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anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/17/2009 4:01 PM (GMT -7)   
 Hi friends, I went to PT today. I didn't do anything different,just walked on the treadmill in the water. That really is neat. At first, I didn't realize the difference it would make. Now I know it makes a big difference. It is much easier to do than to just walk down the street. As she raises the platform( I don't really know what you call that)out of the water, you feel the pain more so as it goes up higher and higher. Anyway, I explained about the dr appt yesterday. I explained that he wanted pt to tell me the do's and don'ts, as they were the ones w/ me more than he is. She just looked at me and kinda shrugged her shoulders a little. She didn't add anything to it. I did talk to her about the heating pad or ice packs to get her view on it. She said that for sudden or sharp stabbing type pain that the ice packs do better. She said that a frozen bag of peas works well b/c it conforms to where you need it. She said to do it for only 10-15 minutes. I haven't liked the feeling of ice packs. But I hear alot of you do use them. I think I will try it later. Anyway, I have one more pt session w/ her on Monday. Then on Tuesday I am to be re-evaluated w/ the other therapist to see where I stand now. Then I have the dr.appt (ortho) on Friday. I guess then, I'll find out more. I assume more PT will be needed. I guess I can ask the other therapist to answer the questions. He seems to be more on the personality, knowledge area than she is. I saw him the 1st time. I guess he is overseeing my case. Anyway, I couldn't walk any faster today. She tries to increase the speed each time a little. I couldn't do it faster today. It stayed at the 1.3 setting. I guess that is mph, I saw it on the screen. Maybe I can do better on Monday.
Anice

skeye
Veteran Member


Date Joined Mar 2008
Total Posts : 2976
   Posted 6/17/2009 7:33 PM (GMT -7)   
Hi Anice,

Good job with your PT! Water PT is definitely a lot harder on your body than you might think, or even notice while you are doing it, but be careful, because you'll probably feel it that night! It does sound like a great way for you to start off your PT, though! It can really increase your ROM, flexibility, & functionality. If your PT can't answer the questions about what you can & cannot do, please give your doctor a call & speak with him again. I think that it is ridiculous that he wouldn't answer the question for you in the first place. Yes, the PT's spend more time with you, but he is the surgeon. He is in charge. He is the one that tells the PT's what they can & can't do with you, so he certainly should be able to tell you what you are/are not allowed to do X weeks after surgery. You may be free to do most things to your comfort level, at this point, or you may not. Either way, you need to get a solid answer to your question. I hope you aren't hurting too much tonight!

Skeye

fatherjohn
Veteran Member


Date Joined Feb 2009
Total Posts : 999
   Posted 6/17/2009 7:34 PM (GMT -7)   
Sounds like your visit was not too bad. I remember the PT telling me not to try and be an over achiever by doing things to fast, too many or to pus too hard. They told me to look for small increases instead of large ones. As before, try and keep up at home with what they give you to do. I asked a PT one time what the most difficult part of his job was. I was surprised. He said it was patients who don't follow through but expect to get the results. It makes since. Keep hanging in there.

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/17/2009 9:06 PM (GMT -7)   
I do notice an increase in pain in the evening after PT. I guess that is all part of it. I don't think I am doing to much there. It hasn't helped yet, but I just think I need more sessions and more time before I notice a difference. My hips and buttocks and lower back are all screaming at me loudly tonight!! My evening walk was rather short. I could only do 15 min. that time. I was just hurting too much, and couldn't go as far as usual. I was by myself and decided to turn around and head home instead of getting stuck down the street alone! It will get better. I have had a busy week. PT Monday, Dr.appt Tuesday and PT again today. I can rest tomorrow if I need to and take it easy so I'll feel a little better.
Anice

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/17/2009 9:06 PM (GMT -7)   
I do notice an increase in pain in the evening after PT. I guess that is all part of it. I don't think I am doing to much there. It hasn't helped yet, but I just think I need more sessions and more time before I notice a difference. My hips and buttocks and lower back are all screaming at me loudly tonight!! My evening walk was rather short. I could only do 15 min. that time. I was just hurting too much, and couldn't go as far as usual. I was by myself and decided to turn around and head home instead of getting stuck down the street alone! It will get better. I have had a busy week. PT Monday, Dr.appt Tuesday and PT again today. I can rest tomorrow if I need to and take it easy so I'll feel a little better.
Anice

golitho
Veteran Member


Date Joined Sep 2008
Total Posts : 1670
   Posted 6/17/2009 9:37 PM (GMT -7)   
I hurt more too but also feel that this is good for me. I am in a class of about 10 people in the pool, athough she gives me slightly different exercises, I can really feel my legs having to push against the water. I have 12 sessions left so I am hopeful it will ultimately help my mobility in my hips and help decrease my back pain. We can only try, Anice, best wishes, golitho.

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/17/2009 10:55 PM (GMT -7)   
Anice,
Remember the PT is working your body, so it's possible that your PT might advise you NOT to do more exercise on those days. If you overdo it you can keep injuring or irritating tissue instead of giving it time to heal.

I have a hunch the person you might have asked might have been an assistant or a tech, and not the physical therapist (sort of like having pharmacy techs who help the pharmacist, but have much, much less education and training!). So I would ask the questions of the person who did your initial evaluation and set up your treatment plan. If you're not seeing him/her that day, I'd ask if you could just ask them a couple of questions before you leave. Afterall, they are responsible for the service.

I do agree that your PT would know more about these things than your NS, but not necessarily the PT's assistant or tech.

Take it easy! Oh - and the ice at first is not comfortable. You have to grit your teeth through the initial cold sensations until the area numbs. Then it feels pretty good!

