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Author Topic: How Much PT is too much??  (Read 2125 times)

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Offline FindnNemo91

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How Much PT is too much??
« on: April 19, 2007, 11:01:48 PM »
I was just recently diagnosed with chondromalacia, ITBFS, and generalized ligament laxity. The doctor ordered PT 3 times a week for 3 weeks. Is that to much, because i have heard from many people that it is way too much. He also told me to do 3 sets of 40 leg lifts everyday, but i can barely do 4 or 5 at a time.
any advice???

thanks,
jak
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

  ~United States Army~
Wheeled Vehicle Mechanic

trainwreck

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Re: How Much PT is too much??
« Reply #1 on: April 19, 2007, 11:14:46 PM »
I wouldn't worry until you see your PT.  They should know what they are doing and won't push you farther than you can handle if they are reputable.  My Pt always tells me pain means I am pushing too hard. Discomfort it ok but it is not about being the toughest.  When I was lifting weight and building muscle the theory always was one day on one day off.  I assume your doctor wants you to build muscle hence three times a week is reasonable.  It isn't fun but must be done.  I hope you love your therapist like I love mine.  If you don't look for a different one.  You need a good relationship with them and to be able to trust them.
Allison

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #2 on: April 20, 2007, 02:15:57 AM »
The exercises that i was told to do are very painful. i have to wear a brace everyday, because my knee feels very unstable without it and usually has pain on the inside. (left knee)

I am soooo confused. my parents are urging me to do the exercises, but they are so painful to do. are 4 or 5 a couple times a day, worth anything or not?

Thanks for anything,
Jacqui
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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Offline Garnet

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Re: How Much PT is too much??
« Reply #3 on: April 20, 2007, 02:45:12 AM »
JACQUI,

I HAVE HAD EXTENSIVE PHYSIO AND SURGERY AND I AM COMING UP FOR A TKR.  MY QUADS ARE WEAK FROM A LONG TERM DISLOCATION OF THE PATELLA AND MY LAST SURGERY. I HAVE CONTINUALLY EXERCISED BUT THEY WEAK BECAUSE OF THE TYPE OF OPERATION I HAD TO HAVE.  MY OS AND PHYSIOS HAVE ALL SAID WHEN IT COMES TO DOING YOUR EXERCISES IF THEY HURT REALLY BAD THEY ARE NOT GIVING YOU ANY BENEFIT AT ALL BECAUSE YOUR QUAD OR WHATEVER MUSCLE YOU ARE USING SWITCHES OFF BECAUSE OF THE PAIN.  THIS ADVICE IS FROM WELL QUALIFIED PEOPLE IN THIS PART OF MY COUNTRY. A KNEE BRACE WORN ON A KNEE THAT FEELS UNSTABLE CAN CAUSE MORE MUSCLE WASTAGE (ATROPHY).  I HAVE BEEN TOLD IT IS BETTER TO DO WHAT YOU CAN DO, STOP AND DO SOME MORE LATER. EVEN IF YOU JUST PULL YOUR TOES BACK TOWARDS YOUR FACE AND SQUEEZE THOSE QUADS AND VMO WITHOUT LIFTING THAT WILL BENEFIT YOU. THAT IS WHAT I HAD TO DO BEFORE MY LAST OPERATION.  DO NOT LIFT YOUR LEG HIGH, YOU MAYBE DOING THEM WRONG TO HURT YOU, YOUR PHYSIO WILL KNOW.  BUT I KNOW AT THE MOMENT I AM SUPPOSE TO FIT IN 200 A DAY BECAUSE I AM WEAK AND HAVE TO GO BACK FOR SURGERY.  IT IS IMPORTANT I AM STRONG FOR MY RECOVERY.  YOU REALLY NEED TO SEE AN OS.  YOUR KNEECAP COULD BE DISLOCATED, MINE WAS AND I LEFT IT LIKE THAT FOR A LONG TIME AND REALLY WORSENED MY CONDITION.

GET GOOD ADVICE FROM YOUR PHYSIO, AND NO YOUR PHYSIO EXERCISES SHOULD NOT BE VERY PAINFUL.

TAKE CARE
WYN
Lt TKR July 07
Lt thinning of patella,osteotomy, periosteal graft,
hole in patella,loss of cartilage Oct 06
Lt lateral patella release/chondroplasty Feb 06
Rt shoulder acromioplasty
Back injury,disc bulges,one degenerated
Hip bursitis
Cortisone lt knee,lt hip,rt sacrolliac joint,2 rt shoulder

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #4 on: April 20, 2007, 04:34:54 AM »
So should i stop wearing the brace everyday to prevent from wearing out my muscles and breaking them down? Am i relying too much on the brace?

