Physical Therapists
Assess, plan, organize, and participate in rehabilitative programs that improve mobility, relieve pain, increase strength, and improve or correct disabling conditions resulting from disease or injury.
š¬Career Video
šKey Responsibilities
- ā¢Plan, prepare, or carry out individually designed programs of physical treatment to maintain, improve, or restore physical functioning, alleviate pain, or prevent physical dysfunction in patients.
- ā¢Perform and document an initial exam, evaluating data to identify problems and determine a diagnosis prior to intervention.
- ā¢Record prognosis, treatment, response, and progress in patient's chart or enter information into computer.
- ā¢Instruct patient and family in treatment procedures to be continued at home.
- ā¢Evaluate effects of treatment at various stages and adjust treatments to achieve maximum benefit.
- ā¢Confer with the patient, medical practitioners, or appropriate others to plan, implement, or assess the intervention program.
- ā¢Administer manual exercises, massage, or traction to help relieve pain, increase patient strength, or decrease or prevent deformity or crippling.
- ā¢Obtain patients' informed consent to proposed interventions.
š”Inside This Career
The physical therapist helps patients recover movement and manage paināa role combining clinical expertise with hands-on treatment and ongoing relationship with patients through rehabilitation. A typical day involves evaluating new patients, conducting treatment sessions that might include exercise prescription, manual therapy, and modality application, and documenting progress. Perhaps 60% of time goes to direct patient careāevaluations, treatments, and the hands-on work that distinguishes physical therapy. Another 25% involves documentation: notes, treatment plans, and the administrative requirements that insurance and compliance demand. The remaining time splits between coordination with physicians and other providers, patient education, and practice management. The work provides visible results as patients regain function over time.
People who thrive in physical therapy combine clinical knowledge with physical stamina and genuine investment in patient recovery. Successful therapists develop treatment approaches that work while motivating patients to do the difficult work that rehabilitation requires. They celebrate incremental progress while maintaining realistic expectations. Those who struggle often find the documentation burden overwhelming or cannot maintain the physical energy that hands-on treatment requires all day. Others fail because they cannot motivate patients who resist the effort that recovery demands. Burnout affects those who internalize patient frustration with slow progress or who cannot establish boundaries with the productivity expectations that many settings impose.
Physical therapy has evolved from rehabilitation of war injuries to a profession addressing diverse conditions from sports injuries to chronic pain. Leaders in the field have advanced evidence-based practice and expanded scope. The profession appears in popular culture primarily in sports contextsātherapists working with injured athletes in films and documentaries. The intimate nature of physical therapy treatment appears in various dramatic contexts.
Practitioners cite the satisfaction of helping patients regain function and the visible progress rehabilitation provides as primary rewards. The direct patient relationships built over multiple sessions create meaningful connections. The physical variety of the workāmoving, demonstrating, treatingāsuits those who prefer activity to sitting. The career stability from aging population demographics provides security. Common frustrations include the productivity expectations that limit time with patients and the documentation requirements that consume time better spent on care. Many resent the insurance limitations that constrain treatment options and the declining reimbursement that has pressured the profession. The physical demands of hands-on treatment accumulate over careers.
This career requires a Doctor of Physical Therapy (DPT) degree, typically three years following undergraduate preparation, plus passing licensing examinations. Clinical internships during education provide essential experience. Specialty certification through residency or examination is available. The role suits those who enjoy hands-on clinical work and find satisfaction in functional rehabilitation. It is poorly suited to those who prefer minimal physical contact, struggle with the physical demands of all-day treatment, or find chronic pain patients' complexity frustrating. Compensation is solid, with specialty areas and settings like home health or travel therapy sometimes offering higher rates.
šCareer Progression
šEducation & Training
Requirements
- ā¢Entry Education: Doctoral degree
- ā¢Experience: Extensive experience
- ā¢On-the-job Training: Extensive training
- !License or certification required
Time & Cost
š¤AI Resilience Assessment
AI Resilience Assessment
Strong Human Advantage: High EPOCH scores with low/medium AI exposure means human skills remain essential
How much of this job involves tasks AI can currently perform
Likelihood that AI replaces workers vs. assists them
(BLS 2024-2034)
How much this role relies on distinctly human capabilities
š»Technology Skills
āKey Abilities
š·ļøAlso Known As
šRelated Careers
Other careers in healthcare-clinical
š¬What Workers Say
40 testimonials from Reddit
What is going on here?!
I donāt see this kind of posturing working with my senior patient population and Iām a little stumped. Iāve seen folks say that this forward lean is indicative of frontotemporal dementia, but I have never witnessed a fwd lean thatās not kyphotic as well. I would love to see otherās opinions, as I know this sub is filled with smarter people than me. Thanks!
Sign the Petition: Keep Pseudoscience Out of Academia - No Chiropractic Program at Pitt
The University of Pittsburgh is launching a Doctor of Chiropractic program alongside itās DPT program, a move that threatens to legitimize a field rooted in outdated and dangerous ideas, such as subluxation theory and spinal manipulation for infants. Letās be clear, this isnāt about a professional rivalry. This is about science. Chiropractic care, as it is still widely practiced today, includes interventions that are not supported by evidence, and in some cases are actively harmful. Despite what proponents claim, high velocity spinal manipulation is still being marketed for newborns and immune system boosting and even ADHD without valid clinical backing. We worked hard to make physical therapy a respected, evidence-based medical profession. Letting a university give equal academic footing to chiropractic care without holding it to the same standards of scientific scrutiny undermine everything weāve built. Sign the petition to stand up for science back to care and for patient safety. Tell Pitt and other institutions pseudoscience does not belong in our universities!
