Doctor insights on:
What Will Physical Therapy Do For Broken Thumb
Absolutely no.: No, even for minor tears the minimum time to stabilize with cast is 3 weeks. If the tear is bigger and/or has associated avulsion fracture then surgical exploration and repair needs to be carried out along with k-wire fixation and cast. See a hand specialist urgently as the ucl ligament of the thumb is one of the most important ligaments of the hand. ...Read more
Yes: Depending on the severity of the tear, the treatment will either be conservative with a period of immobilization in a splint or a cast followed by mobilization exercises usually conducted with a hand therapist occupational therapist or surgery, immobilization for a period of weeks depending on the surgeon's orders and then work with a hand therapist. ...Read more
Injured the RCL in my thumb three weeks ago. I can grab things that are a pound or lighter. How to speed healing? Immobilize or physical therapy?
Gentle PT: Gentle PT/OT, anti-inflammatories, and heat. Ligaments are hard to heal - low blood supply. If this doesn't improve after a month, seek a surgical consultation. ...Read more
Stiffness, pain, etc: Post-operative hand therapy is a very helpful adjunct to surgery. Hand therapists can address stiffness, sensory re-education, desensitization, strength training, wound care and many more post-operative issues. Your hand surgeon would typically decide if you are a good candidate for hand therapy. ...Read more
Hand exercises: Some basic hand exercises include squeezing an old tennis ball or racquet ball; and opening the hand with a rubber band (or similar item) around the tips of the fingers (opposite motion of squeezing.) another way to perform these exercises is to put your hands inside a sandbox, then opening and closing the hands and fingers inside the sand. See your doctor or hand therapist for specific exercises. ...Read more
I need physical therapy for my hand and knees. My doctor had to send P.T. scripts for both my hand and knees to the PT clinic. What are PT scripts? Are they treatment plans (length of the treatment [number of weeks], how many times a week)?
Prescription: These are physical therapy prescriptions. They direct a patient to physical therapy, listing the diagnosis, recommended therapeutic treatments (stretching, strengthening, modalities such as ice, heat, ultrasound), the suggested number of treatments per week and duration of treatment; i.e. 2 times/week for 4 weeks. With some plans, the prescriptions are required for insurance to cover the visits. ...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
What could have ocurred if the physiotherapy treatment for a fracture is over but now healed hand is delayed.?
Hand physio: If it's your dominant hand, you could be unhappy and faced with long term or progressive restricted hand and finger movement, strength, and coordination. ...Read more
A 28 year-old man wishes to know if a tendon transfer is the only option for a wrist drop after a humerus fracture.....?
It depends: Sounds like you might have a radial nerve injury after a humerus fracture which unfortunately can be relatively common. Is it a post op nerve palsy? or was no surgery done to fix the humerus. How long has it been? If its been >6 weeks, an EMG can be helpful to see if there is any re-inervation. Make sure you are doing at least passive range of motion to avoid stiffness. We can set up a consult. ...Read more
Good Question: Peroneal tendon subluxation means a sheath (called a retinaculum) has been torn allow the tendons to snap over the outer ankle.Physical therapy (PT), alone, isn't likely to correct the problem.Surgery or prolotherapy may help. PT usually comes later to ensure proper motion of the tendon, strengthening of muscles, mobility, & prevention of scarring.Osteopathic manipulation likely to also be helpful. ...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
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
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
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