PaLady

bluejet2
Regular Member


Date Joined Feb 2009
Total Posts : 487
   Posted 6/18/2009 12:26 AM (GMT -7)   
Hi Anice:
 
I know this whole recovery process has been a lot harder than you ever thought it was going to be, but I just wanted to tell you that I think you are doing such a great job!!  I remember many times wishing that I could go back in time and never have had the surgery in the first place, because I had no idea how hard the recovery process was going to be on me and everyone around me, but I think you are an inspiration because as hard as it has been on you, and all of the other "stuff" you've had to deal with besides, you could have easily and understandably given up, but instead you just keep plugging along giving it all you've got.  And, on top of that, you consistantly look for opportunities to give support, advice, and encouragement to as many people as you can on this forum.
 
Keep plugging along, one baby step at a time!
 
Lorie
 
 

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 6/18/2009 1:50 AM (GMT -7)   

Anice,

Good for you at PT today. I agree with PA, the person who did your eval is the one I would discuss what the dr said. You might inquire about this person's role that shrugged her/his shoulders when you explained what the dr said to talk to them. Make sure the head person knows what your dr said so he/she is on top of your PT program.

Although you think you are not feeling the difference, yes you are, when your body starts talking to you in the evening lol. Your body is saying hey we sure did some moving around today. You just keep up the good work. Of course you will need more PT you just started. It will get better and you will get stronger. Also, if you are no totally comfortable with the one that shrugged their shoulders you can ask for a different person.

I still say no the dr really does not have a clue as to what your capabilities are as to how you are performing on a daily basis. His role was surgery and to correct the problem, then get you rehabbed. Your physical therapist will send your dr copies of your PT notes and he/she will also give the dr his/her recommendation on how much more PT is needed. Normally PT requests PT in 6 week increments. Keep up the good work.

Yes, you did right by listening to your body and cutting your evening walk short. Way to go gal. Hugs, Susie


crohns disease dx 2002 & small bowel resection, still looking for remission whatever that is, chronic pain 22 yrs, added ulcerative colitis 6-05 to the mix, high blood pressure 28 yrs, aortic heart valve insuffiency, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & decreased circulation in both legs. Too many surgeries to list and too many medications to list. Currently on 16 different daily medications. Intrathecal pain pump implanted June 05.


anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/18/2009 7:41 AM (GMT -7)   
Thank you all. I always appreciate any reply that I get. The PT lady is the one that shrugged her shoulders when I asked. I will ask the one who did the initial eval. I will see him on Tues. I still think he is the one overseeing my case. I only have seen him that one time-the 1st eval. But he is very nice and very knowledgeable. If I get moved to "land", he will be my therapist. If I have to stay in the water, then it will be still with her. She just doesn't answer many questions, or responds that I need to ask my doctor. I don't know how long she has been doing this. But I think she is the only water PT person. It almost makes me want to be moved to land to have him. I will do whatever he recommends for me to do. I'll just keep trying. That is all I can do.

Susie, thanks for being proud of me for cutting my walk short. I thought I was doing wrong at first and wimping out. But I did what you all tell me, and I listened to my body. It scared me to think that I might not be able to get back home if I didn't turn around right then!lol That would have been bad-me standing by myself, in the street, stuck b/c I couldn't move! So when I think of it that way, I guess I'm glad I did it too.
Anice

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 6/18/2009 10:33 AM (GMT -7)   
Anice,
Muscles also need recovery time after they are worked. I would really ask to speak to the PT who did your eval and ask if it's ok for you to just rest on the days you do PT. That's not asking to get out of doing the work; it's asking if that's actually better for your healing.

The woman who's overseeing the water therapy is likely following the treatment plan developed by the licensed PT. She is probably just trained in how to use the equipment, make adjustments, etc., but not to do overall evaluations. i'm glad you're seeing the other PT. Try to find out his name, so you can ask to speak briefly to him when you need to ask a question.

Keep up the good work!

PaLady

anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/18/2009 11:22 AM (GMT -7)   
PaLady, I will ask if I can/should rest on those days. It might make a difference in how I feel. I know the name of the PT. He did my 1st eval. and I am seeing him on Tues. for the re-eval. He is only there in that location on the Tues. and Thurs. and at the other location on the other days. I do think he will answer all my questions. He does seem much more knowledgeable than she is.
Anice

LLPLUV
Veteran Member


Date Joined Mar 2009
Total Posts : 1158
   Posted 6/20/2009 4:03 AM (GMT -7)   
(((((((anice))))))))

PT is NEVER easy!!!!

Laurie
39 yr young female with,
Chronic Kidney Stones, PKD (Polycystic Kidney Disease), Chronic Kidney Failure, Severe Hypertension, Urological RSD
Also CHF (Congestive Heart Failure) and Sleep Apnea
Hopefully NO MORE........ I think I have it all


anice
Veteran Member


Date Joined Apr 2009
Total Posts : 536
   Posted 6/20/2009 7:11 AM (GMT -7)   
Laurie, I am coming to find you are so right. PT isn't easy. None of this is easy. But I a determined to get myself rehabed and back to work. I am still ready and willling,just not able. But I am working on it. I have one more PT on Monday. On Tuesday, I have a re-eval with the 1st therapist to see if I have improved any and what the percentages are now. On Friday I have PM appt. at 8:15 and a f/u from the surgeon at 9:45. I guess I'll know then how much more PT is needed and when I can go back to work. I don't think it will be the 29th of this month that was said earlier. I'm just not able yet. I have quiet a ways to go. I still can't walk right. I will continue w/ PT and walking. I sure hope I do "get there". I am trying.And I won't give up or give in.
Anice
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