In Praise of Physical Therapy 
Physical Therapy has been a wonderful resource over many years. I have seen and worked with probably a dozen and more PTs. Many doctors do not think to prescribe PT, even when it is clearly indicated. That is likely due to not knowing their local PTs and what they offer, which is an amazing variety of skills, training and knowledge.
Apart from having worked through many small injury and postural habit-related chronic pain issues with my PTs, I have also become very knowledgeable about my body and its mechanics. These days I can share my own observations and add to the PT’s understanding of how my body works in its ideosyncratic ways.
How to choose a Physical Therapist
The best way to find a good PT is by word of mouth. I have referred dozens of friends to the three or four top PTs who have treated me. These men and women, in addition to their training, had a natural way of understanding the body. They used touch to adjust, massage and diagnose in an intuitive and very skilled way.
Find out why your friend likes their particular PT, for example a specialty in shoulders, a gentle, patient way of working and listening to you, etc.
PTs in private and group practice have sought additional training after the thorough schooling it takes to become a PT. And here is where they shine! Modalities can range from a variety of massage techniques, to Feldenkreis, Somatics, adjustments not unlike a DO’s, and many more. With the right match to your condition and your body PTs have a lot to offer.
How to evaluate if your PT is a good match
Just because a person is a PT does not mean they understand what chronic pain is about, or are able to work with you. PTs are trained in the large physical rehabilitation units in hospitals, and work primarily with getting people up and moving again. Especially PT’s who work with athletes or dancers, can be focused on performance and may not have the needed empathy to work out a program that uniquely fits you. (I am speaking from experience).
Your PT should listen carefully, and assess your particular strengths and weaknesses, as well as what works for you and what you would like to achieve. They should watch carefully and modify the exercises they give you to fit you. Be cautious about working with a physical aid, again you want a personalized program that is attuned to you. Also watch out for a PTs “pet” therapy– if it does not work well for you, she should find an approach that does fit your body.
PTs are trained to push their clients to the greatest effort they can make (think rehabilitation from injury or surgery). This may work for you, but it is detrimental for many people with chronic pain. Listen to your own body, and rather do 10% less, than too much. Being sore the next day may be OK, but hurting yourself and setting yourself back is not beneficial.
Do not hesitate to ask to see another PT in the same office or to ask for a referral to another PT. Check with your insurance first. But do not waste precious allotted time and your co-pays on therapy that does not feel right to you.