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Author Topic: Too Time Crunched - Should I see my PT or my GP?  (Read 689 times)

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Offline Sarahjaye

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Too Time Crunched - Should I see my PT or my GP?
« on: March 02, 2015, 08:57:28 PM »
I'm a busy Mom who works full time (M-F) and also makes sure my daughter gets to all of her competitive dance practices during the week (husband cannot). Needless to say my recent knee injury has made daily life a bit difficult. I'm supposed to be going to PT for my newly diagnosed OA and cracked (but almost healed) patella but I also think I should see my family doctor (GP) since I haven't seen her since I injured my knee. My PT has (up until now) been rehabbing my knee thinking I had an ACL and/or PCL tear, which it is neither. So I feel like I have a reason to visit both but only have time for one. I've been rehabbing my knee these past 2 weeks using exercises I've seen on this site and arthritis today, both of which have helped but I still have constant pain I am pretty sure is typically of OA. My PT is the only one who can prescribe a brace (under my insurance rules) - if one is even needed - and my GP is the only one who can prescribe pain meds -if there are any I can/should take. I am so conflicted. On top of that my husband thinks my orthopedic surgeon is wrong in his diagnosis so there's a part of me that wonders if my GP looked at the MRI she wouldn't have another opinion. At the same time, my rationale side tells me my surgeon is a specialist and knows what he's doing, but he did tell me to push through the pain and that I could go for a run (2 weeks ago!). Ugh! Help!

Offline vickster

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Re: Too Time Crunched - Should I see my PT or my GP?
« Reply #1 on: March 02, 2015, 09:12:18 PM »
If the UK is anything to go by, I would be extremely surprised if a GP can read an MRI.  Even orthopaedic surgeons aren't specialised, that's a radiologist's job

Do you need pain meds? Do over the counter ibuprofen and acetaminophen not help?  OA pain is typically achy and often worse at night and in the morning.  Can be at rest as well as when active. 

Broken bones although they might heal within 6 weeks, can remain painful for long after, especially if the bone is bruised (bone bruises can easily take 6+ months to resolve)

Have you asked the physio to look at the MRI, although again I can't see that they would be able to read the images effectively, they'll just refer to the report

Why does your husband think the surgeon is wrong?  Is he a doctor?  If you want a second opinion, presumably only the GP can refer you

Your health is the most important thing for you, can your daughter not miss a practice or can you ask someone else to take her once (or take time off work and go during the day, can't imagine your employer would have an issue?)
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Offline Osiris

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Re: Too Time Crunched - Should I see my PT or my GP?
« Reply #2 on: March 03, 2015, 05:03:27 PM »
In Canada it would be unusual for a GP or a PT to interpret MRI imaging.

If you have any doubts about the specialist, go to the GP right away and get a referral to a different specialist for a second opinion.

Has the physio seen your MRI report?  If yes, remind them about what the report says.  I would be considering another physio as well, if you think they are treating something other than what you have.

While I respect physicians and professionals generally, it's your body and your life.  If you feel this is going badly, seek other advice.  And agreed that for what appears to be an injury that's affecting your quality of life, your daughter can miss a dance class, or your husband can take a half day off so you can tend to your injury, or your employer can give you a few hours off that you make up during the week, or all of the above.  Your health is worth it.