Category Archives: Health

Physiotherapy in Treating Huntington Disease

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Huntington Disease is an inherited, neurodegenerative disorder. This devastating illness, although inherited by genetic disposition at birth, normally emerges when a person is between the ages of 30 and 50. Juvenile Huntington Disease is rare, but affects young people under the age of 22.

Physiotherapy in treating Huntington Disease is often one of the only treatments effective in managing this slowly progressing, life threatening illness. Huntington Disease robs individuals of their physical abilities as well as speech and causes emotional confusion. This is a slow growing disease, but eventually fatal. Most people with Huntington Disease live about 20 years after diagnosis.

Many people with this dreaded disease that affects hundreds of thousands of people in the United States alone, often turn to physiotherapy in treating Huntington Disease. Because of the gradual physical deterioration of patients with this disease, early intervention of physiotherapy in treating Huntington Disease can not only prolong life, but also improve the quality of life for those individuals suffering from this condition.

Huntington Disease effects mostly Caucasians with Western European ethnicity. At the present time, there is no cure for this dreaded disease. Certain medications have proven to alleviate some of the symptoms and physiotherapy in treating Huntington Disease has proven to be effective in maintaining movement and stabilizing emotional well being.

Symptoms of Huntington Disease include physical, cognitive and emotional changes in an individual. The first to appear are the physical symptoms which include imbalance, involuntary movements of arms and legs and slurred speech. When physiotherapy in treating Huntington Disease involves manipulation of the arms and legs, massages, exercises to strengthen muscles and better develop coordination. If treated early on in the disease, this can sometimes stave off some of the physical symptoms of the illness, although it cannot cure the disease.

Huntington Disease is a neurological illness. Other symptoms include dementia, short term memory loss and difficulty in solving problems. These symptoms mirror others, including Alzheimer’s and many who present with such symptoms are often misdiagnosed with this illness.

A person suffering from Huntington Disease ma experience mood swings, develop aggressive tendencies, experience depression and become impulsive. They may do things in public that are out of the ordinary and many who present with these symptoms are also misdiagnosed as suffering from mental illness.

Huntington Disease affects each patient in a different manner. Physiotherapy in treating Huntington Disease is one of the most effective treatments that we have today in trying to help people with this devastating, life robbing illness. There are various organizations that are working diligently for better treatments, medications and a potential cure.

In the early stages of Huntington Disease, it is crucial to seek physiotherapy intervention as well as proper medical treatment. The early stages enable a person to continue to function in normal capacity at home and at work. The early stages of the disease can be extended with proper therapy and treatment. Physiotherapy in treating Huntington Disease is three-fold – it works to maintain the early stages of the disease by massage, physical and speech therapy and helps the individual maintain full functionality for as long as possible.

During the second stage of the disease, the person will begin to become incapacitated. Physiotherapy in treating Huntington Disease during the second stage of the disease involves continuing with physical therapy and improving speech patterns.

Physiotherapy in treating Huntington Disease during the late stages of the disease involves movement exercises to keep the individual from forming blood clots that can lead to stroke. During this stage of the disease, an individual can no longer care for his or her self. Many people in the late or advanced stages of the disease are confined to nursing facilities where physiotherapy in treating Huntington Disease is used to prolong life and maintain movement with these individuals who are no longer able to care for themselves.

Like Alzheimer’s, Huntington Disease is a cruel, life robbing illness that causes a patient to deteriorate over a long period of time. Physiotherapy to treat Huntington Disease is consists of many facets. Until there is a cure for this dreaded illness, physiotherapists will work to try to preserve a patient’s mobility, dignity and life for as long as possible.

Physiotherapy To Treat Muscular Dystrophy

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Muscular Dystrophy is a devastating illness that we often associate with children. However, there are many different forms of this disease and can strike at any time during the course of one’s life. Muscular Dystrophy strikes at the muscles in an affective individual, degenerating them to the point where people are no longer in control of their every day movements. All of the muscles in the body can be affected with muscular dystrophy. Although there is no cure for this debilitating condition, physiotherapy to treat Muscular Dystrophy has proven effective to the point of allowing people to retain use of their deteriorating muscles for a longer period of time and allowing them to enjoy every day activities.

