Direct Access Physical Therapy in Hazelwood, Missouri
Direct access physical therapy in Hazelwood, MO. On April 28, 2023, Missouri Governor Mike Parsons signed Senate Bill 51 into law, paving the way for individuals in Hazelwood and all of Missouri to access physical therapy without needing a referral by a physician. The new law allows Hazelwood, MO patients who need physical therapy to get the treatment they’re looking for without having to pay or wait for appointments at other healthcare providers offices.
While Axes has a respected network of medical doctor partners in Hazelwood, MO that we consistently work with, we also acknowledge that direct access physical therapy breaks down many barriers for Hazelwood, MO residents. Our occupational and physical therapists in Hazelwood, MO have a singular mission: to return you to the activities you love safely and effectively. We achieve that by applying our knowledge of mobility and the musculoskeletal system to diagnose conditions limiting your function and mobility, and creating treatment plans, based on science, tailored to your unique situation. If you’d like to learn more about direct access physical therapy in Hazelwood, MO, or wish to start on the road to a healthier you today, contact us through our website or call the Axes location nearest you.
What Is Direct Access Physical Therapy in Missouri?
Physical therapy has historically been a fundamental element in helping individuals recover from injuries, handle pain, and regain their everyday functions. Traditionally in Missouri, the path to physical therapy involved several steps, beginning with a visit to a medical doctor. After a detailed evaluation of the patient’s condition, the physician would then direct them to a physical therapist, ensuring they receive the right care adapted to their specific needs.
The main reason for needing a physician referral before was to ensure that patients were first evaluated by a medical doctor, validating that physical therapy would be an effective and safe aspect of their treatment plan. However, in some cases, this meant that Hazelwood, MO and Missouri residents who definitely needed physical therapy had unnecessary delays in accessing treatment. Previous law also didn’t recognize the capabilities that licensed physical therapists in Hazelwood, 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 making efforts to pass direct access physical therapy in the state for 10 years. Missouri Senate Bill 51 seeks to eliminate certain barriers to physical therapy in Hazelwood, 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 mandated to refer patients to an approved health care provider if
- The patient’s condition is beyond the scope of physical therapy practice;
- The patient doesn’t demonstrate tangible or functional improvement within ten visits or 30 days (whichever is sooner).
- After ten visits or 30 days (whichever is sooner), a physical therapist:
- Must confer with an approved health care provider before 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 depending on input from the provider;
- Is required to 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:
- Submit complaints against a physical therapist for assessing or treating a patient not in line with the provisions of the act and current laws concerning the scope of practice for physical therapists.
- This replaces the previous provision where the Board could complain about a therapist practicing without a prescription and direction from specific healthcare providers.
Licensed physical therapists in Hazelwood, MO, like those at Axes, are specialists in the musculoskeletal system. Direct access physical therapy enables us to apply our expertise to optimally serve our Hazelwood, MO communities, all the while providing safeguards when the expertise of a medical doctor is necessary.
Benefits of Direct Access Physical Therapy in Hazelwood, MO
The general aim of direct access physical therapy is to make therapy easier to access to people impacted certain conditions in Hazelwood, MO and throughout Missouri. In doing so, it offers the following benefits:
- Timely intervention — Direct access permits patients to get care without delay. Prompt intervention can result in more rapid recovery and can avoid minor issues from morphing into major problems.
- Reduced costs — By not having to see a physician first, patients can potentially save on consultation fees, imaging tests, and other associated expenses. Furthermore, early physical therapy intervention might lower the need for more high-priced treatments or surgeries later on.
- Simplified care — Direct access lessens 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 autonomy to select their physical therapist and commence treatment on their terms, leading to a more patient-focused treatment approach.
- Reduced medication use — Physical therapy can offer pain relief and functional improvement without the need for relying on medications, particularly opioids or other painkillers. Direct access can thus help in minimizing reliance on medication by providing an alternative pain management solution.
- Improved outcomes — Some studies have shown that patients who access physical therapy directly have similar or even more favorable outcomes than those who go through the conventional referral pathway.
- Enhanced patient satisfaction — Direct access physical therapy can increase patient satisfaction through decreased costs and improved patient outcomes.
- Decreased burden on primary care — Direct access can relieve a few of the demands on primary care providers, permitting them to center on patients who need their care.
What Direct Access Physical Therapy in Hazelwood, MO Does NOT Mean
Even though direct access physical therapy in Hazelwood, MO gives a new grade of convenience for particular patients, there may be some misconceptions about when it’s appropriate and which individuals it’s appropriate for. It’s imperative to clear up what direct access physical therapy does not mean:
- Not a substitute for medical doctors — Direct access does not mean that physical therapists are taking the place of the necessity for medical doctors or their expertise. Physicians and physical therapists have distinct education and experience. Although physical therapists can assess and treat many musculoskeletal issues, physicians take on a crucial position in identifying and treating a wide range of medical conditions, prescribing medications, and providing specialized medical interventions.
