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Answers to Common Questions for a Confident Start in Physical Therapy

Starting physical therapy can bring a mix of excitement and questions. For those new to PT, understanding what to expect can ease nerves and help you make the most of your first session. In this FAQ guide, Meghann La Marca, DPT, Cert. DN, CCI, from 360 Physical Therapy - Goodyear at Esporta Fitness, answers the most common questions about physical therapy, helping you feel prepared and confident as you begin your journey to better health.


Do I Need a Doctor’s Referral to Start Physical Therapy?

In many states, patients can access physical therapy services directly without a physician's referral, thanks to direct access laws. However, these laws vary by state. For detailed information on direct access laws in your state, please refer here.

PT Insight:
If you have a PPO or Open Access plan, chances are you do not need a referral. However, most government-based insurance plans (Medicare and Medicaid) still require a prescription to get started.

What Should I Wear to My Physical Therapy Appointment?

Wear comfortable clothing that allows you to move easily. Athletic wear is often ideal since your therapist will assess your range of motion and guide you through exercises.

PT Tip:
Wearing clothing that allows easy access to the area of injury or pain is always appreciated. For example, wear shorts for a knee injury or a short-sleeve shirt for a shoulder injury. Physical therapy involves movement, so make sure you’re comfortable moving around.

How Long Will My Physical Therapy Sessions Last?

Most PT sessions last 45 minutes to an hour, though this can vary depending on your treatment plan. Your therapist will work with you to ensure the timing fits your schedule and treatment goals.

PT Insight:
The initial evaluation may take a little longer than an hour due to paperwork, examination, and scheduling. However, subsequent sessions are generally 45 minutes to an hour. We want to make sure that all of your concerns are addressed and that you feel a bit better when leaving the clinic.

Will Physical Therapy Be Painful?

While PT can sometimes cause mild discomfort as you work to regain strength or flexibility, it’s designed to improve your comfort over time. Your therapist will adjust treatments to ensure you’re comfortable.

PT Tip:
Please communicate with your therapist if something is painful so adjustments can be made. Some recovery from specific surgeries can be uncomfortable, and your therapist can help you understand if it’s a normal response. Taking prescribed pain medication one hour prior to therapy may help with movement and reduce discomfort overall.

How Long Will I Need Physical Therapy?

The duration of physical therapy varies widely based on individual needs, the nature of the injury, and progress made over time. Your PT will reassess regularly to determine the appropriate length of your program.

PT Insight:
Most people benefit from about 4-6 weeks of therapy to establish new movement patterns and see a reduction in symptoms. Much like starting a new diet, changes do not happen overnight. Your physical therapist will continually monitor your progress, make adjustments, and prescribe a home exercise program to maximize your results. Commitment to the process is key!

Physical therapy can be a rewarding experience when you know what to expect. Whether it’s your first session or you’re returning, understanding the basics helps you make the most of each visit. Ready to start your journey? Schedule your first PT appointment and experience the benefits firsthand!

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