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Orthowell Physical Therapy

Don’t Be A Victim of the Pain Industrial Complex!

Direct Access Physical Therapy Means Less Time and Money Spent in the “Pain-Industrial Complex”

What’s Direct Access Physical Therapy

Direct Access physical therapy refers to the ability of patients to seek treatment directly from a licensed physical therapist without first obtaining a referral from a physician or other healthcare provider. This approach allows individuals to bypass unnecessary delays and administrative hurdles, enabling them to access timely and convenient care for musculoskeletal conditions, injuries, or pain. Direct Access empowers patients to take control of their health and choose the most appropriate path to recovery, often resulting in quicker intervention, improved outcomes, and cost savings.

What’s the Pain-Industrial Complex?

Well I made it up. But here’s what Chat GTP had to say about it when I asked:

“The term “Pain Industrial Complex” refers to a network of industries, institutions, and practices that profit from the management and treatment of pain. It encompasses various sectors such as pharmaceutical companies, healthcare providers, insurance companies, medical device manufacturers, and even some government agencies.

Within the Pain Industrial Complex, there are concerns about the overprescription of pain medications, the promotion of costly medical interventions, and the potential for conflicts of interest among stakeholders. Critics argue that profit motives may sometimes take precedence over patient well-being, leading to overdiagnosis, unnecessary treatments, and even the perpetuation of chronic pain.

Additionally, the Pain Industrial Complex may contribute to the medicalization of pain, wherein normal variations in discomfort are pathologized, and patients are encouraged to seek medical solutions for conditions that could be managed through lifestyle changes, holistic approaches, or self-care.

Overall, the concept of the Pain Industrial Complex highlights the complex interplay between economic interests, healthcare practices, and patient care in the management of pain.”

Here is a real example we see in the clinic every day

Mary Beth presented with chronic heel pain. Like  90% of Americans , she has an annual deductible that must be met before most services are covered. Up to that point, she had spent the following:

$40 in primary care, Plantar Fasciitis diagnosis, no treatment

$210 orthopedic appointment, confirmed diagnosis, issued cookie cutter exercises, NSAIDs, AND

$180 night splint (a $40 buy on Amazon)

$190 x-ray, unnecessary

5 weeks of waiting and mediocre management

I’m not saying that there’s no place for other health care providers, but the vast majority of pain can be diagnosed and should be treated by a Physical Therapist. Of course, if things aren’t going in the right direction, we would seek out further medical attention and intervention. But next time lets skip the unnecessary referrals and diagnostic tests, and save everyone time and money.

Ivan Velev, PT, DPT
OrthoWell Physical Therapy
Mobile: 781-350-8055

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