Top Physical Therapy and Sports Medicine Center in Gainesville and Bristow Virginia
Haymarket Location
(703)753-0261
14535 John Marshall Hwy #203
Gainesville, VA 20155
Bristow Location
(571)719-3563
10402 Bristow Center Dr.
Bristow, VA 20136

FAQ

Quick answers about our clinic.

What happens during my first visit?

During your first visit you can expect the following:

  • Arrive at your appointment with your paperwork completed (you will be sent a link to access your patient portal and fill out the form, or you can download it from our website – see the paperwork or forms link).
  • You will provide us with your prescription for physical therapy unless you are coming in as a Direct Access Patient (one who does not have a referral from a Physician).
  • We will copy your insurance card and Driver’s License.
  • We will go over your Benefits
  • You will pay any exact or estimated patient portion prior to your appointment. We accept (Cash, Check, and/or Credit Card)
  • You will be seen for the initial evaluation by the therapist.
  • The therapist will discuss the following:
  1. Your medical history.
  2. Your current problems/complaints.
  3. Pain intensity, what aggravates and eases the problem.
  4. How this is impacting your daily activities or your functional limitations.
  5. Your goals with physical therapy.
  6. Medications, tests, and procedures related to your health.
  • The therapist will then perform the objective evaluation which may include some of the following:
  1. Palpation – touching around the area of the pain/problem. This is done to check for the presence of tenderness, swelling, soft tissue integrity, tissue temperature, inflammation, etc.
  2. Range of Motion (ROM) – the therapist will move the joint(s) to check for the quality of movement and any restrictions.
  3. Muscle Testing – the therapist may check for strength and the quality of the muscle contraction. Pain and weakness may be noted. Often the muscle strength is graded. This is also part of a neurological screening.
  4. Neurological Screening – the therapist may check to see how the nerves are communicating with the muscles, sensing touch, pain, vibration, or temperature. Reflexes may be assessed as well.
  5. Special Tests – the therapist may perform special tests to confirm/rule out the presence of additional problems.
  6. Posture Assessment – the positions of joints relative to ideal and each other may be assessed.

The therapist will then formulate a list of problems you are having, and how to treat those problems. A plan is subsequently developed with the patient’s input. This includes how many times you should see the therapist per week, how many weeks you will need therapy, home programs, patient education, short-term/long-term goals, and what is expected after discharge from therapy. This plan is created with input from you, your therapist, and your doctor.

What do I need to bring with me?

Make sure you bring your physical therapy referral provided to you by your doctor (if you have one – Direct Access Patient’s will not have a referral) and your payment information. If your insurance is covering the cost of physical therapy, bring your insurance card. If you are covered by Workers’ Compensation, bring your claim number and your case manager’s contact information. If you are covered by auto insurance or an attorney lien, make sure you bring this information. If you are on different medications, please bring a list of all your medications so we can add to your Medical Record.

How should I dress?

Dress as if you were going to a gym to work out. You should wear loose fitting clothing so you can expose the area that we will be evaluating and treating. For example, if you have a knee problem, it is best to wear shorts. For a shoulder problem, a tank top is a good choice, and for low back problems, wear a loose fitting shirt and pants, again so we can perform a thorough examination. As a small example it is hard to evaluate a knee condition while the patient is wearing jeans.

How long will each treatment last?

Treatment sessions typically last 45 to 60 minutes per visit. If you need to leave early please let the therapist know before starting the session so they can plan accordingly.

How many visits will I need?

This is highly variable. You may need less than 6 visits, or you may need months of care. It depends on your diagnosis, the severity of your impairments, your past medical history, etc. You will be re-evaluated on a monthly basis and when you see your doctor, we will provide you with a progress report with our recommendations. Typically we take individuals through the first 3 Phases of Rehab which usually takes 12-15 visits. Phase 4 is the ability for the patient to perform their program at home for Injury Prevention and Maintenance.

Why is physical therapy a good choice?

More than half of all Americans are suffering from some type of pain. Whether it is a recent episode or chronic, an ABC News/Stanford study revealed that pain in America is a serious problem. However, many do not even know that physical therapists are well equipped to not only treat pain but also its source.