A serious message to patients
OKAY LISTEN, NOBODY ā AND I MEAN NOBODY ā DOES PHYSICAL THERAPY BETTER THAN ME, FOLKS. THE DOCTORS, VERY SMART PEOPLE, THEY ALL SAY āSIR, YOUR FORM IS PERFECT, ABSOLUTELY PERFECT.ā YOU GOTTA DO THE EXERCISES ā TREMENDOUS STRETCHES, THE BEST STRETCHES ā EVERY SINGLE DAY. IF YOU DONāT, BELIEVE ME, YOUR KNEES, YOUR SHOULDERS, THEYāRE NOT GOING TO BE GREAT, AND WE WANT THEM TO BE GREAT. SO GRAB THAT THERABAND, DO THE REPS, AND WEāRE GOING TO MAKE YOUR BODY STRONG AGAIN ā STRONGER THAN EVER, MAYBE THE STRONGEST IN HISTORY! THANK YOU FOR YOUR ATTENTION TO THIS MATTER!
No longer considered a "professional degree"
The DoE no longer lists PT (nor OT, NP, PA, ST, or RT) as a professional degree, but fucking chiropractics makes the list. How bad is our lobby that the APTA can't ensure this basic designation? Clearly the chrios have it figured out. MAHA at its finest...
I love my job
A lot of negativity in this sub, some of it warranted and some of it is just absurd. However, for anyone in this sub thatās trying to get into PT school, currently in PT school, or just graduated, this profession is dope. Every day you have the opportunity to make someone feel better, physically, spiritually, and/or emotionally. You grow to form relationships with patients. They bring you food, check in on you, remember things you tell them about your personal life. New patients will come to you saying āoh āso and soā recommended me to you, they say youāre greatā. Yes, at the end of the days Iām mentally exhausted and go to bed earlier now than I ever have. However, I donāt dread waking up. I donāt dread going into the clinic. While Iām in the clinic, my days go by relatively quick. This sub has too much negativity and I can see how it scares people away from this profession. Iām just trying to shine light and say this profession is dope and youāll love it if youāre in it for the right reasons.
Want to become a physical therapist? Great idea! Read this!
Outpatient Ortho? Good start, let's pack on patients to your schedule to the point where you have 4 of them come in at the same time, don't worry we will give you one underqualified college kid as an aid to split between you and your co-workers for support. Don't forget about all the notes from the 16+ patients you saw today! Lunch? At your desk! Try shoving a couple of bites in between patients. The pay? I mean you get a paycheck, there won't be much in it but it's something! No? Okay maybe acute care! Glove up friend and pin that nose shut because youll be covered in piss and shit a lot. Get that half conscious TKA up the stairs bud, we got money to make! Doc is yelling at you to get the drunk schizophrenic cleared for discharge? Is it safe? Maybe not, but it's not like your license is on the line or anything, Mod I for household distances it is. The pay? A little better but not by much. Hmm maybe not. I think rehab is more your speed. I hope you don't like your back, or your shoulders, or your sanity, because they'll be gone within a couple months anyway. Keep documenting though! You got this! Management wants you to discharge faster? To see more? Noo prob! It's not like the patients complain every second of the day or anything to make your day even longer. Alright alright, so you want a nice chill pace, lots of money, and independence, I think homecare is for you. Will your patients get better? Prob not. Do they want PT? Debatable. Do they think you're a nurse? Yup! Will you have an absolute shit ton of notes to do when you get home? Hahahaha holy shit you will. Your contract may say 40 hours but we all know that's bullshit, schedule everything yourself, do all the notes, drive around like a madman, and go see your patients. Your life after work? Uh you're a PT, that's not a choice anymore. It'll be a blast! And don't forget, no matter where you go, you can always take comfort in the unreasonable amount of debt to income ratio you have to make you feel all warm and fuzzy inside. And that "Doctor" title! Wow. Will anybody ever call you doctor? No. But I guess its cool you know? I've been treating for two years and this has been my reality. I'll be dedicating the next year to finding a way out. Wish me luck.
Third NPTE Retake, PASS, and tips
Hey everyone, I made a post back in July that I didn't pass on my second attempt, but I'm making another one now because I FINALLY PASSED on this third try. It's definitely been a rollercoaster of emotions these last couple months of restudying for it. I honestly really contemplated giving up on PT all together because I was so burnt out from studying. I want to let everyone know who weren't able to pass on this most recent attempt that I BELIEVE in you. For those who are planning to retake it in January, one of the best advice I got was to make sure you take breaks. If you're anything like me, I always tend to overstudy but we need to remind ourselves that these breaks helps refuel our energy to study again. We're not robots and we need time to consolidate the information. With that said make sure to enjoy the holidays. Spend time with friends and family and make sure you don't put your life on hold for this test. The NPTE will always be there, but the memories we choose to make now won't. Also, if you're wondering in terms of the material what helped me pass. I HIGHLY recommend purchasing for the NPTE breakdown report for 100$ and TherapyEd's 3x practice exams for 100$ (total of 200$). The NPTE breakdown report helps show what your strengths/weaknesses are for the subjects, at which points of the test did the fatigue kick in, & etc. The therapyed practice exams were BY FAR the closest thing to the NPTE that I've taken. What's cool about it is like the NPTE breakdown report it'll show what your strengths/weaknesses on the subjects are and rationales for why questions you got were correct/incorrect, and a score which indicates how ready you are after taking the test. I've taken so many practice exams like the PEATS from the NPTE website, final frontier practice exams, practice exams I found online, but TherapyEd BY FAR was the best in my opinion. Additionally, HONE in on your MSK, cardiopulm, neuro, and differential diagnoses material. I've taken over 3000 questions during my second attempt and taking questions mindlessly will get you nowhere. If you have a really good understanding of the 3 subjects, you'll pretty much understand 80% of the test. For example really understand what the purposes of this special test is, why this muscle has this action/innervation will cause this impairment ex: during gait, why would a patient with a damaged deep fibular nerve demonstrate circumduction during swing phase of gait (because they're unable to clear their limb due to a weakened anterior tib muscle that is not dorsiflexing during swing), differentiate diagnoses like if a patient demonstrates bilateral LE edema, is it CHF, lymphedema, kidney failure, etc. Understand cardio pulmonary diseases restrictive vs. obstructive, different neurological diseases, and outcome measures! The outcome measure questions come out alot in those 3 part case scenario questions so be able to understand that this outcome measure for example the Stroke IMPACT scale (SIS) is a SELF-REPORTED questionnaire vs. NIH Stroke Scale (NIHSS) is an actual measure of stroke severity. These were just random questions that popped into my head while restudying it, but REALLY UNDERSTAND the 3 core subjects and not move on if something is not making sense to you. It is not a waste of time. Lastly, if you made it this far. YOU ARE GOING TO PASS AND NEVER NEED TO STUDY/TAKE THIS STUPID TEST AGAIN. Believe me when I say I know all the emotions you're feeling because I've been in your shoes twice already. YOU WILL PASS AND I BELIEVE IN YOU. My friend once told me that life is tough and will probably only get harder from here, but you can only get stronger šŖšŖ. GOOD LUCK on this last time you will ever study for this test and HAPPY HOLIDAYS from the bottom of my heart!!!!!
