Direct Access Physical Therapy in Florissant, Missouri
Direct access physical therapy in Florissant, MO. On 28th of April, 2023, Missouri Governor Mike Parsons signed Senate Bill 51 into law, paving the way for individuals in Florissant and all of Missouri to access physical therapy without needing a referral by a medical doctor. The new law enables Florissant, MO patients who need physical therapy to receive the treatment they’re looking for without needing to pay or wait for appointments at other healthcare providers offices.
While Axes has a respected network of physician partners in Florissant, MO we consistently work with, we also acknowledge that direct access physical therapy breaks down many barriers for Florissant, MO residents. Our occupational and physical therapists in Florissant, MO have one goal: to get you back to the activities you love safely and effectively. We achieve that by applying our expertise in movement health and the musculoskeletal system to diagnose conditions hindering your function and mobility, and formulating treatment plans, based on evidence, tailored to your unique situation. If you’d like to learn more about direct access physical therapy in Florissant, MO, or are eager to start on the road to recovery today, contact us online or phone the Axes location nearest you.
What Is Direct Access Physical Therapy in Missouri?
Physical therapy has historically been a cornerstone in assisting individuals overcome injuries, manage pain, and restore their everyday functions. Traditionally in Missouri, the journey to physical therapy involved several steps, beginning with a visit to a medical doctor. After a detailed diagnosis of the patient’s condition, the physician would then refer them to a physical therapist, ensuring they get the right care tailored to their specific needs.
The chief reason for needing a physician referral before was to ensure that patients got an initial diagnosis from a medical doctor, confirming that physical therapy was the right treatment. However, in some cases, this meant that Florissant, MO and Missouri residents who definitely needed physical therapy had unnecessary delays in accessing treatment. Previous law also did not take into account the capabilities that licensed physical therapists in Florissant, MO offer in terms of diagnosing musculoskeletal issues.
Enter Direct Access Physical Therapy With Missouri Senate Bill 51
The Missouri chapter of the American Physical Therapy Association had been pushing hard to pass direct access physical therapy in the state for 10 years. Missouri Senate Bill 51 strives to reduce certain barriers to physical therapy in Florissant, MO. The act states:
This act modifies provisions relating to the practice of physical therapy. Under this act, physical therapists with a doctorate of physical therapy or 5 years of clinical experience may evaluate and initiate treatment on a patient without a prescription or referral from an approved health care provider. Physical therapists may provide certain educational information, fitness or wellness programs, screenings, and consultations without a prescription or referral regardless of whether a patient is symptomatic.
Other provisions of SB 51 include:
- It repeals existing provisions that limited the access to examinations and treatments directly by a physical therapist.
- Physical therapists are required to refer patients to an approved health care provider if
- The patient’s condition is outside the scope of physical therapy practice;
- The patient does not show measurable or functional improvement within ten visits or 30 days (whichever is sooner).
- After ten visits or 30 days (whichever is sooner), a physical therapist:
- Is required to consult with an approved health care provider prior to continuing therapy if the patient’s condition has improved and further therapy is considered necessary;
- Must provide specific information to the health care provider during this consultation;
- Shall proceed with continued therapy based on input from the provider;
- Must notify the provider of ongoing therapy every 10 visits or 30 days unless directed otherwise by the provider.
- The Missouri Board of Registration for the Healing Arts can:
- File complaints against a physical therapist for evaluating or treating a patient not in line with the provisions of the act and existing laws related to the scope of practice for physical therapists.
- This substitutes the former provision where the Board could complain about a therapist practicing without a prescription and direction from specific healthcare providers.
Licensed physical therapists in Florissant, MO, like those at Axes, are specialists in the musculoskeletal system. Direct access physical therapy lets us to utilize our expertise to best serve our Florissant, MO communities, while at the same time continuing our partnership with trusted medical doctors when necessary.
Benefits of Direct Access Physical Therapy in Florissant, MO
The primary aim of direct access physical therapy is to make it more accessible to people suffering from certain conditions in Florissant, MO and throughout Missouri. In doing so, it offers the following benefits:
- Prompt intervention — Direct access allows patients to obtain care without delay. Early intervention can lead to more rapid recovery and can stop minor issues from becoming major problems.