Physical therapists are experts at treating movement and neuro-musculoskeletal disorders. Pain often accompanies a movement disorder, and physical therapists can help correct the disorder and relieve the pain.

“Physical Therapy is a revolutionary treatment that accelerates recovery and performance by utilizing an all natural, non-invasive, side effect free approach that gets to the root cause of your pain.  Most individuals see results in the first visit, and many are living a more active life by their 6th session”

– Dr. Robert Woelkers, PT, DPT, CSCS, Co-Owner

What do physical therapists do?

You have probably heard of the profession of physical therapy. Maybe you have had a conversation with a friend about how physical therapy helped get rid of his or her back pain, or you might know someone who needed physical therapy after an injury. You might even have been treated by a physical therapist yourself. But have you ever wondered about physical therapists–who they are and what they do? Many people are familiar with physical therapists’ work helping patients with orthopedic problems, such as low back pain or knee surgeries, to reduce pain and regain function. Others may be aware of the treatment that physical therapists provide to assist patients recovering from a stroke (e.g., assisting them with recovering use of their limbs and walking again).

The ability to maintain an upright posture and to move your arms and legs to perform all sorts of tasks and activities is an important component of your health. Most of us can learn to live with the various medical conditions that we may develop, but only if we are able to continue at our jobs, take care of our families, and enjoy important occasions with family and friends. All of these activities require the ability to move without difficulty or pain.

Because physical therapists are experts in movement and function, they do not confine their talents to treating people who are ill. A large part of a physical therapist’s program is directed at preventing injury, loss of movement, and even surgery. Physical therapists work as consultants in industrial settings to improve the design of the workplace and reduce the risk of workers overusing certain muscles or developing low back pain. They also provide services to athletes at all levels to screen for potential problems and institute preventive exercise programs. With the boom in the golf and fitness industries, a number of physical therapists are engaged in consulting with recreational golfers and fitness clubs to develop workouts that are safe and effective, especially for people who already know that they have a problem with their joints or their backs.

The cornerstones of physical therapy treatment are therapeutic exercise and functional training. In addition to “hands-on” care, physical therapists also educate patients to take care of themselves and to perform certain exercises on their own. Depending on the particular needs of a patient, physical therapists may also “mobilize” a joint (that is, perform certain types of movements at the end of your range of motion) or massage a muscle to promote proper movement and function. Physical therapists also use methods such as ultrasound (which uses high frequency waves to produce heat), hot packs, and ice. Although other kinds of practitioners will offer some of these treatments as “physical therapy,” it’s important for you to know that physical therapy can only be provided by qualified physical therapists or by physical therapist assistants, who must complete a 2-year education program and who work only under the direction and supervision of physical therapists.

Most forms of physical therapy treatment are covered by your insurance, but the coverage will vary with each plan. Most states do not legally require patients to see their physicians before seeing a physical therapist. Most of the time all you have to do is ask your doctor if physical therapy is right for you.

Why are people referred to physical therapy?

You and others may be referred to physical therapy because of a movement dysfunction associated with pain. Your difficulty with moving part(s) of your body (like bending at the low back or difficulty sleeping on your shoulder, etc.) very likely results in limitations with your daily activities (e.g., difficulty getting out of a chair, an inability to play sports, or trouble with walking, etc.). Physical therapists treat these movement dysfunctions and their associated pains and restore your body’s ability to move in a normal manner.

Why should I choose a private practice physical therapist?

Who is better to see, a PT that works for a physician or a PT that owns a private practice? We leave it up to you to draw your own conclusions but here are some facts. The studies indicate there were more treatments (visits per patient were 39% to 45% higher in physician owned clinics) and the cost was greater for those patients that attended a physician owned physical therapy practice (both gross and net revenue per patient were 30% to 40% higher).(1)

Another study indicated that licensed and non-licensed therapy providers spent less time with each patient in physician owned clinics.(2)

Another older study concluded that “Therapists who had treated patients through direct access were significantly more likely to believe that direct access had benefited them professionally and benefited their patients than were therapists who had not practiced through direct access.”(3)

We believe that we can provide you with the highest quality of care available and do it in a cost-effective manner.4 You will work closely with your physical therapist and physical therapy assistant and in most instances, your case will be managed by the same physical therapist from the beginning to the end of your experience with us.

