Direct Access Physical Therapy in Marlborough, Missouri
Direct access physical therapy in Marlborough, MO. On 28th of April, 2023, Missouri Governor Mike Parsons signed Senate Bill 51 into law, paving the way for individuals in Marlborough and all of Missouri to access physical therapy without a referral from a medical doctor. The new law allows Marlborough, MO patients requiring physical therapy to get the treatment they’re looking for without having to pay or wait for appointments at other healthcare providers offices.
Although Axes boasts a trusted network of medical doctor partners in Marlborough, MO we consistently work with, we also understand that direct access physical therapy breaks down many barriers for Marlborough, MO residents. Our occupational and physical therapists in Marlborough, MO have a primary objective: to get you back to the activities you love effectively and safely. We do that by applying our expertise in mobility and the musculoskeletal system to diagnose conditions hindering your function and mobility, and designing treatment plans, based on evidence, tailored to your unique situation. If you’d like to learn more about direct access physical therapy in Marlborough, MO, or wish to start on the road to getting back to what you do best today, contact us online or phone the Axes location nearest you.
What Is Direct Access Physical Therapy in Missouri?
Physical therapy has long been a cornerstone in assisting individuals recover from injuries, manage pain, and restore their regular functions. Traditionally in Missouri, the journey to physical therapy required several steps, beginning with a visit to a medical doctor. After a comprehensive evaluation of the patient’s condition, the physician would then refer them to a physical therapist, ensuring they get the right care adapted to their specific needs.
The chief reason for needing a physician referral in the past was to guarantee that patients were first evaluated by a medical doctor, confirming that physical therapy was the right treatment. However, in some cases, this meant that Marlborough, MO and Missouri residents who definitely needed physical therapy had avoidable delays in their care. Prior law also did not take into account the expertise that licensed physical therapists in Marlborough, MO offer when it comes to diagnosing musculoskeletal issues.
Enter Direct Access Physical Therapy With Missouri Senate Bill 51
The Missouri chapter of the American Physical Therapy Association had been working diligently to pass direct access physical therapy in the state for 10 years. Missouri Senate Bill 51 seeks to reduce certain barriers to physical therapy in Marlborough, 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 previous provisions that restricted 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 does not show 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:
- Is required to confer with an approved health care provider prior to continuing therapy if the patient’s condition has improved and further therapy is deemed necessary;
- Needs to provide specific information to the health care provider during this consultation;
- Shall go ahead with continued therapy based on input from the provider;
- Must inform 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 evaluating 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 takes the place of the previous provision where the Board could raise concerns about a therapist working without a prescription and direction from specific healthcare providers.
Licensed physical therapists in Marlborough, MO, like those at Axes, are authorities in the musculoskeletal system. Direct access physical therapy lets us to use our expertise to optimally serve our Marlborough, MO communities, all the while continuing our partnership with trusted medical doctors when it’s best for the patient.
Benefits of Direct Access Physical Therapy in Marlborough, MO
The general objective of direct access physical therapy is to boost accessibility to people suffering from certain conditions in Marlborough, MO and throughout Missouri. In doing so, it offers the following benefits:
- Timely intervention — Direct access allows patients to obtain care without delay. Early intervention can bring about quicker recovery and can avoid minor issues from evolving into major problems.
- Lowered 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 minimize the need for more high-priced treatments or surgeries in the future.
- Efficient 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 before starting therapy.
- Empowerment and convenience — Patients have the choice to pick their physical therapist and initiate treatment on their terms, culminating in a more patient-focused treatment philosophy.
- Decreased medication use — Physical therapy can offer pain relief and functional improvement without relying on medications, chiefly opioids or other painkillers. Direct access can thus help in decreasing reliance on medication by offering an alternative pain management solution.
- Improved outcomes — Certain studies have shown that patients who access physical therapy directly have similar or even better outcomes versus those who go through the conventional referral pathway.
- Improved patient satisfaction — Direct access physical therapy can improve patient satisfaction through lowered costs and improved patient outcomes.
- Lowered burden on primary care — Direct access can alleviate several of the demands on primary care providers, permitting them to center on patients who need their care.
What Direct Access Physical Therapy in Marlborough, MO Does NOT Mean
Although direct access physical therapy in Marlborough, MO provides a new tier of accessibility for specific patients, there can be several misconceptions about in what situations it’s fitting and who it’s fitting for. It’s crucial to clarify what direct access physical therapy does not imply:
- Not a replacement for physicians — Direct access does not imply that physical therapists are taking the place of the need for medical doctors or their expertise. Physicians and physical therapists have distinct education and experience. Although physical therapists can diagnose and treat many musculoskeletal conditions, physicians take on a vital role in identifying and treating a broad variety of medical conditions, prescribing medications, and providing specialized medical interventions.
