Physical Therapy & Rehab
Therapy tied to a measured return-to-duty timeline
Overview
Physical Therapy & Rehab for federal and state claims
Therapy only helps a claim when the notes show measured progress against a duty target. Our therapy plans state the functional goal, the expected timeline, and what the worker can do at each stage.
Authorized therapy that produces narrative notes without numbers is the most common source of open-ended claims. An adjuster asked to extend a course of care has nothing to approve, and a supervisor has nothing to schedule around.
Every plan of care we write begins with the duty target taken from the job description — the lift, the reach, the stand-time, the climb — and then states where the worker is against that target today. Progress is recorded as measured range of motion, strength grade and tolerance, at defined intervals.
When progress plateaus, we say so and change the plan rather than repeating visits. That candor is what keeps authorization moving on the files that do need more time.
Scope of service
What's included
- Post-injury and post-operative rehabilitation
- Work conditioning and functional progression
- Objective range-of-motion and strength measurement at intervals
- Home program instruction in plain language
- Progress notes written for the claim file, not just the chart
- Discharge summary with residual restrictions stated clearly
What therapy covers
- Manual therapy and joint mobilization
- Therapeutic exercise and progressive strengthening
- Post-operative protocols coordinated with the surgeon
- Work conditioning built around actual job tasks
- Body mechanics and lifting technique retraining
- Modalities for pain and swelling control as adjuncts
- Home exercise programs the worker can actually follow
What gets measured
- Range of motion in degrees, by joint
- Strength grade and, where relevant, dynamometry
- Safe lift capacity at floor, waist and overhead
- Standing, sitting, walking and reaching tolerance
- Pain response to graded activity, not pain alone
- Progress against the essential functions of the job
How it works
From referral to closure
1. Duty target defined
We take the physical demands from the job description and set them as the discharge goal, so therapy is aimed at a job rather than at generic normal values.
2. Baseline measurement
Initial evaluation records numeric baselines for motion, strength and tolerance, plus the current restriction set.
3. Authorized course of care
The requested visit count, frequency and expected duration are stated up front with clinical justification — for federal claims through OWCP authorization, for state claims through the employer, insurer or TPA.
4. Interval re-measurement
Numbers are re-taken on a set schedule and compared to baseline. Restrictions are loosened as measurements support it, not on a calendar.
5. Graded duty advancement
As tolerance improves, we issue an updated restriction set so the employer can advance the modified-duty schedule mid-course instead of waiting for discharge.
6. Discharge with residuals stated
Discharge summary states final measurements, whether the duty target was met, and any permanent residual restriction in plain terms.
Documentation you receive
- Plan of care with visit count, frequency and functional goal
- Numeric baseline and interval re-measurement notes
- Updated restriction sets as capability changes
- Authorization requests with clinical justification attached
- Home program documentation given to the worker
- Discharge summary with residual restrictions
Why safety managers and TPAs use us
- Therapy authorization decisions backed by numbers, not narrative
- Restriction updates mid-course so modified duty can advance
- Plateaus flagged early instead of after twenty visits
- Work conditioning aimed at your actual job tasks
- Discharge documentation that closes the duty question cleanly
Federal and state rules
Federal therapy courses require OWCP authorization, which we request with the clinical justification attached. State-side therapy is authorized through the employer, insurer or TPA before the first session.
Questions
Physical Therapy & Rehab: frequently asked questions
By location
Physical Therapy & Rehab near you
Physical Therapy & Rehab in Kansas City, MO
Kansas City patients get physical therapy in the same building as their treating provider, which matters when restrictions need to change mid-course. Our therapy team progresses patients against the physical demands of the job they are returning to — a 70-pound lift on a dock is a different goal than a seated inspection role.
Kansas City detailsPhysical Therapy & Rehab in St. Louis, MO
Therapy at the Bayless Avenue clinic is delivered by the same team that reports back on the claim, so progress and restrictions stay in sync. Programs are built around the demands of St. Louis jobs — patient handling in a hospital, repeated lifting in a warehouse, ladder and overhead work in the trades.
St. Louis detailsRelated services