  1. Mitchell, J., Scott, E., Physician Ownership of Physical Therapy Services: Effects on Charges, Utilization, Profits, and Service Characteristics, Journal of the American Medical Association, 1992.
  2. “Joint Ventures Among Health Care Providers in Florida,” State of Florida Health Care Cost Containment Board, 1991.
  3. Domholdt E, Durchholz AG. Direct access use by experienced therapists in states with direct access. Phys Ther. 1992 Aug;72(8):569-74.

Federal Office of the Inspector General May 1, 2006 – This report calls into question billing processes done by non-physical therapist owned practices.

Who pays for the treatment?

In most cases, health insurance will cover a portion of your treatment depending on the breakdown, and we also have cash options. The way the insurance landscape is changing patients are seeing higher copays, deductibles, and coinsurance associated with their plans. We understand that most of our patients do not have a general understanding of how insurance work. Therefore, we have the “Benefits Check” call prior to your initial visit so you will know what your responsibility will be.

We are sensitive to the matter, but we do not want to see patients making a decision solely on money. So many times injuries that our not handled ASAP can lead to bigger problems, more testing, and possibly even surgery. No problem was ever fixed by ignoring it. Physical Therapy is one of the cheapest forms of healthcare an individual can receive with maximal non-invasive benefit.

Click on our insurance link above for a summary of insurances we accept and make sure you talk to our receptionist so we can help you clarify your insurance coverage.

Who will see me?

You will be evaluated by one of our licensed and highly trained physical therapists. During the initial visit he/she will discuss your plan of care with you. Think of a plan of care like a medication prescription from your doc. Take Physical Therapy 3x week for 6 weeks or 2x week for 8 weeks. The plan of care will help guide you to determine how many visits need to be scheduled.

We work in teams… Therefore, you will be treated by a Physical Therapist / Physical Therapy Assistant / Rehabilitation Aide. Both are Physical Therapists and Physical Therapy Assistants are fully trained and licensed in the state of Virginia. Our rehabilitation aides all have at least their B.S. in exercises science and a Personal Training certification.

Now here is the important part.

If you fail to schedule out your entire plan of care during the initial visit you run the risk of not being able to be seen by the same two providers during your course of care.

Patients who tend to fall off the schedule and not get better are the ones who schedule one visit at a time and typically see numerous therapists because we schedule based on who is available when this occurs.

Continuity of care is extremely important to achieving your Physical Therapy Goals, so make sure you are prepared to schedule out all of your visits. You can always cancel them if you are better sooner.

Are there physical therapy specialists?

Orthopedic Physical Therapy – Probably the most common physical therapy specialist is the orthopedic specialist. These specialists care for post-surgical patients, arthritis, tendinitis/tendinosus, fracture rehabilitation, muscle sprains and strains, neck and back pain, hip and knee problems, shoulder, elbow, and wrist conditions. Some are board certified as Orthopedic Certified Specialists (OCS).

Manual Therapy – Manual therapy is a broad term that describes a variety of hands-on treatment techniques that are applied to movement dysfunctions. Grade five mobilizations, Mulligan mobilizations with movement, Maitland and Kaltenborn techniques, functional technique, neural mobilization, joint mobilization, craniosacral therapy, strain/counter strain, myofascial release, etc. These are some of the more popular manual therapy techniques. Many manual therapists will take continuing education courses, obtain certifications in manual therapy, and will sit for board certification from the American Physical Therapy Association and other organizations. Most physical therapists incorporate manual therapy techniques as a part of a complete treatment plan.

Geriatric Physical Therapy – Some therapists specialize in the rehabilitation of seniors. As the body ages, a variety of challenges arise. We stiffen, we lose strength, our balance skills decline, our bones become brittle (osteoporosis), our endurance decreases, and we take longer to recover from injuries. Balance and fall prevention are of paramount importance to the therapist who is working with seniors and some clinics are solely dedicated to caring for those with balance problems. Most physical therapists work with seniors/geriatric patients. Some have obtained additional education, have passed a board examination, and have earned the Geriatric Certified Specialist (GCS) title.

Sports Rehabilitation – Experts in assisting with recovery after injury and surgery. Many sports specialists help with retraining the athlete utilizing running, throwing, jumping, and sport-specific programs to name a few. A therapist with the Sports Certified Specialist (SCS) title has passed a board certified test.

