Physical Therapy
Posted , 8 users are following.
Just wondering how long you all went to physical therapy. Not home exercises, but going into a therapy office. Especially if you had repeat surgery or an extensive procedure. I've been going for a little over 3 months. When I saw my surgeon last week, he was giving me a little grief over extending therapy another 6 weeks. I don't feel like I'm ready to stop. I feel like we have gone this far, why stop before we are done? I just started the strengthening part, and I still don't have full unassisted range of motion. My therapist feels 5 months is about right. It makes me feel like my surgeon thinks I'm not going to get any better This is my 3rd surgery in 2 1/2 years and I, and my therapist, are being super cautious because this is my last chance. It seems like if I want to go to therapy, it's my choice. Why does the surgeon care? It doesn't affect him. That's why I wonder if the surgeon has given up on me. I happen to have very good insurance which gives me 75 visits a year.
0 likes, 19 replies
livendive grammie48
Posted
I had hemiarthroplasty (replacement of the humeral ball) last September and did all of the post-op PT at home, with weekly video updates emailed to my surgeon until I reached the goal of 170° of flexion. Beyond that, I've found working with a personal trainer at the gym has been somewhat helpful, and am currently in PT for my hips (also both prosthetic) with intermittent treatment for ongoing shoulder issues (bicep tendon keeps popping out in my sleep and getting inflamed for days to weeks at a time). Like you, I have good insurance and can go to PT as much as my schedule allows. If you want to continue and your surgeon is over it, maybe have your primary refer you to PT? Just a thought.
grammie48 livendive
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Thanks for your advice. I've thought of my primary too. The PA that works for her was a physical therapist before going to PA school so I am sure she would order it. I don't know if the doctor thinks I'm getting dependent on physical therapy or what but that's just doesn't make sense. I obviously don't have that equipment at home.
mia98887 grammie48
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If u have ins... why would your Dr be opposed to it? That part makes no sense to me. I say if you have complete coverage for PT for 75 visits I would take all 75. Why not?
grammie48 mia98887
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Thanks Mia. I've been right behind you right along, so it's good to hear your opinion. My surgery was Feb 15, 2 weeks after you. We seem to be moving along at the same pace. Makes no sense about my doctor either. I saw my PT today and he is going to give the surgeon a call and see what's up. Maybe he just had a bad day when I saw him. I know I am very fortunate to have insurance covering all this. Not milking it, but I sure will use what I need. A lot cheaper than going back under the knife.
arj50436 grammie48
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I wouldn't even worry about what your surgeon thinks at this point and just keep up with the p/t. Before my first surgery I was seeing a great physical therapist for frozen shoulder who worked with me for 3 days a week for 3 months before telling me that I really needed surgery, my frozen shoulder wasn't getting any better.
My orthopedist was dismissive. She told me that she lives fine with frozen shoulder and steroid shots. I went back to my p/t and he told me to get a referral to a surgeon from my doctor. That hadn't even occurred to me. I had decompression surgery and was better and out of physical therapy within 3 weeks of the surgery. That's a special case story.
The lesson that I learned is that a good physical therapist is worth 3 orthopedists, and right now your doc is operating as an orthopedist, not as a surgeon.
A bad physical therapist on the other hand is worthless.
grammie48 arj50436
Posted
I agree with you. A good physical therapist is worth their weight in gold. A surgeon does their job, follow up a few times and that is it. The PT sees me a couple of times a week and knows my progress. The trouble is the surgeon is the one who has to give the written order to the therapist so that the insurance will pay. I still think the surgeon would be happy I am committed to physical therapy until this shoulder is working well. At this point, my therapist is communicating with the surgeon to try and resolve the whole thing. Absent that, I'm off to my primary care doctor who I know will write the order. Thanks for your input and good luck to you!
henpen1980 arj50436
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arj50436 grammie48
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Me, I'm done with physical therapy...at least these ones. They seem reluctant to let me go but I know I'm going to need them again down the line for the bicep tendonitis and maybe not even then.
I just need a break. At this point, all I get is some ultrasound therapy and some stretching. I seem to be doing really well on my own, I almost have full ROM at 12 weeks. I'm still a little stiff but I do my exercises frequently. I'm honestly dead tired of doctors and physical therapists. All doctors. I don't want to see any of them. This has been a 3 year process for me to get to where I am now. I'll start going to the pool a couple times a week, not to swim but to do some exercises and maybe breast stroke if my doctor clears me for it.
grammie48 arj50436
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I know the feeling. On July 29th, it will be 3 years from when I injured my shoulder. Here I am 3 surgeries later. Doctors, MRI's, x-rays, physical therapy, hospitals, all have consumed my life. I will be so glad when it is over. I am seeing progress so I'm reluctant to quit because I want to make sure I never find myself back in an operating room. So I'll push on. My PT yesterday said he thought another 4-6 weeks should do it. I honestly don't know what I'll do with my time if I don't have to go to some health care provider. Ha ha What a Blessing it would be to have an empty calendar! The pool sounds like a great idea. Good luck to you
Shugga82 grammie48
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grammie48 Shugga82
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henpen1980 grammie48
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At the end of the day, it's your decision NOT the doctor's. If your insurance company isn't making a stink follow through with the plan. Focus on getting better. Good luck!
grammie48 henpen1980
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Thanks for replying henpen. I totally agree with you. Nice to hear that it's not just me, but others believe the same. It's my surgery, I know when I am done with physical therapy.
henpen1980 grammie48
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My surgeon also told me..."strength will return as you use the arm." I tired of PT. I had dislocated my shoulder which is how I tore three of the four r cuff tendons. I had the first surgery to reattach two tendons to the ball. 15 weeks into PT my PT had me do something that I should not have done ripping one repair completely off the anchors. UGH. Revision surgery a week or so after...four weeks later PT. Great (new) PT but I started getting itchy wanting to be done. I never made it to strengthening exercises with PT. I finished the second round of PT last day of August 2017. Last Monday I went kayaking for the first time in two summers. Surprisingly tossed my 40 lb kayak on to the roof carrier of my Jeep Grand Cherokee with zero issues. Three hours of gentle paddling followed by tossing the kayak back up on the roof rack. My surgeon is correct. It comes back. Now paddling had some hiccups in the rhythm and tempo on the left side, but it was good, and it was FUN. Too bad I had an unexpected wet exit - swamping then turtling the kayak. I could not get my knee where I needed it...tore my lateral meniscus last spring. It needs surgery, but I don't care to be incapacitated for another summer at the moment. LOL, I'll see how much worse the pain in the knee is...it's rivaling the shoulder pain especially sitting, rising from sitting, laying on my bed, walking up and down stairs, any side-to-side movement forget. UGH...but shoulders are fine!!
grammie48 henpen1980
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henpen1980 grammie48
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