Patient Information Resources

Centre for Orthopaedics
Suite 10-33/34/35 Mount Elizabeth Novena Specialist Centre
38 Irrawaddy Road
Singapore, 329563, Singapore
Ph: (65) 6684 5828
Fax: (65) 6684 5829

Child Orthopedics
Pain Management
Spine - Cervical
Spine - General
Spine - Lumbar
Spine - Thoracic

View Web RX

« Back

My doctor tells me they can now predict which patients with neck pain are likely to get better with physical therapy and who won't improve. Since I was referred to PT, I assume I'm one who is likely to benefit. What is this decision based on?

With the increasing costs of all aspects of medical treatment, patient referral to physical therapy (PT) and other health services must be based on evidence of positive results. Predicting which patients can benefit from PT is the focus of numerous studies.

There are several factors that have been consistently identified by many researchers as predictors of results. Patients with one or more of these predictive factors are at increased risk for treatment failure. These include manual labor, severe pain intensity, and neck pain lasting more than three months.

A new study from England has added two more factors that may be even more reliable than these items already listed. Low expectations of treatment and catastrophizing most of the time have now been placed at the top of the list of predictive factors for poor outcome.

Patients who catastrophize describe their pain in emotional terms. They use words like torturing, dreadful, or terrible to describe their symptoms. They are more likely to report that the pain is killing me. Or they declare they will never get better--ever.


« Back

*Disclaimer:*The information contained herein is compiled from a variety of sources. It may not be complete or timely. It does not cover all diseases, physical conditions, ailments or treatments. The information should NOT be used in place of visit with your healthcare provider, nor should you disregard the advice of your health care provider because of any information you read in this topic.

All content provided by eORTHOPOD® is a registered trademark of Mosaic Medical Group, L.L.C.. Content is the sole property of Mosaic Medical Group, LLC and used herein by permission.