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POSTED ON 13-01-2024

The most common problems in Physiotherapy


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Are you a physiotherapist? Are you exhausted with issues coming up in your career life as you progress through with different patients? Read further and learn how to resolve these physiotherapy problems, also check out the latest listings by Medfuture for Physiotherapy jobs in Australia. Physiotherapy plays an important role in helping patients recover from injuries and improve their mobility and quality of life. However, physical therapists often encounter various problems in their line of work. These issues can range from a few different root causes however it is important to resolve them to have a fulfilling career in physiotherapy.

Non-compliance from patients

One of the largest obstacles physical therapists face is achieving full compliance from patients in following prescribed home exercise programmes. While clients understand the value of physiotherapy during in-clinic sessions, many struggle to dedicate adequate time and effort to the daily independent exercises they are given. Compliance rates can vary significantly between patients.

Research shows only around 50% of patients will properly adhere to recommended post-therapy exercise regimens. This lack of follow-through has serious negative impacts on recovery outcomes and prolongs the healing process. Therapists must spend valuable time reinforcing the critical importance of consistency to clients making it a major physiotherapy problem. Without the support of regular home workouts, gains made in the clinical setting fail to maximise their full benefits.

Non-compliance is often due to a variety of factors like lack of motivation, difficulty incorporating exercises into a busy schedule, performing movements incorrectly due to inadequate instruction, or failing to understand written exercise descriptions. Physical therapists face the ongoing challenge of overcoming these compliance barriers through motivational counselling, hands-on demonstrations, written and visual aids, and follow-up communications with clients.

Close monitoring of adherence rates and tailored interventions for at-risk patient groups can help boost compliance. Regular communication keeps clients accountable while allowing therapists to address any problems promptly. New digital health tools showing real-time exercise data may also help improve follow-through by facilitating more engagement between visits. Overall, prioritising patient education and ensuring proper follow-through with home programmes is paramount for achieving the best possible outcomes and minimising these physiotherapy problems.

Workplace injuries

Physical therapists have a high risk of musculoskeletal injuries like back strains from moving and lifting patients. Long periods of standing can also be taxing making it a dangerous physiotherapy problem. Proper lifting techniques and ergonomic practices are important to prevent injuries.

Proper body mechanics like keeping loads close to the body, lifting with legs instead of back, and asking for assistance can help prevent back injuries in physiotherapy jobs. Ergonomic equipment, adjustable exam tables, and anti-fatigue mats may also help reduce injury risk.

Insurance problems

Billing insurance companies and dealing with denials or delays in payments is a major administrative burden that has become a common physiotherapy problem for physiotherapists working for allied health practices, other cooperations, etc. Therapists have to spend time appealing insurance decisions or negotiating payments. This impacts their productivity and cash flow.

They spend an estimated 10-15 hours per week navigating complex billing codes and processes, dealing with initial claim denials over 25% of the time. Appealing these denials requires additional non-billable hours that take away from patient care. Insurance claim processing times also average 30-60 days, creating cash flow problems for practices awaiting payment. Late payments are common due to the challenges of keeping up with frequent changes to different insurance plans and coverage policies. The complexity of the billing system presents real problems, and simplifying codes and standardising prior authorisations across insurers could help streamline approvals and reduce unnecessary denials. Outsourcing billing functions may allow therapists to focus more on treating patients by alleviating some of the administrative burden. However, the heavy paperwork and long payment timelines from insurers continue to be a major physiotherapy problem for the sustainability of physiotherapy practices and clinics.

Equipment costs

Maintaining equipment like treadmills, weights, pulleys, etc requires a sizable investment. Equipment is also prone to breakdowns which disrupt therapy sessions which is a common physiotherapy problem. Budgeting for regular maintenance and replacements is challenging making this a common physiotherapy problem.

Equipment is prone to breakdowns which disrupt therapy sessions and patient care during physiotherapy sessions. It is estimated that physiotherapy clinics spend thousands annually just to maintain core equipment like treadmills due to normal wear and tear. Budgeting to replace larger equipment pieces every 5-7 years requires advanced financial planning. Unexpected repairs or early replacements further impact cash flow. Outsourcing equipment maintenance to specialised companies can help but fees still must be accounted for which is another physiotherapy problem. The equipment expenses present a real burden on physiotherapy business operations and long-term sustainability. Standardising equipment needs and developing cost-sharing programs could help ease these financial pressures and ensure the continuity of quality patient care.

Patient non-attendance

No-shows and last-minute cancellations are frustrating for physical therapists as it affects their schedules. They still have to be paid for reserved appointment times even if the patient doesn’t attend. This leads to lost revenue.

Therapists still have to be paid for reserved appointment times even if the patient does not attend. This non-attendance directly impacts a clinic’s cash flow. It is estimated the no-show rate averages 15-30% across the industry, representing significant lost income that cannot be recouped. The unpredictability of non-attendance also makes capacity planning difficult. While some clinics charge cancellation fees, collecting on no-shows is challenging. Outreach and reminder systems help but are additional administrative expenses. Non-attendance presents real financial pressures and makes meeting productivity targets more difficult. Standardized cancellation policies and incentives for patients could help reduce no-shows and make schedules more efficient for physiotherapy services.

Hygiene

Regular disinfection of high-touch surfaces between patients using an EPA-registered product helps limit the spread of germs. Screening for symptoms, requiring hand sanitization upon entry/exit, and providing PPE also reduces the risk of virus transmission. Practicing social distancing through spaced treatment areas and limited waiting for occupancy supports safety as well.

Telehealth offers an alternative to in-person care when suitable for initial evaluations or follow-ups. For on-site visits, improving ventilation, portable air filtration, and detailed hygiene SOPs with staff training can strengthen a practice’s defenses. Communicating these policies maintains patient confidence in the safety of care received.

While remote therapy isn’t feasible for all cases, physiotherapy practices have demonstrated flexibility and diligence and implemented a wide range of solutions to uphold the highest hygiene standards during this challenging time. A continued comprehensive, proactive approach is important to protecting community health as services operate to meet essential patient needs.

Emotional state and burnout

Managing the emotional toll of physiotherapy work is critical for sustaining a successful long-term career. Caring for patients through traumatic experiences and recovery journeys no doubt takes its emotional toll over time. Implementing self-care strategies is key to avoiding burnout.

Small adjustments like practicing mindfulness, maintaining work-life balance through utilising available time off, and leveraging peer support networks can help physiotherapists better cope with daily job-related stressors. Seeking counseling or employee assistance programs also provides confidential options for processing emotional challenges that arise on the job.

Making time for stress-reducing activities outside of work hours is equally important for decompressing and avoiding bringing stress home. Physiotherapists should also healthily prioritize workload and set boundaries to avoid overextending themselves emotionally or physically.

Overall, adopting a holistic approach to wellness encompassing physical, emotional, and mental health aspects is vital for sustaining the demanding career of physiotherapy over the long term. Small, consistent self-care measures can go a long way in managing challenges and preventing burnout.

Look to Medfuture for the best possible job vacancies in Physiotherapy.

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