my doctor said and my phyiscail therapist said please read details , details is the question?

Question

my doctor wants me to keep my back brace on for 4-6 weeks but my physical therapist said i can try to work with out what should i do this little problem please i need alot of answers by tomorrow?

Answer 1

We cannot answer this for you.
You need to talk to your doctor and inform him that the physical therapist said... whatever he said.

Your doctor is the one with the primary responsibility for your care. Tell him all the therapist told you and ask him to contact the therapist and work out together with the therapist a single regimen that both will be comfortable with, so that they BOTH tell you the same thing and don't keep you confused.

Answer 2

Yes, the previous two answers are correct...but especially if you have had surgery or a fracture, etc. The physicians orders, when it comes to braces, periods of immobilization, etc have the final say. They are the ones who did the surgery or have seen your x-rays, etc.

If your case is non-surgical and no fracture is involved, this point might be arguable....

However, I would clarify, as the PT may be privy to some information about your case that you are not familiar with. For instance, if the therapist has a protocol for your treatment issued by the physician, it often says braces may be removed for PT, but should be worn otherwise.

In the long run, best to ask for some clarification from the physician. If the doctor still insists for you to wear it, and the PT doesn't, I would follow the physicians orders.

Answer 3

Always follow the physician's order first. Did you have surgery? Did you have a fracture? Or was it a simple sprain? Most of the time, in the case of a lumbar sprain/strain, a back belt is not the preferred treatment, because it allows you to relax your accessory muscles too much. You need to use these muscles in order to recover. However, if there is any discrepancy between a physical therapist and the physician, trust your physician first. Also, you need to let the physician know that the therapist is recommending a deviation from her orders. This is something that the physician may need to explain medical necessity for to the physical therapist. Good luck!

Answer 4

You were in a car accident with your Mom and have whiplash. OK, personally I would go with the PT on this one due to your age, young! Neck braces or soft collars are good when the neck is inflamed, like after the car accident. However at some point you are going to have to throw the neck brace away. I will assume they did the x-rays, MRI ruled out any bone damage so we are talking 'soft tissue' as in muscles. At a young age your neck muscles will repair themselves faster than your Moms, however keep the neck collar on and those muscles will weaken because you are not using them! Therefore the PT is saying, wear the brace for say three hours a day and then take it off for three hours. Then see how you feel and if you feel sore apply the neck brace, but remove again in three hours. Then you will find the three hours will be four hours, five, six seven, eight and you no longer need the neck brace. Good Luck.

Answer 5

not sure what you mean read details...Your physician/provider will have the final say,legally and medically..The PT should be working off the orders that were written.Generally it can be cleared up with a phone call etc...I would tell the PT my dr said this...could you please call his office and clarify if you want me to do something different.
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