- Diminished costs — By not having to see a physician first, patients can possibly save on consultation fees, imaging tests, and other expenses. Moreover, early physical therapy intervention may lower the need for more expensive treatments or surgeries in the future.
- Simplified treatment — Direct access decreases the number of steps in the care-seeking process. Patients no longer have to book and attend a separate doctor’s appointment prior to starting therapy.
- Patient empowerment and convenience — Patients have the choice to pick their physical therapist and start treatment on their terms, leading to a more patient-centered care approach.
- Reduced medication use — Physical therapy can offer pain relief and functional improvement free from relying on medications, chiefly opioids or other painkillers. Direct access can therefore help in reducing reliance on medication by offering an alternative pain management solution.
- Enhanced outcomes — A few studies have shown that patients who use physical therapy directly have similar or even more favorable outcomes than those who go through the conventional referral pathway.
- Boosted patient satisfaction — Direct access physical therapy can improve patient satisfaction by way of diminished costs and improved patient outcomes.
- Diminished burden on primary care — Direct access can lighten some of the demands on primary care providers, enabling them to focus on patients who require their care.
What Direct Access Physical Therapy in Florissant, MO Does NOT Mean
While direct access physical therapy in Florissant, MO provides a new tier of convenience for particular patients, there can be some misconceptions about in what situations it’s right and who it’s right for. It’s crucial to clarify what direct access physical therapy does not suggest:
- Not a replacement for medical doctors — Direct access doesn’t indicate that physical therapists are taking the place of the necessity for physicians or their knowledge. Physical therapists and physicians have separate training and skill sets. While physical therapists can assess and treat many musculoskeletal problems, physicians hold a crucial position in diagnosing and treating a broad array of medical conditions, prescribing medications, and offering specialized medical interventions.
- Not comprehensive diagnosing — While physical therapists are educated to assess and diagnose issues linked to movement, posture, and musculoskeletal health, they cannot diagnose all health conditions. To illustrate, if a patient presents with symptoms that could be representative of a more wider issue or a condition beyond a physical therapist’s purview, a physician referral is both required and in the best interest of the patient.
- Still a collaborative approach — Direct access does not lessen the significance of collaboration between healthcare professionals. Physical therapists frequently work in close collaboration with physicians, sharing insights, discussing patient outcomes, and determining the best treatment plan. This collaborative approach ensures complete care, and will continue to be used when necessary.
- Not a blanket solution — Every patient is distinct, and direct access may not be right for every person. Particular patients, chiefly those with complicated medical histories or undiagnosed symptoms, can profit from a physician’s examination ahead of starting physical therapy.
- Not overlooking red flags — If a physical therapist notices “red flags” or symptoms suggesting a more grave root cause during an assessment, they will quickly refer the patient to a physician or specialist for further assessment.
- Not bypassing insurance stipulations — While the law may sanction direct access, certain insurance policies may still demand a physician’s referral for coverage.
When to Use Direct Access Physical Therapy in Florissant, MO (and When Not to)
When to Use Direct Access Physical Therapy
Instances where direct access physical therapy in Florissant, MO may be your primary option:
- Minor injuries — If you’ve gone through a recent minor injury like a sprain, muscle strain, sports injury, or a simple fall, and you’re positive about its nature and a physical therapist can accurately determine it, direct access can provide immediate assessment and intervention without the burden of seeking permission from a medical doctor.
- Chronic pain treatment — For those struggling with persistent pain, especially related to musculoskeletal issues like low back pain, osteoarthritis, or repetitive stress injuries, starting with a physical therapist can offer relief and management techniques.
- Injury prevention — If you’re aiming to prevent potential injuries, whether play sports or have a physically demanding job, direct access physical therapy enables you to consult with a physical therapist for guidance and exercise regimens.
- Recurring issues — For conditions or issues you’ve experienced before, such as recurrent lower back pain, direct access physical therapy can help you address the problem without navigating the process of obtaining a referral again.