People with Muscular Dystrophy normally live an average life span. Muscular Dystrophy is not a fatal disease but is severely impairing. Those who develop Muscular Dystrophy as children are the ones who are the most severely affected. Because children’s bodies are still developing, Muscular Dystrophy, when contacted at an early age, can cause a more rapid progression of the deterioration of the muscles. Many children who are affected with Muscular Dystrophy end up confined to a wheelchair for the rest of their lives.

Physiotherapy to treat Muscular Dystrophy can take many forms, depending upon the type of the disease. For children who are diagnosed with this dreadful disease, physiotherapy plays an important part in preventing scoliosis, which is curvature of the spine. Through physiotherapy techniques, exercises and treatments, children diagnosed with Muscular Dystrophy who seek physiotherapy to treat Muscular Dystrophy early on have a better chance of walking for a longer period of time and minimizing joint contractions, which will ease the discomfort aspect of the disease. Preventing curvature of the spine is also very important and early intervention by a licensed physiotherapist is crucial for young people affected with Muscular Dystrophy.

Another form of Muscular Dystrophy affects elderly people and is called Ophthalmoplegic Muscular Dystrophy. This affects the eye muscles and often causes drooping eyelids. It also affects swallowing. Physiotherapy to treat Muscular Dystrophy also extends to those who suffer from Ophthalmoplegic Muscular Dystrophy as exercises and treatments can strengthen the muscles of the eyes and the throat and help people suffering from this disease alleviate their symptoms.

Limb-girdle Muscular Dystrophy affects the back muscles including both the pelvis and shoulders. It can cause deterioration of these muscles and make sitting and standing painful and confine a person to a wheelchair. Physiotherapy to treat Muscular Dystrophy also encompasses those suffering from Limb-girdle Muscular Dystrophy through massage and manipulation treatments that strengthen the muscles and slow the progress of the disease.

Physiotherapy to treat muscular dystrophy has many different phases that are as diverse as the different forms of this disease. Physiotherapy is one of the only proven treatments that actually help those suffering with this condition. Treatments have come a long way over the years for those suffering from Muscular Dystrophy, and while there is still no cure, physiotherapy to treat Muscular Dystrophy can help those affected with this disease to live more pain free and productive lives.

How Physiotherapy Works

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Many people are hesitant when they hear the term “physiotherapy.”
They do not know what it is, why it is used, how it is used and how it can possibly help them. Most people, whenever they have an injury of some sort, run to a medical doctor who generally prescribes pain medication for injuries. While pain medication is an effective way to deal with pain caused by various ailments, diseases and injuries, it merely masks the pain and does not solve the problem. In addition, many pain medications are highly addictive.

Physiotherapy is nothing new. It dates back to ancient times. Even Hippocrates, the father of medicine, recognized that there was a need for patients to be mobilized. People who have illnesses or disease that keeps them immobile run the risk of getting blood clots in their legs that can travel to their heart or brain. Modern physiotherapy began in the late 19th century when doctors began to realize that patients needed to be mobilized in order to recover. During the polio outbreaks of the 1930s and 1940s, physiotherapy played an important role in helping people who were affected by this terrible illness to regain the strength to walk.

Mobilization, manipulation of muscles and ligaments, exercise, education and training is how physiotherapy works today. There are many reasons why people see a physiotherapist. They range from back and neck pain, which are the most common, to neurological conditions. Even people with heart and lung conditions often have some sort of physiotherapy to help them recover. Physiotherapy is now an important part of any patient recovery, whether it be from an operation or an injury. Many patients, when released from the hospital, are released into the care of a licensed physiotherapist who works with the patient to continue the recovery process.

Curing migraines is one example of how physiotherapy works. Many physicians and physiotherapists believe that migraines are the result of a misaligned spine. By manipulating the spinal column, many physiotherapists have reported success in alleviating the symptoms of migraine headaches; a disabling condition that plagues millions of Americans each year.

Even people with injuries present at birth, such as cerebral palsy and spina bifida have been able to live better lives with the help of physiotherapy. The therapist keeps the limbs mobile and allows the patient to live a longer and more productive life.

Stroke victims are a great example of how physiotherapy works. Oftentimes, after a stroke, a patient is unable to speak or use a certain part of his or her body. A physiotherapist works with a stroke victim to help him or her regain speech as well as movement in the effected area. Physiotherapists have achieved amazing results with stroke victims, particularly in recent years.