Fitness and Wellness – Physical therapists are well trained to help with your fitness needs and wellness programs. If you need an exercise program, have trouble with your weight, are concerned about osteoporosis, have an issue with diabetes, or you would like to learn how to prevent falls, physical therapists can help. The previous examples are just a few of the many programs physical therapists offer.

Hand Therapy – Most physical therapists are well trained to treat hand and wrist conditions. Some therapists have taken additional courses and training and have passed a hand therapy certification examination. These therapists are called Certified Hand Therapists (CHTs).

Women’s Health – Some therapists specialize in women’s issues such as pregnancy problems, pelvic pain, and incontinence. Special treatment is available for women who have these problems. Many that suffer from incontinence do so needlessly. A physical therapist may be able to help.

Industrial Rehabilitation – Specialists in industrial rehabilitation help with those that have suffered on-the-job injuries. Moreover, they will evaluate work tasks, fabricate assistive devices, evaluate your ergonomic situation, and help redesign work flow/tasks to decrease the incidence of injury. Often, industrial rehabilitation specialists will evaluate your ability to perform certain job tasks with a Functional Capacity Evaluation (FCE).

Pediatric Physical Therapy – Pediatric therapists specialize in the rehabilitation of children. They may assist with kids who suffer from cerebral palsy, developmental disorders, neurological disorders, and/or orthopedic problems. A Pediatric Certified Specialist (PCS) is a board certification that some may obtain from the American Physical Therapy Association.

Aquatic Physical Therapy – Aquatic therapy takes advantage of the physical properties of water to assist with the rehabilitative process. Buoyancy, turbulence, hydrostatic pressure, and thermal properties of water can assist with the rehabilitation of a patient. Those suffering from chronic pain, osteoarthritis, fibromyalgia, rheumatoid arthritis, lumbar fusion surgery, or with a limited weight-bearing status are just a few of the many different patient populations that can benefit from aquatic therapy.

Cardiac and Pulmonary Rehabilitation – A small percentage of physical therapists practice in this discipline. Those that pass the board certification have the title of Cardiovascular and Pulmonary Certified Specialist (CCS) work with patients who have had heart attacks, bypass surgeries, angioplasty, breathing problems, emphysema, and other heart/lung related conditions. Physical therapists are well equipped to work with these types of patients because many of them have orthopedic ailments that limit their ability to function. In other words, a physical therapist can address the heart and lung problems as well as the muscle problems that are concurrently present.

Neurological, Spinal Cord Injury, and Traumatic Brain Injury Rehab – A large portion of physical therapists work with patients who suffer from these conditions. Functional retraining including, walking, wheelchair use, getting in and out of bed or chairs (transfer training), moving in bed (bed mobility), and retraining patients to use their shoulders, arms, and hands are just some of the services these therapists provide to those with neurological involvement. A certified specialist holds a Neurologic Certified Specialist title (NCS).

Balance, Dizziness, and Vertigo Rehabilitation – Many suffer from dizziness or BPPV (benign paroxysmal positional vertigo). Some clinics specialize in the rehabilitation of patients with vertigo. Patient education, strengthening, safety awareness, posture and balance exercise, walking exercise, and special techniques that affect sensory and balance centers of the brain and limbs are all important components of a rehabilitation program.

Amputee Rehabilitation – many physical therapists specialize in the rehabilitation of amputees. Caring for the injured limb, functional and walking training, training in the use of assistive devices (crutches, canes, prosthetic limbs, etc.) are all provided by a therapist who specializes in care for amputees.

Wound Care – Some therapists specialize in the treatment and care of wounds. This is accomplished by the removal of unviable tissue (debridement), the application of special dressings and prescription drugs/ointments, and the use of ultrasound, electrical stimulation, and aquatic modalities to promote healing. Exercise and patient education are also routine components of a wound care program.

ECS (Clinical Electrophysiologic Certified Specialist) – A physical therapist who is board certified to perform electroneurophysiology examinations such as nerve conduction studies and electromyography.

