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What happens if your patient isn't recovering from their injury?

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stephanie’s Answer

it depends on injury. but if you have been to a Physical therapist maybe go to a different one. we all treat differently. get a second opinion. what is injury?

stephanie recommends the following next steps:

diagnostics
2nd opinion
look at diet
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Estelle’s Answer

I would suggest rethinking the diagnosis and making sure that you are treating the patient for the correct condition. If you are certain of the diagnosis, then sometimes it just takes patience and motivation to keep working with the patient, even when they don't show great progress.
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Kevin’s Answer

The body is very complex, but there are general guidelines that stay constant. In PT, we deal with musculoskeletal function for the most part. A muscle will work if there is innervation(good nerve connected), blood flow, and no mechanical problems within the joint. If there is no progress and all of these factors are in place, you must refer the patient to their doctor or a specialist.

The other option is changing your plan of care. Maybe you thought the innervation was good at first evaluation and focused on assisting with reducing mechanical issues in the joint. No progress, so you change to increase innervation through nueromuscular rehab. If you cannot find an effective method of progress you will discharge from PT. Examples may include stroke when innervation cannot be restored, osteoarthritis when joint mechanics are damaged, or periferal artery disease when blood flow is severely diminished. At the end of the day, utilization of ineffective treatment is unethical. But knowledge of systems at play will help you understand when you can be relevant to a patient's plan of care.
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