Medical Forum / Diseases and Disorders / Arthritis / November 2007
otp - update on the rehab score
|
|
Thread rating:  |
d'huit - 04 Nov 2007 05:00 GMT ok. i know i've been deliberately remiss in updating and i'll explain why along the way.
so, i'm almost through with pt for this leg that was broken back in august. done with pt, november 23rd, if i'm lucky, hopefully. and hopefully, my last ortho appmt. will be nov. 13th.
haven't said much about the rehab on asa, cuz it seemed like it would be pretty boring to most. plus, i felt like i was toughing it out a bit, mentally, for the whole while there and didn't want to give myself an excuse to not follow through with what i felt was very necessary, nor give the wrong impression.
i'm now at the level of using the blue level therabands for rehabbing this ankle, at the hospital therapy clinic and at home. am using a blue level theraband stability trainer there (kind of a foam pad, that wobbles your ankle and hips to exhaustion), to improve my balance. even purchased that same kind of stability trainer, so i could continue working with it at home, during the week and when my sessions finally stopped. (i really do want this falling routine to cease and haven't fallen once since pt began. i'm scared having said that, as though i've jinxed myself.) still doing the tai chi ice-walking, for balance and prioperception (nice word. prioperception. i've temporarily forgotten what it means.LOL) as per my therapist's instructions.
had a couple of combination treatments. electro-stim diodes, i think they're called (they're sticky pads with wires attached to the pads and machine), stuck to my leg and ankle, combined with ice bags around my foot and ankle at the same time, to reduce the very stubborn swelling. went from cantaloupe to grapefruit to almost normal foot and ankle size in just two treatments. i think that worked out rather well.
partly why i haven't shared much about rehab, was that i also did water tank therapy (with the treadmill inside the water tank) from the beginning of physical therapy, a week past 2 months of once a week of that. until just this past week, that is, when i finally said, "uncle". i broke down and confessed to my therapist that the water treadmill was causing a great deal of longer and longer lasting pain in my right knee (my "good knee", my arthritic, less arthritic than the left one, driving knee -- auto-transmission). serious and sustained pain that just wasn't going away between therapy sessions, made me say, "uncle". it's still constantly hurting, after more than a week off.
she, my pt, was a bit upset with herself for not picking up on that herself. told her it wasn't her fault that i'm stubborn and determined, and too, i know i hide a lot. also told her that i knew i needed to tell her, then, because i almost didn't show up for that last water tank session. (the warm water was nice and i could do a lot, until the treadmill was turned on. then my struggle began, though i stuck each session out to the end, through the pain.) i knew i was becoming reticent, reluctant and apprehensive about the water torture, er . . . water tank treadmill. and too, i was very disappointed in myself that i couldn't handle it anymore or any better, though i gave it a decent effort, i think, for two+ months--and she did say i made very good progress. she also said that she and ed (my other physical therapist) both knew that my problems were structural and not pain aversion. and that they both knew they needed to work with what works for me and not against it--well, i guess i didn't know that.<smile>
all of that, though, before i said "uncle", was making me very cranky, disowning of my body and a tad disassociative (alone at home--at least, i think it didn't show to others.), what with its concurrent painful sleeplessness and my mental confusion about just which hand to use my cane in, since my right knee hurt worse than my broken left leg, oa left knee and oa left hip combined. and too, the codeine and my body aren't agreeable anymore--a bit of a row transpired between them awhile back, about urine output. felt like my bladder was partially paralyzed, which has reversed itself upon my stopping the codeine.
i'm simply not one who calls doctors for or about pain meds. wish i didn't, but i seem to have an abject aversion to calling doctors, unless there is something very serious, like bloody or broken, or very mundane, like regular or followup exams. middle-ground unordinary i tend to ignore and dismiss i just stop taking the culprit pill and try to move on. i'm afraid i'm not a very good patient, probably never have been.
anyway, just cuz i don't do the water tank therapy treadmill thing very well, mainly because the treadmill cannot be set at my irregular and awkwardly lurching pace, doesn't mean it isn't a wonderful, helpful, and useful therapy for others. afterall, and this is important to me for you guys to get, "i really do have two legs that look and behave like they belong to two different bodies. so, what is torture for me, would probably be heaven for you." i need to make that clear, because that was partly the reason i never mentioned my difficulty with it before now on asa -- didn't want anybody else thinking that the water therapy treadmill would be painful for them, when i've talked to many patients in the physical therapy waiting room who love it.
anyway, that's what's been happening on the rehab score.
kate
Harvey R. Stone - 04 Nov 2007 11:04 GMT > ok. i know i've been deliberately remiss in updating and i'll explain why > along the way. [quoted text clipped - 108 lines] > > kate Rehab is never easy and I am sure lots of people learned from your experience. I did not even know that there are treadmills under water.
