When to Try Physical Therapy Before Surgery

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Published:  April 9, 2016
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Reviewed and contributions made by Sr Director Access Management Operations Dallas Reynolds, PT, DPT, Cert. DN, COMT

The decision between physical therapy and surgery can be a critical one. While surgery is often necessary and lifesaving, it may not always be the first line of defense. Physical therapy, a non-invasive approach to addressing various health issues, has proven a valuable alternative in many cases.


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Suitable Conditions Treated by Physical Therapy

Physical therapy is a versatile healthcare discipline that addresses many conditions. Here are some common conditions treated by physical therapy services:

  • Musculoskeletal Disorders: Physical therapy is often the primary treatment for conditions such as osteoarthritis and other joint-related problems. Therapists employ targeted exercises to improve joint function and reduce pain.
  • Back and Neck Pain: Chronic back and neck pain can be debilitating, but physical therapy offers a non-surgical approach to alleviate discomfort. Therapists use techniques like manual therapy, stretching, and strengthening exercises to improve spinal health.
  • Sports Injuries: Athletes frequently turn to physical therapy to recover from injuries and enhance performance. Physical therapy can aid in rehabilitation, whether it’s a torn ligament, muscle strain, or joint injury.
  • Neurological Disorders: Conditions like stroke, Parkinson’s disease, and multiple sclerosis can benefit from physical therapy. Therapists focus on enhancing mobility, balance, and coordination through specialized exercises.
  • Pre- and Post-Surgical Rehabilitation: Physical therapy is not just an alternative to surgery; it also plays a crucial role in preparing individuals for surgery and facilitating their recovery afterward. Pre-operative therapy can optimize physical condition, leading to better surgical outcomes.

When to Try Physical Therapy Before Surgery

The decision to opt for physical therapy over surgery is a nuanced one and depends on various factors. Here are some scenarios where trying physical therapy before surgery might be the right choice:

  • Non-Emergency Cases: In non-emergency situations where time allows for exploring alternative treatments, starting with physical therapy can be a reasonable approach. Conditions that are not immediately life-threatening may benefit from a trial of conservative management.
  • Mild to Moderate Conditions: Physical therapy may offer significant relief for mild to moderate cases. It is often recommended for minor joint issues, muscle strains, and certain orthopedic problems.
  • Uncertain Diagnosis: When the diagnosis is unclear or the root cause of the issue is uncertain, physical therapy can serve as a diagnostic tool. If symptoms improve with treatment, it may indicate a non-surgical solution.
  • Patient Preference: Some individuals may prefer a non-invasive approach and are willing to invest time and effort in physical therapy before considering surgery. This approach aligns with a more conservative and patient-centric philosophy.

The Benefits of Trying Physical Therapy Before Surgery

Choosing physical therapy instead of surgery comes with several advantages:

  • Non-Invasive Approach: Physical therapy is non-invasive, avoiding surgery’s potential risks and complications. This non-invasive approach makes it an attractive option, particularly for individuals who want to explore conservative treatments first.
  • Pain Management: Physical therapy focuses on pain relief through targeted exercises, manual therapy, and other modalities. It can help manage and reduce pain without the need for surgery or long-term medication.
  • Improved Functionality: Therapeutic exercises and interventions aim to improve mobility, strength, and overall functionality. Physical therapy can enhance a person’s ability to perform daily activities without resorting to surgery.
  • Cost-Effective: In many cases, physical therapy is a more cost-effective option compared to surgery. It involves fewer medical interventions, shorter recovery times, and often eliminates the need for hospitalization.
  • Preventive Benefits: Physical therapy can also serve as a preventive measure. Addressing musculoskeletal issues early on may prevent the progression of conditions that could eventually lead to surgery.

Choosing Physical Therapy vs. Surgery

When deciding between physical therapy and surgery, patients must weigh several factors. Firstly, the severity of the condition plays a pivotal role; while surgery might be necessary for severe cases, milder conditions often respond well to physical therapy. Additionally, considering the patient’s overall health and age is crucial, as certain health conditions or advanced age may make surgery riskier.

Patient preferences also come into play; some individuals may prefer the conservative approach of physical therapy, while others may prioritize a faster resolution through surgery. Clarity in diagnosis and a collaborative approach with healthcare providers are essential for making an informed decision. By carefully considering these factors, patients can choose the treatment path that aligns best with their health goals and preferences.

Get Started at ATI Physical Therapy

If you’re considering physical therapy, take the first step towards your wellness journey by getting started at ATI Physical Therapy today. Click here to schedule your initial consultation. Your health and mobility matter, and ATI is here to support you every step of the way.