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KNEEgeeks
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The REHAB DEPARTMENT
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Soft Tissue Healing Problems - Arthrofibrosis
(Moderators:
The KNEEguru
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ACIMod
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Searching for PT in Southern NH or Greater Boston Area
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Topic: Searching for PT in Southern NH or Greater Boston Area (Read 767 times)
K8te
MINIgeek (20-50 posts)
Posts: 26
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Searching for PT in Southern NH or Greater Boston Area
«
on:
February 09, 2009, 01:04:18 PM »
I'm looking for a competent PT skilled and knowledgable with artrhofibrosis. I've been working with well meaning therapists but the more I read, the more I realize they may have done more harm than good. Any advice or recommendations will be appreciated.
Thanks
Kate
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plantgeek58
SuperKNEEgeek
Posts: 1358
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Re: Searching for PT in Southern NH or Greater Boston Area
«
Reply #1 on:
February 19, 2009, 12:27:34 AM »
Hi Kate,
I live in southern NH, and have been working with a great therapist from Exeter Athleticare at Exeter Hospital. I don't know what her personal experience with arthro is, but I've found her to be more knowledgeable than the average PT. I emailed her asking if she knew where you could get the information you need and got this response back today:
"So, to answer your question, although most PT's should be competent to treat this diagnosis a good manual/hands on orthopedic PT would be my suggestion. Depending on where she lives she could call clinics close to her and ask specifically if anyone has any advanced orthopedic manual skills specifically with the knee. The question would be how long she has had this problem for...whether it's a result of a post-op surgery, etc... With arthrofibrosis you end up with dense scar tissue which after a certain period of time can be very difficult to treat and some surgeons (depending on the patient) will end up doing a manipulation to break up the fibrous tissue and then immediately send to PT. If she has a significant flexion contracture and it's been a significant period of time then she should first get herself to a good orthopedic surgeon to see if she's at the point of needing a manipulation. In this area- Dr. McGovern (Exeter) and Dr.King (Portsmouth) would be my suggestions. A PT could also try dynamic splinting if needed, but again, it may not be helpful if the scar tissue is too scarred down/dense."
Hope this is helpful. It sounds like she's somewhat familiar with the problem. Let me know if you'd like her name.
Terre
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RK 7/04 part. m. menisc., plica resect., MF
3/05 part. m. menisc., open OATS
1/07 part l. menisc., MF, patellar chondroplasty
9/08 MF
LK 11/04 & 8/06 part m. menisc.
7/07 LR, patellar tendon debrid., part m. menisc.
ghost
SuperKNEEgeek
Posts: 908
Liked: 0
left knee
Re: Searching for PT in Southern NH or Greater Boston Area
«
Reply #2 on:
February 19, 2009, 08:16:43 AM »
Hi Kate,
I'm in Southern NH and have a great pt that I could recommend as well. Very hands on and orthopedic certified. Studied out of the country after getting his degree to learn more manual therapy and has done wonders in breaking up my scar tissue. But like Terre said you may need manipulation to break it up first and then go staight into pt although I think a good pt would be able to tell you if they don't feel that they can help without further intervention. At least my pt told me that. If you'd like his name let me know.
Sue
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rt k med meniscus 1983
rt k lat meniscus 2001
lft k med meniscus 12/07
lft knee medial meniscus 6/08 with chondroplasty & debridement of the suprapatella pouch
lft knee trochlear groove MFX 12/2/08 with chondroplasty and debridement of the suprapatella pouch
7/31/09 trochlear groove resurfacing
K8te
MINIgeek (20-50 posts)
Posts: 26
Liked: 0
Re: Searching for PT in Southern NH or Greater Boston Area
«
Reply #3 on:
February 20, 2009, 03:30:51 PM »
Thank you both for your responses. Yes, any further information would be great. I have an appointment with Dr. Gill in April. Have any of you seen him?
I started working with a PT in MA who specializes in aqua therapy. It's very soothing and relaxes my entire leg. I've had some cracking in me knee which I suspect is scar tissue. I met with her in her office for "land therapy" too. She did a deep tissue message which felt good too. She is wondering about RSD since my calf now has a shiny appearance to it. I don't have the pain that you would expect with that. She's out of pocket now since she's out of network. Not sure I'll be able to endure that for too long. I would like the names of recommended therapists if you have them.
Thanks again for your response.
kate
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ghost
SuperKNEEgeek
Posts: 908
Liked: 0
left knee
Re: Searching for PT in Southern NH or Greater Boston Area
«
Reply #4 on:
February 20, 2009, 06:56:31 PM »
Hi Kate,
Dr. Gill did microfracture surgery on my trochlear groove on December 2nd so I'm about 12 weeks post surgery at this point. I like him and his office very much. I think he is one of the top surgeons in the area and he specializes in joint preservation with a concentration on knees and shoulders. They've been great about calling right back when I leave a message or have a question. Not sure at this point that the surgery is going to do everything we had hoped but it was my next shot. If it doesn't work I lined up to see Dr. Minas at Brigham and Women's in June to see about an ACI. Dr. Gill and his staff do not perform ACI but they are the ones who told me that would be my next step and they recommended I get on Dr. Minas schedule just in case. In MFX the surgery is only successful about 75 to 80% of the time and only with smaller defects in the range of 2 - 4 millimeters with the top fringes being 7 millimeters. My defect is called a grade 4 lesion which goes down to the bone and is 15 millimeters, about twice the size of the max for success. It's still early in the recovery so I've got some time before I need to think about another surgery. For the moment lets just say I'm not going to appear on Dancing with the Stars anytime soon.
The PT I go to and trust very much is Mark Collins. Mark owns Goffstown Physical Therapy and their number is 603-497-8717. He's got a real knack for the deep tissue massage as well.
Sue
Logged
rt k med meniscus 1983
rt k lat meniscus 2001
lft k med meniscus 12/07
lft knee medial meniscus 6/08 with chondroplasty & debridement of the suprapatella pouch
lft knee trochlear groove MFX 12/2/08 with chondroplasty and debridement of the suprapatella pouch
7/31/09 trochlear groove resurfacing
plantgeek58
SuperKNEEgeek
Posts: 1358
Liked: 0
Re: Searching for PT in Southern NH or Greater Boston Area
«
Reply #5 on:
February 20, 2009, 09:52:09 PM »
Kate,
my therapist is Sharon Dockham Scott. She works at Exeter Athleticare, adjacent to Exeter Hospital.
Terre
Logged
RK 7/04 part. m. menisc., plica resect., MF
3/05 part. m. menisc., open OATS
1/07 part l. menisc., MF, patellar chondroplasty
9/08 MF
LK 11/04 & 8/06 part m. menisc.
7/07 LR, patellar tendon debrid., part m. menisc.
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KNEEgeeks
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The REHAB DEPARTMENT
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Soft Tissue Healing Problems - Arthrofibrosis
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ACIMod
) »
Searching for PT in Southern NH or Greater Boston Area
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