Doctor insights on:
Physical Therapy After Broken Finger
Range of motion: Fractures of the fingers usually only require active range of motion therapy (using your own finger muscles to move it to its limits of motion-flexion and extension) and passive range of motion (using your other hand to move the finger to its limits of motion.) these should be done only after you have approval from your doctor that the fracture is sufficiently healed. ...Read more
Had a tfcc injury hitting a heavy bag 2 months ago. Still have a sharp pain on the little finger side. Is it ever to late for physical therapy?
No, PT can help: TFCC tears can take 6-12 months to heal. PT may be able to strengthen the surrounding muscles and restore some of the normal function of the wrist and forearm. You need to continue to be careful to avoid activity that really stresses the wrist such as lifting, punching, push-ups, swinging a bat, club or kettlebell, etc. ...Read more
During/after physical therapy for my wrist my pinky/ring finger started shaking. What could be the reason?
The ulnar nerve: Passes through a tight canal at the wrist. Movement of the wrist, particularly an injured wrist can result in inflammation around the ulnar nerve causing some compression, or the nerve itself can become irritated or inflamed. Irritation or inflammation of the ulnar nerve or surrounding tissues at the wrist or elbow can result in numbness, tingly, and/or trembling of the pinky finger. ...Read more
I have trigger finger of the middle finger of my right hand. this is my dominant hand. Is physical therapy a worthy treatment option & if yes, how?
Sometimes: Hand therapy can sometimes be helpful although personally I have found that a cortisone shot works better and faster. Sometimes when these keep coming back they need to be operated on. Trigger fingers are caused by thickened nodules in tendons that flex the fingers. The nodule gets caught under a structure in the hand called a pulley and this is what cause the triggering. ...Read more
I have a broken finger which was broken at the joint on my ring finger I am now in therapy is there a possibility my finger won't work the same again?
There is a: Possibility….a doctor who sees your X-ray would have a better idea.. ...Read more
My 12 year old son has one broken finger, and his doc put him in a cast up to his elbow. Is this typical treatment for just a finger?
I suffered to avm stroke a year back, still I dint regain my left wrist and finger movements. I hav been to continuos physio therapy from the day one.
Not lily to return: What motor function does not return in 1st yr not likely to return. ...Read more
Have torn hamstring from physical therapy after broken hip. I'm recovering well from hip fracture but afraid to go back to same physical therapy.
Hip strengthening: Depending on when the fracture occurred and whether its completely healed or not, you would still benefit from some hip and pelvic girdle strengthening. If you are not comfortable with the current PT, you can do home exercises and find another therapist. But it will be imperative that the muscles around the hip joint (flexors, extensors, and abductors) are strengthened. ...Read more
Talk to doctor: Many details needed, and would be best for you to talk to your doctor about your lack of progress at pt. ...Read more
Yes: At age 48 it is doubtful that PT will do much to correct this ...Read more
Several choices: You have several choices: taping, anti inflamnatory medications, injection. In some rare cases surgery if all else fails. One of the most important treatments is time and rest. It is important that you give it a chance to heal by avoiding activities which irritate the tendon. ...Read more
I had a shoulder arthroscopy and I didn't complete physical therapy. Are there exercises I can do to make it better?
Yes: When surgery was done and what procedures were performed would determine the type of exercises to do. Typically 4-6 weeks I immobilization with simple passive exercises followed by progression to active assisted, and the active motion. After 10-12 weeks strengthening can commence. This is based on rotator cuff repair. ...Read more
I have neck pain really bad, all the time from an accident. Physical therapy doesn't help. Nothing does. Is there surgery available? What to do?!
No simple answer: Neck pain from an accident can have multiple potential causes. Pt is a great place to get started, but there are plenty of other conservative treatments to consider. Surgery for neck pain without any spinal instability is very ineffective. I would ask to be evaluated by a spine/pain specialists to discuss the situation and treatment options. ...Read more
I have had pain in my right ankle for almost four years now. It has steadily gotten worse I went to physical therapy for a while and it didn't help?