Lymphedema Rehabilitation – We take it for granted but a special component of the circulatory system, the lymph system, helps filter and drain fluid from our arms and legs. When this drainage system is damaged, painful swelling can result. Some therapists specialize in the treatment of lymphedema as it is called. Special positioning, massage and bandaging techniques are utilized by the lymphedema specialist.

Osteoporosis Rehabilitation and Prevention – Some practitioners specialize in the evaluation and treatment of osteoporosis patients. Working in concert with your medical doctor, the therapist will often design a specialized weight-bearing and resistance training program for those with this silent disease.

Is physical therapy painful?

For many patients, one of the primary objectives is pain relief. This is frequently accomplished with hands-on techniques, modalities such as ultrasound, electrical stimulation, dry needling, class IV Laser, squid compression and/or heat or cold therapy.

Movement often provides pain relief as well. Your physical therapist will provide you with the appropriate exercises not only for pain relief but to recover range of motion, strength, and endurance.

In some cases, physical therapy techniques can be painful.

For example, recovering knee range of motion after total knee replacement or shoulder range of motion after shoulder surgery may be painful.

Your physical therapist will utilize a variety of techniques to help maximize your treatment goals.

It is important that you communicate the intensity, frequency, and duration of pain to your therapist. Without this information, it is difficult for the therapist to adjust your treatment plan.

The adage “no pain, no gain” does not apply here. We mainly try to work patients in their available pain free motion, while at times going a little past that threshold. The goal is for you to feel better not worse after treatment.

What types of treatments will I receive?

There are dozens of different types of treatment interventions. Here is a list of treatment interventions:

Active Range of Motion (AROM) – the patient lifts or moves a body part through range of motion against gravity. AROM is usually one of the first modalities prescribed for arthritis.

Active Assistive Range of Motion (AAROM) – therapist-assisted active range of motion. This is usually prescribed for gentle stretching or strengthening for a very weak body part.

Stationary Bicycle – with or without resistance. This is usually prescribed for improving the strength and/or range of motion of the back or lower extremities as well as cardiovascular endurance.

Gait or Walking Training – the analysis of walking problems by visually examining the interaction of the low back and the joints of the thighs, legs, and feet during the various stages of walking, including initial contact, loading response, mid stance, terminal stance, pre swing, mid swing, and terminal swing. Many back, thigh, leg, ankle, and foot problems may be caused by or manifest themselves in subtle gait abnormalities.

Isometrics – muscle contraction without joint movement. This is usually prescribed for strengthening without stressing or damaging the joint (e.g., arthritis, or exercises to be performed in a cast, or right after surgery if recommended by the therapist/doctor).

Isotonics- muscle(s) contracting through the ROM with resistance. This is usually prescribed for strengthening.

Soft Tissue Mobilization – therapeutic massage of body tissue performed with the hands. Soft tissue mobilization may be used for muscle relaxation, to decrease swelling, to decrease scar tissue adhesions, and for pain relief.

Mobilization – hands-on therapeutic procedures intended to increase soft tissue or joint mobility. Mobilization is usually prescribed to increase mobility, delaying progressive stiffness, and to relieve pain. There are many types of mobilization techniques including Maitland, Kaltenborn, Isometric Mobilizations, etc.

Proprioceptive Neuromuscular Facilitation (PNF) – a system of manually resisted exercises performed in diagonal patterns that mimic functional movements. PNF was initially used in developmentally and neurologically impaired patients but now is used in almost every aspect of neuromuscular retraining from athletes in sports facilities to the very weak in hospitals and nursing homes.

Posture Training – instruction in the correct biomechanical alignment of the body to reduce undue strain on muscles, joints, ligaments, discs, and other soft tissues. There is an ideal posture, but most people do not have ideal posture. Therapists educate patients about the importance of improving posture with daily activities. Stretching and strengthening exercises may be prescribed to facilitate postural improvement and to prevent further disability and future recurrences of problems.

Progressive Resistive Exercises (PRE) – exercises that gradually increase in resistance (weights) and in repetitions. PRE is usually prescribed for reeducation of muscles and strengthening. Weights, rubber bands, and body weight can be used as resistance.

Passive Range of Motion (PROM) – the patient or therapist moves the body part through a range of motion without the use of the muscles that “actively” move the joint(s).