Disgusted with PT practice and lack of support.
I have been a PT for 30+ years. I am good at my job. I really care about my patients. This is why I continue to practice PT. However, the health care industry has become irreversibly contagious to normal work environment, We are subject to high patient volumes, no break time, "iffy" lunch break, and an expectation to do documentation on personal time. Yet nobody stands up against this. It is just accepted. PT's do not have unions. So, if we don't stand up for ourselves, no one does. I tried standing up for myself over the past year. The result was false accusations of things I said or did, and my rank of excelling at my annual review deteriorated to 2 levels lower to "developing" which is one level above getting fired. I posted this on the PT forum on Reddit and got a notice from administration. In all honesty, where the hell else am I going to get some support?? This is real life for Physical Therapists. Please don't shut down one of the few support forums we have. We are persecuted for saying what we feel on Facebook and other public forums. We do not have a union. There is no one to stand up for us but ourselves, and for that we are persecuted.
Exhausted by the State of PT and Lack of Advocacy
Iāve dedicated over 15 years of my life to being a PT. Iām damn good at my job, and my patients mean everything to meāhonestly, theyāre the only reason Iām still here. But what our industry has become is toxic and unbearable. Weāre drowning under overwhelming patient loads, breaks are nonexistent or unreliable at best, and weāre constantly pressured to finish mountains of documentation on our own personal time. And yet, nobody dares to challenge this. Itās just accepted as āpart of the job.ā PTs donāt have unions. If we donāt advocate for ourselves, literally nobody else will. I tried speaking out this past year and was swiftly punished with false accusations and watched my performance rating plummet from āexcellingā to ādeveloping,ā just a step away from termination. I vented on the PT subreddit, desperately seeking support, only to get reprimanded by administration for doing so. Tell me, where else are we supposed to turn? Facebook and other platforms are monitored, and weāre actively punished just for being honest about our struggles. Please donāt silence one of the only safe havens we have left. This isnāt an exaggeration; this is the grim reality of PT today. Without unions or advocacy, weāre left alone and penalized for even daring to speak up.
Pitt is launching a chiropractic program alongside DPTs ā this is not okay
The University of Pittsburgh is opening a Doctor of Chiropractic Medicine program within its School of Health and Rehabilitation Sciences ā right alongside PT, OT, nursing, and other evidence-based fields. This is a serious problem. Chiropractic, as a profession, has deep roots in pseudoscience. While some providers focus on MSK care, much of the field still promotes subluxation theory, anti-vax rhetoric, and unproven treatments. Putting DCs in the same academic setting as DPTs blurs the line between real healthcare and snake oil. This damages public trust and weakens our profession. Patients wonāt know the difference ā and thatās exactly the problem. We need to talk to the APTA, our state boards, and Pitt leadership. This isnāt just disappointing ā itās dangerous. If we donāt speak up, who will?
Did I choose the wrong profession?
I see a lot of negativity on this sub, and honestly a lot of days I feel super burnt out. I do love treating patients but truly hate all the other aspects of my job (documentation, scheduling, terrible hours) I'm not sure when I will know the right time to jump ship into something else or not. Any advice appreciated. Edit: Honestly thank you guys for talking the time to offer some kind words. Glad to know I'm not the only one feeling the same way at least. Someone had just sent me [this](http://trynonotes.com) today from another post on here to help reduce some of the documentation BS we have to deal with. Haven't tried it out yet but I'll let y'all know how it goes. Hopefully reclaim some of my remaining sanity.
7 years of school was a lie
Just so yall know, our education doesnāt mean anything because patients do their own research! Was explaining to a patient (who says they exercise and stretch daily) the soreness they had after using 3# weights for bicep curls/chest presses/triceps extension in our previous session was a good thing! progressive overload and DOMS etc etc. patient stopped me and said they disagreed because they did their own research- you DONT need to get sore to get stronger and tearing muscles (I used the term microstress of the muscle fibers) is a bad thing. Egg on my face! Of course. Please tell me more. Let me just do 3 units of manual therapy every session and absorb your pain and weakness symptoms through my hands while you explain to me how one gets stronger by doing the same thing over and over again. What blackout stuff have your patients told you that made you internally scream? Edit: I absolutely believe in patient advocacy and listening to patient concerns. this was labeled a shit post to vent about a difficult patient, I didnāt think I needed to give an entire case study of the patient and their past medical history/years of chiropractic and PT without progress/change in impairments/function. Iāve tried numerous ways to modify exercise to meet the patient where theyāre at, my last attempt was slapping some ankle weights onto their wrist to do some strengthening and here we are.
