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Old 11-18-2015, 09:29 PM   #41
TheSutterDynasty
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Quote:
Originally Posted by cracher View Post
You know what? My bad, I'll own this one. According to Alberta's Health Professions Act, PT can diagnose here. This is not the case across Canada. They are not listed in the CHA, but it seems to be administered on a province to province basis.

Edit: But to my understanding, not all PT can order imaging. So how does that work? An ankle is not easy to figure out clinically, rads is your best friend in this area.
Thanks for being humble. And thanks for contributing to these threads! It's nice to hear from someone on your side.

Physios can order imaging after 5 years of practice and an imaging course (take one in school as well). Before that it's just a quick visit to the GP and off they go. From what I've seen (and maybe it's quite different from what you've seen), imaging is almost entirely prognostic. Tibialis posterior tendinopathy vs tear? Treat it the same, one just takes longer. Oftentimes the imaging is just for confirmation, we can usually get a really good idea from the clinical picture, and it's very helpful if the patient realizes why the timeline is what it is. My clinic is very subscribed to the idea the imaging is often overused and can mislead the patient into a fear of movement.
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