1st
You schedule an appointment at your home or preferred community location where:
Your physical therapist will assess your situation and help you to understand what your body is telling you
Together you will agree on an assignment that will become your “Self-Management Plan”
2nd
We send you a form to follow-up with your progress within 72 hours of the appointment:
You will be asked: “How regular have you been each day with your assignment? As a result of that regularity, how have your symptoms changed?”
You will be contacted by your physical therapist to continue your current plan or to modify as needed
3rd
You schedule another appointment to start the cycle over if:
Your pain is gone and you need instruction on the next phases of healing to safely restore full motion and activity (Green Light)
Your initial improvement plateaus or you feel no change with your assignment (Yellow Light)
Your situation worsens with your assignment (Red Light)
First, we discuss your medical history and current issue in detail
We gather baselines of your strength, motion and provoking movements
You are given specific repeated movement patterns to perform
We re-check your baselines to assess your response to the movements
Your specific response patterns are classified to match you to the best treatments
A better name for this category could be "Rapid Responders" because the pain often resolves in 0-14 days once a directional preference is found
These are the the most common and only identified in the MDT system
A hallmark of this classification is that the pain is variable in intensity and location
Post-surgery/ Trauma
Structurally Compromised
Atypical Mechanical Presentation
Mechanically Unresponsive Radicular Syndrome
Inflammatory
Spinal Stenosis
Sacro-iliac/ Pelvic Girdle Pain
Chronic Pain Syndrome
These are old injuries associated with abnormal tissue healing structure or scarring
The disfunction painfully limits your full range of motion or your loading
A hallmark of this classification is that the pain is consistent in the way it is provoked and absent when not being provoked
People rarely seek treatment for this classification of pain because it goes away when they change positions
A hallmark of this classification is that the pain only comes on with prolonged periods in extreme postures
These are not appropriate for physical therapy and are sent for further evaluation with other specialists
Spinal Cord Compression, Traumatic Instability (unwilling to move), Cancer, Fracture, Infection, Vascular
Once you have been classified to a treatment category and we have discovered the correct location for treatment (often arm and leg pain comes from the neck or back), you will then be assigned a self-management plan
The self-management plan will be sent to you in writing and will include 1-3 movements at most that need to be performed regularly as assigned
Your completion of the assignment will further clarify if you have been classified correctly or if we need to make adjustments to the self-management plan at your remote follow-up or later at the next visit you schedule