[Maria]

I don't know anything about addiction programs where you are located though in the US they are often in house and have very strict rules so there may be no time for the physiotherapy. The other thing is that many in house addiction programs here in the US besides having strict rules have many meetings and activities plus chores the participant is supposed to be involved in so depending on where your brother is at with his rehabilitation (physical) I don't know if that too would be difficult for him or even problematic re increasing pain and maybe not getting the needed physical therapy he needs.

I personally would say to allow him to go thru with his PT as best able and maybe address the addiction problem after that. Also is he interested in addressing the addiction problem? If he is on prescription pain meds and not abusing them rather just taking them as prescribed I don't consider that an addiction.

If he's not benefiting from his PT or really doing anything with his recovery on that level plus drinking, taking recreational drugs, and/or prescription meds and wants help then it may be beneficial to get him into a program if he's willing to participate.

If he's experiencing high levels of pain and that's why he's doing drugs,drinking etc and not in a good Pain Management program I'd see about getting him into the latter if possible.

Wishing your brother better days with less pain and a good recovery all the way around and good luck helping him out. It's great that you're there and supportive! Hang in there!