Thanks,
Jacqui
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

  ~United States Army~
Wheeled Vehicle Mechanic

Offline Nettan

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Re: How Much PT is too much??
« Reply #5 on: April 20, 2007, 06:50:45 AM »
Jacqui, what does your OS say about the brace ? How much benefit do you have from the brace when you walk ? Can you walk without the brace without haveing a knee that dislocates ?
When will you start phys ? Even a small amount of exercises will help you in the long run.
Surgery 6 times left knee torn meniscus, RSDS,chondromalacia, nervdamage cause constant nervpain,chronic inflamm.
Spinaldamage wheeler 100%.
Right knee damaged aug-06, use brace surgery 4/9-07.LCL tear.

Offline ATsoccergirl

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Re: How Much PT is too much??
« Reply #6 on: April 20, 2007, 02:55:31 PM »
Jacqui-

It's a common misconception that wearing a brace can make your leg weaker, this is simply not true.  Braces do change how your muscles activate so intially your muscles may fatique sooner than normal.  This is temporary and has nothing to do with the actual musclar strength. 

What type of brace do you have?  In general, if you are more comfortable in the brace, by all means where it.  Also, where is your ligament laxity at, is it around the knee cap or the stabilizing ligaments of the tibial/femoral articulation.  I would wait on starting any exercise until you see your PT.  Most physicians don't have a very good idea of what exercises should be perscribed and have no idea how to instruct the patients to do them properly. 
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #7 on: April 20, 2007, 04:36:42 PM »
I have not been to an orthopedist yet, but my doctor says that i shouldn't need to wear a brace. A different doctor said that the brace that i have (wasnt falling apart at the time, is fine)  I just have a $20 cheap hinged one from Walmart. I don't know where the lax problem is but i don't even think that I have it because one of the main symptoms is flexibility and I don't have it. I am the least flexible person in the world. It says that most can easily put their hand on the ground without bending at the waist but I am about 4 inches from touching my toes. NO WHERE CLOSE!!! I need to know what kind of brace that I need, or would be good for me. If u dont know my problems they r: ITBFS, generalized ligament laxity, and Chondromalacia.

Thanks You Soooooooooooo Much,
Jacqui
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

  ~United States Army~
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Offline ATsoccergirl

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Re: How Much PT is too much??
« Reply #8 on: April 20, 2007, 05:09:06 PM »
Asking your PT about the brace would be your best bet.  The recommendations would be completely different depending on where the ligament laxity supposidely is.
1999 LR, 2002 ACL/PLC recon, reversal of LR, 2004 ACL revision, 2006 Car accident torn PCL and small fractures resulting in bone chips in my knee.  Torn MCL 3 times.  Wicked screws under IT band and Pes Anserine.  June 2008-Hip Arthroscopy.

Offline Garnet

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Re: How Much PT is too much??
« Reply #9 on: April 21, 2007, 12:27:03 PM »
SORRY EVERYONE, BUT JACQUI NEEDS TO BE AT AN OS FOR HER ADVICE. IF YOU ARE HAVING TROUBLE WITH A COUPLE OF LEG LIFTS THEN SOMETHING IS REALLY WRONG. TEMPORARILY YOU MAY NEED A PATELLA SUPPORT BRACE BUT REALLY YOU NEED GOOD ADVICE FROM A SPECIALIST AND THEN PHYSIO TO LOOK AT YOU.

TAKE CARE WYN
Lt TKR July 07
Lt thinning of patella,osteotomy, periosteal graft,
hole in patella,loss of cartilage Oct 06
Lt lateral patella release/chondroplasty Feb 06
Rt shoulder acromioplasty
Back injury,disc bulges,one degenerated
Hip bursitis
Cortisone lt knee,lt hip,rt sacrolliac joint,2 rt shoulder

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #10 on: April 22, 2007, 12:22:03 AM »
They just cant seem to find something that is REALLY wrong. They say it hurts from all these minor problems, but i know that something is wrong. My MRI showed up "fine", but some people say that an MRI cant show everything. The first doctor that I went to said from an xray that my patella was higher than normal but then the people at the MRI place said that it wasn't and that everything was fine. I am starting to have pain in my calf, something like a clothespin on my muscles (not a charlie horse) or veins or nerves or tendons or something. My insurance is so screwed up that I cant go to an orthopedist or a specialist, barely even the PT place or my doctor. (for anyone that is wondering i live in Oregon right now)