:-) thanks for the update Harv
d'huit - 04 Nov 2007 17:18 GMT <snip>
Rehab is never easy and I am sure lots of people learned from your experience. I did not even know that there are treadmills under water.
:-) thanks for the update Harv
thanks harv. first time i saw a water tank treadmill was some 5 to 7 years ago, when i was having rehab for my carpal tunnel surgery. i was taken on a tour of the hospital's new rehab facilities. i never dreamed i'd one day be in the tank.<pun intended>
kate
hanbell@earthlink.net - 04 Nov 2007 15:36 GMT > haven't said much about the rehab on asa, cuz it seemed like it would be > pretty boring to most. plus, i felt like i was toughing it out a bit, > mentally, for the whole while there and didn't want to give myself an excuse > to not follow through with what i felt was very necessary, nor give the > wrong impression. girl, I'm not letting you get away with that after reading the rest of your post! If you had told us about the pain from the underwater treadmill, you KNOW we would have encouraged you to tell them right away. Thay have many tricks up their sleeves and while PT itself was/ is very necessary, the underwater treadmill wasn't an absolute! (did you know in your heart that someone would give you the dickens about that?)
> theraband stability trainer there (kind of a foam pad, that wobbles your > ankle and hips to exhaustion), to improve my balance. even purchased that > same kind of stability trainer, so i could continue working with it at home, Good for you! May your hard work and dedication be rewarded by no aflls for a long, long, tim!
> prioperception (nice word. prioperception. > i've temporarily forgotten what it means.LOL) it's proprioception. It's your sense of where your body is in space. It's also something that hypermobiles, like me and our MIA Rosie, have problems with for some reason. Mine means I'm good at bumping into door frames, walking into furniture, etc. even though I've done enough balance stuff through my life to not be falling.
> i'm simply not one who calls doctors for or about pain meds. wish i > didn't, but i seem to have an abject aversion to calling doctors, unless > there is something very serious, like bloody or broken, or very mundane, > like regular or followup exams. middle-ground unordinary i tend to ignore > and dismiss i just stop taking the culprit pill and try to move on. i'm > afraid i'm not a very good patient, probably never have been. You don't necessarilly have to call the doctor, but do let them know about any adverse effects the next time you go in! You don't really want to go through that again, do you? I hear you about not calling for the middle ground stuff. After that ill-fated biopsy, I really started losing it when the nurse suggested I "take the Darvocet as often as allowed to get on top of the pain, and I could add one tylenol to each darvocet"! Like I'd be calling if takingthe darvocet would do the trick!!!
> anyway, that's what's been happening on the rehab score. I hope you soon recover from the bad effects and that the good effects continue to build.
Nann
d'huit - 04 Nov 2007 18:29 GMT On Nov 4, 12:00 am, "d'huit" <threeceda...@comcast2.net> wrote:
> haven't said much about the rehab on asa, cuz it seemed like it would be > pretty boring to most. plus, i felt like i was toughing it out a bit, > mentally, for the whole while there and didn't want to give myself an > excuse > to not follow through with what i felt was very necessary, nor give the > wrong impression. girl, I'm not letting you get away with that after reading the rest of your post! If you had told us about the pain from the underwater treadmill, you KNOW we would have encouraged you to tell them right away. Thay have many tricks up their sleeves and while PT itself was/ is very necessary, the underwater treadmill wasn't an absolute! (did you know in your heart that someone would give you the dickens about that?)
