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Old 10-09-2018, 12:11 PM
 
Location: Denver CO
19,052 posts, read 10,079,571 times
Reputation: 27883

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While I don't disagree with seeing an ortho, to some extent it comes down to the kind of insurance you have. I go to an HMO (Kaiser) and a GP was more than able to order an X-ray and MRI and make the diagnosis and refer me to PT when I had a herniated disk in my neck earlier this year.

He also referred me to an ortho but that appointment took several weeks to get, and between the PT, traction and acupuncture, I was well on my way to healing before I ever got in to see the ortho. I actually liked him a lot, and would have been comfortable with him doing surgery but he and I agreed that continued conservative treatment was fine and I continued to heal on my own. But I'm sure glad I had the diagnostic testing and the PT referral sooner than the usual wait time to see a specialist! I mean, sure, if you can get a speedy appt with an ortho, go for it. That just hasn't been my experience. And assuming that this is standard osteoarthritis, a GP can order tests and diagnose that and get you going with the appropriate treatment.
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Old 10-09-2018, 01:26 PM
 
Location: Alabama!
5,802 posts, read 15,492,398 times
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Having had knee pain for years and finally knee replacements 16 years ago, I'd go straight to an orthopaedic surgeon if you can. Around here I can get an appointment with no referral fairly quickly. YMMV.
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Old 10-09-2018, 06:12 PM
 
Location: Midwest
3,723 posts, read 6,725,977 times
Reputation: 5650
Quote:
Originally Posted by moxiegal View Post
GP for a diagnosis
Doc, PA, or a skilled RN Practitioner if you must.

My wife and I have both been to PT perhaps a half dozen times each. Our experiences were similar, some helped, some made it worse. PTs as a group seem to be there for the socializing, they will occasionally return to the "client" to adjust this or that.

I would avoid PT like the plague. I'd go to a personal trainer first.
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Old 10-10-2018, 05:45 AM
 
Location: Bella Vista, Ark
69,357 posts, read 79,541,504 times
Reputation: 38690
Quote:
Originally Posted by Surfertx View Post
Not seeking medical advice but wanted to see if others have had similar experiences.
I have a bad knee (right one) from a bicycle accident when I was in high school and now I'm in my mid 40's ,not overweight but been doing full contact sports like kickboxing. Now my knee has been more sensitive and causes pain when I run.

Should I go see my general practice doctor or go straight to a physical therapist? I rather not go to my doctor because I have feeling it will take a few costly visits until I get referred to a specialist.
My opinion and that is all it is: I would see my Primary care doctor: from there he/she should be able to refer you right away to a orthopedist who will better be able to tell you if PT is the answer.
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Old 10-10-2018, 05:48 AM
 
Location: Bella Vista, Ark
69,357 posts, read 79,541,504 times
Reputation: 38690
Quote:
Originally Posted by annabanana123 View Post
I’d skip the GP and go straight to an ortho personally.
Might be good advise but many health plans want you to see your Primary care doctor first. In fact I think most of them require a referral. Plus it is always good to have a referral unless one knows for certain what Orthopedist they want to use.

I think too many of you are missing that part: if nothing else, OP check your insurance closely before jumping into any care. I do know seeing a P T without seeing any doctor first is a very bad idea.
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Old 10-10-2018, 06:32 AM
 
Location: SC
1,877 posts, read 1,042,025 times
Reputation: 3007
Quote:
Originally Posted by Scooby Snacks View Post
Usually you need to see a doctor to get a prescription to a physical therapist no matter what. This is true even if you have a PPO. At least you do unless you want to pay $250/hour for physical therapy out of pocket. And many times a GP will refer you to an orthopedist first for a CT scan or MRI to be sure there isn't a tear or break of some sort. You don't want to do physical therapy if there is a severe underlying injury.
That's what I thought the process was. A new patient was required to get the referral to the specialist. As well as prescribing any PT rehab. That was how it was when I worked in the PT Rehab dept anyway.
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Old 10-10-2018, 06:43 AM
 
Location: NJ
9,217 posts, read 20,231,422 times
Reputation: 6325
Quote:
Originally Posted by Surfertx View Post
Not seeking medical advice but wanted to see if others have had similar experiences.
I have a bad knee (right one) from a bicycle accident when I was in high school and now I'm in my mid 40's ,not overweight but been doing full contact sports like kickboxing. Now my knee has been more sensitive and causes pain when I run.