Physiotherapy is practiced by a licensed therapist who has vast education in the field of the types of injuries and diseases he or she treats. People who have suffered an accident or have undergone an operation and have recovered with the help of therapy can clearly attest to how physiotherapy works to cut recovery time in half and allow the patient to get back to leading a better quality of life.

What Happens After Physiotherapy?

What Happens After Physiotherapy?

Physiotherapy can be a long, hard road. It takes willpower and endurance to keep at it. The mere act of keeping appointments can be grueling at times. One may feel like celebrating when it is all over; but what comes after physiotherapy?

The physiotherapist will leave you with words of advice to follow after your physiology is over. One important thing to keep in mind is that any exercises you are doing should be remembered for relapses.

For example, if you have a problem with a vertebra in your neck, physical therapy can often help. After physiotherapy, though, the neck might start getting stiff and painful again. Remembering and doing the physical therapy exercises may stop the condition from getting any worse, and may in fact alleviate it completely.

You will also be instructed on the proper use of heat packs and ice packs. It will be a refresher course for you, but you will be on your own, so you need to pay attention. You will be told to go to the doctor at the first sign of relapse after physiotherapy.

Prevention will be an important concern after physiotherapy. The last thing you need is to have to go through the process again. You can take certain steps to avoid physical injuries that would require you to go back.

Aerobic exercise is very beneficial both during and after physiotherapy. It strengthens the muscles, increases oxygen to the muscles, and helps you lose weight. Aerobic exercises you can do include walking, running, swimming, or bicycling. Any exercise that gets you breathing heavily and your heart rate up will do.

In injuries like low back pain, weight loss can be a factor. It can mean less stress on your bones and muscles. Therefore, diet can play an important role in prevention after physiotherapy. It does not have to be an elaborate diet; just a simple diet that limits foods, especially the carbohydrates and fats.

Other preventative features of life after physiotherapy involve the workplace. One needs to learn the proper movements to get the job done. If it seems that it is impossible, it is a legal right to call for an ergonomics study. Another thing to consider is to make sure you use all the ergonomic equipment that is already available in your office or workplace. There may be ergonomic keyboards in a storage room, if you would only ask.

One also needs to learn one’s limitations. No more trying to lift a two-hundred pound object by yourself. After physiotherapy one knows what can happen when one does not take care of one’s body properly. It only makes sense to stay away from anything that can harm you in the way you were hurt before.

Life after physiotherapy may be a more cautious affair than is was before. One may have to think before acting. No matter what one does, it is possible that a return to physiotherapy will take place. The best thing to do is to do your best to make all the right moves after physiotherapy.

The Benefits of Physiotherapy for Amputee Rehabilitation

The Benefits of Physiotherapy for Amputee Rehabilitation

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Losing a limb is a devastating blow for anyone. It requires a team of professionals to make the adjustment to life without the limb. A physician, a prosthetist, nurses, and a psychologist are all needed. Add to that list a physiotherapy service, which will help with amputee rehabilitation.

The benefits of physiotherapy for amputee rehabilitation are numerous. For one, amputees will need help in overcoming phantom pains. These are pains where the limb used to be. The sensation really is in the nerve that would lead to that limb if it were still there. Physiotherapy can use its own techniques to treat this pain.

Most amputees will be getting a prosthetic limb. Some feel that it should be enough to learn how to put it on. It is not an automatic thing to get used to a prosthetic limb. Many patients have them for years without ever having normal functioning with them. This is one reason amputee rehabilitation is so important.

Physiotherapy can benefit amputee rehabilitation by gradually getting the patient accustomed to using a prosthetic limb. The physiotherapy plan for this will be based upon the needs and abilities of the patient.

The patient will probably need help during amputee rehabilitation to learn balance all over again. This is especially true is the affected limb is a foot or leg. However, having an arm that is of a different weight than the other may be unbalancing as well. Physiotherapy can help with these problems too.

One thing people going through amputee rehabilitation need to realize is that gait is a good deal of the battle. If one walks correctly, people will not even be able to detect one’s limp, even with a prosthetic leg. This skill can be learned from physiotherapists.

If a patient has waited a long while before seeking physiotherapy after surgery, a problem may arise. Certain muscles may become overdeveloped and others weakened. This happens because, without proper amputee rehabilitation, the patient relies on one set of muscles to the exclusion of others. A proper plan of physiotherapy can address this issue.