Ankle Aches: It sounds like you've had an unresolved injury. Chronic ankle sprains do exist whereby the ligamentous structures are too lax and never regain their original strength even with physical therapy. As a result pain will be an issue since you're constantly stressing the joints. A consult with a podiatric surgeon make be your best option for relief. It may also be time for more imaging to help. ...Read more
I've been having chronic back pain for 3 months. Physical therapy didn't help. What pain medicines do you recommend and tx options should I try next?
I have had two c-sections. I've had really bad back pain/spasms ever since. Meds and physical therapy haven't worked. Is there anything else I can do?
Workup: Pregnancy can put a lot of biomechanical strain on the lower back. Usually these symptoms reverse with delivery. If symptoms persist see your primary care specialist or a pain medicine specialist. They should examine you and determine if imaging studies are warranted. Imaging studies can help in diagnosing disc problems or any other abnormalities that may be responsible for your pain. ...Read more
What are suggested remedies for piriformis syndrome? I have had physical therapy and a cortisone shot. The pain still remains and can be quite debilitating at times. I am only 60 years of age. Are there other recommendations that I can try or return t
Difficult: This is a tough one. Itb symptoms can be very difficult to treat and often times persistent pt and time are the best answer. Topical nsaids such as voltaren gel or Flector Patch (diclofenac) may help. Consider massage therapy. Tens units (electrical stimulation) sometimes help. Lastly, local steroid injections are an option as well. ...Read more
Got into a car accident earlier, I hit my arm and the pain won't go away. Do I need physical therapy?
Maybe: You need a diagnosis as to what is causing pain, and then a treatment plan can be created. If this is being answered in a timely fashion, please consult a physiatrist, orthopedist or family practitioner for an evaluation if you are still experiencing pain. ...Read more
Have peroneal tendonitis but insurance doesn't cover physical therapy. Is there anything I can do myself?
Some initial Rxs: Local treatment by icing region several times a day along with use of OTC NSAIDs like Aleve (naproxen) if you have no allergies or stomach issues with these medications. Can also try a shoe insert such as a Donjoy Arch Rival which can provide for some lateral wedge support -if no improvement see an orthopedist, physiatrist or podiatrist. ...Read more
I've had shoulder instability for a little over a year and physical therapy hasn't helped. Should I get surgery?
Yes: You should see an orthopedic surgeon who specializes in shoulders and be evaluated. ...Read more
Can you help cervical stenosis I have had 4 physical therapy treatments which left me with pain I didn, t have before?
Possibly: Cervical stenosis refers to narrowing of the central spinal canal or neural foramina where the nerves exit and is usually due to a combination of degenerative discs, arthritic changes and sometimes a congenitally small canal. In milder cases, therapy, medication, traction and sometimes injections can be helpful. In more severe stenosis surgical decompression may be needed. Eval is needed to decide. ...Read more
Dealing with cervical dystonia for about 4 years now. Physical therapy at first then boron injections. Didn't work. Could medical mj help?
Chronic hip pain 21yrs old. X-rays showed nothing, physical therapy made it worse. Can't work because the pain is so bad. Help?
More info: This depends on many other factors such as your weight if you had any injury to that area or if you had any birth defects that may not have healed or been attended to appropriately. Depending on the type of pain you're having an MRI may be a better study as it will show the joints in more detail after which an orthopedic surgeon can do further workup or surgeries that may be indicated. ...Read more
Should I have arthroscopy of my shoulder or more physical therapy? I've done physical therapy and had 2 cortisone shots, but they didn't help.
Acute butt pain for the last one year. Can't sit on a chair for more than 20 minutes. Pain in the tail bone as well. Physical therapy didn't help.
I've had two c-sections and I have had extreme upper back pain and random spasms all over my back. Physical therapy and meds don't work. Any tips?
See your doctor: Problems like these can only be correctly handled by your doctor in person. He/she needs to listen to you, perform an examination and possibly run labs or other tests. That's the only way he/she can find out what's going on and what to do about it. ...Read more
My doctor sent me to physical therapy. I didn't want to delay treatment so I could find the costs. Should have to pay thousands for 4 hours of pt?
Shop around: If you are paying out of pocket for pt shop around for the best care with the cost being a consideration. The referring doctor should be able to refer you to several different therapy places they have sent patients to before. "thousands" implies the cost for 4 hours is at least $2000 meaning 500/hour that seems a bit steep (to be diplomatic). ;-). ...Read more
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