From one healthcare professional to another; from one patient to PTs⦠holy crap thank you š
I work in xray at an outpatient trauma ortho/physical therapy clinic. We can spot which patients do their physical therapy exercises. We see patients using the techniques youāve taught them. These are the patients that get back to normal life quicker than before their injury or surgery. We are always so proud of them! But the tables turned today. I was the patient. I walked in with foot drop, got some electric needles poked in me, walked out with the ability to flex my foot. CRIED HAPPY TEARS IN THE BATHROOM. š and I showed off my cool new party trick (flexing my foot) to anyone that would look and listen lol I donāt know if PT is similar to the rest of healthcare, but I know for sure that most HCWs donāt get recognized and thanked enough in someoneās recovery. So I wanted to reach out on here to say omgholyshit THANK YOU so much šš just one session and thereās a temporary world of difference for me, and itās given me the motivation to keep pushing through. Yāall are truly fucking awesome!
We need to demand better pay and conditions
I've been a PT for over a decade. I started out working at a spine specialty clinic and worked contingent at a hospital IPR (economically distressed urban area) at $52 per hour. I've recently left the mill i was at to start a private practice. To make ends meet I took a contingent IPR job at the premier hospital ( suburban HCOL area) starting pay $44 per hour. How does pay go down by $8 per hr in 10 years? My wife at the same hospital, different profession has unionized, and they have received 8% and 10% raises, including backpay for the entire year. APTA is worthless, we as professionals are not , unless we let the world treat us as such. As individuals we can only do so much. But we need a union with teeth to advocate for us before this bleeding turns into a full hemorrhage.
here to tell you......
...physical therapists (at least the one I have for sure!) are great! coming out of surgery (hip) and needed and still need help with walking, strength and pain. I have never gone to a pt before and it was intimidating as I didn't know what to expect. not only is he helping me with muscles, pain and he listens and nothing gets by him. I had trouble with vertigo (ear crystal) and would just sit a second for it to resolve. He did the epley maneuver and it got gone. I wasn't aware pt's do epleys. one time I just made an off comment that I am sensory sensitive. next time I came in, not only were the lights turned down (natural light lots of windows) so too was the radio. I am weeks into pt and see the day may be soon where I will not see him for help anymore and he has done his job (getting me well). I don't trust many people, but this guy I would trust. especially as pain is involved, that would be hard for anyone. I am getting better, my muscles are getting stronger and I look forward to talking with him while we work together. I guess I am writing all this to all pt's out there as I can see your job is very hard and so many elements involved and probably a high burn out job. just know there are those of us who love you for the work you do and if ever you feel like quitting or getting overwhelmed, know that you are appreciated. thanks.
Newest APTA Update, got this newsletter this morning.
Good Morning Everyone, As part of our new community outreach program, I'm excited to make our first reddit post and begin our ongoing dialogue. As we've interacting with clinicians in the beginning of 2025, we've heard about the numerous challenges you've been facing. The cuts to reimbursements, the interactions you've had with other types of providers, and the concerns over the financial health of the profession. We know how stressful this can be, especially now with more uncertainty regarding the overall economy. I personally see this everyday when interacting with the clinicians in my local area. And many of you have asked, how does the APTA plan to react to this? Rest assured, we've already begun taking action to make things better. In March, we ordered top of the line Herman-Miller office chairs for the new building, so employees can turn easier as to not have to look at what we call "the poor side of the building" where the Athletico is in view. Second, we hired my niece to do fun Tik-Tok dances and tag #PTcanBFun to help boost morale and improve social outreach. We expect this to increase the referrals to your clinic dramatically. We've also come up with a comprehensive new budgeting tool to help PT's address their financial debts. We're proud to be partnering with DoorDash, in a program were calling "oh by the way", which we think will increase the awareness of the PT profession and help people #ChoosePT. APTA members should expect a detailed email in the coming days, with the general population probably hearing about it on the news in the coming weeks. But remember, it won't be for the weak! #Grit -APTA
Dr told pt I called her suicidal
Iāve been working with this sweet but pessimistic 70 something year old in OP. She has been making jokes such as āI donāt want to live until Augustā āIām moving in August and if I just didnāt wake up one day I would be happyā and some more each visit. I would try encouraging her and all the other things I am supposed to do but she kept it going. After she made 8 comments of death in 2 visits (and thatās just when I started counting) I consulted with some of our other therapists and called their doctor. SPECIFICALLY I SAID THIS āwe have a common pt and sheās making jokes of about end of life. I do not believe she is serious about doing anything and they have their daughter and husband as caregivers right now. Sheās moving in August and voiced stress about this. I just needed to notify you due to some medications she has started taking may affect thisā. The drs office called her and said āhey just got a call from your PT at ______ location. Heard youāre pretty suicidal right now. Whatās been happening?ā Iām pretty pissed at them for how they handled this and called me out for it. She came in yelling at me and said I embarrassed her. Very understandable. I was able to calm her down and get her to continue working with me but I just wanted to rant about how unprofessional some offices are.
Kaiser PTs on strike, thoughts? seeing people calling it greedy since we are already being paid so much
Current Kaiser PT and I am going to admit that we make more than most of our outpatient counterparts. I have been seeing online that it is greedy of us asking for more money when we are 30 sometimes 50% earning more compared to our counterparts outside of Kaiser. I do sense resentment that we are making more compared to those who are definitely being taken advantage of, like PT mills and other places. But on the flipside, this is what profession is striving for. Something (NOT APTA) that is fighting for increasing our wages and finally being paid what our degrees are worth. What are your thoughts?
