Pain and my physical therapist

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almost medfree
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Date Joined Jan 2004
Total Posts : 2570
   Posted 1/7/2012 10:33 AM (GMT -6)   
Good morning all,
 
 
I need some advice. For the last 4 weeks I've been seeing a physical therapist who is also an athletic trainer. He has given me some tools for my pain such as more stretches and telling me I need to try to maintain a proper posture at all times and also my core intact due to my back injury if I want to improve.
 
What I need to know is the therapist is strongly suggesting that I write down the amount of repetitions I do for each and every stretch I perform to see if I can do more.... This to me sounds more exhausting. To have to pick up the pad of paper and write down the amount of repetitions... There must be 40 or more that I do. That would probably add more minutes to my already exhausting though beneficial regiment.
 
I was doing 20 minutes of exercises and stretches. Since the therapist has added more I now do 30 minutes of stretches and exercises x2 a day. The writing down of the number of repetitions seems like a big waste of time. I've found that I'm not able to do as many since I began going to this therapist. Some of my areas of pain and my level of fatigue have increased.
 
As those of you with fibromyalgia know, our level of pain changes each day, each hour. He doesn't get it. I want him to be satisfied with my telling him if I can do more repetitions or not on the days between my appointments. He seems to think my pain is in a large part mental.
 
This therapist has helped me somewhat with my level of pain in some areas that's why I have been continuing to see him. I'm strongly considering canceling my appointments.
 
Yesterday the therapist had me do more and I was too exhausted and sore to go for a walk in the mall afterwards and my legs hurt throughout the day and night.
 
This is a crude way of putting it but does anyone ever get the sensation of having your legs being pulled out of your sockets?
 
Please tell me what you think and point me in the direction of any helpful articles. Thanks!

Fibromyalgia, CFS, multiple chemical sensivity, herniated disks, spinal stenosis, osteoarthritis, ADD, sjorgens, sleep apnea. I am happy to say the only medication I take is ibuprofen at night to sleep along with my supplements for sleeping. I am on a regiment of different supplements, I eat very nutritiously, and ever since my injury years ago I have been doing my prescribed stretches x2 daily.

Lanie G
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Date Joined Nov 2006
Total Posts : 6262
   Posted 1/7/2012 10:48 AM (GMT -6)   
Hi there, almostmedfree, I saw your post and thought I'd give some imput.  I don't have fibro but I did work with a physical therapist because of my bursitis.  (I also had a personal trainer once.) I believe part of the therapy is to build up the exercises with the number of repetitions and sessions.  In this way the muscles are supposed to get stronger and stronger.  Personal trainers do the same thing with their clients.  They are both trained to work this way.  However, this doesn't mean every patient/client can follow through all the time, so I think you should do what you can but make notations on the paper that on 'this' day, your pain level is 'this' and you cannot complete the repetitions.  Please be honest with the therapist and tell him exactly what you're going through and thinking. He might not understand fibro and it would be an education for him. 
Lanie

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straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16423
   Posted 1/7/2012 2:18 PM (GMT -6)   
Hi Almost and welcome to Healing Well's chronic pain forum. You know there are many good physical therapist/trainers out there and many bad ones too. I think you need to be comfortable with who ever is trying to help you out. If you feel this person is pushing you too hard because of your physical condition then speak up and don't be afraid to either. You are the one that hired this person and he/she works for you. Many times we run into these people that are just too aggressive and when that happens if they can't back off, then its time to find a new one that is willing to work with you within your limitations. There has also been instances where they have actually injured the person from being too aggressive.

You may want to consider talking to the supervisor over all of the therapist and get your care transferred to someone else there. Your program should be tailored to your needs not someone elses. If this were me I would just get transferred to someone else and be done with it. The old cliche no pain no gain I don't buy into that one.

Take care and let us know what happens,
Moderator Chronic Pain Forum

almost medfree
Veteran Member


Date Joined Jan 2004
Total Posts : 2570
   Posted 1/7/2012 5:55 PM (GMT -6)   
Thanks Lanie and straydog for your insight!

Lanie, I tried to explain fibromyalgia to him and how much I had hurt after the previous treatment. He said he would take it easy on me during this last treatment and he upped it. I also asked this question in the fibromyalgia forum and one of the members reminded me if we're pushed too hard we get a fibro flareup. That's exactly what happens and it can stick around for a couple days.

Straydog, this therapist has his own clinic. He's the only one there. I decided I'm not going to see him regularly just when I need some neck relief from a car accident I had years ago. I'm glad I went to this therapist because he did give me a lot of helpful tools to help me to possibly get stronger.

I wish you all the best.
Fibromyalgia, CFS, multiple chemical sensivity, herniated disks, spinal stenosis, osteoarthritis, ADD, sjorgens, sleep apnea. I am happy to say the only medication I take is ibuprofen at night to sleep along with my supplements for sleeping. I am on a regiment of different supplements, I eat very nutritiously, and ever since my injury years ago I have been doing my prescribed stretches x2 daily.

flower123
Veteran Member


Date Joined Apr 2009
Total Posts : 856
   Posted 1/7/2012 7:25 PM (GMT -6)   
Hi Almostmedfree. I would not want to do all of that writing either. If you stick with this therapist, is there any possible way that you could just do the same amount of every exercise so you don't have to write it down? If not, I would tell him that I wouldn't do it.

Also, I would not want to go to a therapist who thought my pain was in my head.

Finally, I think that being pushed too hard can really be detrimental to recovery (or getting to the point where we function better). I know that when I am pushed too hard, it makes me feel like the person has NO CLUE and/or does not care about how I feel.

Ahhh...just read your last post. I think it's good that you decided not to see him too often. There are GREAT therapists out there who really understand chronic pain. I would be nowhere without mine!

Flower

sore42long
Regular Member


Date Joined Apr 2011
Total Posts : 235
   Posted 1/7/2012 8:02 PM (GMT -6)   
Hi,I agree too much exercise and pushing is not good ,I tryed it and it only set me back.I feel if the therapist doesnot listen to you and too pushy ,its time to find another. I think its great your exercising ,its so important to build up strength and fitness,however its a slow process.Maybe do exercise at home ,till you find anew therapist. take care from michele
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