All posts in Medical Advisory

We have SAFELY reopened and are here for you!

 

 “Thank you” to all of our patients who were able and continued to continue care and stay in contact with Nick Rinard PT since Oregon’s “stay at home” order on March 23.  Nick Rinard took the proactive decision to stop in-person visits on March 13 to protect the health and safety of everyone in the community. 

New patients and established patients found our telehealth visits very valuable as we were able to continue to diagnose, educate and offer the tools they needed to get through this difficult time.  It was a challenging, but really fun experience to connect with patients on telehealth, and also to get you feeling better and in less pain! 

Since the easing of stay at home orders on May 1st Nick Rinard Physical Therapy was able to re-open our SW Capitol clinic doors as of May 4th  (Monday through Friday 8am-6pm).

Nick Rinard Physical Therapy loves treating you and we are so happy open not only our doors but our hands and hearts to get you the results you have come to know and trust for the last 20 years.

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Telehealth evaluations for new patients and follow-up service are currently available.

Nick Rinard Physical Therapy would like to encourage you to please continue to call our office for help.

New patients and current patients should call to set up visits on our HIPAA compliant Google Meets telehealth company platform.

Telehealth evaluations for new patients and follow-up service are currently available.

This is a new service offered by Nick Rinard Physical Therapy in this time of need when we know you are hurting yet cannot treat you in person. As Nick Rinard Physical Therapy has had adapt to the new temporary environment, we are having great success using this service.

New patients and current patients are finding our telehealth visits very valuable. We are continuing to diagnose, educate and offer the tools you need to get through this difficult time.

I continue to be here for you.

Respectfully yours,

Nick Rinard, owner/physical therapist at Nick Rinard Physical Therapy

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An updated message from Nick Rinard, owner/physical therapist, regarding corona virus pandemic and clinic status

An updated message from Nick Rinard, owner/physical therapist, regarding Corona Virus Pandemic and clinic status:

As a physical therapist I continue to take your health and well-being seriously – it really is my number one concern.

I have made another difficult decision to postpone in-person visits until April 28th, 2020.

Please call to schedule a telehealth appointment. This is a new service by Nick Rinard Physical Therapy, and you will be participating in a pilot program for which there is a low fee and no insurance involvement.

New patients and current patients should continue to call for advice on a telehealth evaluation and follow-up video appointments from the “clinic that get results, even with the toughest cases”.

We are finding it is of value and your physical problem can be helped initially. I would like to try this as a pilot program and offer you a lower fee because of that. I would be honored if you gave me the chance to try to help you in this way.

I wish to donate hours of my time serving you, but also defray our fixed costs of staying in business and continuing to be in business long into the future to serve you and for me to continue to fulfill my personal passion as a physical therapist.

I am here for you.

Respectfully yours,

Nick Rinard, owner/physical therapist at Nick Rinard Physical Therapy

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A message from Nick Rinard owner-physical therapist regarding corona virus pandemic and clinic status

A message from Nick Rinard, owner/physical therapist, regarding Corona Virus Pandemic and clinic status: 

As a physical therapist I take your health and well-being seriously – it is my number one concern.  I have thought long and hard about what would be best for you during the Corona Virus Pandemic – to continue treating patients as usual, or take preventative measures to limit unnecessary exposure in our clinic.  P.T. is primarily about preventing worse health outcomes such as: preventing surgery, preventing disability, preventing falls, preventing heart disease, to name but a few.  I have chosen to inform myself on the scientific information available regarding the spread of the Corona Virus to date, and I have paid close attention to actions taken by governmental and community leaders in the attempt to limit spread of the virus.  I have weighted the financial costs of remaining open as a clinic compared to closing the clinic entirely – including consequences for our staff – staff that are like family to me.  There is no easy solution. 

I have taken the difficult decision to postpone in-person visits until March 30, 2020.  I will be assessing the situation leading up to that date and give updates.  This decision is my contribution to our over-all healthcare delivery system to not inadvertently participate in corona virus spread.  Since Oregon does not have adequate testing, there could be asymptomatic carriers of the virus in wither staff or patients that could potentially lead to more and more infections.  So many infections at once would overwhelm hospitals leading to a shortage of needed supplies for the unfortunate ones who might not get just a mild case.  As a healthcare provider of physical therapy, I understand that physical therapy may need to take a back seat in this pandemic.  We will live to fight another day!

Current patients can expect a call from me or my staff soon, if you have not already received a call offering you to either postpone your upcoming appointment, or opt-in to a telehealth appointment instead.  This will be a new service by Nick Rinard Physical Therapy, and you will be participating in a pilot program for which there is a low fee and no insurance involvement.  I wish to donate hours of my time serving you, but also defray our fixed costs of staying in business.  I believe this scenario will be temporary, and we will be in business long into the future to serve you and for me to continue to fulfill my personal passion as a physical therapist. 

New patients should continue to call for advice on a telehealth evaluation and follow-up video appointments.  While not as good as an in-person evaluation, we may find that it is still of value and your physical problem can be helped initially.  I would like to try this as a pilot program and offer you a lower fee because of that.  I would be honored if you gave me the chance to try to help you in this way.

As a consideration, I will personally review cases in which an in-person clinic appointment may serve you best, if exposure risk can be assessed and mitigated appropriately beforehand.  I am here for you.