- Wellness and fitness advice — If you’re looking to optimize your workouts, seeking advice on safe exercises, wanting to ensure you’re using proper form, or even just starting a beginner running program, a physical therapist can provide valuable insights.
When NOT to Use Direct Access Physical Therapy
Despite the improved patient outcomes that direct access physical therapy can offer, there are still many occasions where a collaborative approach between you, your physical therapist, and your Florissant, MO doctor is best:
- Significant injuries — In cases of acute trauma, suspected fractures, dislocations, or other acute conditions, immediate medical attention is imperative. These situations typically require an emergency room visit or consultation with a specialist.
- Complex medical histories — For individuals with complicated medical backgrounds or multiple health conditions, a physician’s diagnosis ensures that all aspects of their health are considered before starting physical therapy.
- Red flags — If you exhibit “red flag” symptoms, which might indicate a more serious root cause (e.g., unexplained weight loss, night sweats, persistent fever), it’s essential to consult a physician before seeking physical therapy.
- Systemic or non-musculoskeletal symptoms — If your symptoms seem to be related to systemic issues, like digestive problems or heart-related symptoms, it’s critical to first consult with a physician to rule out conditions that fall outside the scope of a physical therapist’s expertise.
- Pre/Post-surgical rehabilitation — Physical therapy is often used to help patients prepare their bodies for surgery and regain strength, range of motion, and function afterwards. Pre- and post-surgery rehab requires input from your Florissant, MO medical doctor.
While Axes’ Florissant, MO physical therapists can assist in the treatment of any conditions affecting your mobility and movement health, the above situations are examples of when a combined approach with our team and a physician in Florissant, MO is both needed and in the best interest of the patient.
When in doubt, you can always come to any Axes’ Physical Therapy location near you for a free injury screening, and our professional physical therapists will be able to direct you on the best way to approach your treatment.
How to Get Started With Direct Access Physical Therapy in Florissant, MO
If you’re looking for direct access physical therapy in Florissant, MO, Axes offers a variety of services that can help you regain strength and mobility. Here’s how you can get started with Axes today:
- Check with your insurance — While Missouri law now allows direct access physical therapy, some insurance carriers in Florissant, MO still require a physician referral if you want to be reimbursed, so check your insurance about their policies. Don’t have insurance? Direct access physical therapy isn’t covered? Axes offers reasonable cash-based options that will provide you access to the recovery options you need to get your life back without breaking the bank.
- Schedule an appointment — You can come to any of our locations for a no-risk, no-obligation injury screening and initial assessment. This will help us understand your needs and goals, and determine what the best path forward for your treatment is.
- Prepare for your first visit — Write down any issues or questions you have so you won’t forget to mention them when you meet your Florissant, MO physical therapist. Wear comfortable clothing as you may do a bit of light stretching or moderate exercise.
- Follow your treatment plan and communicate — All of our treatment plans are entirely customized based on your individual needs, and are based on reliable, scientifically-backed treatment methods. Your Axes physical therapist in Florissant, MO will form a team with you (and, if needed, your physician) with the common goal of getting you back to the activities you enjoy most.
Other services we offer in Florissant, MO include:
- Physical Therapy Clinic
- Carpal Tunnel Syndrome Treatment
- Sciatica Treatment
- Sports Medicine
- Hand Pain Physical Therapy
- Foot & Ankle Pain Treatment
- Hip Pain Treatment
- Plantar Fasciitis Treatment
- Stroke Rehabilitation
- Hip Replacement Physical Therapy

Get in Touch With Axes for Your Direct Access Physical Therapy in Florissant, MO Today
No matter if you want to get back on the court, want to start a new workout routine, or just want to be able to go about your daily life without pain, don’t let anything stand in the way of getting back to the activities you love doing most. With our blend of skills, compassion, and cutting-edge technologies, your journey to a healthier, more capable you is in the trustworthy hands of our licensed Florissant, MO physical therapists. Don’t let pain or mobility issues keep you back any longer. Call the Axes location nearest you or request an appointment through our website for your direct access physical therapy today.







