Physical therapists are the “movement specialists” in health care. They understand body mechanics, response to exercise, and how to treat people with exercise more than any other discipline in health care. While physical therapists are not allowed to diagnose medical conditions, they are the most equipped providers to treat musculoskeletal injuries and conditions with exercise.
An evaluation must start with a detailed history of the concern being addressed. Other medical history that may impact treatment is also discussed. After that, tests and measures should be performed to understand an individual’s joint ROM, muscle strength, and functional capacity. Palpation of the affected area as well as related structures should be included as well. Special tests are specific movements that may be passive, active or a combination that may provoke symptoms or relieve symptoms. This will allow the evaluator to produce a physical therapy diagnosis which is different from a medical diagnosis. A physical therapy diagnosis will include limitations in movement, weaknesses, functional movement impairments, and disabilities.
The final step to an evaluation should be a conversation between the patient and the therapist about what interventions they suggest and what home exercise program the patient should follow. If you are experiencing pain, a physical therapy evaluation is a great place to start. A referral is not needed for commercial insurance plans.