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Author Topic: How to make the best use of physical therapy  (Read 567 times)

Offline pinkstripes

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How to make the best use of physical therapy
« on: June 21, 2012, 04:49:18 PM »
Long story short: I fractured my right patella on March 31. Had ORIF surgery on 4/10. My patella fractured in 3 main pieces. I only have/needed one screw to hold it all together. No wires. I was told to weight bare as tolerated and wore an immobilizer/brace for 4 weeks.

My ROM at 4 weeks was 70 degrees. On May 14 I started physical therapy at 80 degrees ROM. At the last of my 8 sessions on 6/12 I was 130 degrees. In between, I started going back to my spin/group cycle classes, would walk a fair distance (occasionally a mile or so), got married and was able to walk down the aisle  :), returned to work, started driving again, and attended TRX/circuit training classes where I would do squats and other leg work.

Swelling has gone down significantly. I don't really have pain (only when I've been sitting funny for a while). My quad is still smaller than my good leg, but the difference isn't as significant.

My physical therapist requested and my doctor/insurance  approved me for 8 more sessions to "strengthen and challenge" me. It's not costing me anything to keep going other than my time. My problem is that by the mid/end of the last series of appointments I was bored out of my mind. I didn't find PT painful or hard (maybe because my ROM was good right off the bat? Or because of minimal hardware?).

What can I say to the physical therapist to make sure it's a good use of my time? I want to get back to running. I'm a long distance runner. I can go up stairs normally (although it's a bit hard) and can go downstairs normally if i concentrate. It feels a bit weird though.


3/31/12: right patella fracture
4/10/12: ORIF
5/7/12: Cleared for PT; ROM 70 degrees; brace discontinued
5/14/12: PT Started; ROM 80
6/12/12: ROM 130

Offline maryc

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Re: How to make the best use of physical therapy
« Reply #1 on: June 21, 2012, 09:48:22 PM »
Discuss with your therapist what he will be doing to strengthen and challenge you.  What goals is he setting and why?  Specifically address the issue of running and how this therapy will assist you in getting to your goal.
8/4/07 fell
8/5 diagnosed TPF
8/6 surgery plate and 6 screws
8/12 out of hospital NWM
8/21 staples removed
9/18 OS appt - WBAT with crutches
10/10 - WBAT with cane
10/27 - back to work w/cane
12/26 - no cane, slight limp when tired
1/25/08 - released from PT, no limp
2/3/09 - Released by OS

Offline Rollerblader

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Re: How to make the best use of physical therapy
« Reply #2 on: June 22, 2012, 02:58:55 AM »
WOW!!! Pinky, you've made great progress!  Congrats!  So happy to hear everything went well at the wedding.  Sounds like you are on your way...  I second what Mary said about the PT.  you might ask your PT why he/she wants to continue with PT another 8 sessions.  It would be nice to find out what he/she thinks you need to improve on.  My PT wanted to start reducing time because I'd met her goals and they do not want me to become dependent on them.  They want you to develop your own exercise program so you won't need them.  It sounds like you are definitely doing that.  Hopefully your PT can made good use of your time and push you and help you reach your goals along with theirs.  :). One thing that is not hard and it's boring, but it's really good for you is working on balance to strengthen your VMO muscles.  I still need to work in mine!

Take Care Newlywed!

RB
7/26/11-broke patella ORIF 2 scr, fig 8 wire, FWB, fract elbow: pl w/10 scr
8/3/11-Leg IM brace, arm cast
8/11/11-hinges fully on brace, cast rem arm
9/15/11-7wk ckup, ROM 35
9/26/11-MUA knee and elbow, 3 screws rem elbow
10/20/11-ROM 99 able to drive
12/1/11-ROM 145 rel from PT

Offline LindaM

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Re: How to make the best use of physical therapy
« Reply #3 on: June 22, 2012, 06:29:23 PM »
Great progress! 

Just checking, how is your gait right now?  If you learned to limp before your surgery upon may still be walking unevenly.  This would be a good thing to address with your PT.  It took months for me to walk evenly after my first PKR but continuing to limp would have put extra stress on both knees.  The extra months of boring exercise was really worth it.  you might want to space out your appointments ao your Pt can continue to monitor your long term recovery.

linda :)
>20 yrs. osteo and inflammatory arthritis, fibromyalgia
meniscus repair Sept. 2009
right PKR June 2010
left PKR Feb. 2012

 














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