***you are too astute, my friend.<smile> abashedly, i had forgotten the insistance of my ortho not to allow the therapists to cause me pain. but in my defense, i think i thought he meant hurting my most recent injury site. once i told her about the knee pain being caused, kaari, one of my therapists, did tell me that they have many other techniques they can use to accomplish the same things and that the tank doesn't have to be one of them. i didn't know that beforehand. still, i strangely felt a sense of loss and defeat. i did like working in the tank. it did help the injured ankle/leg enormously.
****did i know in my heart . . .? that's hard question for me to have to face -- maybe, vaguely/distantly, but in all honestly i think i simply didn't want to be openly discouraged from doing what i thought i had to do to accomplish what i wanted to accomplish. old emotional demons or old emotional re-runs play a role here. having had a somewhat bullied and battered childhood, where/when my goals and dreams were very often autocratically, forcefully and arbitrarily thwarted, i know i developed a tendancy to either stand my ground and argue irrationally, though eventually still giving up, or just instantly and resentfully giving up on what i really want and go off in another direction less desireable. i hate admitting that about myself. (but i do seem to have been blest with enough resourcefulness/creativity/or whatever it is that i seem to be able to find other things to throw my energies into. i do believe in myself, have confidence enough, unless i'm feeling deliberately thwarted. and/but . . . that interpretation of being/feeling deliberately thwarted depends a lot upon how vulnerable i'm feeling.) i think i was afraid i would just up and quit on myself and my goal, which would have been self-sabotage.
> theraband stability trainer there (kind of a foam pad, that wobbles your > ankle and hips to exhaustion), to improve my balance. even purchased that > same kind of stability trainer, so i could continue working with it at > home, Good for you! May your hard work and dedication be rewarded by no aflls for a long, long, tim!
***thank you. that's my hope.
> prioperception (nice word. prioperception. > i've temporarily forgotten what it means.LOL) it's proprioception.
***knew it was something like that, but was too lazy to look up the proper spelling or the meaning.
It's your sense of where your body is in space. It's also something that hypermobiles, like me and our MIA Rosie, have problems with for some reason. Mine means I'm good at bumping into door frames, walking into furniture, etc. even though I've done enough balance stuff through my life to not be falling.
***well, i suppose you can count me in on the hypermobiles list. i astounded ed, my other therapist, with my trunk mobility, and i'm thick in the middle these days (gone are the days when i could stand on stairs and reach 12 inches past my toes, but i can still reach 5 or 6 inches past them.). he was trying to teach me how to stretch out my hip for the stability trainer, so i wouldn't experience as much hip and low back pain with the hip shifting aspect of the stability trainer exercise. i couldn't even feel the stretch until my heel was on the third stair up. first stair stretch is normal mobility and the best he can do. i, too, am very often likely to bump into things.
> i'm simply not one who calls doctors for or about pain meds. wish i > didn't, but i seem to have an abject aversion to calling doctors, unless > there is something very serious, like bloody or broken, or very mundane, > like regular or followup exams. middle-ground unordinary i tend to ignore > and dismiss i just stop taking the culprit pill and try to move on. i'm > afraid i'm not a very good patient, probably never have been. You don't necessarilly have to call the doctor, but do let them know about any adverse effects the next time you go in! You don't really want to go through that again, do you?
***thanks for the reminder. i did plan to do that, when i see my ortho next. will also have to tell my pcp about it, when i eventually see her, too.
I hear you about not calling for the middle ground stuff. After that ill-fated biopsy, I really started losing it when the nurse suggested I "take the Darvocet as often as allowed to get on top of the pain, and I could add one tylenol to each darvocet"! Like I'd be calling if takingthe darvocet would do the trick!!!
***yeah, i agree. that was the most unsatisfactory response to your distress call.
> anyway, that's what's been happening on the rehab score. I hope you soon recover from the bad effects and that the good effects continue to build.
***sweet. thank you. knee's still not comfortable, yet. i'm hopeful.
kate
Nann
hanbell@earthlink.net - 06 Nov 2007 14:37 GMT > still, i strangely felt a sense of loss and > defeat. i did like working in the tank. it did help the injured ankle/leg > enormously. It IS perfectly acceptable to say, "I like the tank, but not the treadmill in the tank" and to explain why. My experience has been that such statements tell a good PT a lot about the ins and outs of your mechanical problems.
