Kinetic Energy Physical Therapy » 2010

Are Anti-Inflammatory Drugs Safe?
February 3, 2010

The use of non-steroidal anti-inflammatory drugs (NSAIDS) continues to to be debated. A recent article about a review of the use of these drugs highlights the fact that, despite their widespread use, these drugs have real risks and should be prescribed only after considering the risk vs. benefit of the drug. In the treatment of musculoskeletal disorders, we believe that physical therapy should always be considered before drugs because, in many cases, physical therapy will provide superior benefit WITHOUT ANY RISK. In the editorial following this review, one physician specifically suggests considering, “…nonpharmacologic treatment, such as physiotherapy and physical exercise.” We couldn’t agree more!

“No Tricks, Please.”
February 3, 2010

A recent article in the New York Times examines the issue of “evidence-based practice” for physical therapy. Although the author should be commended for being an educated consumer, the article incorrectly suggests there is poor evidence to support physical therapy. Although we agree that in most cases heat, ultrasound, and electrical stimulation are of limited benefit, these treatments are rarely (if ever) provided by “evidence-based” physical therapists. The author also correctly points out that there is limited evidence to support physical therapy for conditions like plantar fascitis. However, she fails to point out that there is limited evidence to support ANY treatment for these conditions. When the evidence for ALL treatments is considered, physical therapy can often be considered the best choice. Unfortunately, it is difficult for patients to effectively consider the evidence on their own, and they must trust the provider they have chosen. When considering whether your physical therapist is providing treatment based on “best” evidence, consider this blog. If you are a patient at Kinetic Energy you can be sure you are receiving evidence-based care, but if you aren’t convinced…just ask.