physical therapy

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PHYSICAL (FYSIO-) THERAPY

 

Hello wonderful people … This is the issue I am dealing with right now …

I am 12 weeks post (R THR)... I live in Holland and I had to have a designated Physical Therapist upon discharge from the hospital as PT had to be continued right away.

First there were home visits which were beneficial – exercises and manipulation of leg etc. …

When I was able to drive, I went to the clinic where they have machines, stationary bikes and other things … The last 3 weeks I have been going 2x a week –

Since then things are going down – meaning that the muscle pain seems to take longer to recover –

I discussed this with PT and she told me that in order for me to get stronger muscles I needed to increase repetitions and add weight …

I had my last session last Friday and since then have not been able to even stand or sit up straight – knees and thigh muscles feel weak and my back feels locked, preventing me from even doing the stretching exercises –

The reason why I bring this up is that I have read so many posts from fellow hippies in the UK about PT not being given until much later, if at all … Is it because it is not part of the insurance and you have to pay for it, or is there another philosophy behind it (other than money) ….

I do listen to my body and she is not happy about all this, I can tell you … my friends, dear hearts as they are, are telling me to be strong and not to be a wimp but just do it –

I am dreading my next PT visit …

Thank you all for being with me these last 9 weeks …

1 like, 18 replies

18 Replies

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  • Posted

    Hello Renee,

    A very good morning from sunny Devon!

    I don't think you are wimpish - I think maybe your programme has too too intense, just as mine with zero PT input was not intense enough.

    You havn't mentioned walking - which is probably the best exercise to build up those muscles. Only now, at 3.5 months, am I beginning to work intensly in the gym - up to now I've been focussing on the walking smoothly and posture correct, with good resluts.

    Maybe slow the exercises and walk more?

    Good luck

    mic

    x

  • Posted

    Oh dear dear Renee,  so sorry you are in so much pain, I have a few excersises to do, but waking is the main thing, I have extended my walking every other day by a garden on the road. Thursday I go to see the ohysiotherapist at the hospital for my next course of action so I will update you again then. Just try walking a little. Keep smiling smilesmilexx Love Gill xx
  • Posted

    well, that is the thing ... I was doing fine with walking twice a day for about 20 minutes; took my car and walked in the forest, along beautiful meadows , but then she told me I should walk LESS and do more of the exercises - 

    you know what, I will get out my 4wheel walker again (that's how bad it is now) and start walking more instead of just going up and down the drive way ....thank

    you -  

  • Posted

    Hi Renee. The difference between the two countries are quite extraorinary. I think it is down to cost. My son is a physio and warned me before the op I would have little physio help. They give you some exercises in hospital, your walking sticks and that is it. Walking, exercise and rests as your own body dictates seems to be the best advise. You sound as if you r on a full out training session. Personally I would like something in between. My legs are not the same length. The surgeon said he could only do so much. My pelvis is so baddly tilted that I have to rectify that to get the legs in some sort of comparity but no advise as to how to do that. Luckly for me my son should b able to help but dont know where I could turn to otherwise. If u are progressing and the pain you av is only temporary then keep going. The physios know best. You are less likely to suffer from a dislocation and limp at the end. Keep smiling. Xxx
  • Posted

    Hi renee.

    I am sorry you are in pain. I do know what that is like as you know.

    My consultant says he will not give major physio till at least 8 weeks post op. This is because it gives the wound chance to heal a little till it is read for a little resistance excersise. All he will let you do is the excersizes the physio sends you home with.

    If I were you I would go beck to your hospital and get checked out. You should noty be in that much pain unless there mauybe something wrong.

  • Posted

    Renee01952

    it sounds to me as if you are doing far too much far too soon. If it hurts so much it is the body,s way of saying ease up and give me a rest and a bit more time. I protested to my physiotherapist about what she wanted me to do, rested the leg for three weeks with just walking about and doing simple exercises, the result was three weeks later I can raise the leg from flat on the bed to higher than the un operated side! Am planning to do the Can-Can In a week or so.......ha ha. When I showed the physio.she said well you were right to listen to what your body was saying, we are all different. I would give yourself a holiday and just do walking and resting when you need it. My consultant said walking was the very best thing for it, and I was discharged from his care as passing with flying colours all the tests at 6 weeks. Pain in my opinion is the body's way of saying stop doing that at once!!!