Stretching/Flexibility Exercise – exercise designed to lengthen muscle(s) or soft tissue. Stretching exercises are usually prescribed to improve the flexibility of muscles that have tightened due to disuse or in compensation to pain, spasm or immobilization.

Cryotherapy or Cold Therapy – used to cause vasoconstriction (the blood vessels constrict or decrease their diameter) to reduce the amount of fluid that leaks out of the capillaries into the tissue spaces (swelling) in response to injury of tissue. Ice or cold is used most frequently in acute injuries, but also an effective pain reliever for even the most chronic pain.

Neuromuscular Electrical Stimulation (NMES) – the application of electrical stimulation to aid in improving strength (e.g., the quadriceps muscle after knee surgery or injury). NMES is also used to decrease pain and swelling and to relieve muscle spasm.

Neck Traction – a gentle longitudinal/axial pull on the neck, either manual or mechanical, intermittent or continuous for relief of neck pain, to decrease muscle spasm and facilitate unloading of the spine.

Heat – heat is recommended to decrease chronic pain, relax muscles, and for pain relief. It should not be used with an acute or “new” injury.

Iontophoresis – medications are propelled through the skin by an electrical charge. This modality works on the physical concept that like charges repel each other, therefore, a positively charged medication will be repelled through the skin to the underlying tissues by the positively charged pad of an iontophoresis machine. Iontophoresis is usually prescribed for injuries such as shoulder or elbow bursitis.

Pelvic Traction – the longitudinal/axial pull on the lumbar spine, either manual or mechanical, intermittent or continuous. Pelvic traction may be helpful for the relief of low back pain and muscle spasm.

Transcutaneous Electrical Nerve Stimulation (TENS) – a relatively low voltage applied over painful areas through small self-adhesive electrodes. The electrical stimulation “disguises” or “overrides” the sensation of pain. It is a small, portable unit, used in intervals, to control pain and reduce dependence on drugs. It is usually prescribed for relief of pain.

Ultrasound – ultrasound uses a high frequency sound wave emitted from the sound head when electricity is passed through a quartz crystal. The sound waves cause the vibration of water molecules deep within tissue causing a heating effect. When the sound waves are pulsed, they cause a vibration of the tissue rather than heating. The stream of sound waves helps with nutrition exchange at the cellular level and healing. Studies have shown that ultrasound is helpful for ligament healing and clinically, for carpal tunnel syndrome, and muscle spasm.

Whirlpool – immersion of a body part into water with small “agitators” to provide a gentle massaging motion. A warm whirlpool provides relief from pain and muscle spasm and is often preparatory to stretching or exercise. Cold whirlpool is used to decrease inflammation and swelling.

We also offer Dry Needling, Class IV Laser Therapy, Squid Compression, and Wellness / Personal Training.. Call our office at (703)753-0261 in order to get more information.

Will I get a massage at physical therapy?

Soft Tissue Mobilization sometimes in the form of a massage may be part of your treatment. Rehabilitation specialists are trained in a variety of techniques that may help with your recovery.

Deep tissue techniques may be part of the rehabilitative process. Massage is used for three reasons typically – to facilitate venous return from a swollen area, to relax a tight muscle, or to relieve pain. Contrary to common thought, massage does not increase circulation.

How does the billing process work?

Billing for physical therapy services is similar to what happens at your doctor’s office. When you are seen for treatment, the following occurs:

  1. The physical therapist bills your insurance company, Workers’ Comp, or charges you based on Common Procedure Terminology (CPT) codes.
  2. Those codes are transferred to a billing form that is either mailed or electronically communicated to the payer.
  3. The payer processes this information and makes payments according to an agreed upon fee schedule.
  4. An Explanation of Benefits (EOB) is generated and sent to the patient and the physical therapy clinic with a check for payment and a balance due by the patient.
  5. The patient is expected to make the payment on the balance if any.

It is important to understand that there are many small steps (beyond the outline provided above) within the process. Exceptions are common to the above example as well. At any time along the way, information may be missing, miscommunicated, or misunderstood. This can delay the payment process. While it is common for the payment process to be completed in 60 days or less, it is not uncommon for the physical therapy clinic to receive payment as long as six months after the treatment date.

