How do I ask my Physical Therapist for a letter to help me get my BR surgery?

I would not hesitate to ask, and explain the toll that your breasts have caused you. I suspect he or she will be very sympathetic. Most physical therapists are quite supportive of patients who suffer from disproportionately large and heavy breasts having a breast reduction procedure. They frequently have treated patients with large breasts and are well aware of the biomechanical problems that large breasts cause women. Good luck!

If you are nervous about seeking a referral from your physical therapist you should be reassured that you are probably not the only one who has asked him/her for this referral. If you are very uncomfortable doing this, you can always take the route of going through an evaluation by a plastic surgeon for reduction, and in their preauthorization letter to your insurance company they can just mention that you are seeing a physical therapist for your back/neck pain related to large, heavy breasts. Often this is all the documentation that is needed, and if your insurance company wants an actual letter from your therapist you can reconsider asking again then. 

I would ask your therapist if they feel that reducing the size of your breasts would make your physical therapy more effective. More than likely, they will agree and encourage you to undergo a breast reduction, as it may be the most beneficial thing you could do to help with your back, neck and shoulder pain. Sometimes the therapists are hesitant to suggest the surgery. If they feel it would be helpful, all they need to do is write a letter giving their opinion that a breast reduction would be helpful with your therapy and is not being done for cosmetic reasons.

Thank you for the question. Given your situation and relationship with your physical therapist, I do not think that you have anything to worry about. Simply ask him/her for a letter supporting you. Also, prepared to be persistent when dealing with health insurance companies; keep in mind, as you go through the process, that breast reduction surgery tends to be one of the most patient pleasing operations we perform. Best wishes.

It is very unlikely that your physical therapist is unfamiliar with your situation and has treated may just like you. Letters of support for breast reduction are a very common request and we feel you should have no problem getting what you need.