> ****did i know in my heart . . .? .... i think i was afraid i would just up and > quit on myself and my goal, which would have been self-sabotage. Wow, much insight, though I really was teasing. ;-) I tend to forget that not everyone was born with my innate instinct to speak up and that not everyone grew up in a family that permitted that. (I say permitted, not encouraged, as I grew up in a relatively introverted family. They've always seemed a bit amused by my willingness to speak up. I learned though that doing so in a pleasant and polite manner works with most people, including physical therapists, heehee. Mike's the same way, so we've had much mutual encouragement for the last 19 years.)
> ***well, i suppose you can count me in on the hypermobiles list. i > astoundeded, my other therapist, with my trunk mobility, and i'm thick in [quoted text clipped - 6 lines] > stretch is normal mobility and the best he can do. i, too, am very often > likely to bump into things. heehee, I'm not THAT hypermobile in the back, though I used to reach behind my heels and can still put hands flat on floor with ease. For years I thought others just weren't trying until a doc told me I wasn't *supposed* to be able to do that! And I'm always being told I shouldn't aim to regain the degree of mobility I had before something.
The bumping into doorways was a real problem when I worked in a hospital. Multi-tasking was essential, so I tended to be distracted when going through doorways and turning corners and such. Had bruises all the time, LOL.
> ***sweet. thank you. knee's still not comfortable, yet. i'm hopeful. Be nice to it and eventually that knee will make nice with you again!
Nann
jofirey - 06 Nov 2007 20:43 GMT >> still, i strangely felt a sense of loss and >> defeat. i did like working in the tank. it did help the injured [quoted text clipped - 49 lines] > > Nann Hafta wonder about those PE teachers that were convinced that being able to touch your toes was somehow an indication of fitness.
I have always been able to put my hands on the ground and I've never been what anyone would call fit. Its part mobility and part just plain the ratio of upper body to lower body length.
Charlie has never been able to touch his toes.
Never knew that there was a name for being unaware of your body's position in space. Proprioception sounds better than clumsy. At least right now I'm not the only one in our house. Ten year old grandson is going through a major growth spurt and clumsy as a newborn colt.
Jo
d'huit - 07 Nov 2007 06:35 GMT <hanbell@earthlink.net> wrote in message news:1194359845.167311.89140@o80g2000hse.googlegroups.com...
> On Nov 4, 1:29 pm, "d'huit" <threeceda...@comcast2.net> wrote: Hafta wonder about those PE teachers that were convinced that being able to touch your toes was somehow an indication of fitness.
***can't argue with that, for sure.
I have always been able to put my hands on the ground and I've never been what anyone would call fit. Its part mobility and part just plain the ratio of upper body to lower body length.
***i'm not sure that body ratio is the case. i have a long-waisted torso and shorter legs. so do my sisters and they couldn't do what i used to be able to do, not even close. i could be wrong, but i think it has more to do with longer muscle fiber stretch and shorter withdrawl of the muscle back to original position. i think i mean that i had looser trunk muscle action and they had a tighter muscle quality.
Charlie has never been able to touch his toes.
***neither could butch and he had a long-waisted torso and shorter legs.
Never knew that there was a name for being unaware of your body's position in space. Proprioception sounds better than clumsy.
***me, too. i certainly never knew the word before, until i broke this leg. it's a way better word than clumsy.<smile>
At least right now I'm not the only one in our house. Ten year old grandson is going through a major growth spurt and clumsy as a newborn colt.
***that makes perfect sense to me, because his eyes and mind are adjusting to the growth changes, a virtual new body size to become subconsciously aware of and to re-coordinate.
kate
Jo
d'huit - 07 Nov 2007 06:22 GMT On Nov 4, 1:29 pm, "d'huit" <threeceda...@comcast2.net> wrote:
> still, i strangely felt a sense of loss and > defeat. i did like working in the tank. it did help the injured > ankle/leg > enormously. It IS perfectly acceptable to say, "I like the tank, but not the treadmill in the tank" and to explain why. My experience has been that such statements tell a good PT a lot about the ins and outs of your mechanical problems.
###hmmmm . . . i just didn't think of that. i think i believed that my "good knee" must have needed the workout, if it hurt a couple of days after the session. but when the pain would no longer stop between sessions, i knew i had to say something.