I wish you all good health and safety now and always.  I thank you for your understanding and willingness to adapt to our current Corona Virus environment.  Please continue to call in for information and possible telehealth physical therapy services from the “clinic that get results, even with the toughest cases”.

Respectfully yours,

Nick Rinard, owner/physical therapist at Nick Rinard Physical Therapy

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Learn more about the AMA’s prior authorization reform initiatives.

“Prior authorization is a health plan cost-control process that restricts patient access to treatments, drugs and services. This process requires physicians to obtain health plan approval before delivery of the prescribed treatment, test or medical service in order to qualify for payment.

According to an AMA survey of 1,000 practicing physicians, more than nine in 10 respondents said prior authorizations had a significant or somewhat negative clinical impact, with 28% reporting that prior authorizations had led to a serious adverse event such as a death, hospitalization, disability or permanent bodily damage, or other life-threatening event for a patient in their care. 

The vast majority of physicians (86%) described the administrative burden associated with prior authorizations as “high or extremely high,” and 88% said the burden has gone up in the last five years. 

Learn more about the AMA’s prior authorization reform initiatives.”

O’Reilly, Kevin B. Nov. 1, 2019 “8 prior authorization terms that drive every doctor crazy.” Received from https://www.ama-assn.org/practice-management/sustainability/8-prior-authorization-terms-drive-every-doctor-crazy.

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Considering back surgery?

When you’re in pain, it may seem that anything that is going to make you feel better seems worth it.

But will back surgery alleviate your pain?


And is it really the quickest route to recovery?

Many times, the answer to both these questions is no. It wasn’t hard to find just 2 patients recently who received back surgery and were still in a great deal of pain-you can read their results bellow.

“After discussing my lower back pain with my nurse practitioner she prescribed my visit to Nick Rinard PT and was adamant I tried their program. Considering I live 70 miles away from their clinic, that was a big ask. The very first visit I learned a great deal about why I was in pain and had a plan in place. By the second visit I already started to notice results.”

“My experience with Nick Rinard and his whole team has been completely positive. Nick’s approach to physical therapy is consistently effective, easy to follow, and I have seen lasing results. The overall reduction in pain, increase in strength and improvement in my sense of personal control over my ability to manage what was once severe and extreme pain is nothing short of a miracle.”

Some people do need to undergo back surgery, but why not try Nick Rinard Cert MDT physical therapy first? Within 4 visits, our trained therapists can have you on the road to recovery, or recommend a next step for you if physical therapy is not your best solution.

Considering back surgery?

ONLY when all other avenues have been exhausted!

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Have you had to switch Health Insurance Providers?

 

Your health insurance provider may change, but the RESULTS you have come to count on at Nick Rinard Physical Therapy never will!

Why sacrifice your quality of care, or put off care at the beginning of the year, when you don’t have to?

If you have question or concerns we are here to help by always checking your health insurance benefits and getting you the financial questions answered before your first visit.

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Drivers of pain

McKenzie Institute International

February 16 at 10:38 PM · 

“Psychosocial Influences on Exercise-Induced Hypoalgesia”
https://academic.oup.com/painmedici…/article/…/3/538/2666009
Drivers of pain and disability: how relevant could the family environment be, to how some people ‘respond to treatment’?
“Positive family environments predicted.. greater exercise induced hypoalgesia (EIH), whereas negative and chronic pain-present family environments predicted worse pain and EIH outcomes.”

#ContextualFactors
#EnvironmentalFactors
#NotARecipe
#BPS
#Exercise
#BigPicture
#McKenzieMDT

https://buff.ly/33B1Tbq
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Do you know where to go to receive the most up to date treatments in physical therapy?

Nick Rinard Physical Therapy is up-to-date on methods that make a difference!

We are so pleased that our MDT method is receiving more and more medical validation!

However, with more validation in the rehab community, Nick Rinard Physical Therapy has since noticed a trend of clinics advertising use of the method but none of their physical therapists were actually certified in MDT.

Nick Rinard Physical Therapist is certified in the methodology for the last 21 years.

  1. The MDT history reveals the “nature of the pathology” better than taking a traditional history.  For example:  runners often attribute “running” as the cause of LBP.  MDT questioning, however, usually reveals that the LBP is better during the run, with pain commencing sometime after.  Further questioning reveals that it is typically the lumbar flexion involved in stretching the hamstrings afterwards that causes LBP!        
  • The current understanding of tendonitis has caused a shift in medial thinking so much that a new term is now used for the chronic version:  “tendonosis” or “tendonopathy”.  These terms indicate that the condition is non-inflammatory – in other words, mechanical.  Only dosed, targeted mechanical loading causes tissue adaptation and functional recovery.  That is exactly how we have been treating chronic “tendonitis”!

Thank you for requesting the leading evidence-based physical therapy.

Call 503-244-6232/fax 503-244-7410 your referrals to Nick Rinard Physical Therapy today!

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Nick Rinard – Certified in MDT. Research your “MDT” therapist for known results.

Nick Rinard Physical Therapy searched “McKenzie physical therapy Portland” to see which clinics advertised using this credentialed method.

We noticed a trend of clinics advertising use of the method but none of their physical therapists were actually certified in MDT. Nick Rinard Physical Therapist is certified in the methodology, has been for the last 20 years, and will always be prominent in the MDT community!

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