So many posts taken down
This sub has become almost unusable. Any post that isnāt complaining or the same question asked over and over again gets taken down. Itās like the only thing allowed are posts complaining about how horrible the profession is or new grad advice. Legitimate topics like questions about practice acts or other providers asking about PT scope get taken down. Whatās the purpose of this sub anymore? Iām sure this post will be taken down for some made up rule or called medical advice. Edit: this post got me banned. Ironic. Since I canāt respond to a mod slandering me. This is absolutely untrue. If you donāt like me fine. But donāt ban someone then slander them. Be an adult. āHe wasnāt banned for sharing his opinion, he was banned for being an asshole dozens of times and going through two separate temp bans as warnings to get him to stop, and still not doing it. He routinely calls people that disagree with him here bitches, clowns, mentally unwell, etc and refuses to abide by the sub rules.ā u/aspiringhumandorito If Iām so out of control why did it take me asking a simple question to get banned? It doesnāt add up. Just a reddit mod on a power trip. Maybe you deserve a ban for your current behavior. Youāre in violation of the sub rules.
Burnt out
Just need to vent. I am 12+ years into my PT career, outpatient ortho, and pelvic floor for the last 5. I am so tired. Just weary on a deep, soul level, of being there for, empathizing, supporting, caring, encouraging, coaching patient after patient after patient. I am most distressed that I have no emotional energy left for my own family. Is this career supposed to suck this much??? I have loved this work but I'm socially exhausted. Edit: After many prayers, tears, and discussions with my spouse, I have decided to leave my job. I'm very thankful to have accepted another offer and I will be returning back to general outpatient ortho and take an indefinite break from pelvic health. I love the specialty but I've realized I cannot be a pelvic health therapist on a traditional outpatient ortho schedule. My managers have been so amazingly supportive but all the things we've done to improve my work sanity are getting destroyed by my company being bought out and the new regime demanding more productivity. Our big boss thinks we can see 4 patients an hour. I fear they will turn this place into a patient mill, and turn my amazing manager into a stressed out micro-manager. But I have the option to leave. So I am leaving. My hope is to eventually start my own small cash-pay, high quality, holistic wellness and pelvic health PT service, where I can treat patients in a way that helps them optimally AND allows me to be sane and healthy. For now, this new job will be 1:1 general PT, three 10 hour days. I'm praying it will give me a much less emotionally demanding job and let me decompress and recover from burn out. Thank you all for such an outpouring of support and understanding!
Not a PT - Just a Thank you & gratitude!
Iām not a PT but a PT has changed the trajectory of my dadās recovery and life so I wanted to just send an encouraging thank you to this profession. On September 7th, my mom woke up to find my dad not breathing and without a pulse. She immediately called 911, and the dispatcher walked her through performing CPR until the ambulance arrived. On the way to the hospital, the EMTs were able to resuscitate him with CPR and epinephrine, since he wasnāt shockable due to the lack of pulse. He was intubated immediately upon arrival and remained unresponsive, so they began targeted temperature management (cooling and rewarming) to help preserve brain and organ function. After 72 hours, he woke up and recognized me and my mom, and had movement on his left side, but not his right. A CT scan revealed that, on top of the cardiac arrest, he had suffered a brainstem stroke. He spent 13 days in the ICU and was later transferred to the stroke unit, where he began physical, occupational, and speech therapy. His speech, swallowing, and cognition came back pretty quickly, but he was still very weak from both the stroke paralysis and being bedridden for nearly a month. During this time, the case manager applied for acute rehab. At first, he wasnāt approved because he was too weak. But one of the PTAs working with him asked one of the main rehab PTs to come evaluate him. Despite needing significant assistance, he was able to tolerate 45 minutes of activity. That PT became his biggest advocate, and thanks to her pushing for him, he was approved for acute rehab. Now heās making amazing progress, went from struggling to stand with assistance and now is down to minimal assistance with standing and transfers, and currently learning to walk again with a walker, and as of yesterday a cane! This experience has completely changed how I see physical therapy. The compassion, advocacy, and belief that PTs have in their patientsā potential truly changes lives. Seeing how much of a difference itās made for my dad has even made me consider a career change into this field, to help others the way these incredible professionals helped him. So this is really just a thank you to all the PTs, PTAs, and OTs, who look at the whole picture, who believe in recovery even when the odds seem stacked against someone. You donāt just help people heal, you give them hope and quality of life back.
Physician Perspective - DPT Didn't Go Far Enough
Hi all, interested in your thoughts on this. From the outside looking in, it seems like the pre DPT program was either a tough Masters or a short doctorate. PT leadership then made a small extension to call it a doctoral program, but, in doing so increased student loans without any commensurate increase in privileges or scope of practice. From the physician perspective, it seems one could debate if it was a 'cart before the horse' attempt to facilitate lobbying for those vs arguing it's a better representation of the rigor of the program, similar to a JD. Other countries, however, continue to have safe, effective, and (by all appearances) equivalent care given by Bachelors or Masters trained PTs, while in the US PTs now have more student debt and criminally low reimbursement rates (in many cases). Have PTs ever discussed basically extending the DPT further while also keeping a Masters PT. \- MPT: prior program - 2 or 2.5 years to become a Physical Therapist \- DPT: a 4 year + 2 year post graduate training period with a deeper dive into physiology, pathophysiology, pharmacology, imaging, sports medicine and rehab medicine alongside clinical clerkships and post-graduate work analogous to physician residency, where afterward PTs would work in a role similar to a Sports Medicine Physician or Physiatrist depending on their clinical track, with more privileges (imaging, prescription, etc). More in keeping with what optometrists have done relative to ophthalmology (eye doctor vs eye surgeon; it would be PT MSK doctor vs MSK surgeon). With that, they would have a higher salary (eg +$150k). Clearly as a physician one wouldn't think me to be arguing for non-physician scope expansion, but if I try to be objective from the outside looking in I thought of that approach and it made sense to me, so I was curious on PTs thoughts. As it stands it seems like the DPT approach neither improves upon prior PT outcomes (correct me if I'm wrong) nor has it supported scope expansion or better reimbursement.