- Not comprehensive diagnosing — Although physical therapists are trained to evaluate and diagnose problems related to movement, posture, and musculoskeletal health, they do not diagnose all health conditions. For example, if a patient comes with with symptoms that might be indicative of a more extensive issue or a condition out of the realm of 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 doesn’t lessen the importance of a joint effort among healthcare professionals. Physical therapists often work closely with physicians, sharing insights, conversing about patient progress, and figuring out the best treatment plan. This cooperative approach ensures complete care, and will still be used when necessary.
- Not a blanket solution — Each and every patient is unique, and direct access might not be appropriate for every person. Specific patients, chiefly those with complex medical backgrounds or undiagnosed symptoms, can profit from a physician’s examination ahead of starting physical therapy.
- Not neglecting red flags — If a physical therapist notices “red flags” or symptoms suggesting a more serious root cause during an assessment, they will promptly refer the patient to a medical doctor for further assessment.
- Not bypassing insurance stipulations — Although the law might sanction direct access, some insurance policies might still demand a physician’s referral for coverage.
When to Use Direct Access Physical Therapy in Marlborough, MO (and When Not to)
When to Use Direct Access Physical Therapy
Situations where direct access physical therapy in Marlborough, MO may be your top option:
- Small injuries — If you’ve gone through a recent minor injury like a sprain, muscle strain, sports injury, or a simple fall, and you’re confident about its nature and a physical therapist can reliably diagnose it, direct access can provide immediate assessment and intervention without the hassle of seeking permission from a medical doctor.
- Chronic pain treatment — For those suffering from persistent pain, especially related to musculoskeletal issues like low back pain, osteoarthritis, or repetitive stress injuries, starting with a physical therapist can provide relief and pain 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 advice and exercise regimens.
- Recurring issues — For conditions or issues you’ve faced before, such as persistent lower back pain, direct access physical therapy can help you address the problem without having to be diagnosed with the same thing 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 proper form, or even just thinking of doing a beginner running program, a physical therapist can help you optimize your fitness journey.
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 physical therapist working alongside your Marlborough, MO physician is best:
- Significant injuries — In cases of acute injuries, suspected fractures, dislocations, or other acute conditions, immediate medical attention is essential. These situations typically call for an emergency room visit or the work of a specialist.
- Complicated medical histories — For individuals with complex medical backgrounds or multiple health conditions, a physician’s diagnosis ensures that physical therapy won’t hurt the patient.
- Red flags — If you exhibit “red flag” symptoms, which might indicate a more severe underlying condition (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 vital 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 to recover strength and mobility after surgery. Pre- and post-surgery rehab requires an active collaboration between a physician and your Marlborough, MO physical therapy team.
While Axes’ Marlborough, 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 Marlborough, MO is both mandated and in the best interest of the patient.
When in doubt, you can always head 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 attack your treatment.
How to Get Started With Direct Access Physical Therapy in Marlborough, MO
If you’re looking for direct access physical therapy in Marlborough, MO, Axes offers a variety of services that can help you get you back to the things you most enjoy. Here’s how you can get started with Axes today:
- Check with your insurance — While Missouri law now allows direct access physical therapy, certain insurance carriers in Marlborough, MO still require a physician referral for coverage, so check your insurance about their terms and conditions. Don’t have insurance? Direct access physical therapy isn’t covered? Axes offers reasonable cash-based options that will offer 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 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 in your initial assessment with your Marlborough, MO physical therapist. Wear loose 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 personalized based on your individual goals, and are based on reliable, scientifically-backed treatment methods. Your Axes physical therapist in Marlborough, MO will form a team with you (and, if needed, your physician) with the common goal of getting you back to the activities you love.
Other services we offer in Marlborough, MO include:
- Neck Pain Treatment
- 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

Get in Touch With Axes for Your Direct Access Physical Therapy in Marlborough, MO Today
No matter if you want to get back to your favorite sport, want to start a new workout routine, or just want to be able to play with your grandkids without pain, don’t let anything stand in the way of getting back to the things you love doing most. With our blend of knowledge, compassion, and cutting-edge technologies, your journey to a better, more capable you is in the reliable hands of our professional Marlborough, 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.








