All posts in Medical Advisory

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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Don’t waste MVA PIP on treatment that does not get results!

Strengthen your MVA case by visiting Nick Rinard Physical Therapy first!

Here is what patients said about how Nick Rinard helped them after a car accident:

“This was the third PT program I had been referred to since my MVA. This was the only one of three that is providing relief on a continuing, improving basis for my mid to high back pain.”   ~Paul

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Not all physical therapy is the same.

Some are more effective than others.

If you have had Physical Therapy, did it work?

 If you are going to Physical Therapy now, is it helping? If yes, you should continue until you are better.

However, if you are not getting better, or if they need Physical Therapy in the future, then you should read on.

Mechanical Diagnosis and Therapy (MDT) has been shown in numerous scientific studies to be the most effective type of Physical Therapy available today. However, you and patients should know just what MDT is so you can be sure you are actually receiving it.

The MDT method does not rely on technological gadgets such as ultrasound or electrical stimulation commonly used in traditional Physical Therapy. There is little evidence to show that these machines actually help in recovery. Instead, Mechanical Diagnosis and Therapy, as its name suggests, uses mechanical forces to centralize referred pain, and to correct the physical problem. Exercises designed specifically for each patient, affect pain immediately, and can be performed by the patient whenever pain arises.

Over a short time, these exercises heal the injury and allow full recovery. In our clinic, Nick Rinard Physical Therapy, the average number of visits is only six and a half!

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Why is Nick Rinard Physical Therapy different?

 

-Specialized MDT training allows our physical therapists to target the cause of a patient’s pain, not just treat the symptoms.

-Patients see a physical therapist at each visit-never a PT Assistant. 

-Exercises are simple and can be done anywhere.  No gym, no binder full of exercises.  Most of our patients can control their symptoms with just one targeted exercise!

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Nick Rinard PT taught me how to fix the problem

Did you know that the majority of patients at Nick Rinard Physical Therapy are actually returning patients referred years ago, or have been referred by a past patient?

We have asked our patients how we compared to other PT they had tried. Here’s a small sample of what they had to say:

‘The other PT office was more like mass production-routing patients through.’ –Bryan

‘(Nick Rinard PT is) way better. You actually fix things. ’ -Georgeanne

‘Nick Rinard PT taught me how to fix the problem myself-other therapists didn’t.’ -Gail

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