5 Reasons You May Struggle To Get A Diagnosis And The Right Treatment At Physical Therapy

Upon your arrival at Smith Performance Center, our primary goal is to comprehensively understand the source of your pain or symptoms. 

Our physical therapists initiate this by gathering crucial information through a medical history form, conducting detailed interviews about your experiences, performing thorough examinations, creating an initial list of potential diagnoses, validating our hypotheses through treatment, and finally, devising an initial home plan. This phase in our rehabilitation process is aptly termed ‘Diagnosis and Home Plan Development’. While not creatively titled, it accurately encapsulates the process our team undertakes. 

A concrete diagnosis is pivotal for us to confidently provide effective assistance.

However, arriving at a diagnosis can be challenging due to various reasons. These complexities range from the diverse causes of pain (such as injury, inflammation, nerve-related issues, sensitization, psychogenic factors, and dysfunctional conditions) to individual-specific challenges.

Some individuals struggle to articulate their experiences effectively, while others may not exhibit rapid responses to treatment due to the absence of a clear injury. Additionally, some cases involve multiple factors contributing to the pain, where treating one might exacerbate another.

We term these challenges and they are prevalent in the diagnostic process.

5 Reasons You May Struggle To Get A Diagnosis And The Right Treatment

Here are the primary reasons you might encounter difficulties in obtaining a diagnosis and the appropriate treatment:

      1. Compromised Feedback Loop: This occurs when feedback from our examinations, treatments, or home plans is lacking, delayed, or inconsistent—an unfortunately common occurrence.
      2. Treatment Issues: These encompass scenarios where there’s either no response, inconsistent response, or a poor response to treatment methods.
      3. Injury Presentation: Ranging from highly irritable injuries to multiple pain generators or very low irritability, the way injuries manifest can significantly impede diagnosis.
      4. Issues with Diagnostic Information: These include subjective, unclear, or conflicting information during examination and treatment, negative examinations, the absence of key signs, and the involvement of multiple contributing factors or tissues.
      5. Patient Reporting: Factors such as patient influence from online sources or previous medical advice, symptom masking due to medication during sessions, difficulty in noting bodily changes or cessation of activities causing symptoms can all impact accurate reporting.

     

    Understanding and addressing these challenges is crucial for an accurate diagnosis and devising effective treatment plans.

    Do you want to understand what is causing your symptoms?

    If you have been dealing with pain or injury that does not seem to be getting better and no one determined what is causing your pain, we can help.

    Related Posts

    Trigger Management Plan in Physical Therapy

    Trigger Management: Why physical therapy exercises are not enough to get you better?

    What is a Trigger? We use the term trigger as a catch-all term for the activities and movements during the day that makes symptoms worse.  Trigger investigation is critical because they are the bane of feeling better. ​ The term, trigger, is an event that causes something else to happen.   You trigger the headache when you look over your shoulder. You trigger back pain when you move from sitting to standing. You trigger the shoulder pain when you reach for the shelf.   Sounds simple?  Unfortunately, determining all of the triggers to your symptoms is as difficult as it is important.   We obsess about triggers and draw boxes and lines going all over! Why do we obsess on trigger management instead of building a huge list of physical therapy exercises? Imagine this scenario.  I am hitting a nail into the wall. Instead of hitting the nail, I manage

    Read More »

    The 5 Most Useful Tools for Progressing Your Workouts After an Injury

    Too many fail in their effort to progress activity after an injury. You arrive at the gym feeling good but later in the day the low back soreness that has been feeling better comes back or the knee pain that seemed to be going away comes back with a vengeance after your second run.  The regression happened even when the workout felt easy and pain-free at the time. Why is this happening? Why is this phase of rehab frustrating?   It’s due to a fundamental mistake or what we call a violation of the rehab standard, which is training at exercise capacity, not tissue capacity. When individuals make this mistake, they start telling themselves stories like ‘I am getting too old,’ or ‘I guess I need to do something with less impact.’ However, the problem is not due to aging or the fact that the body can return to preinjury levels.

    Read More »
    Smith Performance Center Tucson

    7 Key Reasons Why the Home Plan Is Vital for Success in Physical Therapy

    The significance of the home plan often gets overshadowed by in-session treatment.  At Smith Performance Center, our physical therapy sessions are one hour per week with your therapist. You are responsible for the other 167 hours. Due to this, the home plan is a vital component of your physical therapy journey, capable of either propelling your progress or impeding it. It’s not uncommon for our team to encounter new clients who’ve stuck to the same ineffective home plan for years, making errors like stretching an irritated nerve, overloading painful joints, or handling an extensive plan that goes largely undone. These missteps tend to patients undervaluing the home plan. However, the home plan stands as a linchpin for your success. We want to explain the 7 key reasons why the home plan is vital for success in physical therapy. Ensuring We Target the Right Problem There are instances where immediate relief

    Read More »
    Trigger Management Plan in Physical Therapy

    Trigger Management: Why physical therapy exercises are not enough to get you better?

    What is a Trigger? We use the term trigger as a catch-all term for the activities and movements during the day that makes symptoms worse.  Trigger investigation is critical because they are the bane of feeling better. ​ The term, trigger, is an event that causes something else to happen.   You trigger the headache when you look over your shoulder. You trigger back pain when you move from sitting to standing. You trigger the shoulder pain when you reach for the shelf.   Sounds simple?  Unfortunately, determining all of the triggers to your symptoms is as difficult as it is important.   We obsess about triggers and draw boxes and lines going all over! Why do we obsess on trigger management instead of building a huge list of physical therapy exercises? Imagine this scenario.  I am hitting a nail into the wall. Instead of hitting the nail, I manage

    Read More »

    The 5 Most Useful Tools for Progressing Your Workouts After an Injury

    Too many fail in their effort to progress activity after an injury. You arrive at the gym feeling good but later in the day the low back soreness that has been feeling better comes back or the knee pain that seemed to be going away comes back with a vengeance after your second run.  The regression happened even when the workout felt easy and pain-free at the time. Why is this happening? Why is this phase of rehab frustrating?   It’s due to a fundamental mistake or what we call a violation of the rehab standard, which is training at exercise capacity, not tissue capacity. When individuals make this mistake, they start telling themselves stories like ‘I am getting too old,’ or ‘I guess I need to do something with less impact.’ However, the problem is not due to aging or the fact that the body can return to preinjury levels.

    Read More »
    Smith Performance Center Tucson

    7 Key Reasons Why the Home Plan Is Vital for Success in Physical Therapy

    The significance of the home plan often gets overshadowed by in-session treatment.  At Smith Performance Center, our physical therapy sessions are one hour per week with your therapist. You are responsible for the other 167 hours. Due to this, the home plan is a vital component of your physical therapy journey, capable of either propelling your progress or impeding it. It’s not uncommon for our team to encounter new clients who’ve stuck to the same ineffective home plan for years, making errors like stretching an irritated nerve, overloading painful joints, or handling an extensive plan that goes largely undone. These missteps tend to patients undervaluing the home plan. However, the home plan stands as a linchpin for your success. We want to explain the 7 key reasons why the home plan is vital for success in physical therapy. Ensuring We Target the Right Problem There are instances where immediate relief

    Read More »