What is Integrative Physical Therapy? Understanding Treatment, Benefits & Expert Care
- Dr. David Didlake, DPT
- Sep 14, 2023
- 5 min read
Updated: Jan 12
Introduction
Physical therapy (PT) is a vital healthcare profession that helps people of all ages recover from injury, manage chronic pain, and improve their movement and quality of life. But there are many misconceptions about what physical therapy is and what physical therapists do. Did you know that in all 50 states, you can see a physical therapist without a physician referral? And that the average physical therapy doctoral program is highly competitive, with an acceptance rate around 10%? In this article, we'll clarify what physical therapy is, what physical therapists really do, and why seeing a PT should be part of your health and wellness journey.
*Specific provisions and limitations differ by state
In this article, we'll clarify what integrative physical therapy is, what physical therapists really do, and why seeing an integrative PT should be part of your health and wellness journey.
What is Physical Therapy?
Physical therapy is a branch of rehabilitative health that uses evidence-based techniques to restore movement, relieve pain, and promote optimal function. Physical therapists are licensed medical professionals who complete intensive doctoral programs and clinical training to diagnose and treat movement disorders and musculoskeletal conditions.
Common Misconceptions About Physical Therapy
Many people think physical therapy is just exercise, or that PTs are similar to personal trainers. While both professionals focus on movement, physical therapists have a much broader medical background and are licensed to:
Diagnose injuries and movement dysfunctions
Perform manual therapies (like joint manipulation and dry needling)
Design individualized treatment plans for complex conditions
Provide wound care, neurological rehab, and more
Physical therapy is not just about exercise—it's about restoring your ability to move and function at your best.
Do You Need a Referral for Physical Therapy?
*No, you do not need a doctor’s referral to see a physical therapist in all 50 states.
This is called ‘direct access,’ and it allows you to start treatment right away. Regulations may vary by state, so check your local laws or contact us with questions. *Specific provisions and limitations differ by state.
What Do Physical Therapists Do?
Physical therapists are movement experts who help people:
Recover from injuries and surgeries
Manage chronic pain and conditions like arthritis or back pain
Prevent injuries through movement screening and education
Improve performance in sports and daily activities
The Comprehensive Approach of Integrative Physical Therapy
In my practice, I use a holistic and integrative approach to physical therapy. This means I:
Examine and evaluate each patient to determine the root causes of dysfunction
Use a combination of hands-on techniques, therapeutic exercise, and advanced modalities
Educate patients on nutrition, hydration, and lifestyle factors that affect healing
Example:
If you come to my clinic with back pain that keeps you from playing golf, I’ll start by finding the source of your pain. This might involve a comprehensive assessment of your muscles, joints, nerves, and movement patterns. Once I identify the problem, I’ll create a personalized treatment plan to address all contributing factors.
Types of Integrative Physical Therapy Treatments
In integrative physical therapy, we use a wide range of treatments, including:
Manual therapy: Joint and soft tissue mobilization, manipulation
Electric stimulation and ultrasound therapy
Therapeutic exercise and stretching
Body tempering and scraping
Motor control and movement retraining
Each treatment is tailored to your specific diagnosis, goals, and needs.
The Integrative Physical Therapy Treatment Process: What to Expect
When you start physical therapy, here’s what you can typically expect:
Initial Evaluation: We assess your condition, medical history, and goals.
Diagnosis and Plan: We identify the root cause(s) and develop a treatment plan.
Active Treatment: This may include hands-on therapy, exercise, modalities, and education.
Progress Monitoring: We retest and adjust your plan as you progress.
Wellness and Prevention: Once you meet your goals, we focus on preventing future injuries and optimizing your health.
Integrative physical therapy is more than just a quick fix—it's a sustainable, evidence-based approach to lifelong wellness.
Why Should You Choose Integrative Physical Therapy?
With over 15 years of clinical experience and advanced training in orthopedics, golf performance, strength and conditioning, dry needling, manipulation, and diagnostic ultrasound, I am committed to helping you achieve your health and performance goals.
As an integrative physical therapist, I can:
Correctly diagnose and treat movement dysfunction
Guide you through all phases of tissue healing
Address nutritional and lifestyle barriers to recovery
Help you move with better strength, stability, and control
Screen for underlying medical conditions and refer when necessary
Most people want a quick fix for their pain. But lasting results come from expert care and a comprehensive approach—exactly what integrative physical therapy provides.
Are you struggling with pain or movement issues? Want to improve your performance and well-being?
Don’t wait—contact us today to start your journey towards optimal health with integrative physical therapy.
Here’s to your health!
Dr. David Didlake, DPT
PT, Cert. SMT/DN, CSCS, Cert. TPI Medical Level 3, Dip. Osteopractic, FAAOMPT
Owner, Integrative Therapeutics "Home of the Saint Louis Golf Doc"
Follow me @theintegrativeclinic @thestlgolfdoc
About the Author
Dr. David Didlake, PT, DPT is a fellowship trained integrative physical therapist and golf performance specialist with extensive experience in sports injury recovery, headache management, and spine related pain. He holds advanced certifications in manual therapy, dry needling, and golf performance, and as owner of Integrative Therapeutics, he is passionate about helping active adults achieve their goals safely and effectively.
Medical Disclaimer
This article is for informational purposes only and does not constitute medical advice. Always consult with a qualified healthcare provider before beginning any new treatment.
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Physical Therapy FAQ
Do I need a doctor's referral to see a physical therapist?
No, all 50 states have some form of direct access to physical therapy services, though specific regulations vary by state.
How long does physical therapy treatment typically take?
Treatment duration varies depending on your condition, but most patients see significant improvement within a few sessions.
Does insurance cover physical therapy?
Most health insurance plans cover physical therapy, though coverage details and copays vary by provider.
What's the difference between an integrative physical therapist and a chiropractor?
While both treat musculoskeletal issues, integrative physical therapists focus on movement restoration through a variety of techniques and modalities, including spinal manipulation, while chiropractors primarily focus on spinal manipulation or adjustments.
Can physical therapy help prevent injuries?
Absolutely! Physical therapists can identify movement deficiencies before they cause pain and develop preventative strategies tailored to your activities.
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