> ****did i know in my heart . . .? .... i think i was afraid i would just > up and > quit on myself and my goal, which would have been self-sabotage. Wow, much insight, though I really was teasing. ;-) I tend to forget that not everyone was born with my innate instinct to speak up and that not everyone grew up in a family that permitted that. (I say permitted, not encouraged, as I grew up in a relatively introverted family. They've always seemed a bit amused by my willingness to speak up. I learned though that doing so in a pleasant and polite manner works with most people, including physical therapists, heehee. Mike's the same way, so we've had much mutual encouragement for the last 19 years.)
###no harm done, sweetie. in fact, you may have done me a favor. i think i needed to take a good look at myself/why anyway. now, maybe i won't do that to myself again.<smile> so, your speaking up is a good thing, whether you are teasing or not.
> ***well, i suppose you can count me in on the hypermobiles list. i > astoundeded, my other therapist, with my trunk mobility, and i'm thick in [quoted text clipped - 8 lines] > stretch is normal mobility and the best he can do. i, too, am very often > likely to bump into things. heehee, I'm not THAT hypermobile in the back, though I used to reach behind my heels and can still put hands flat on floor with ease. For years I thought others just weren't trying until a doc told me I wasn't *supposed* to be able to do that! And I'm always being told I shouldn't aim to regain the degree of mobility I had before something.
###funny, you should say that. i thought the same thing about other people. and like, how come they can't do what is so easy . . . for me. that's probably because i think i'm just like everybody else.
The bumping into doorways was a real problem when I worked in a hospital. Multi-tasking was essential, so I tended to be distracted when going through doorways and turning corners and such. Had bruises all the time, LOL.
###i know the bruise thing from doorways well. my upper arms would too often clip a doorjamb and long bruises and/or scraped skin were the norm on my upper arms. used to nail my knee on the bathtub corner all the time, too--and that was generally a bit of a bloody affair. i have noticed recently that i haven't done either of those things since i broke this leg and have been rehabbing it. i did catch things with the crutches though and still do that with my cane.
> ***sweet. thank you. knee's still not comfortable, yet. i'm hopeful. Be nice to it and eventually that knee will make nice with you again!
i'm trying to "make nice" with it, icing, warming it, resting, elevating.<smile> did a bit of errand running today. quit and went home when my knee started hurting just a tad more than its static tamer level. since the treadmill sessions stopped, my knee pain level dropped from about a static level 6-7 (7 to me is broken bone pain) to a tamer level 4 all the time now. so, i know it's getting better.
thanks, sweetie.
kate
Nann
Squirrely - 05 Nov 2007 20:54 GMT It sounds like it did work out rather well for you with the electro-stim diodes. Sorry you went thru so much though with the water tank tread mill thingy.
I hope all goes well now with the healing and no more problems. By the way don't even think about any more falls. You have used up your quota now. ;-)
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
> ok. i know i've been deliberately remiss in updating and i'll explain why > along the way. [quoted text clipped - 108 lines] > > kate Harvey R. Stone - 06 Nov 2007 12:21 GMT > It sounds like it did work out rather well for you with the electro-stim > diodes. Sorry you went thru so much though with the water tank tread mill [quoted text clipped - 5 lines] > Jo the squirrely one > I am nuts about you. That right Jo,,,, Its pretty close to my turn for the slip and fall and Kate does not get more than her turn. Harv
sweetpickleNO@SPAMknology.net - 06 Nov 2007 17:25 GMT Well, I DON'T want a turn. I've had all I want! Gwen
>> It sounds like it did work out rather well for you with the electro-stim >> diodes. Sorry you went thru so much though with the water tank tread mill [quoted text clipped - 10 lines] > Kate does not get more than her turn. > Harv d'huit - 07 Nov 2007 06:42 GMT Well, I DON'T want a turn. I've had all I want! Gwen
i used up your turn, too. so, you don't get one.<g>
kate (thinking . . . we need to return turns to the end of the return line. did i just say that?)
