Ron,

First, your question implied that it would be natural to wait and see if you
gain full range of motion and, if not, should you then seek a PT or OT.
Clearly, treatment should begin as soon as you can move the joint, and
perhaps before that, depending on how your orthopod has treated your
fracture.

Your orthopod should refer you to a certified hand therapist. (Look for CHT
in the initials after the therapist's name.) This therapist can be either an
OT or a PT; either can specialize in upper extremity work, pass the CHT
exam, and become a CHT.

You can ask your doctor to make the referral, and expect it to be done. If
not, you should seek a second opinion. It is reasonable, but not all
orthopods (or physicians in general, for that matter) are aware of the
benefits of therapy for injuries such as yours.

Unfortunately, unenlightened parts of the insurance industry still will pay
for treatment by a PT, but not by an OT, so your insurance my dictate who
you should see to that degree.

Here's to full range,
Jane E. Harmon, OTR


-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED] Behalf Of
Ron Carson
Sent: Friday, February 28, 2003 5:46 PM
To: [EMAIL PROTECTED]
Subject: Treatment for a Fractured Elbow


Hello All:

Last  weekend,  I  fractured my elbow. The orthopedic doctor said that I
may not regain full ROM of the joint. Here is a question that I struggle
with.

If I don't regain full ROM, should I see an OT or a PT?

Thanks,

Ron

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