    Margaret

    • Posted

      That is what I will do - take a break from Fysio and go for walks more often ... Love to see a pic of you doing the Can-Can !!!!!   

      Oh, feeling a lot better now .... 

  • Posted

    During my first month recovering the only physical therapy exercises I did were the ones shown me in the hospital prior to leaving. I pretty much rehabed myself with doing stretching exercises twice a day, morning and evening and in between took 4 20-30 minute walks a day.  By week 5 I was walking pretty good and using no walking aids ( cane, walker, etc ) I did have thigh stiffness but took it slow and steady and iced whenever I sat down. I made a concerted effort to walk slowly at first, with good posture and now at 12 weeks I just returned to work and feel amazing, no limping, thigh stiffness and soreness is at a minimum. I often wonder if sometimes they go overboard with the types of exercises prescribed for hippies recovering. My doctor said walking is the best but you have to do it consistently. 
  • Posted

    You know already about my 6 week meet - I mentioned physio as I thought my muscles were a biit weak and the surgeon just asked if I was doing the exercises given me at the hospital - which I am - 4 very simple ones. He didn't suggest I have any other physio - carry on walking!

    I'm going to do that and see how it goes but will go to my doc if I think more phsyio would help get the leg stronger.

    I know physios tend to say to do exercises even if it hurts and take pain killers but it  sounds like you have done too much! I find gel hot packs relax my muscles  I use them lots!

    • Posted

      Why are they so pushy though - making me feel like a loser - I am going to buy some gel hot packs - just the mere thought of putting  it on my sore muscles already gives me relief ....

      very grateful for all 

    • Posted

      I don't know why they are so pushy - nor why they say do more physio than walking - all the surgeons seem to think walking is good.

      The beauty of gel packs as well is that they can go in the freezer as well so no need to keep frozen peas at the ready if you need ice!

  • Posted

    Renee I'm shocked the PT would want you to use wts this early.I was in a rehab center and never did they use wts on the legs. Some light one for the arms. Beck I had a hard time lifting my leg because of all the swelling on the op side.

    Your right do not do anything you body treks. Don't care if she doesn't like it. You will be the one who suffers when your hip prostheses comes loose. Rt.now your bone is trying to develop new bone to surround the new hip and hold it in place.This process takes up to TWO yrs to complete.

    Wts later could be ok. consult ur surgeon. Be careful.xxxxx

  • Posted

    Hi Renee

    I live in the UK. I had a total right hip replacement six weeks ago today. I had physio prior to my surgery paid for by our health system. To qualify for a hip replacement on the National Health Service in my area a patient has to take pain killing medication for several weeks then be referred to a Physio who has to say that there is nothing he can do to improve mobility then he and the Doctor refer you to an Orthopaedic Surgeon. The physio prepared me for surgery by working on my leg muscles and giving me a series of exercises to do daily before the surgery. Many of these exercises are the same as in the booklet I was given to follow on my discharge from hospital as there is no funding for physio post surgery. I have been paying privately to see the same Physio who gave me NHS treatment pre surgery. I have great faith in him. He told me it was only necessary to see him every two to three weeks. He manipulates the upper leg muscles on my operated hip and checks that I'm walking properly with one crutch. He checks that I'm standing properly, that my right foot is straight and gives me tips on how to keep improving and making the leg stronger. He believes that too much physio can actually damage the muscles which have been cut around the operated site, which are doing their best  to heal naturally. He says that it takes 16 weeks for healing to be well etablished and 6 months for complete healing. He has told me not to do any gardening for 6 months as he had a patient damage the healing muscles by gardening after 10 weeks. He believes she has increased her healing time by months and is back to walking with two crutches and in pain. You are not a wimp. Your body is telling you this is all too much for it as it is trying to heal naturally. I walk every day, usually for 30 minutes to one hour. I started on flat ground and now climb hills and walk on more dificult terrain. If any particular activity hurts me a lot I give it a break for a few days before  trying again.. I tried pushing a trolley around a supermarket at 5 weeks post op and soon discovered this was a mistake so didn't do it again. Everyone say I'm doing really well and I feel I am. Do be careful. Don't be pressured into doing anything that causes you such intense pain and loss of mobility. It's your body and you will live with the consequences of over doing the Physio, not all those people who are giving you well meaning advice. Best wishes E

