What happens when your insurance company says you are “done” with physical therapy?

The unfortunate truth these days is that being “discharged” from physical therapy doesn’t always coincide with meeting the patient’s goals for their rehabilitation. In some cases, financial limitations or insurance benefits may dictate the time frame in which a person can realistically participate in PT.

Pinnacle has answered that dilemma through a patient-focused solution with a menu of services that keeps pain, inflammation and scar tissue from coming back.

For example, Medicare patients who have had joint replacements can’t always return to full strength and range of motion of the joint in the number of visits allowed by Medicare…or the patient doesn’t want to use up their allotted visits for the year thinking they might need PT later for something else.

At Pinnacle, the patients work in Pilates reformer classes 1-2 times per week with their physical therapist. How cool is that? The physical therapist’s knowledge of the patient’s movement limitations and preferences makes for a smooth transition from a clinical stand point and the classes are very small and affordable. There are many patients that have been in Kristie’s Pilates reformer classes weekly since 1999. They call it their preventative insurance policy.

Physical Therapy Coaching

So many patients spend time and money on getting rid of a specific pain, but later on, the pain returns. Why is this? It’s because the patient stopped doing the exercise program that helped to end the pain.

Physical therapy coaching is for those who appreciate the accountability it provides. Allow your personal physical therapy coach at Pinnacle to help you maintain the benefits you want to keep.

Our physical therapy coaching involves weekly or bi-monthly phone sessions focused on helping our patients achieve – or just maintain – their rehabilitation goals after they have been discharged from physical therapy. This process allows for excellent carryover and follow-through of the results gained in physical therapy.

Patient-Focused Solution #1: Keep working with your physical therapist

Pinnacle Physical Therapy offers private physical therapy sessions on a cash basis. Now that the health insurance is out of the picture, there are no limitations on the possible number of visits, there are no limitations on which body part can be treated, and there are no limitations on what modalities or services can be used – or where they can be performed.

For example, one of our patients is finishing up the allotted amount of physical therapy visits after being in a motor vehicle accident. He has rehabilitated to a “functional level,” which is what the insurance company indicates is adequate. But he is not willing to give up what he knows is a successful working relationship with his physical therapist.

Why is this? Because his goal is to return to being the competitive-level athlete he was before the accident. Who better than his physical therapist to progress his strengthening program and correct any alignment problems before symptoms begin? Why lose time by starting over with a personal trainer who doesn’t know the details of his surgical repair or what particular activities may set off pain? Who else has all the tools in one location to address a problem if it comes up, or to perform a test to assess progress?

Your physical therapist at Pinnacle knows the human body. Whether you have a body in pain, or a body ready to train, the knowledge and expertise that your physical therapist has attained through years of education and experience will help you achieve your goals, large or small.

Patient-Focused Solution #2: Join a Pilates rehabilitation reformer class

Not all patients who have had joint replacements, shoulder repairs, ACL reconstructions, etc., can return to full strength and range of motion in the relatively few number of visits allowed by Medicare or health insurance companies.

At Pinnacle, we have our patients work in Pilates reformer classes 1-2 times per week with their physical therapist. How cool is that? The physical therapist’s knowledge of the patient’s movement limitations and preferences makes for a smooth transition from a clinical standpoint, and the classes are very small and affordable. At Pinnacle, there are many patients who have been in Kristie’s weekly Pilates reformer classes since 1999! They call it their Preventative Insurance Policy – and they know it works.

Patient-Focused Solution #3: Do both physical therapy and Pilates

Combining a physical therapy session along with Pilates classes can make a HUGE difference in progressing toward, meeting, and even surpassing your physical health goals.

Several of our clients take advantage of this because they see the value in having a Pilates class taught by a physical therapist who knows exactly what their body needs to be doing to attain the best positional alignment during each of the exercises.

Any questions?

Give us a call at 303-440-7078 or 303-502-4450 and we’ll be happy to help you figure out which of these options would make the most sense for you.