What Injuries, Pains, and Syndromes are treated at Carter Physiotherapy?

We successfully treat the vast majority of pain/injuries of the muscles, joints, and nerves throughout the body.

Our success stories include patients dealing with everything from headaches and neck pain to bunions and ankle sprains; from knee, hip and low back pain to rotator cuff tears and tennis elbow … we’re also great at helping wrist and hand pain.

Chances are that if your pain/limitation is due to a muscle, joint, or nerve, and doesn’t require surgery, we can help (and we’ve had plenty of patients who were told they needed surgery but their pain was resolved with our treatments).

So that’s a little about what we treat at Carter Physiotherapy. Here’s a little bit about our patients …

The majority of our patients are highly active and highly motivated to move, look, and perform their best. Exercise/sport are very important to them and they also place a high value on their time.

When they have an injury or pain that is keeping them from staying fit and performing well, they want the highest quality of one-on-one care and usually don’t have the time to go to a clinic 3-4 times a week for 2 months; and they certainly don’t appreciate being asked to do things in the clinic that they could easily do on their own time (like stretches and exercises).

Though many of our patients have dealt with their pain/injury for a number of years, most are proactive about finding a solution quickly once the pain has begun limiting their ability to enjoy life, workout, or do their job.

How is it possible for these treatments to resolve pain and injuries so much faster than other healthcare practitioners I have seen in the past?

After injury, most people visit an orthopedic specialist or general practitioner. If the injury is not in need of surgery, the common plan of care involves medications as needed for pain, inflammation, and/or spasm; and referral to Physical Therapy.

Though there is certainly a place for these medications, it is important to know that they are treating the symptoms and secondary results of the injury, NOT the cause of the symptoms and inflammation.

In traditional Physical Therapy, there is a large emphasis on modalities (ultrasound, electrical stimulation, heat/cold packs, etc) and exercises to help ‘set the stage’ for the body to heal the injured tissues, resolve excessive inflammation, and regain strength and range of motion. The focus is now more on the causes of pain and dysfunction, but still relies heavily on the body’s lengthy process of the healing itself.

Something many do not know is that a very common cause of a person’s pain/dysfunction is actually the changes/distortions of the body’s connective tissues (called “fascia”). With very specific, and fairly rare, hands-on manual therapy techniques, these fascial changes/injuries can be immediately moved back to a more normal position/arrangement.

When this happens, the pain, weakness, and limited movement associated with an injury can also be immediately improved.

The response to any treatment is affected and influenced by a large number of factors including age and amount of time since the original injury and any underlying causes of the pain, but incorporating a hands-on manual therapy component of treatment can usually resolve pain and injury much faster than most/all other treatment options available.

What is Fascia?

Fascia is “the soft tissue component of the connective tissue system that permeates the human body. It interpenetrates and surrounds muscles, bones, organs, nerves, blood vessels and other structures. Fascia is an uninterrupted, three-dimensional web of tissue that extends from head to toe, from front to back, from interior to exterior… After injury, it is the fascia that creates an environment for tissue repair.”
Paoletti, Serge (2006). The Fasciae: Anatomy, Dysfunction & Treatment. Seattle, WA: Eastland Press. pp. 151–161.

For more details on Fascia, click here to see my blog post on the subject

How long after an injury should I wait to get treatment?

In general, the longer you wait to get treatment, the longer it will take to fix the injury.

Moving the tissues back into their pre-injury arrangement becomes harder the longer they have been in a distorted/injured state.

With all that said, we have plenty of patients at Carter Physiotherapy who have been dealing with their pain for decades and we are still able to significantly improve their condition … often in just a few treatments.

Will I have to stop participating in my sport/exercise routine while I am getting treatment?

Occasionally this is a necessary move to allow for the most rapid and full recovery, but this is quite rare at Carter Physiotherapy.

We pride ourselves on getting our patients back to the activities they love much faster than expected and that usually means we have them performing these activities throughout their care. After all, we can’t say that you’re “fixed” until you can do the things you want without pain, right?

How many treatments will I need till I’m 100% again?

This is always a tricky question, because it varies with every patient and is dependent on a large number of factors. What we can say is that, in general, you will usually need less than half as many treatments as you would expect to need when going to a more traditional PT clinic or Chiropractor.

Pain and dysfunction that has been present for a long time will usually, but not always, take longer to fix than more recent/acute problems. Certain conditions like herniated disks and frozen shoulders will obviously take longer to resolve than something like an ankle sprain.

In general, it is rare that we need more than 5-6 treatments for the average patient, and quite often 2-4 treatments are all that is needed. In an industry where 2-3 treatments/week for 1-2 months or more is the norm, that’s quite good.

Why is insurance not filed at Carter Physiotherapy?

Insurance is not filed because the Business Model necessary for an insurance-based PT practice does not support the Treatment Model that we follow. What the heck does that mean??…

Therapists in clinics that bill insurance often have to see at least 2 patients per hour (usually much more) and use technicians to apply multiple modalities like ultrasound and e-stim. They must do this because insurance companies tend to reimburse these clinics only about half of what they bill.

We do not believe that modalities are nearly as effective as hands-on treatment, and we also do not agree with having patients pay to perform exercises in the clinic that they can easily perform at home.

In many ways, insurance companies dictate or at least influence the treatment that patients receive at these clinics and we refuse to allow that to be the case at Carter Physiotherapy.

Each of our patients receives an hour of one-on-one care and hands-on treatment, which is one reason the results are so much faster than average.

When you consider the time savings of fewer trips to the clinic and the value of resolving your pain so much faster than average, the out-of-pocket expense at Carter Physiotherapy is a huge bargain.

Can I bill my insurance for reimbursement of my out-of-pocket expenses?

This depends on the insurance you have, but YES, many patients at Carter Physiotherapy send self-claims to their insurance companies.

You should be able to print claim forms off your insurance company’s website, and send it in with the needed receipts and treatment codes that will be provided upon request at the clinic.

The amount of reimbursement (or application to deductible) is completely dependent on your insurance plan. If you are planning to submit self-claims you should call your insurance company to inquire about details. Ask about reimbursement for “out-of-network Physical Therapy” expenses, and make sure there are no other requirements like a pre-authorization before you get started.

Why do I have to have a referral to receive treatment?

It is Texas State Law that Physical Therapy treatment cannot be performed without a referral from a licensed medical practitioner, which can be a variety professionals: MD, DO, DDS, DC, DPM, Physician Assistant or Nurse Practitioner. This has nothing to do with Insurance rules or reimbursement … it has to do with Texas Law.