Guy Terry PT, OCS

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Treatment Expectations

I have recently started doing “Utilization Peer Review” work in my spare time.  I wanted to ensure that I was acquainted with all aspects of the workers compensation system, and to be honest, I was a little curious to see what other clinics were doing.  UPR means that I spend some of my time each week working on a contract basis for insurance companies, reviewing the work of other therapists, and making recommendations regarding the appropriateness of proposed future care.

Well, it’s been extremely revealing, and leads me to today’s post about treatment expectations. [Read more…] about Treatment Expectations

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Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 3

The last post (#2 in this series) explained how classification of spinal pain by position or anatomic abnormality has generally failed to yield tangible results when linked to conservative (non-surgical) treatment. Through classifications based on cyclical loading (as well as some other factors) better rates of success have been achieved (both anecdotally and through research trials) in treating spinal pain. [Read more…] about Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 3

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Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 1

How do we treat back pain? That question, as simple as it sounds, can be one of the most controversial and divisive questions that anyone could ask a physical therapist. There are millions of people out there with low back pain (about 80% of adults have an episode of significant low back pain during their lifetime) and, it seems, a million different ways to treat it. Published research over the past 15 years or so (I’m speaking of serious research, peer-reviewed by experts in content and statistical analysis) has trended in a few general directions: [Read more…] about Evaluation and Management of Back and Neck Pain – Divide and Conquer, Part 1