People who have lost a limb will need an individualized exercise program. Physiotherapy can provide such a program during amputee rehabilitation. This will take into account the different movements needed by amputees to perform normal exercises.

Manual therapies, such as massage, are a part of amputee rehabilitation with physiotherapy. This can relieve much pain and tension in the muscles that are overworked in getting used to their new situation. Other treatments can be used. Some of them are heat, acupuncture, ultrasound, and electrical stimulation.

There is a need for physiotherapy in amputee rehabilitation that no other discipline can fill. It is a basic kind of help that anyone who has lost a limb can use. Some amputees decline treatment because they do not think it is necessary. Others feel overwhelmed by their loss. If there is a way to convince amputees to get physiotherapy to help them with their rehabilitation, they will find recovery a much smoother path.

Why Down Syndrome Physiotherapy Should Be Started Early

Why Down Syndrome Physiotherapy Should Be Started Early

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There is a great need for immediate intervention for children with Down syndrome. Physiotherapy does not fix the problem; development will still be slowed. However, it can address problems that are unique to Down syndrome children.

Early Down syndrome physiotherapy focuses on four problems that are common for these children. One is called hypotonia. This means that the child’s muscles lack tone. That is why, when you lay a Down syndrome child in his crib, he will flop out like a rag doll. Hypotonia needs to be treated because it affects the ability of the child to learn motor skills or to support himself correctly.

Another problem that can be helped by Down syndrome physiotherapy is laxity of the ligaments. The ligaments are so loose that they do not support the bones adequately. In infancy, it can be seen in the way they lie down with their legs splayed apart. In later years, their ankles and other joints will be loose enough to cause support problems.

Down syndrome physiotherapy is essential in helping these children overcome muscular weakness. If they are not exercised to correct the problem, they will develop behaviors that will make up for their lack of strength. Some of these behaviors may be harmful. For example, they may lock their knees to make up for having weak legs.

One problem these children face is in their body shape. Their arms and legs are generally shorter compared to their trunks than in most people. This leads to all kinds of problems sitting and climbing. Just reaching the table to eat can be a chore. Down syndrome physiotherapy can help with this problem.

In early intervention Down syndrome physiotherapy, the emphasis is on overcoming weakness and learning gross motor skills. Rolling over, sitting, crawling, and walking will all happen eventually, anyway. However, with Down syndrome physiotherapy, they can take place with solid physical foundations.

There is a concern with Down syndrome physiotherapy of parents notifying the doctors of problems that might require the help of a physiotherapist. A parent may be at a loss as to what is to be considered worthy of attention. After all, they already know that their child is not like other children who do not have Down syndrome.

If parents see a Down syndrome child having trouble holding up her neck, it is essential to call it to the attention of the doctor so that physiotherapy can be ordered to strengthen neck muscles. This is one example of many where a physiotherapist might help.

Once Down syndrome physiotherapy is started, it is best to keep up a life-long program to maintain health. Prevention of age-related problems with bones, ligaments, and muscles is becoming increasingly important. This is because people with Down syndrome are living to older ages. In fact there are more Down syndrome people over the age of 60 than ever before. Physiotherapy can help them live quality lives.

Down syndrome physiotherapy is often ignored until much damage has been done. The children are left with weaknesses, odd behaviors, and disfigurements that need not have happened. If Down syndrome physiotherapy is started early enough, the child will have a much healthier life.

What Are Physiotherapy Costs and Will Insurance Pay?

What Are Physiotherapy Costs and Will Insurance Pay?

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If you are referred to a physiotherapy clinic for an injury or condition, you might be wondering about the physiotherapy costs. More than that, it is important to find out if insurance will pay for treatment and procedures. These are questions to answer before going to the clinic for help.

The simple answer is that no one can pinpoint the exact amount of treatment a person will need, so overall physiotherapy costs are just an estimate. It is possible for an experienced and skilled physiotherapist to make a fairly accurate approximation of how long treatment will take.

There will usually be a flat clinic or office visit fee. This covers only the basic services of the team. If one does not provide adequate notice of cancellation, a fee can be assessed to recoup the fee that would have been taken in for that time slot. Yet, these are just the beginning of the fees. Physiotherapy costs go far beyond the basic fee.

