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Physical Therapy vs. Prevention & Conditioning

post #1 of 10
Thread Starter 
Although I have already mentioned this a few times, some recent posts have made me realize that I need to reiterate.

Recent lawsuits in the fitness industry have put very stringent restrictions on fitness instructor. To summarize, we are absolutely not allow to diagnose anyone, ESPECIALLY not in cyberspace!
There are a multitude of subtle nuances that happen with injuries.
Sometimes even a physician may fail to pick up on this, and as a result, makes a misdiagnose.
If someone has already been through physical therapy, we are allow to make suggestions as to how to prevent re-injury.

We can also tell you how to prevent the injury in the first place, and, on a more positive note, help enhance performance.

Ironically, non fitness professionals can say whatever they want. Whether its advisble to take medical advice from a non medical or fitness professional over the internet is your decision.

Keep in mind, when someone asks Bob Barnes a detailed question about ski technique, he often asks for a photo or video. Injuries are often present beneath the surface, and sometimes, may not be seen even from a photo or video.

And they especially cannot be "seen" through cyberspace, unless someone here has an "in" with the Psychic Network! [img]smile.gif[/img]

<FONT COLOR="#800080" SIZE="1">[ December 05, 2001 10:22 AM: Message edited 1 time, by Lisamarie ]</font>
post #2 of 10
If I got you IN to the Psycic Network, would you come out of Brookline Mass to play?
post #3 of 10
Thread Starter 
Sorry, but I don't think my husband would approve! Thanks for the thought, though. [img]smile.gif[/img]
post #4 of 10
Thread Starter 
So now, that it seems, quite unfortunately, that we have some ambulance chasers watching these threads very carefully, {see Stewart's thread about bad knees} please adhere to the idea of NOT asking for physical therapy or an injury diagnose over the internet.
Thank you!
post #5 of 10
I thought most states have "good Samaritan" laws which state that if a health care provider, or any other person for that matter, does not charge for his or her services he or she is protected from malpractice litigation. The spirit of this law, as I understand it, is to not punish those who try to help others out in an emergency situation. I don't know, from a legal standpoint that is, how this applies to advice given on-line. It sounds like you're suggesting that if I give someone medical advice, I can be held liable for that advice. Any lawyer types out there well versed in on-line forum malpractice law?
post #6 of 10
Thread Starter 
This scenario stemmed from something that happened at Crunch in NYC a few years ago. A trainer told his client to take a supplement containing Ephedra. The woman died. Since then, there have been stringent guidelines placed on trainers. If you do not have a degree in nutrition, you are not allowed to recommend nutritional supplements.
Rules about nutritional supplements lead to other sorts of rules.
But one thing that has always been highly enforced is the rule against trainers diagnosing injuries. Much of the negative comments were deleted by AC, but I was quite horrified when someone accused me of making a diagnose on someone's knee. I quite clearly never did that.

I do have some training in Post Rehab exercise, and I develop some of my programs with the help of a Physical therapist. But in my course of study, we have learned just how complex an injury can be. People who trainers have identified as having alignment problems which caused their neck pain sometimes ened up actually having tumors. There have been other horrifying incidences af fitness trainers misdiagnosing.

As a famous sports medicne expert says;
"We are suspecticions, not diagnosticians.

The chain of command is doctor diagnoses, physical therapist treats, trainer with post rehab background helps maintain clents fitness level after treatment, and help prevent re-injury.

In terms of a Good Samaritan scenario, it is EXPECTED that we do recommend Rest, ICE, COMPRESSION and ELEVATION, and tell the person to see a doctor as soon as possible.
We are also encouraged to give out as much information as possible regarding injury prevention.

As a physician, the rules for you differ, because you are obviously more qualified tha I am to make a medical diagnose based on someone's report of symptoms.

Of course, throughout my career, I have been snagged by the Managed Care System. I cannot recommend a course of exercise without a diagnose, but sometimes the system will not pay for the testing, let alone the physical therapy associated with an injury.

I only state my case so vehemnently because recently, I was accused of "borderlining on malpractice" with my fitness advice. As a physician yourself, I feel that you are the most qualified person to make that judgement, so if you see me say something that you feel breaks the boundaries of my professionalism, please let me know!

<FONT COLOR="#800080" SIZE="1">[ December 14, 2001 10:46 PM: Message edited 1 time, by Lisamarie ]</font>
post #7 of 10

Good explanation. People want help, but don't know the limitations put on the person they are asking. If they are getting results from someone they trust, that's who they ask, whether that person can morally answer them or not.

Like the joke when the waiter says..."That's not my table"...
post #8 of 10
Thread Starter 
Just bringing this to the top, since once again, we seem to be getting medically based questions on this forum.

Important points:
It is illegal for ANYONE to give you rehab advice until you have been diagnosed by a PHYSICIAN and completed Physical Therapy.

Please do not ask questions based on self diagnose!

Since physical therapy usually lasts for a short period of time,
POST rehab questions are acceptible. There is an assumption, in this case, that the injury is significantly healed.

Thanks! [img]smile.gif[/img]
post #9 of 10
Thread Starter 
Once again to the top! We really cannot diagnose on the internet. thanks.
post #10 of 10
Thread Starter 
BUMP ^ [img]smile.gif[/img]
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