Physical Therapy: More Than Just Stretches • Posts by EIM | Evidence In Motion Skip To Content

Physical Therapy: More Than Just Stretches

October 11, 2019 • Advocacy • Jennifer Stone

A few months ago I was at a family dinner and my sister-in-law was moving gingerly and grimacing in pain. I asked what was wrong and she responded that she had tweaked her back at work (she is a veterinarian) and was really struggling with daily movement and that lifting/bending at work were all but impossible.

She paused, then hesitantly asked, “Would you be willing to show me a few stretches that might help?”

She was hesitating because she didn’t want to ask me to work while I was “off the clock”- but we are never really off the clock, are we? Like most physical therapists, I can’t see someone who is in musculoskeletal pain and not put my hands on them (with permission, obviously!). So she and I moved into the living room, did an evaluation to ensure it was actually simple musculoskeletal pain, and then moved into some treatment. A couple of lumbopelvic manipulations and some soft tissue mobilization later, she was feeling normal. We discussed some pelvic girdle and core strengthening exercises, body mechanics during work, nutrition (the pelvic health therapist in me can’t help it), and, yes, some stretches, and then rejoined the family.

As I was thinking about this interaction, I realized (not for the first time!) how much I love having the knowledge and hand skills to provide immediate pain relief in these types of situations. An orthopedic surgeon, medical student, and former nurse were in attendance that day, and while they had some helpful information to share about back pain, I was the one who was able to do something in the moment to help her achieve meaningful change.

And then, as they often do, my thoughts diverted to how much I wish that our profession was better known and represented in the world. My sister-in-law, like many people, truly thought all I could offer her was stretching. Once we were finished, she exclaimed something along the lines of “Wow, you guys (physical therapists) need to shout what you can do from the rooftops! I had no idea how much you could do to help me!”

Now, let’s acknowledge the glaringly obvious: my own sister-in-law didn’t really know what I do for a living. Granted, I tend to keep work and family life relatively separate, but in some ways, maybe that is part of the problem. It’s true that therapists (I would definitely also include occupational and speech therapists in this category) are quite underrepresented in pop culture. It’s also true that our professional organizations tend to lack funding to have significant ad campaigns (imagine a beautiful commercial like those put out by drug companies, but without the quickly-passed-over side effects of significant injury and death at the end!) and representation.

Maybe education/advocacy needs to start with us-a grassroots effort to spread the word that we do so much more than just providing stretches (don’t get me wrong, I think mobility/flexibility are important and do often prescribe stretching as part of my care plan for a patient). We need to back up APTA’s national campaigns with real, on-the-ground presence in our communities, advocating for what we do.

Of course, we do advocate (hopefully!) one patient at a time by providing excellent care to those who walk in our doors. But that is clearly not enough, if it were, “try physical therapy” would be on everyone’s lips when discussions about musculoskeletal or neuromuscular dysfunction arise. We need to shift our thinking about how we represent our profession and ourselves. What are some ways we do that? I don’t know that I have all the answers, but some shifts I am personally making include:

Providing education and advocacy in my personal circles of influence. I am a mother of young children-this means I am in a lot of Facebook mom groups, chat with other parents at school pick up, and have quite a few medical visits (mostly well child checks thankfully!) as part of my daily life. I have started speaking up when parents talk about having pain, relatives with neuromotor dysfunction, leaking when they jump or cough, and so on, and I am trying to be very conscious of doing so in such a way that I am promoting rehabilitative therapies as professions, not necessarily myself specifically. I don’t think self promotion is wrong at all, but I also realistically can’t see the whole world and I want people to think therapy first, not just think of my name, when in need of care. And, yes, I am talking more about what I do when appropriate with family and friends.

Being more conscious of how I interact with others at marketing events. Of course I have always provided education at these events-but how much more powerful is it to provide free screenings when working an event for moms expecting babies vs just chatting about how therapy can help with pregnancy related back pain or incontinence? When I go to speak with physicians, I try hard to bring a fellow therapist so that we can demonstrate some of the things (outside of stretching!) that we do on each other-if that is not an option, I try to demonstrate on the physicians.

Being more involved in physical therapist education at all levels. This is the future of our profession! I personally really enjoy teaching, so for me this looks like teaching CE locally and nationally as well as guest lecturing for entry level programs when the opportunity arises. I am not 100% clinical at this stage of my career, so I do not function as a clinical instructor when students rotate through my clinical, but I do meet with them to teach them some of the skills that will serve them well during their careers (the super boring ones, like how to read insurance benefits and document effectively). And I absolutely love having the opportunity to hire a new grad and mentor/teach them in their first year or few years out of school.

Being involved in the education of other medical professionals. This is a little “easier” for me because I work in a teaching hospital, and have a supportive department who helps in setting these opportunities up. It is truly amazing how little other healthcare professionals know about what we do, and having the opportunity to share that information with medical students, residents in many different specialties, and nurses at both the student and professional level is a privilege! Sometimes that is formal (lecturing to medical students or at Grand Rounds), sometimes it is informal (having residents come shadow at the clinic), either way, it’s so awesome to be able to have some cross-disciplinary collaboration, and hopefully help make sure those up and coming professionals “think PT” early, not when they have exhausted all other options for their patients.

I would love to hear your thoughts, what are some ways that you can leverage your strengths and passions to advocate for our profession? Nothing is too big or too small, every effort counts, and it would be fantastic for us to all glean inspiration from one another!

Jennifer Stone

Jennifer is a physical therapist with 10 years of experience in an outpatient orthopaedic setting. She is a firm believer that pelvic health physical therapy is a branch of orthopaedic physical therapy and that the two worlds have been separate for far too long. Current Roles: Program Director, Pelvic Health and Advanced Pelvic Health Certificates,...

––– Related Items


––– Comments

Jennifer Stone

Commented • January 31, 2020

Tracy, Thank you so much for your feedback and kind words! I agree with you that it is more expensive than many of us would like (and while patients are bearing more and more of the cost, therapy services are actually being reimbursed less and less...it's a tricky situation without easy answers). To me, this makes it absolutely imperative that we are providing services that are the absolute top of our licenses-we can't just show people stretches or passive treatments anymore. We have to be cutting edge so we are giving people good value for their time AND money, and make our services worth what people have to pay. And we need to speak about our worth (and have patients like you do the same!) so that hopefully the insurance situation can be improved upon! Best wishes with your recovery!

Tracy

Commented • January 30, 2020

Hi! Great article! As someone who has been in physical therapy for 9 months (shoulder issues and 2 subsequent shoulder surgeries), I would say that Physical Therapists as invaluable. A surgeon may fix you, but PT gives you your life back! That being said, I think the biggest obstacle is the cost. It’s insanely expensive in my state (SD) and for that reason alone, I would try every other option to avoid PT, until I have to see them. Also, a lot of insurance only cover a small number of appointments (and you pay mightily for each session), and once you hit that max, paying out of pocket to continue will also cause people to find care elsewhere. Just my two thoughts. I think PT’s are awesome and amazing and I wish more people could benefit from them!


––– Post a Comment

— All comments subject to approval

Your email address will not be published. Required fields are marked *