Student Loans borrowers defense claim now that DPT is a graduate degree not a professional degree
I saw that based on the new Dept of Ed negotiated rulemaking they are defining what are āprofessionalā degrees and what are āgraduate degreesā and are setting loan caps based on these definitions. PT as of now is being considered a graduate degree and this falls under the lower loan caps of 100k total for program. I saw an argument was made that this may be enough for a borrowers defense claim as we were sold a professional degree as a DPT but the government is now classifying it differently. Thoughts?
Am I crazy to ditch my 250k/yr tech job to pursue DPT
Hi first of all, Iām really seriously considering this, so please be kind and open minded to hear this. I graduated undergraduate with business major and I have been in the field of business at quite reputable places for about 15 years now. Iām now turning 40 years old in a few months. I have been so burnt out and unfulfilled from my tech sales job, so 5 years ago, I got certified as Pilates teacher and I have been enjoying teaching in person on the weekends. Now I feel like I want to help people recover from pain, rehab and I feel like as a Pilates teacher, my knowledge is too short to offer right hypothesis⦠I have been thinking of DPT schools but my friends family and even my PTās say that itās too much effort for too little money. In my humble opinion, well trained PTās are God sent gifts to humanity, who can directly improve the quality of life for clients.. I know Iām not too young, but if I invest 3 years to become DPT and I can do the work I enjoy until the rest of my life, Iād be happy. I have thought about DPT, PTA,ā¦.. not sure what other paths and options are. I sure am passionate about learning more so I can help people heal from pain. Could you please give me some advice? . *** A lot of you are saying noā¦.thank you⦠What CAN I do then? To help clients more? Please recommend studies š
Is PT school supposed to be this terrible?
Does PT school really suck this bad or am I just in the wrong profession? I am almost done with my first year of physical therapy school and I hate it. I hate every second of it. I hate every class, I am not having any fun. I just want to know if this is a normal feeling for anybody whoās currently in or went through a DPT program or am I in the wrong place?
What do you wish was allowed in the scope of DPT practice?
Fellow PTA here with a bachelorās in health management, who decided going into $100,000 dollars of debt didnāt make sense for the ROI and limited scope for a doctorate degree compared to other doctorate degrees in medicine. Here are things that personally would have made my decision easier to be a DPT: 1. Direct billing with no required referral/orders from a provider to initiate a therapy evaluation or receive reimbursement. 2. Ability to order DME and imaging directly through insurance. 3. DPT expertise alone should be enough for insurance authorization (most insurance companies still require referral for authorization or PCP for appeal process with peer to peer). 4. Built in curriculum to be able to read diagnostic imaging (related to MKS) and make diagnosis, referrals to ortho, and plan of care based on this information. Would love to hear more what you wish would be a part of the scope of practice for DPT.
Picking X-ray/MRI tech over Doctor of Physical Therapy
I just finished a bachelors in Health Science with a concentration in Allied Health and got accepted to UConn DPT. Is it backwards and stupid to pick a 2 year X-Ray program and eventually train into MRI over Physical Therapy? Reasons I did this: 1. COST PT program I got accepted to in Connecticut starts at 100k in tuition alone and thatās not even considering the cost of living loans I need to take out if I am not able to work. The X ray program is less than 30k altogether and I think I would be able to work a lot more considering I have 24 of the required 77 program credits to graduate. 2. PAY (As of May 2023 in Connecticut) According to the BLS: DPT make between 75k and 130k. X-ray techs make between 57k and 110k MRI techs make between 74k and 119k Itās really disappointing to see that a doctorate degree in healthcare caps at 130k 3. Current Living Situation I currently live with my fiancĆ© and obviously have bills we need to pay. Most PT students I know either take out loans, have rich parents, or are single. UPDATE I ended going the X ray route. I have also learned that I can teach in a radiography program after 2 years of clinical experience. It makes me feel a little better about getting my bachelors out of my way.
Can we get a monthly income/student debt thread going here.
I make 45 an hour as a 2nd yr DPT. My pay/loan ratio is $5,637/$1,654 a month after taxes and withholdings. Health insurance through wife's company.
If the ROI wasnāt so terrible for a DPT degree in the USā¦
If the ROI wasnāt as terrible as it is right now for a DPT degree in the US, and say you graduated with very little to none or at least much less debt, would you still choose it as a career and think itās worth pursuing? Do you enjoy the work and all other aspects of the career?
Reclassification as "nonprofessional"
Is anyone else concerned about the implications of the reclassification for DPT and other front-line healthcare workers? Yes, on the surface, its all about student loans, and I've seen the argument that its a push to drive tuition down, but I see it as something a bit deeper than that. Schools aren't going to drop their tuition rates. Sure, they may offer additional financial aid and scholarships but that's being pretty hopeful. I see application rates dropping due to financial concerns, and due to that, acceptance standards dropping as well just to keep programs alive. On another front, we have the ever-present battle for fair reimbursement from Medicare and commercial providers, which we all know has been plummeting for years and shows little sign of getting any better. With the reclassification, insurance companies can very easily look at us and say that if we're not professionals, then why reimburse as if we are? Reimbursement rates plummet, which worsens the cascade of lower salaries and increased caseload just for companies to stay afloat. All of this to say, I think we're headed for really tough times ahead. I'm hoping I'm wrong about this, but its really hard not to see the writing on the wall.
