Physical Therapy

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momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2261
   Posted 4/26/2010 3:34 PM (GMT -7)   
Hi everyone
 
I don't know if I told you guys or not, but my pcp had referred me to physical therapy before I went to the PM last week.  Well,  I had my first session today.  It was hard find anything that I could do with my pain not being under control.  I have three little exercises that I can do.  I'm supposed to do them at home because I'm only going once a week due to there only being a few things I can do.  She said that next week we'll add something else to the bunch.  I was really in pain when I got home.  I don't know about the physical therapy.  I'm scared of doing it.  I'm afraid it will make things worse. 
 
I'll be glad when I get something stronger for my pain.  The Percosets are not doing anything much.  It's really hard waiting for the dr. to get the results back on the test.  I would think that she would have it by now.  I'm thinking about calling tomorrow and see if she has it yet.  I'm really sick and tired of being in so much pain. sad   I wish she would hurry up.  The Percosets will be running out on Wednesday.
 
I've decided that I am going to try and call the neurosurgeon again and talking to him about the Kyphoplasty.  I was talking to the physical therapist today about it, and she said that it would line my spine up again and it could help with my pain.  I think I'm going to have it done to see if it will help.  I just hope nothing goes wrong.  Hopefully it will help and I can get some relief.
 
I hope everyone is having a lpd and i hope you all have a lpn.  As far as me, I'm still in a lot of pain. 
 
hugs
Loretta
Dx:  ddd, spinal stenosis, bone spurs, hypothyroidism, typeII diabetes, asthma, allergies, high blood pressure, polycystic ovary syndrome, PTSD, depression, anxiety


Retired Mom
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Date Joined Feb 2010
Total Posts : 1753
   Posted 4/26/2010 3:40 PM (GMT -7)   
Oh Loretta,

I'm so sorry that you are having such a hard time!

Perhaps the PT before the PM is to "test" you a little. The PT will record everything (from the way you walk in the door to the way you get up and down from chairs/tables and how much you try when doing the exercises). All of this is used to determine your "real" pain level in addition to trying to help reduce it.

Please make sure to tell the PT exactly how the exercises are making you feel and how your pain level has increased. You can rest assured this will be passed along to the PM Dr and the PCP that referred you. In my case it actually HELPED me get my medical retirement. Perhaps it will help you get better PM treatment in the long run.

I hope your evening is better.
Retired Mom


PAlady
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Date Joined Nov 2007
Total Posts : 6795
   Posted 4/26/2010 4:15 PM (GMT -7)   
Loretta,
Was this the initial evaluation with the PT? Because those can cause more discomfort as they test various movements, etc. I always dread that and want to tell a new PT please don't do this, or do that, but they usually try. A good PT will try to offer you some heat or ice before you leave, especially if you've worked a sensitive area.

The stretches can cause discomfort, but I've also found that a stretch routine that's within reasonable limits can help keep a lot of things from getting worse. However, I've also had PT's who tried too much, too fast. So like Retiredmom says be sure to tell them how you're feeling, and if an exercise causes you a sharp pain, I'd call the PT and ask if you should still do it. Pain and discomfort are different when it comes to PT, at least based on my experience.

It's also helpful to be able to take your pain meds before a PT session, so that you don't get into a bad flare. Just communicate to the PT what you're feeling, and don't be afraid to say "no" (nicely, of course!) if something is really hurting you.

Good luck.

PaLady

Snowbunny21
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Date Joined Jan 2010
Total Posts : 3557
   Posted 4/26/2010 6:07 PM (GMT -7)   
HI Loretta,

I agree with PaLady...that the first appt. with PT is always the hardest and most painful...so continuing forward, I would suggest like others, to take your pain medicine before you do the PT...As long as they are teaching you and you do the movements correctly..you shouldn't cause yourself any harm...And just like I do exercise and yoga each day...it can make me a bit sore, but it's so helpful to stay strengthened and my muscles from getting tight..

I think that when we live with chronic pain, we can tend to get into the habit of not wanting even the slightest bit of 'extra' pain added or only relying on our medication to help with our pain.....but with PT, as well as a good exercise program going forward..it's ok to be 'sore'....just not in extreme pain


Those of us with bad necks/backs, it is crucial to keep our strength up, our core muscles strong, and keep as flexible as possible to prevent other parts of our body shutting down...just like with eating well and taking care of ourselves emotionally, it's all part of doing everything in our power to help our pain levels each day..

So, along with your medicine, I hope that the you continue with the PT, maybe add some aqua therapy (which is fun:), massage, acupuncture, etc...it all works together to lessen our pain..

