<p>I recently had surgery on my pinky and now my finger is so stiff i cant bend it or straighten it. Its stuck in the middle does any one know good physical therapy exercises?
Physical therapy will usually involve strengthening exercises, splinting, massage, soaking in warm water, and paraffin wraps. Good luck.
<p>I would like to start my own physical therapy company but need the steps to properly bill insurance companies for my services
You either need to contact a medical billing service for to do that job for you or learn everything about the medical billing industry. There is not any medical billing service in your area? If you want to do the billing yourself then read the magazine BC Advantage for Medical Coders and Billers or buy books concerning Practice Management&Reimbursement which you could find at amazon.com for exemple or visit websites like www.medicalbiller.info/medicalbiller.htm or www.wivinemedclaimsbilling.com …
<p>I have been to a chiropractor and he ruptured a disc in my neck, resulting in a surgery. Bad chiroproctor, not the profession. I am still in pain and its been almost 3 years now. I am scared of chiropractors. What type of therapy will I be getting from a physical therapist that is different than a chiro.? Are the appts longer atleast!
No fusion luckily with the surgery , just removal of the protrusion of the disc on my nerve.
There are a lot of points to consider here including:
1. Is the site of curvature a site of fusion (you didn’t say if you had a fusion or laminectomy). If fused at that site, nothing will change the position here because it cannot move.
2. Is the reverse curvature in your neck relavent? Often diagnosed by x-ray as "a loss of lordosis" in the cervical spine, it’s relavence varies between cases.
3. Are you seeing a PT with any specialty certifications? Depending on the type of training they’ve had, or how they practice tends to influence how they practice. Those with manual therapy certifications may do more hands on techniques. Those with cerification in MDT will look at how you move and how movement affects your pain and focus more on corrective exercises…etc. Finally, those without specific spinal experience tend to focus on "core stability" or the general exercise approach rather than specific exercises. Then there is a group of PTs who tend to just do things like "myofascial release" and "trigger point" therapy which really just covers up the pain, not correct it.
4. Appointment times vary. I would venture to say that most appointments are 30-45 minutes. As someone with an MDT cerification, the evaluation is usually 45 minutes, but treatments are usually pretty quick…once a movement is found that reduces your pain. When patients are doing well, I often only need to see them for about 15 minutes.
5. Finally, once you’ve had surgery, there is almost invariably some residual chronic pain. Whether it is reversible or not can only be determined once you are in the clinic.
If you’d like a reference, I’d suggest you go to http://www.mckenziemdt.org if you’d like to see a PT who is certified in mechanical diagnosis and therapy.
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