Thanks for all the responses and I would like to receive some more,

Jacqui
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

  ~United States Army~
Wheeled Vehicle Mechanic

Offline Garnet

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Re: How Much PT is too much??
« Reply #11 on: April 22, 2007, 04:01:32 AM »
Hi Jacqui,

Sorry nothing seems to be working out for you right now.  I know just through not walking properly my calf gets pain off and on.  I really do not know what you can do about the cost of an orthopaedic specialist, I am in Australia and I think we maybe a bit more fortunate.  I have private insurance which is costly, but makes it easier to see my own OS straight away and get surgery quickly.  But still we have to borrow money for my upcoming knee replacement, but the government here does pay towards some of it and my private insurance.  If like in your case you can go through the public system but we have a waiting list, so if in pain you have to grin and bear it for a long while.  But if you are suffering they try and bring your appointments or surgery forward, and this is all free.
I do not know how it happens over there, but thought you may be able to see someone that wont charge a lot.  Your really need that specialist.  Hopefully nothing is too wrong for you and it will go away.  My husband had a bad knee at one stage, it was swollen and really painful. He rested it , had x rays, it did show wear and tear because he is 58 nearly, but in a couple of months it was back to normal.  He did not wear a brace, he was just careful of his activities.  I do not trust people who read x rays and mris a lot, the only ones to do that properly are the orthopaedic specialists.  I have had my knee and back read wrong and reported wrong and the OS read it differently.  Even with my breast cancer that is still a ? at the moment, I had a lot of different radiologists and specialists give different opinions.  Thankfully seeing others for more opinions allows me to feel better in myself that I am in good hands.

Take care Wyn
Lt TKR July 07
Lt thinning of patella,osteotomy, periosteal graft,
hole in patella,loss of cartilage Oct 06
Lt lateral patella release/chondroplasty Feb 06
Rt shoulder acromioplasty
Back injury,disc bulges,one degenerated
Hip bursitis
Cortisone lt knee,lt hip,rt sacrolliac joint,2 rt shoulder

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #12 on: April 22, 2007, 05:24:18 AM »
How long should i wait, with my knees until i consider surgery? I have had knee pain for about 8 years and it is starting to wear me out. It constantly hurts and I dont know what to do. My parents are urging me to do the exercises that the doctor, not ortho, told me to do, but are painful and hard to do because of that. Is "bad" knees a hereditary condition? My dad also has bad knees, and i am just wondering if he passed them to me or if it is from the sports.

Thanks for EVERYTHING!!!
Jacqui
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

  ~United States Army~
Wheeled Vehicle Mechanic

Offline Garnet

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Re: How Much PT is too much??
« Reply #13 on: April 22, 2007, 10:28:12 PM »
Hi Jacqui,

I may have missed it somewhere, but how old are you?  My father has bad knees and so did his mother (and hips), I seem to have other conditions that I know are inheredited from my father's side of the family. In some cases it is just coincidental, or from your sports and an accident.  I think mine is from sport, hard work and a fall I ignored on my bad knee, it just can be all those to take into consideration my OS said. My so called good knee has arthritis now, the pain is very minimal, but you can hear the crepitus, so my OS said it has chondromalacia quite bad.  We are not worrying about that for now.

You really need to see a specialist and he will tell you if you need surgery, if your knee condition continues like this it will make your recovery harder, and what could be a simple surgery now may become a more complicated one if you do not get yourself looked at by a specialist.  I ignored my pain until it was quite sickening after I had the first surgery and kept working (I work in commercial kitchens), and ended up wrecking my knee altogether.  I am now having a knee replacement at 46.  My specialist said it is not all my fault it would have probably happened eventually but now it is happening earlier.

As I said before to you, have it looked at by an expert.

Hugs Wyn
Lt TKR July 07
Lt thinning of patella,osteotomy, periosteal graft,
hole in patella,loss of cartilage Oct 06
Lt lateral patella release/chondroplasty Feb 06
Rt shoulder acromioplasty
Back injury,disc bulges,one degenerated
Hip bursitis
Cortisone lt knee,lt hip,rt sacrolliac joint,2 rt shoulder

Offline FindnNemo91

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Re: How Much PT is too much??
« Reply #14 on: April 23, 2007, 02:07:19 AM »
I feel like I am 50, but I am only 15 years old.
TTT/Lateral Release/Chondroplasty: May 15th, 2009
Brostrom Reconstruction: Oct 16th, 2009

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