Everyone I know seems to halt their DPT career.
Shirt background one me. I work as a personal trainer for people with Parkinsonās disease right now and I love it. The place I work could be a little more organized, but it's a small group of us and we do our best to keep everything running smooth. I want to become a DPT because I feel like it would be very similar to what I do, I still get to help people daily, and it helps that it would pay a lot more. I have had at least 3 people tell me that they or a friend has stopped trying to go to school for Physical therapy recently. I am just starting my journey toward DPT and it's a little discouraging if I am being honest. I came on here for a little insight as to why this might be true. The complaints I mostly hear are "the tuition is too much." "It wasn't what I expected it to be, so I dropped out" and "it's way too competitive." Don't all doctorate degrees have steep tuition costs? What would you expect from physical therapy beside physical therapy without even competing the program? Yeah, it's competitive but most schools are. Did you do everything you could to get in? Maybe I just came on here to vent my frustrations a bit as well š¤ Thanks for your time āŗļø
Missing Physical Therapy
Iām a DPT who left the field and went into another very lucrative field. That being said, Iāve been doing this job 3.5 years and feel like Iām crawling out of my skin. I feel like Iāve got golden handcuffs. I drive at minimum 3-4 hours a day, at minimum. I am up and on the road at 515 am every single day, and Iām so sick of feeling like I have zero life outside of work. Prior to this, I tried everything in PT from a setting perspective. I even owned my own business and thrived at it. It was my absolute dream and for reasons outside of my control due to COVID, I had to shut it down. I really grew to love owning my own business when I did, but I had someone that did the bookkeeping/billing/insurance side of it and felt totally micromanaged ALL the time. Iām talking calls at 10:30 at night. Emails or texts at 2:30 in the morning. You name it. Iām not sure why this person was like this, but I really felt it ruined the entire experience for me of being a business owner. After this, I left the field and didnāt come back. Iām trying to sort out why Iām feeling this pull back to PT, why Iām wanting to get out of this career Iāve been in for the past 3.5 years and have excelled very well at, and it seems to come down to a number of factors. 1. Freedom of time. I really miss my mornings OR being home at a decent time at night. I work 10-12 hour shifts at minimum 3-4 days a week. When I owned my own PT business, I worked a ton but loved it because it was my own business. 2. Micromanagement. I seem to really hate being micromanaged. I also just quite honestly hate working for other people. Iāve never been great at taking direction and smell narcissistic, toxic behavior from a mile away and have found that a lot of very, very successful business people have narcissistic tendencies and are also very micromanagey. 3. Complete Ownership/Entrepreneurship. Although I owned my business, I didnāt really have anything to do with the billing process or anything along those lines. I donāt think I got to truthfully run my business the way I personally would have run it, and felt things were cut short business wise because of COVID, living in a VHCOL area and suffering financially after trying to make the business work for so long once things shut down. 4. Quality of life. I canāt remember the last time I worked out twice or three times in a week, meal prepped, or felt great about myself from a mental or physical standpoint. I have gained 20 pounds and feel like a total SLUG. Iām not obese by any means, but Iām afraid if I keep down this road, Iāll continue to self sabotage. Iām also never, ever home during the day and donāt have a way to heat up lunch or meal prep because of the nature of the job Iām in. Anyways, I guess Iām coming here to say, the grass isnāt always greener on the other side, even if youāre making 2-3x what you were as a PT. Iāve still got my license and keep up on it, and Iām seriously considering getting back into it as my own business owner, building this out on the side until I get to a point where I can go full time with it. If anyone has any words of encouragement or thoughts, Iād love to hear them. Thanks for coming to my TED talk. Also, sorry for not sharing the field of work Iām in, Iād like to stay as anonymous as possible, respectfully.
Phasing out PT techs
My company phased them out just before Covid bc people abuse them and they are a liability for fraud. Wondering if youāve noticed your companies phasing them out or not. Iām curious! I used to be a tech and now that Iām a DPT Iām scratching my head at why I was allowed to do stuff without a license lol. Obviously no shade to techs ofc youāre just trying to earn a living and get experience! Just interested in what people think š I wonder if this will end up on that IG page for discussion too lol
What is the debt of a DPT ACTUALLY like?
Hello, i'm in undergrad and deciding if I want to pursue either PT or PTA school. I'm leaning towards PT but i'm turned off by the debt and income ratio. not as worried about the income but the debt seems to be absurd. can a DPT please tell me what it's actually like living/surviving/budgeting with being around $90-200k in debt. like are you constantly financially stressed, or do you find it manageable? have you ever needed to put other life paths on hold for years in order to pay off debt (like buying home, building family, weddings, or other big life purchases or events). i seem to be drawn to PT as a career but i told myself i will never put myself into a lot of debt since ive grown up seeing my parents & siblings struggle financially due to their debt. so it's a big thing for me not wanting the stress and anxiety of being in that much debt.
Oregon PTs/PTAs - help needed!
I hope this is okay to post here! Thereās a bill in the Oregon Senate right now that would expand our practice act for the first time in 20 years. It includes: -protecting our DPT designation so that only doctors of physical therapy can use it (and not ādynamic personal trainersā) -allows us to order DME -allows us to sign off on disabled parking permits -finally includes dry needling into our practice act -allows PTs to use sonography for PT purposes without having to get an additional license These provisions would bring the scope or PT/PTA in Oregon into this era and improve access to care for lots of Oregonians. Unsurprisingly, the acupuncturists have gotten wind and flooded the zone with opposition letters, calling us āunskilledā, āunqualifiedā and āa danger to patient safetyā should we finally be allowed to offer a treatment modality thatās currently offered (safely) in 46 other states. Read the text of the bill here. So we need people (PTās, PTAās, even patients) to submit supportive written testimony for the hearing that takes place Tuesday May 6th. Itās super easy; you can find the link to submit in the overview of the bill that I posted above. If youād like already written templates for PTās and PTAās as well as patients, DM me and I can share a Google Drive link with resources. Thank you!