    • Posted

      I am so glad you mentioned gardening, I was tempted to try and found it not a good idea at all. The consultant told me the two things I must never do is crouch, but kneel if you have to, and twist at the hips. I ached for the rest of the day after pulling weeds for ten minutes, so now they get zapped with a herbicide....... I don't like using it but needs must when the Devil drives as they say. I don't want to look out on a wilderness either. Now I shall be even more careful. We heal up on the surface quite quickly but tend to forget how much there is to heal inside, and when you watch one of the videos it brings home to you how much "putting right" the body has to do. For myself at 77 I am so grateful to be able to walk again without any pain, even if it is not as far or as fast as I would like yet. 
    • Posted

      Dear Eileen - Thank you so much for taking the time to write your response - of course - you are so right - believe it or not, but pre-op I already had a , lets say, not so good experience with the same PT office = Instead of getting stronger I totally collapsed after I was put on the rowing machine - ..I don't know if the hospitals here in Holland have their own program - I will ask around - but this is not the hospital though - this seems to be protocol of post-op THR surgery - when I registered for surgery I had to have a Physical Therapist's name who would take over after I was discharged ...it is included (I think) in our basic health care package - I took a supplement to basic insurance because of the pending surgery which entitles me to 27 treatments of PT - I am not too familiar with this as I have lived in the USA for 34 years and maybe you know about the health care system there ... there is NONE - but that is another story -   

      I hope that there is no damage done yet although I have stabbing pains in operated hip -

      Well, back to square one - 

      thanks again - I am so grateful to all of you here on this forum - happy I found you -

      good night and big hugs

    • Posted

      Hi Renee

      I was amazed at your command of the English language although I know that most Dutch people speak English well then  you mentioned that you lived inthe USA for 34 years. Don't know much about the health care system in the USA. My son lives in Canada and is rather accident prone. He always receives very good and immediate treatment when he has to be patched up.  I turned onto my side whilst sleeping last night and woke up with stabbing  pains in the operated hip. I think the stabbing pains are natures way of telling us that we must stop doing this particular activity.  You aren't back to square one, don't be discouraged. You need to take exercise far more gently that's all. I believe that the Physical Therapist that you have been seeing is far too intense with your treatment. I wish you could have a session with my Phsio! After he trained as both a Physio and an Osteopath he used to be the Physiotherapist to the Royal Ballet Company based in London. I had a frozen shoulder just before I had my hip surgery and was a bit concerned about how I would manage with crutches. This Physio managed to unfreeze my shoulder in a matter of weeks which I found quite amazing as it can take a couple of years. By the time I had the hip surgery the shoulder was working well. He told me never to reach up to paint a ceiling or cut a hedge ever again.  Every time I was tempted I must tell myself that my shoulders must be treated as if they are priceless and irreplaceable as shoulder surgery is very complicated and does not have a good success rate. My husband says this guy must be amazing because he is the only person you actually listen to and obey!   My reply was that's because he talks sense! 

    • Posted

      Hi Eileen ... LOL on your comment re: your PT - he sounds wonderful anknowledgable - I  really don't want to my PT down, but sometimes I think it might be more the Dutch approach of life ... just do it, don;t whine etc... tough people, the Dutch - I hope I don't offend anyone and she is young (early 30's) - I called her to let discuss this with her and wanting to take it a bit slower with the weight exercises.. according to her I SHOULD be able to do them and they are the right exercises for THR ... big sigh ... I have an appointment this afternoon and will be a more assertive this time - Will not go into discussion about USA health care here - I understand that Canada has socialized medicine ... well, there is some advancement though because we have Obama care - and of course  Medicare for seniors and other who qualify ... 

      thanks again Eileen - 

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