Weeks 1–2
Pain
Calm the injury down.
Hands-on work on the irritated tissue takes the edge off, starting your first visit. We also name the one or two tasks that keep re-injuring it, so healing stops resetting every shift.
What We Treat
You got hurt doing your job, and now every shift is a negotiation with your own body. Start with an evaluation that looks for the cause, one-on-one with a licensed physical therapist, and a plan that ends with your job demands tested, not guessed.
Sound Familiar?
Two or more? Keep reading.
Why It Happens
Work injuries come in two shapes. One is the single event: a lumbar disc irritated on an awkward lift, a rotator cuff tendon strained reaching into a rack. The other builds quietly. Thousands of repetitions load the same tendon, the same wrist, the same shoulder, until it finally protests. Both leave the same thing behind. Pain and swelling make the muscles around the injury fire less. A few weeks later, the strength and endurance your job demands is gone.
That is why it did not resolve on its own. Rest let the tissue settle. Then you went back to the same load, at a fraction of your old capacity, doing the task the same way. So it flares. You back off. The gap between what your body can do and what the job asks never closes. An evaluation that looks for the cause sorts out three things: which tissue is irritated, which link in the chain is weak, and which movement keeps reloading it.
The Honest Truth
Nobody regrets starting too early.
How We Fix It
Every plan has an endpoint. Here’s what the four phases look like after a work injury.
Weeks 1–2
Pain
Hands-on work on the irritated tissue takes the edge off, starting your first visit. We also name the one or two tasks that keep re-injuring it, so healing stops resetting every shift.
Weeks 2–6
Prime
Joint mobilization and targeted mobility work free the segments that stiffened up while you guarded the injury. Motion first, because you cannot load a joint that will not move.
Weeks 6–10
Perform
Your plan starts looking like your shift. Lifting from the floor, carrying, overhead reaching, ladders, repetitive gripping, loaded and progressed until your capacity clears the demand.
Weeks 10+
Prevent
Dr. Ryan Spano, PT, DPT is a WorkSteps testing administrator, so your readiness gets measured against real job demands instead of guessed at. You leave with the mechanics that keep it from happening twice.
Questions, Answered
We accept workers’ compensation claims, and we run a benefits check before your first visit. Bring your claim number and your adjuster or employer contact, and we will tell you what we find. If you decide to pay on your own instead, ask us for a Good Faith Estimate. Either way, you should never start care guessing about the bill.
You can absolutely ask, and it is worth asking. Plenty of people assume the choice was made for them somewhere in the paperwork. What your claim allows comes down to your employer and your carrier, so give us the details and we will check it before you owe anything. Then the decision is yours, made with real information instead of an assumption.
Not in Louisiana. You can be evaluated here by a licensed physical therapist without a physician referral. Comp claims have their own rules, though: some carriers want a referral or an authorization on file before they will pay. That is exactly what the benefits check sorts out, before your first visit rather than after it.
With testing, not with a note that says you feel better. Dr. Ryan Spano, PT, DPT is a WorkSteps testing administrator, so lifting, carrying and endurance get measured against the demands of your actual job. That testing is the endpoint of the Prevent phase. You go back knowing what you can handle, and it is documented, not guessed.
No. An older injury takes a different route, not a closed one. The tissue has settled by now, so the work shifts to the motion, strength and mechanics nobody ever rebuilt. You still get an evaluation that looks for the cause and a plan with an endpoint, through all four phases: Pain, Prime, Perform, Prevent.
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