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OT and PT

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Hi everyone,

Our insurance company has just denied us any OT and PT visits based

on it is not medically necassary. Our plan offers it and we have a

Dr.'s note saying it is medically necassary to receive both based on

his verbal apraxia, hypotonia and fine motor issues.

If anyone has any info re: how to fight this part please send it to

me. Additionally they are now reviewing speech services which they

have been paying since last June and with the exception of

clarification of who the SLP was they have never questioned that

either. I think I have enough ammunition for the speech fight but the

PT and OT I don't even know where to look.

Thanks in advance.

denise - in NJ

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Hi ! I was originally denied all of those services by Cigna (now have

Horizon) but when I spoke with my client rep. and requested that the Medical

Director (a doctor) review my expert reports/eval's, then I was immediately

approved. Carolyn

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  • 6 years later...
Guest guest

You can expect some gentle strengthening exercizes for you front and back core

muscles. Also you may do some " nerve gliding " exercizes which help loosen

prevent scar tissue from sticking to your nerves that run down your leg. Also

you will need to stretch your tight quad muscles. I would suggest that you try

to locate a PT/MT which is a Physical Therapist who also is a Massage Therapist.

They are able to do more " body work " which involves massage and cranio-sacral

therapy, which is great for the beat up muscle and tissue that you have now from

surgery.

It will make you feel worlds better. I waited so long to start because I was

hurting and I couldn't imagine doing therapy, but as soon as I started, I got so

much relief from my pain. You'd be surprised at how much pain is caused my

muscle weakness! Try to find some aqua therapy as well.

Good Luck,

> From: <ljorichardson0912@...>

> Subject: OT and PT

> neck pain ,

spinal problems

> Date: Monday, March 30, 2009, 5:13 PM

> I am 6 weeks out from fusion surgery. The surgeon now wants

> me to go to PT and OT for 60 minutes 2-3 times a day for a

> month. The last time I had surgery I never had to go

> through OT or PT. What do they do and what can I expect?

>

> Thank you

>

>

>

> _________________________________________________________________

> Internet Explorer 8 – Get your Hotmail Accelerated.

> Download free!

> http://clk.atdmt.com/MRT/go/141323790/direct/01/

>

>

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Guest guest

OOPs typo you are right 2-3 times a week.. Sorry

spinal problems

From: tpowell1977@...

Date: Mon, 30 Mar 2009 14:49:05 -0700

Subject: Re: OT and PT

I think she meant 2 to 3 times a week Dawn...

From: <ljorichardson0912@ hotmail.com>

Subject: OT and PT

painintheneck- back@groups .com, spinedisorderssuppo rtgroup@gro

ups.com

Date: Monday, March 30, 2009, 9:13 PM

I am 6 weeks out from fusion surgery. The surgeon now wants me to go to PT and

OT for 60 minutes 2-3 times a day for a month. The last time I had surgery I

never had to go through OT or PT. What do they do and what can I expect?

Thank you

____________ _________ _________ _________ _________ _________ _

Internet Explorer 8 – Get your Hotmail Accelerated. Download free!

http://clk.atdmt. com/MRT/go/ 141323790/ direct/01/

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Guest guest

Hi ,

I had wondered the same thing when I was sent to PT before undergoing lumbar

fusion surgery but now I'm so grateful that I did. Anything that one can do

pre-op to help strengthen the legs and the upper body will be of great

benefit and it will make the post-op recovery allot easier and faster. I'm

starting to feel so much better now just short of a month post-op and I try

to walk as much as possible while being careful not to overdo anything. I'm

really looking forwards to being sent back to PT and starting out in the

pool.

Best wishes,

Calvin

OT and PT

I am 6 weeks out from fusion surgery. The surgeon now wants me to go to PT

and OT for 60 minutes 2-3 times a day for a month. The last time I had

surgery I never had to go through OT or PT. What do they do and what can I

expect?

Thank you

_________________________________________________________________

Internet Explorer 8 - Get your Hotmail Accelerated. Download free!

http://clk.atdmt.com/MRT/go/141323790/direct/01/

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