by one or several different PTs or PT Assistants, and in some places, athletic trainers and aides. 
        • Treatment often can include a "recipe" type approach: warm up on an exercise machine for 10 min, perform specific exercises you are learning, spend some time on heat/ice with e-stim, or receive an ultrasound, potentially some short amount of hands-on care. 
        • Insurance companies reserve the right to deny payment on any diagnosis code they choose. For instance, TMJ or TMD conditions are not covered by most insurance types across the board. 
          • So. You go. You get billed for a code that's not covered. Even if you have met your deductible in this case, your insurance denies payment, and you get a very hefty bill from the clinic to cover the cost of providing your care.

Now consider the alternative: 

Senario 2: Typical Physio PDX Experience

  • You see Physio PDX for 6 visits, and pay out of pocket each visit: 
  • Total cost per visit: $160 for initial evaluation, $ 140 for all follow ups, no co-pays. 
  • Total cost of episode of care = $160 + (5 x $140)= $860.00. 
    • All visits are an hour long.
    • Your care is provided by the same expert clinician every time you come in.
    • Only the most effective, evidence based treatment techniques are used, and provided by the treating clinician directly.
    • Patients are educated in the use of heat and ice but encouraged to use those modalities at home, preserving clinic time for skilled care and education. 

Scenario 1 is 3 times more expensive than Scenario 2

Besides huge cost savings, accessing physical therapy through a cash-pay clinic: 

  • Provides you with more time in the presence of a skilled clinician.
  • Grants freedom from specific timelines for your recovery process. We can space your visits out to match your schedule and  your body's specific needs. 
  • Allows for a strong continuum of care: you'll never have to re-tell your story to someone new, or feel like each visit you start from scratch.
  • Encourages current best, evidence supported, patient integrated and educational treatment approaches to help you gain independence in your self treatment, and ultimately lead to prevention of future illness. 

The choice is always yours. We are here to support you either way.