Physiotherapy costs can vary greatly for different treatment sessions. This is because the same procedures are not always performed. Some cost more than others. To get an accounting of the prices for the different methods used, contact the billing department of the clinic or hospital. There should be a list of each type of treatment.

Since many insurance companies give patients a choice of doctors and physiotherapists, it is wise to discuss fees upfront. Physiotherapy costs may affect you even if you have insurance. This is especially true if your physiotherapist has a preference for many short visits instead of fewer longer ones. This will have a bearing on your deductible.

Then, all one has to do is to keep asking at each session what the next session’s procedures will likely be. This way, physiotherapy costs will come as little surprise to one. The only question is what kind of payment arrangements will be made. If the patient has no insurance, all physiotherapy costs will be due in full at the time of service.

Clinics often help arrange the payment of physiotherapy costs by contacting workman’s comp or insurance companies for one. This makes it possible for the clinic to collect their fees easily. It also takes the burden of phone calls and paperwork off the patient.

Physiotherapy costs may amount to the price of a deductible and a small co-pay for each visit. The number of visits varies, but there is an average to go on. One or two times a week will usually suffice for four to eight weeks. However, a chronic condition may need much more work.

Physiotherapy costs can be financially crippling, or small change. It depends upon the existence of insurance or the ability of the patient to pay out of pocket. Insurance covers most physiotherapy costs, but if there is any doubt, do not be afraid to ask. Physiotherapy is there to make you feel better, not to make you worry about how much it costs. Anything you can do to keep the focus on recovery will help you.

How to Make the Most of a Physiotherapy Assessment

How to Make the Most of a Physiotherapy Assessment

The first step in recovering from several painful and incapacitating conditions is a physiotherapy assessment. One can sit back and let the physiotherapist do all the work. However, more accurate and positive results will come of the physiotherapy assessment if the patient becomes involved.

When you go in to the physiotherapy appointment, your doctor should have given the physiotherapist some idea of your condition. The physiotherapy assessment will begin when the therapist takes a medical history. This is standard procedure for any type of health related problem. It is wise to be thorough in explaining past problems and conditions that seem to run in the family.

This can have a bearing on your treatment. It might even point to some disease or disorder that no one suspected that you had. A thorough physiotherapy assessment could possibly lead to treatment by a physician for an unexpected illness. You might find out that, while physiotherapy is bad for very few people, it is not what you need the most.

Then, the therapist will ask questions about your present condition. She will want to know when the pain, stiffness, or other problems started. She will ask you just how much it hurts, having you grade your pain on a scale of one to ten. One means no pain and ten means the worst pain you can imagine. The physiotherapy assessment will go on with your hypotheses of what caused it all.

The accuracy of your physiotherapy assessment rests on the precision with which you answer these questions. Telling the therapist that the pain is at a level of four when you know it is more like a level of eight will lead her to treat your pain less aggressively. It will be as if you had no physiotherapy assessment at all.

However, if you are able to correctly measure your degree of pain, you will help the therapist understand your problem. When the therapist knows when the problem began and has an idea of what caused it, the physiotherapy assessment will reflect that information.

Then, the therapist will watch you move. For a person who does not wish to be seen as weak, it may be a challenge to walk and do other movements as the person does them when no one is watching. In other words, a person with a sore and stiff neck may try to move it normally in order not to seem like an invalid.

You will be put through a series of movements that may seem cruel to you. It is a part of a good physiotherapy assessment to show all the movements done as best you can do them. If you can barely do them, that tells your physiotherapist a great deal of information.

It is best that the physiotherapy assessment covers all these pains and conditions. The way to make the most of a physiotherapy assessment is to be as honest and accurate as possible. It is only then that you will get the best care.

Physiotherapy Statistics

Physiotherapy Statistics

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Physiotherapy is a strong force in the field of modern medicine.
There have been many new programs started for the study of its practice. Physiotherapy statistics give information about those who practice it and those who benefit from it.

Physiotherapy statistics show that in 2004 there were 155,000 people doing jobs as physiotherapists. That number increases every year. Yet, the number of physiotherapists available is not expected to keep up with the demand. It is said that employment will grow in the field much faster than the average occupation and keep growing until at least 2014.

There were 205 accredited physiotherapy degree programs as of 2004, according to physiotherapy statistics. To be accredited, programs have to offer Master’s or doctoral degrees. 111 offered doctoral physiotherapy degrees and the rest offered the Master’s.