Good luck:)
SB and "the pup who snores loudly" 
 
ACDF C5-C7, (no hardware), with autograft bone Nov. 2001
(reabsorption of bone 2 years later...still lost in body..expect to burp it out at anytime..haha")) 
ACDF with hardware, allograft bone Nov. 2005 
Anterior and Posterior CDF, allograft bone with BMP, removal of old hardware, use of titanium plates, rods, screws, & kitchen sink (lol) Oct 2006
 
 


Chartreux
Veteran Member


Date Joined Aug 2006
Total Posts : 9622
   Posted 4/26/2010 6:17 PM (GMT -7)   
I agree with PALady, and want to stress, don't let them push you (no pain no gain is for the birds)
PT can help but not if they push you to hard, Did they do the ultra sound therapy?
that help me...
Good luck to you and I hope you feel better each day with the pt, but the first day can be the hardest...
and take things slowly...
(((((((((((((((((((((((((((((((((((Loretta)))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))))
hugz
**********************************************
* Asthma, Allergies, Osteoarthritis, Spinal Stenosis, Degenative Disc (Lower Lumbar S1-L3 and Cervical C5,C6, C8 and T1), Fibromyalgia, Gerd,
Enlarged Pituitary Gland, Sjogren's, Ocular Migraines, mild carpel tunnel, ect.... "Would be nice if we could use the edit button in real life"...

********>^..^<********>^..^<********>^..^<********


momtofourangels
Veteran Member


Date Joined Apr 2010
Total Posts : 2261
   Posted 4/27/2010 10:30 AM (GMT -7)   
Thank you all for the support. Yesterday was the first session. She found three little exercises I can do without getting my pain riled up too awful bad, but when I got home I was hurting really bad. I did take my pain med before I went, but they don't do much for my pain anyway without the pt. I don't know what to do. She didn't do anything with heat or ice or anything like that. I have my own TENS unit that I bought on the internet a few weeks ago. As soon as i can buy some more pads for it, I'm going to be using that.

I'm getting ready to call the neurosurgeon's office and see if I can get an appointment to talk to him about the Kyphoplasty that he was talking about when I saw him. I am thinking about getting it done and see if it will help the pain. I know there's no guaranteees, but at least my spine would be back to normal as far as mechanics wise.

I hope you all are having a lpd and have a lpn.

hugs
Loretta
Dx:  ddd, spinal stenosis, bone spurs, hypothyroidism, typeII diabetes, asthma, allergies, high blood pressure, polycystic ovary syndrome, PTSD, depression, anxiety


straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 13481
   Posted 4/27/2010 10:45 AM (GMT -7)   
9Years, I can't offer much more than the othesr already have about the PT. I know when we use muscles that we have't for a while it can be awful first few times we use them again. You may think the Percocets are not helping all that much, but the next time you go for PT take one about 45 minutes before your appt. You may find they are helping a tad. I don't know if you have read much about the surgery the neurosurgeon spoke of or not, but the Mayo Clinic and Spine Universe both had good articles about the surgery. May well be worth reading, its in a language that we can understand. I know sometimes they talk stuff that only a dr can understand. Take care. And yes, from what I have read the surgery would get your spine back where it should be.
 

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, depression, osteoarthritis, osteoporosis lumbar spine, scoliosis lumbar spine, peripheral neuropathy hands & feet, COPD & on oxygen therapy, lupus & psoriasis and psoratic arthritis. Several other health issues just not enough room to list it all. Too many surgeries to list and too many medications to list. Currently on 17 different daily medications. Intrathecal pain pump implanted June 05.


PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/27/2010 11:28 AM (GMT -7)   
Loretta,
At the next session, the pt should be using some kind of treatments to relax your muscles before having you exercise. If he/she doesn't ask about it. If your insurance covers it, there's no reason IMHO that things like heat and stimulation (like a TENS unit but the machines PT's have are more powerful than the home units) and ultrasound can be so soothing and relax muscles before they're worked. Most insurances give a limited number of PT sessions, so you want to get the most for your money! I know with my PT I'd have 20 minutes in a room with the heat and stim, then he did ultrasound, and last were exercises (usually only a few that I could manage).

PaLady

PAlady
Veteran Member


Date Joined Nov 2007
Total Posts : 6795
   Posted 4/28/2010 1:15 AM (GMT -7)   
Benton9,
Please read the forum rules. Advertising is not permitted. If you are a chronic pain patient you are welcome to join the forum, but the link to your fitness training site would need to be removed.

A moderator will likely come along and edit it.

PaLady
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