Oi a todos. Estou com 9 semanas de pós-ART e curioso sobre a experiência de outras pessoas com fisioterapia. Meu terapeuta é muito bom e experiente e eu sei que é dolorido para todos. Às vezes, porém, sinto que ele mantém o alongamento por muito tempo (sentado ou deitado de bruços) e a dor é excruciante. Muitas vezes, nesses momentos continuo a sentir dor pelo resto do dia. Embora meu progresso tenha sido lento, agora é bastante constante e estou no ponto em que, exceto pela fisioterapia, minha dor é controlável e geralmente nem preciso de medicação. Estou tentando viver uma vida mais normal, mas aquelas sessões podem estragar meu dia inteiro.
Say stop when you know you have reached your own capacity, in my opinion! It is not necessary to suffer needlessly!
My approach has been that while I chose the surgery and understand the long term benefits, my knee does not see it that way and knows only that it has been hacked! Bearing this in mind, that this is an injury, as far as my knee is concerned anyway, (even though willingly inflicted), my knee needs love and compassion.
It doesn't need needless aggravation..it is already distressed. For this reason I would not personally allow anyone to force it...only myself, and I would gently encourage, just a tiny bit. Not force, nudge, persitantly! Little and often, every day, several times a day, but always sensitive to the knee and to myself.
Terri ur post made me smile my physio sits on my foot when my knee is bent and last week he had me lying on my stomach with my foot stuck between his legs (I tried to block the vision out) whilst he ran a metal pole up my leg to find trigger points it is so painful and I feel the pain before he even starts. And I had physio on Monday and I still feel very tender in some areas where he increased pressure.
Nossa, falando em terroristas físicos! Desculpe, mas eles parecem bastante radicais. Entendo a necessidade de pressão para expandir e dobrar, mas é um processo. Talvez seja como nosso adestrador de cães costumava dizer - use uma veterinária para fazer o raio-x dos quadris do cachorro. Ela não puxará com tanta força, enquanto um homem pode puxar os quadris com tanta força que pode causar uma luxação. Não estou dizendo que todos os fisioterapeutas homens estão tentando se provar como Ironman, mas...
Minhas fisioterapeutas também não eram de brincadeira, mas entendiam o uso de pressão constante. Ela apoiaria meu pé em seu ombro e depois aplicaria pressão para continuar endireitando. Oh sim, doía, mas não me fazia sentir como se estivesse sendo abusado. A dobra era empurrada além do meu nível de conforto em casa, mas é por isso que vou lá. Mas definitivamente há um limite e tudo leva tempo. Eles também se recusavam a fazer sessões sem um dia de intervalo para "cicatrizar", por assim dizer. Eu voltava para casa exausto, tomava um Percocet, elevava, colocava gelo e dormia por duas horas. Mas em nove semanas já estava praticamente terminado com a fisioterapia formal, mas ainda faço exercícios em casa mesmo dois anos depois.
"Estender" não "expandir...lógico!"
Obrigado pela sua perspectiva. Embora eu tenha tido uma fêmea em casa depois do hospital. Ela era mais ou menos a mesma. Não sei se você assiste Scandal, mas eu costumava chamá-la de Huck (ele é um torturador).
Uau! O meu parece suave em comparação com isso. Acho que todos nós temos que aguentar firme & confiar que eles sabem o que estão fazendo.
Yup...join the club. Some people take meds BEFORE a PT session but if it's an opioid, they can't drive. PT hurts...period...but it's the only way to break down the scar tissue.
My PT's were all "hands off" apart from very gently supporting limb. I think the systems must be very different from country to country. I got a lot of physical therapy which i feel very grateful for, but it was always fun...yes, FUN ...i made jokes about torture but i never let anyone cause me agony. However no one tried to cause me pain. I was in charge of what I did and did not do.
Hands off? No chance of that. The way they do it here...
1. Lay you on your back. Put your heel up on a block of wood. Push down on the knee...and again...and again...
2. Lay you on your stomach with your knees just on the edge of the table. Let the bad knee just hang there letting gravity do the work.
2a. Same thing but put a 2-pound ankle weight on the bad leg and let it hang...and hang...and hang...
3. Lay you on your stomach and bend the bad leg's heel towards your butt. Mmmmmmmm.....tasty...
Yes, they all wear a dungeon master's cowl and there's an Iron Maiden in the corner. Straight out of The Inquisition. They even have a portrait of Torquemada, their hero, hanging on the wall.
