Which Health Professional Should I See?

If you are experiencing pain or have an injury, there are many options for health professionals to treat your painful condition. So who should you see first? Going to your family doctor is usually the best first step, and he/she will direct you with initial treatments and referrals. However, sometimes you can go straight to another health professional or ask your doctor for a referral to someone on this list. I selected these few to emphasize because many patients have asked me about these options.

1. Physical Therapist: joint pain, new injury, old injury, chronic pain, weakness, balance/walking issues, shoulder pain, elbow pain, neck pain, mid back pain, low back pain, sciatica, pelvic pain, hip pain, knee pain, ankle/foot issues, gross motor delays in babies or children, muscle pain/strain, neurological injury (such as a stroke) 

2. Occupational Therapist: pain/injury of any part of the arm/hand, difficulty with fine motor tasks, hand/arm weakness, difficulty performing usual daily tasks, neurological injury (such as a stroke), developmental delay in babies or children

3. Chiropractor: new episode of spine pain, car accident, whiplash, chronic back pain, some areas of joint pain, alignment issues, low back/pelvis pain, sciatica

4. Massage Therapist: fibromyalgia, chronic pain, tight muscles, stress

MD Specialists for some common painful conditions:

1. Neurologist: nerve problems (numbness, tingling), neuropathies, neurological conditions (stroke, TIA, MS), unexplained weakness

2. Pain Management: chronic pain, need for injections (such as Cortisone), back pain

3. Orthopedist: specific for each joint. For example, find a shoulder specialist/surgeon if you have shoulder pain.

4. Neurosurgeon: new or chronic spine pain that may radiate away from the spine into the arm(s) or leg(s)

Always remember that you can choose your own health professional just like you select your pharmacy. Even if your doctor refers you to a specific therapist or specialist, you can request a referral to someone of your choice.

Twisting and Back Pain, Joint Pain

Photo: joystiq.com

Twisting one of your joints in an awkward way is an easy recipe for injury, especially in the low back, shoulder, knee and ankle.

How To Avoid Twisting Your Back:

Turn your entire body by turning your legs.

Change positions in order to reach the object with ease.

Turn toward the object, then squat down.

Don't be afraid to get down onto your hands and knees to reach for something.

How To Avoid Twisting Your Shoulder:

Don't reach for objects in the backseat of the car.

Don't reach for an object behind you when you are sitting; simply turn around.

Don't close heavy doors carelessly.

Turn your body toward the object you are reaching for.

Keep your arms as close to your body as possible when reaching.

How To Avoid Twisting Your Knee:

Be cautious when playing sports.

Use a knee brace when playing sports if you have had a past knee injury.
Take time when turning around.
Don't turn your body if your knees are locked.

How To Avoid Twisting Your Ankle:

Use an ankle brace for your sport if you have twisted or sprained your ankle in the past.

Be extra cautious when walking, hiking or jogging on uneven terrain.
Try to avoid walking on ice. If it is icy, stay indoors (especially if you live in the South).
Watch where you are walking. Prevent falls by not doing 5 things at once.

Best Book for Self-Treatment of Painful Joints

Do you have joint pain that you cannot afford much medical treatment for? Robin McKenzie, a world-famous Physical Therapist and bestselling author, wrote a series of books about self-treating pain in various joints. I would highly recommend any of these if you have pain but cannot afford much therapy or other treatments.

Treat Your Own Back
Treat Your Own Neck
Treat Your Own Knee
Treat Your Own Shoulder

There may be various editions of these. I would recommend looking at Amazon or other websites to find the best prices, but you should be able to purchase one for $10-$15.

For more of McKenzie's exclusively-designed products such as lumbar rolls and pillows, check out OPTP.com.

Of course, if you have serious joint pain that is not resolving, please see your physician and request a prescription for Physical Therapy.