I was a WC. My 1st round of PT was ordered by the first Ortho I saw. He wanted 12 session they only approved 6. He gave me klonodin pills and something else at first but that was it. The PT reported to him.

My 2nd round of PT came when the 2nd Ortho saw some atrophy in my left thigh. He ordered 12 sessions, I was dismissed after 10. I was given lortab by him and tried Neurontin but that turned out to be a VERY bad thing for me. They reported to him on my progress, or lack thereof, that time.

The 2nd Ortho also ordered a bone scan before I even saw him. Then sent to Neuro, talked PT at me and I told him no way, no more. Brought him up to speed on what I had already been through. PT was only making me worse. He gave me pain med, ordered my one and only block, and emg and another bone scan.

I'm not sure there is any standard procedure to follow in what comes first. I would think that the doc who ordered pt is the one they report to and of course they also report to WC on what's happening.

Hugs,

Karen