Should I go see my general practice doctor or go straight to a physical therapist? I rather not go to my doctor because I have feeling it will take a few costly visits until I get referred to a specialist.
You sound like me. I used to dance roller skate (late 70's) and have fallen on my knees a few times. At one point I had fluid on one of my knees when I was a teen. About 2 years ago one of my knees started giving me issues. Thankfully I have decent insurance where I do not need referrals. I was at pain management; my Dr brought in the knee guy who gave me an injection, a script for a cream that contained ibuprofen and a script for a knee CT or MRI and maybe an xray. Thankfully the injection helped, it lasts a good year before I have to get another one.

Check your insurance, if you need a referral see your GP who can at least get you started with an x-ray, CT or MRI and give you a referral to an orthopedic that does knees. In my opinion you're better off seeing someone with good ratings that does surgery because with some offices, once you see one Dr you can not switch to another Dr.

Quote:
Originally Posted by tijlover View Post
Let's hope if you go to an Ortho you don't go through what I usually go through: X-ray, MRI and then the MRI with contrast. Last time, I was then referred to a Physical Therapist, 5 visits and I wasn't gaining anything, so I finally found an awesome Chiropractor and he gave me the proper exercises that helped me the most.

Good luck!

I've also got knee pain, occasionally, and for whatever reason, biking helps my knee the most, and walking can aggravate it. I was told the muscle above the knee needs to be strengthened and biking seems to do the trick the best.
PT's have never worked for me but chiro's have. The chiro could even give him exercises to do

Quote:
Originally Posted by Scooby Snacks View Post
Usually you need to see a doctor to get a prescription to a physical therapist no matter what. This is true even if you have a PPO. At least you do unless you want to pay $250/hour for physical therapy out of pocket. And many times a GP will refer you to an orthopedist first for a CT scan or MRI to be sure there isn't a tear or break of some sort. You don't want to do physical therapy if there is a severe underlying injury.
Agree, they will want some sort of test to see what they're dealing with.

Quote:
Originally Posted by emm74 View Post
While I don't disagree with seeing an ortho, to some extent it comes down to the kind of insurance you have. I go to an HMO (Kaiser) and a GP was more than able to order an X-ray and MRI and make the diagnosis and refer me to PT when I had a herniated disk in my neck earlier this year.

He also referred me to an ortho but that appointment took several weeks to get, and between the PT, traction and acupuncture, I was well on my way to healing before I ever got in to see the ortho. I actually liked him a lot, and would have been comfortable with him doing surgery but he and I agreed that continued conservative treatment was fine and I continued to heal on my own. But I'm sure glad I had the diagnostic testing and the PT referral sooner than the usual wait time to see a specialist! I mean, sure, if you can get a speedy appt with an ortho, go for it. That just hasn't been my experience. And assuming that this is standard osteoarthritis, a GP can order tests and diagnose that and get you going with the appropriate treatment.
Acupuncture is another great thing to try if covered in the OP's plan.
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Old 10-10-2018, 07:26 AM
 
Location: Nantahala National Forest, NC
17,727 posts, read 3,576,255 times
Reputation: 22833
Quote:
Originally Posted by Marc Paolella View Post
I can see from your responses that you are shopping for those that confirm your bias against seeing a doctor. Mistake. Constant pain in any body part should not be self-diagnosed. You need information, and that can only be provided by a doctor. What if you have a bone cancer? And you treat it like a sports injury while it grows and spreads. You canít run your life properly with fear. Go to the doctor and let him evaluate it.

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Old 10-10-2018, 08:30 AM
 
Location: Denver CO
19,052 posts, read 10,079,571 times
Reputation: 27883
Quote:
Originally Posted by Roselvr View Post
Acupuncture is another great thing to try if covered in the OP's plan.
My plan does have some acupuncturists that they refer to. But the co-pay is about double what I pay through a local facility, so even with coverage, it's still worth looking around. I go to what is called "community acupuncture" which is still a private cubicle with a curtain around it. But the provider will get someone else started on their treatment while I'm resting after she has placed the needles. Because she doesn't have to reserve an entire 30-40 minutes just for me, the rates are quite reasonable.
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Old 10-11-2018, 11:32 AM
 
748 posts, read 439,048 times
Reputation: 268
OP here,
So I just went to my GP and she prescribed Meloxican (anti-inflammatory), rest and X rays with a referral for MIR if needed. I'm going to ice my knee, do the drugs and take it easy for the next few weeks.
btw I have a high deductible HMO.

I appreciate everyone's input.
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