Fortunately, 90 percent do completely recover!!!
And, fortunately, less than 5 percent of all injuries are considered in this major category.
The patient's outlook on their injury varies according to:
- outlook on severity: major or minor problem to them
- expense of possible treatment
- time and energy of possible treatment
- speed of recovery desired
Therefore, with 95 percent of all injuries considered minor in consequences, the doctor/therapist must come to grips with the patient's perspective. The doctor or therapist then maps out a plan of attack after the initial evaluation. Always important to have, this plan of attack has different variables. These are:
- Further diagnostic testing ---now or only if not getting better
- Initial treatment plan---with physical therapists, with home exercises, with medications, with casts, with lifts or other shoe inserts, with training adjustments (ie. rest, alternative exercise), and with taping and other treatment modalities
- Back-Up treatment plan---if patient does not get better, if patient is better but wants faster relief, and if patient wants insurance to prevent reflares
- Patient Education Advice---how to prevent recurrence of injuries by knowing the cause of a particular injury (and the causes of most injuries)
The patients are advised what the next step would be if they are not responding. Sometimes there are so many possibilities of treatment that they all can not be covered in the initial visit. Surgery rarely is needed for a particular problem, so it is not mentioned at the initial visit normally. The doctor or therapist tries to discuss with the patient:
- his/her immediate concerns at the full diagnostic examination (if the diagnosis is still questionable, does the patient want xrays, MRIs, etc)
- the patient's ability to begin therapy now, speeding up the process of healing (I can think of very few injuries which would not be helped by therapy)
- their concerns for a rapid (as fast as possible) recovery