There are also physiotherapy statistics on where these professionals worked. In 2004, sixty percent of them worked in hospitals or physiotherapy offices. The other forty percent of the jobs were spread out among those that worked in nursing homes, doctor’s offices, home health situations, and outpatient centers.

According to the physiotherapy statistics, there are a good many physiotherapists who are in a self-employment status. They contract their services to a variety of clients. Some of these are in homes, but others are in adult day care programs, schools, and any of the other jobs that fall into the forty percent group of where physiotherapists work.

In 2004, physiotherapy statistics show that these professionals earned, on average, around $60,000 per year in salary. Some earned as little as $42,000 per year and others earned as much as $88,000 per year. The highest average salaries earned were in the home health services field, at about $64,000.

In the same year, there is evidence in physiotherapy statistics that most physiotherapists, while working a 40 hour week, worked odd hours to accommodate their patients’ schedules. One fourth of physiotherapists only work part-time.

Physiotherapy statistics show a strong use of the services of such professionals by people with lower back pain. 80% of working adults get back pain in their lives to the extent that it hampers their lifestyle. Of all the different reasons a person under the age of 45 would be disabled, back pain is the most common.

It is no wonder that physiotherapy statistics show that these professionals will be needed years from now. The number of people who are developmentally disabled that will reach the age of sixty is said to be set to double in the next dozen years or so. These people will need physiotherapy in order to have a good quality of life.

Physiotherapy statistics show an increased demographic of older Americans today. If you took all the people that are now over the age of 65 and doubled it, you would come up with the number of all the people in history who have ever reached 65.

These physiotherapy statistics point to an ever-growing population of people who will need age-related physiotherapy. If there was ever a time when physiotherapists were needed, it is now and in the years to come.

How to Check Physiotherapy Credentials

How to Check Physiotherapy Credentials

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When you have physiotherapy done, you are putting your body in the hands of someone you believe to be a trained professional. Pain and disfigurement could result if the procedures are done wrong. That is why it is a good idea to check a therapist’s physiotherapy credentials.

Physical therapy aides may play a role in physiotherapy. One is not out of line to ask about what kind of physiotherapy credentials such a person has. The standard may simply be a two-year course of study at a Jr. College or a specialty school. Yet, it is important that the clinic is not just hiring anyone who walks in off the street.

While physical therapy aides can help with certain treatment tasks, it is the physiotherapist that assesses the condition of the patient. This person also plans the course of treatment and specific treatments like special exercises.

This physiotherapist is the person to whom the patient will return for progress reports and who will oversee the work of the physical therapy aide. It is very important to ask for the physiotherapy credentials of this professional.

College coursework beyond the bachelor’s degree is required for good physiotherapy credentials. If a physiotherapy candidate meets all the requirements, a master’s degree with advanced training will prepare her for work in the field.

Physiotherapy credentials to look for are: Foreign Credentialing Commission on Physical Therapy (FCCPT), International Education Consultants (IEC), International Consultants of Delaware, Inc. (ICD), International Education Research Foundation (IERF), and International Credentialing Associates, Inc. (ICA). Regardless of whether any of these credentials are required, the CAPTE (Commission on Accreditation for Physical Therapy Education) is the first credential needed.

There are different requirements for physiotherapy credentials in all 50 states. Different physiotherapy credentialing agencies are relied upon in different states. Some require a score of 600 or more on the licensing exam. Some require on-the-job training or professional references from physiotherapists who observe them in training.

Most states also require some ongoing education to keep physiotherapy credentials current. Find out how often the license needs to be renewed in your state. Then, you will know an outdated license when you see one. If you go into a physiotherapist’s office and see an old license, ask if that is the newest one. If your physiotherapist is not able to produce a current license, look elsewhere for your physiotherapy.

To check on these physiotherapy credentials, it is possible to contact the state licensing board of physical therapists. One can find the contact information of any state’s physiotherapy licensing board online. If all else fails, ask the physiotherapist to provide proof of her own training and licensing. It is to her advantage to encourage trust by being open about her physiotherapy credentials.

There is no need to be suspicious or unfriendly about asking for physiotherapy credentials. Chances are your physiotherapist is perfectly qualified to meet all your needs for physical rehabilitation or help with physical problems. It is important to find out about the physiotherapy credentials, but it is just as important not to make an enemy of your physiotherapist.