😀😁😃😄
I am very glad I am in UK!
Gravity is good..I used that a lot..
Also used to kneel on my bed ( yes, and say my prayers!). I was very keen to be able to kneel, which I can do now with knee pads, so I can do my very gentle yoga,
It was something to set my mind to!
Interesting the difference in approach. I sense a touch of exaggeration in amongst the humour...However there quite clearly is a variation of approach.
I think a key thing is how the therapy makes the person feel. Feeling simple pain is one thing. Feeling violated or abused in some way is another. You made me laugh, but i am seroiusly glad i never had to suffer that approach to my rehabilitation.
The advantage with patients taking the reins of their own exercise regieme at home with minimal PT input, is that they feel fully in control of the work which needs to be done, and realise the responsibility falls on them. The disadvantage is that some people will not have the ability or drive to push themselves sufficiently I guess. But there is so much information around on the internet now.
Yet I suppose in USA patients still expected to do things at home?
I think I was very fortunate, because my PT really was a pleasant experience. But then I had no complications and a straightforward surgery. I had also so much PT before the knee replacement that I was all geared up. I never expected to be pain free post op.
I was the only one who caused myself any pain post op, and I liked it that way. The dungeon masters cowl never fitted! So I never put it on! 😀😁😃
.
É realmente interessante. Sim, definitivamente somos esperados para fazer os exercícios em casa. As primeiras semanas foram tão dolorosas que provavelmente não fiz o suficiente e passei muito tempo relaxando com a perna para cima, o que definitivamente afetou meu progresso. Espero nunca ter que fazer o outro joelho, mas se tiver que fazer, definitivamente estarei mais preparada.
Nem tentei ajoelhar, mas acho que vou tentar. Adoraria voltar ao yoga. Obrigada
Acabei de começar a dirigir. Antes disso, tomei opioides e meu marido me levou. No entanto, fui eu quem postou sobre os opioides não funcionarem para mim, então nem ajudou. Ah, como eu gostaria que ajudassem. 😔
Na verdade, eu estava pensando nisso também. Vou ter uma conversa com ele antes da minha próxima sessão. Obrigado.
There are many excellent physical therapists around with a lot of experience of TKR, but as with any field of work, quality and experience varies. I felt I was the best judge of how much was right as only I could feel it. And then if it was clear I had done too much, I would back off and give it a break until it had calmed down a bit. Impatience and fear are very unhelpful.
Opinions do vary as with in all things. A good relationship with a physical therapist is respectful both ways I think. There certainly is no place for complacency, however, the knee is healing, and as well as ensuring range of motion does progress, there needs to be rest and attention given to reducing swelling. I had excellent physiotherapy on the NHS, in UK, both from the hospital and community physiotherapy, plus a follow up class of six sessions, which was actually great fun, and caused a lot of laughter and banter. This was therapeutic in itself, and yet gave suitable challenges as well.
Take a peek at my profile and maybe visit my blog. I have devoted one of the pages to my own TKR story. It is very long. Skim reading recommended! But possible to just dip in and out of, as with this forum!
I can do yoga now, but funnily enough it is the unoperated leg which I am finding weak. The one with the replacement is fantastic! Just started going to Osteopath who has got their hands on my legs! Balancing things out a bit! I always adapted the yoga before the op, so it isn't much different. My child pose isn't held so long or so deep, and I only kneel in short bursts! I am now four months and one week post op! 😊
Vou definitivamente conferir seu blog. Posição da criança!!? Isso realmente me dá esperança. Estava me perguntando se eu conseguiria fazer isso um dia.
Você pode me enviar um link para o seu blog?
Hey Terri,
I'm just over 7 weeks post TKR and have not had PT put me on my stomach. The only time she touches me is when I'm sitting on the table and pulling my leg back, she will gently push it a bit further to get more flexion. If it hurts too much she stops. I'm in the Midwest USA. We pretty much do the same thing each session. Elyptical bike with minor resistance for 10 minutes, total gym for maybe 5 minutes, then over to the balance bar and work with BAP boards for another 10. End with flexion, resistance pushing and minor stretching seated on table. Maybe stomach is yet to come?
É óbvio que cada PT é diferente. O meu me colocou de bruços assim que comecei com ele, com 2 semanas após a TKR. Também faço isso em casa com pesos de tornozelo de 2 lb e puxando com uma tira. Ele diz que o estômago é a medida mais verdadeira de flexão. Talvez seja a opinião dele.
Você fez bons progressos com a abordagem mais suave?