- Not comprehensive diagnosing — Although physical therapists are educated to evaluate and diagnose problems associated with movement, posture, and musculoskeletal health, they do not diagnose all health conditions. As an illustration, if a patient comes with with symptoms that might be indicative of a more extensive issue or a condition not covered by a physical therapist’s scope, a physician referral is both required and in the best interest of the patient.
- Still a collaborative approach — Direct access doesn’t lessen the significance of teamwork between healthcare professionals. Physical therapists frequently work closely with physicians, exchanging insights, talking about patient progress, and determining the best treatment plan. This collaborative approach ensures comprehensive care, and will continue to be used whenever necessary.
- Not a blanket solution — Each patient is unique, and direct access might not be right for everyone. Specific patients, notably those with complex medical backgrounds or undiagnosed symptoms, can profit from a physician’s assessment before starting physical therapy.
- Not ignoring red flags — If a physical therapist identifies “red flags” or symptoms suggesting a more critical underlying condition during an examination, they will quickly refer the patient to a medical doctor for more assessment.
- Not bypassing insurance stipulations — While the law might authorize direct access, some insurance plans may still demand a physician’s referral for payment.
When to Use Direct Access Physical Therapy in Hazelwood, MO (and When Not to)
When to Use Direct Access Physical Therapy
Here are scenarios where direct access physical therapy in Hazelwood, MO could be your first choice:
- Small injuries — If you’ve experienced a recent minor injury like a sprain, muscle strain, sports injury, or a simple fall, and you’re sure about its nature and a physical therapist can correctly identify it, direct access can offer immediate assessment and intervention without the trouble of seeking a referral.
- Chronic pain treatment — For those dealing 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 trying to prevent potential injuries, whether play sports or have a labor-intensive job, direct access physical therapy allows you to consult with a physical therapist for tips and exercise routines.
- Persistent issues — For conditions or issues you’ve dealt with before, such as recurrent lower back pain, direct access physical therapy can help you address the problem without going through the process of obtaining a referral again.
- Well-being and fitness programs — If you’re aiming to maximize your fitness routine, seeking advice on safe exercises, wanting to ensure you’re using the correct techniques, or even just starting a beginner running program, a physical therapist can offer valuable insights.
When NOT to Use Direct Access Physical Therapy
Regardless of the benefits of direct access physical therapy, there are still many situations where a collaborative approach between you, your physical therapist, and your Hazelwood, MO physician is best:
- Severe or acute injuries — In cases of acute injuries, suspected fractures, dislocations, or other acute conditions, immediate medical attention is vital. These situations typically require an emergency room visit or consultation with a specialist.
- Complex medical histories — For individuals with complex medical backgrounds or multiple health conditions, a physician’s assessment 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), a medical doctor should be involved from the start.
- 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 get ready for surgery and to recover strength and mobility after surgery. Pre- and post-surgery rehab requires input from your Hazelwood, MO physician.
While Axes’ Hazelwood, 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 collaborative approach with our team and a physician in Hazelwood, MO is both necessary and leads to better patient outcomes.
When in doubt, you can always make your way to any Axes’ Physical Therapy location near you for a free injury screening, and our qualified physical therapists will be able to direct you on the best way to attack your treatment.
How to Get Started With Direct Access Physical Therapy in Hazelwood, MO
If you’re looking for direct access physical therapy in Hazelwood, MO, Axes offers numerous services that can help you get you back to the activities you most enjoy. Here’s how you can get started with Axes today:
- Verify your insurance — While Missouri law now allows direct access physical therapy, many insurance carriers in Hazelwood, MO still require a physician referral for coverage, 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 give you access to the recovery options you need to provide long-term value without hurting your wallet.
- Schedule an appointment — You can travel to any of our locations for a free injury screening and initial evaluation. This will help your physical therapist understand your needs and goals, and determine what the best path forward for your treatment is.
- Prepare for your first visit — List any issues or concerns you have so you won’t forget to mention them when you meet your Hazelwood, MO physical therapist. Wear comfortable clothing as you may do some light stretching or moderate exercise.
- Follow your treatment plan and communicate — All of our treatment plans are entirely personalized based on your unique situation, and are based on reliable, scientifically-backed treatment modalities. Your Axes physical therapist in Hazelwood, MO will form a team with you (and, if needed, your doctor) with the common goal of getting you back to the activities you love.
Other services we offer in Hazelwood, 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

Reach Out to Axes for Your Direct Access Physical Therapy in Hazelwood, MO Today
No matter if you’re itching to get back on the field, want to begin a new wellness journey, 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 things you enjoy most. With our blend of expertise, compassion, and cutting-edge technologies, your journey to a healthier, more capable you is in the safe hands of our professional Hazelwood, MO physical therapists. Don’t let pain or mobility issues keep you back any longer. Contact the Axes location nearest you or ask for an appointment online for your direct access physical therapy today.