When are we finally going to Step up?
Iāve never posted here before but I read all posts. I own my own cash practice. I hyper socialized, I love it, makes being a PT worth it. I usually donāt complain about stuff because Iāve learned that with the PT/insurance landscape, it is what it is (this why Iām cash based). Long story long, I saw this ad on TikTok and I think I finally have to do something. I remember the āDPTā lifetime stuff a while ago and hadnāt thought of it until this video. The fact itās an ad and they are blatantly acting like PTs while not being PTs (they turned their comments off as well). I like this profession, I respect anyone who going through school and grinds through the career to help people. What can I/we do to finally put a stop to the Dynamic Personal Trainer nonsense and help give this profession the respect it deserves?
Hiring and deciding on salary - whatās your current salary and experience (years, continuing ed, etc)
I own a concierge physical therapy and functional fitness company in Boca Raton. Aiming to add my first DPT hire to the team and trying to get a gauge on a competitive salary range so as to hire by end of year. Please provide your location, years working, continuing ed, and current salary. What would be a salary range that if you saw, youād jump on right away? What platforms have you used, or know someone who has used, to find a job? Thank you in advance! UPDATE: Thank you for all your responses! Seems like a good place to start is 96k starting salary with incentives like 5k bonus if maintain full caseload by end of year. Plus offering 3-5% growth each year in addition to bonuses and benefits. Assuming full caseload is 30 sessions (hour long) per week with 1-on-1 care, does this sound pretty fair to you?
Is post-surgical scar massage for adhesion management evidence-based?
TL;DR, my question: see post title. Context for question: I'm a patient recovering from an abdominal surgery similar to a c-section. I am doing post-operative PT under the care of a DPT professional who I trust, focused about 90% on rebuilding core strength and function and 10% on scar tissue manual mobilization and nerve desensitization. To be clear: I am NOT seeking medical advice. Rather, I am trying to understand the PT field's **professional consensus around scar tissue massage / mobilization for post-surgical adhesion outcomes.** Additional background is that I mentioned to a close friend of mine who is a pediatric surgeon at a top US-based university hospital that I was doing scar massage as a part of my rehab for my surgical incision. I inquired if she had done it for hers, as she'd herself personally had two c-section births in the past two years. She had NO idea what I was talking about, and she routinely performs abdominal surgery on children ... and has the same abdominal incision herself. She had never even heard of scar massage. I'm wondering if this is a case of "surgeons not knowing anything about rehabilitation" (obviously quite common) or if scar massage / mobilization is just voodoo magic that feels nice but doesn't do much. Or something in between. My surgeon friend's total lack of knowledge here made me wonder about how evidence-based this scar massage practice might be. I'm a scientist, but in another field completely, and I know that I don't have the knowledge to determine which research journals are considered high quality in the domain of physical therapy and rehabilitation when conducting a literature review. I thought the community here might have some insight and perhaps high quality citations, or understanding if there's a gap here. Thanks. I think this doesn't break the community rules as I am not asking for medical advice and am already working with a professional PT. EDIT: I found three studies in the *Journal of Women's and Pelvic Health Physical Therapy,* all of which are great and relevant. This was after DPT-flaired user "Nature\_and\_Nurture" suggested this was a best-in-class journal for research in this domain. None were mentioned by the AI "Open Evidence" system. You can find the references in the comment thread below. [https://www.reddit.com/r/physicaltherapy/comments/1plwa89/comment/ntwcmgv/](https://www.reddit.com/r/physicaltherapy/comments/1plwa89/comment/ntwcmgv/)
Working as a tech makes me second guess going into pt
As the title suggests I am currently a tech and after working in clinic I am not sure pt is for me. Physical therapy was not my first choice of profession but I thought it would be a good fit, because I was originally studied athletic training. I have loved working with patients and seeing improvement between all the clients I've worked with in the past 6 months. However Iāve felt so much stress from the physical therapists. I am directly under my clinical director and mainly told to listen to him for my day to day tasks. Numerous times he has me treating all 3 of his patients some hours so he can get caught up on notes. This is on top of cleaning up around the clinic, doing laundry, and even handling front desk activities. This has caused other clinicians to critique me and tell me I am not doing enough for them. I am constantly cleaning up after people but they are so focused on finishing their notes to notice anything I do for them. (I donāt want recognition i just want them to get off my back for ānot helping them enoughā.) I feel like I am spread so thin here without any respect from my colleagues. All the people working here seem so stressed and overworked. My boss wants me to move to full time because we treat anywhere from 12-18 patients an hour and I am the only tech in the region. I am so underpaid and I wanted a raise and they told me they only offer 3% raises (an extra .30/hour.) I hear pts talking about being underpaid and for the stress they feel I understand the burn out. I decided to skip dpt apps this year because I am so conflicted. I am know debating pta school, but I am wondering if pta is any less stressful. I want to work in rehab and help people in such a physical way but I am scared to death I will be miserable and in so much debt if I choose this route. Did anyone else feel this way before choosing to continue their education? Do I try to explore other routes or just jump in to schooling because I love the actual patient care part of the job?
Does anyone actually like their job as a DPT?
I am a single mom looking to go after my dreams again. I have been a personal trainer for years but my ex took away all of my freedom to continue school or even to work. So now that I finally had to courage to leave - I got a training job again and I want to go back to school. Iāve been going back and forth between MD or DPT program. I know I hear about the horrible debt to income ratio. That none of it is worth it and all that. But is there anyone that is actually satisfied with their career?
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