>> It sounds like it did work out rather well for you with the electro-stim >> diodes. Sorry you went thru so much though with the water tank tread mill [quoted text clipped - 10 lines] > Kate does not get more than her turn. > Harv d'huit - 07 Nov 2007 06:38 GMT > It sounds like it did work out rather well for you with the electro-stim > diodes. Sorry you went thru so much though with the water tank tread mill [quoted text clipped - 5 lines] > Jo the squirrely one > I am nuts about you. That right Jo,,,, Its pretty close to my turn for the slip and fall and Kate does not get more than her turn. Harv
nah, nah, nah, harv. i've already used up your turn.<g>
kate
Harvey R. Stone - 07 Nov 2007 14:21 GMT >> It sounds like it did work out rather well for you with the electro-stim >> diodes. Sorry you went thru so much though with the water tank tread mill [quoted text clipped - 16 lines] > > kate Well,,,, I nearly used a turn getting off the CT scan table yesterday but I half way caught myself. By the way,,,, about that,,,, No One Told me that I was not suppose to take my morning dose for type 2 diabetes. It turns out that the type 2 medicine and the juice stuff with iodine they put in your arm causes extreme kidney failure. &(&^*&*&^%$$ I have to take extra fluids for two days and NOOoooo Glyburide/Met or Glucovance for two days. I will make up the difference with BourB and coke...^%$%$###@.... We do the best we can to stay ahead of what we are suppose to do and still get ambushed....... Grrrrr. Aaaah well,,, I can not get anything our of my RD about this other than to wait for the magic words from a Lung doctor, Puboligist or something like that. The wheels of medicine must grind this out at its own pace. I am just irritated that I could not get the information about a CT scan I had 3 years ago from the last lung doctor I went to or the hospital where it was taken. The hospital told me to get in line to get them and they would call me when they make my new copy. Gjrrr. Sorry for unloading here and now... Harv
Plantmistress - 07 Nov 2007 16:05 GMT > Well,,,, I nearly used a turn getting off the CT scan table yesterday but I > half way caught myself. By the way,,,, about that,,,, No One Told me that [quoted text clipped - 13 lines] > Sorry for unloading here and now... > Harv Now, none of that, young man. I don't want to hear about you breaking anything while you are at the doctor's office! As for getting copies of your old CT scan, in TN, they are required to keep that kind of stuff 7-10 years, so they should have it. Usually, when we request medical records or CT scans, it takes about three weeks to get them & you have to keep calling to check up on them or they never get around to copying & sending them. Depending on what state you are in, check to see if you are allowed free copies of all your medical records - I know Kentucky has a law about this. With medical records requests, the squeaky wheel gets the grease.
Feel better & hang in there.
Shannon
Harvey R. Stone - 07 Nov 2007 17:22 GMT >> Well,,,, I nearly used a turn getting off the CT scan table yesterday >> but I [quoted text clipped - 38 lines] > > Shannon Thank you for your information and I should have a little patience I guess. Harv
Squirrely - 10 Nov 2007 17:34 GMT Well Harv, I am glad you didn't take that turn after all.
That is terrible when they don't tell you things about meds and such when you are having testing done. I hope you do ok from it all.
I hope you can get the results and soon to take to your other dr and get this all straightened out.
Don't be sorry Harv about unloading, that is what we are here for.
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
> > Well,,,, I nearly used a turn getting off the CT scan table yesterday but [quoted text clipped - 15 lines] > Sorry for unloading here and now... > Harv Squirrely - 10 Nov 2007 17:31 GMT No Harv, not your turn either, you have enough going on. Kate, thanks for being so generous and taking some others turns but no more ok.
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
> That right Jo,,,, Its pretty close to my turn for the slip and fall and > Kate [quoted text clipped - 4 lines] > > kate d'huit - 07 Nov 2007 06:37 GMT It sounds like it did work out rather well for you with the electro-stim diodes. Sorry you went thru so much though with the water tank tread mill thingy.
I hope all goes well now with the healing and no more problems. By the way don't even think about any more falls. You have used up your quota now. ;-)
LOL! i think i've used up my quota and several other people's quotas.
i'm getting there, sweetie. thanks, sj.
kate
 Signature Love and Hugs to all Jo the squirrely one I am nuts about you.
> ok. i know i've been deliberately remiss in updating and i'll explain why > along the way. [quoted text clipped - 108 lines] > > kate
|
|
|