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Sell2518d Asked October 2020

Mother is scheduled for hip surgery and prescribed PT, but refuses to go to PT. Will Medicare still pay for surgery with her refusing PT?

Wondering if Medicare will pay for the surgery etc. since she is refusing to go to physical therapy that was prescribed.

Mysteryshopper Oct 2020
Do you know the reasons she does not want PT? If it's fearfulness, I can understand that. I was once in a horrible PT situation where therapist wrote that I was non-compliant because there were certain exercises I literally could NOT do. She was trying to force me to do them. (I was recovering from a long-standing injury and muscles were atrophied). My surgeon read her the riot act and I did continue with a different therapist for a while, but I'd be reluctant to ever go back for any reason based on my experience with the first one. Some do have bad experiences with therapy or they have unrealistic expectations in the first place and then form the opinion that the whole thing was a waste. The other thing with PT is that success can be a huge thing, but it depends on the patient being able and willing to practice the exercises between sessions and to continue with exercises after the formal therapy ends. Many are not willing or able to do that and/or they lack a support system to do so.

pamzimmrrt Oct 2020
She is refusing to "go" to PT? Can you have PT come to her at her/your house? This is what we do for Mom when she needs it,, not as helpful I will admit but better than nothing!

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lealonnie1 Oct 2020
I had a full hip replacement in 2017 and no PT was prescribed. Only walking several times per day, increasing in duration, for the recuperation period of 3 weeks, first using a walker, then a cane, then nothing. I'd encourage this form of treatment for your mother as well, and as long as she's ambulatory, she should be fine. PT isn't the be all and end all for everyone all the time, as some think it is. My mother has had extensive PT for years now and hasn't had one iota of improvement with her leg issues at all.

AlvaDeer Oct 2020
Yes, they will. Her recovery may not be as good for certain. They will likely have her go to SNF after her surgery, where again she may or may not be cooperative. It is there that they may refuse are after a certain amount of time working with rehab PT. Try to encourage her all you can. It makes SUCH a difference.

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