At Haymarket Physical Therapy we audited all of our billing accounts for 2016-2017. We were then able to determine the “average cost of care” for each insurance carrier. This way we have a general idea of what each carrier reimburses and what that means to the patient.

After surveying our patients, we found that most individuals would like to know what is estimated for each session and make a payment towards their patient portion. This way they pay towards their bill as they go instead of getting a larger bill on the backside.

Can my therapist provide me with a diagnosis?

In most states, physical therapists cannot make a medical diagnosis. This is something that your medical doctor will provide for you.

Physical therapists are important members of your medical team. They can provide you a differential diagnosis roadmap that can point you in the direction of what you might have, which will be your medical doctors ultimate decision.

At this point in time, physicians are typically the health care providers that will provide you with a medical diagnosis.

Can I go directly to my physical therapist?

Absolutely!!! The state of Virginia is very proactive when it comes to the “Get PT First” movement.

This means you can receive a course of Physical Therapy without a physician referral. In Virginia a patient can be seen for 30 days without a physician referral. At the 30 day mark the physical therapist will determine if you need to continue care, see a specialist, or discontinue from treatment.

Seeing a physical therapist first is safe and could save you hundreds of dollars or even thousands of dollars. Click here for details.

Our Physical Therapists are full trained to Examine, Evaluate, and Diagnose your condition. This way the Therapist can determine if we are going to treat, treat and refer out, or refer out during the initial examination.

(Some insurance plans do require a physician referral – call (703)753-0261 to inquire)

Can I go to any physical therapy clinic?

In most cases, you have the right to choose any physical therapy clinic. That is the beauty of being a patient / consumer.

Make sure when choosing a clinic you ask them if their therapists are certified to perform Manual Therapy specifically Grade V mobilizations and that they also perform corrective exercise in conjunction.

Here at Haymarket Physical Therapy we utilize both techniques that have been an integral part to our patient’s overall recovery.

The best thing to do is give us a call and we will attempt to answer all of your questions. We want to make sure we are a good fit for one another.

What happens if my problem or pain returns?

Flare ups are not uncommon, and actually at times we fully expect them and will communicate that with you.

If you have a flare up (exacerbation), give us a call. We may suggest you come back to see us, return to your doctor, or simply modify your daily activities or exercise routine.

What will I have to do after physical therapy?

If all goes well and you are successfully discharged from physical therapy, you will enter our Phase IV Rehabilitation Program. Phase IV Rehab consists of injury prevention and maintenance.

At this point you will be expected to continue with your home exercises and instructions, and begin the transition into a gym / home setting to complete your workouts.

We also offer this program on site with our Wellness Coordinator Cameron Lewis.

Every patient qualifies for a Smart Start session with our wellness coordinator. This way we can create a plan for your health and wellness goals.

Is my therapist licensed?

Our Physical therapists (PTs) and physical therapist assistants (PTAs) are licensed by the state of Virginia.

What is your privacy policy?

Our privacy policy can be read here: Privacy Policy.

How do I choose a physical therapy clinic?

These are some things you may consider when seeking a physical therapy clinic:

  • The therapist should be licensed in the state.
  • The first visit should include a thorough medical history and physical examination before any treatment is rendered.
  • The patient goals should be discussed in detail during the first visit.
  • Care should include a variety of techniques which might include hands-on techniques, soft tissue work, therapeutic exercises, and in some cases heat, cold, electrical stimulation, or ultrasound.
  • Do they have a service that can address your problem?
  • Do they take your insurance or are they willing to work with you if they are not a preferred provider?
  • They should be conveniently located. Since sitting and driving often aggravate orthopedic problems, there should be a very good reason for you to drive a long distance for rehabilitation.
  • What are the hours of operation?
  • Can they provide satisfaction survey results?
  • The licensed therapists should provide the treatment.
  • Can you briefly interview the therapist before the first visit?
  • Ask your family and friends who they would recommend.

Call to Schedule an Appointment: (703) 753-0261

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Gainesville, VA

14535 John Marshall Hwy #203
Gainesville, VA 20155

Phone: (703)753-0261
Fax: (703)743-2967

Bristow, VA

10402 Bristow Center Dr.
Bristow, VA 20136

Phone: (571)719-3563
Fax: (703)743-2967
*Near Harris Teeter and Thai Peppers