Method

A patient with orthopedic complaints can visit FWA in two ways.
On own initiative (DTF);
With a referral from a general practitioner or specialist.

In both cases, we always start with an intake. During this intake, the physiotherapist collects all necessary information about the complaint and the request for help. Two things are central here:

What can the patient not do now?
But does he/she want to be able to do it again?

With DTF, a screening is also done; if red flags are found, the patient is sent back to the GP.

After the intake, a physical examination takes place. In this investigation, the complaint is extensively examined and tested. After listening, we can make a correct diagnosis and draw up a suitable treatment plan in consultation with the patient. If there is any doubt about the diagnosis, there is the option to have an internal ultrasound made. For X-rays or MRI, we refer you back to your GP with an accompanying letter requesting medical imaging.

Consult medical specialist
If you suspect that a consultation with a medical specialist/orthopedist is necessary, this is also done in the same way via your GP. As physiotherapists, we are not allowed to refer directly to a specialist or provide advice on medication. Naturally, everything is done in consultation and with the patient’s approval

When a patient comes to the practice with a referral from the specialist, the examination focuses on what the current status is and what needs to be worked on to achieve improvement. The patient often has all kinds of questions about recovery (what is allowed, what is not allowed, etc.), which we try to answer and advise on.

The treatment plan is linked to the request for help; Does anyone want to be able to run a marathon again? or is performing daily activities most important? The physio advises whether the request for help is realistic and feasible. An important question is often ‘how long will it take?’. A time indication is given so that the patient knows what to take into account. It is also very important to coordinate expectations between patient and physiotherapist in order to start a good treatment process.

During each treatment you will be asked how things are going and interim evaluations will take place to ensure a good recovery. If the physiotherapist has doubts or if there is no improvement, it may be decided that the physiotherapist will contact the GP or treating specialist directly for collegial consultation. After listening, the treatment plan can be adjusted or referred back to the GP/specialist.

When all treatment goals have been achieved and the patient can move as desired again, the treatment process is concluded.