5 Misconceptions About Physical Therapy
- Brett Fischer
- Oct 12, 2017
- 3 min read

The physical therapy (PT) you know is changing. It’s evolving. It’s improving. Physical therapy is now much more than ultrasound and some exercises you do at home with a stretchy band. With that in mind – I’d like do a little myth busting about why physical therapy is not what you typically think.
PT is not always painful. “No pain no gain” is only true in certain instances, and it’s not as often as you might think. That said, some pain is usually necessary through the recovery process. There are no hard and fast rules for knowing when pain is ok and when it’s not ok. This is where a good physical therapist comes in handy!
PT is not the same at every physical therapy clinic. The medical community is becoming more and more specialized. There’s a doctor for every problem you might have. Physical therapy is moving that way as well. There are board certifications in sports, geriatrics, pediatrics, orthopedics, and others. For example, if you have a sports injury, you can find a sports certified specialist (search “Find a PT” online). In the same way, you can do some web research on PT clinics and find out what types of injuries they see most of. It’s generally best to go to a clinic that frequently treats your type of injury.
PT does not require a referral or prescription from a medical doctor. Each state has their own rules, but here in South Dakota, people can see a PT whenever they want to. Each health insurance differs, but most major ones will cover this in accordance with their individual policies. It’s always best to call and double check prior to setting up an appointment. If you call a PT clinic, they might even make the call for you.
PT is not always three times per week. Unless you have a very stiff joint or just had surgery, you probably don’t need PT this frequently. Insurance deductibles are on the rise and bills can pile up. If you’re motivated to take an active role in your recovery, less visits will equal more results.
PT is not limited to after you’ve had surgery. While this is a common occurrence and will continue to be, PT is beneficial for numerous other conditions as well. This may include dizziness, ankle pain, chronic pain, and many others. The important thing is that you find a PT that’s right for you.
PT is not called "rehab."If you think you're getting PT or you were instructed to see a PT and all you hear is people around talking about "rehab," you probably aren't getting actual physical therapy. People are out there trying to undercut physical therapy by offering "rehab" at a much lower cost, provided by someone who isn't as qualified. Only a licensed physical therapist can provide physical therapy. Since the early 2000s, education has changed to a doctorate degree. This means PTs spend 3 years continuously mastering the art and science behind physical therapy.
Be aware of these misconceptions as you look for a physical therapist or are going through PT. Don’t be afraid to do some homework on the clinic or physical therapist you are looking for. Talk to people and use reputable online resources. But most of all, be prepared to have some fun, work hard, and move forward!
Brett
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