1st PT Visit
Mindful of some of the horror stories out there about QTR patients ending up in the hands of therapists with no clue how to work with them, going in for my first physical therapy appointment yesterday, I was not about to roll the dice as far as just blindly trusting someone to help take my rehab to the next level, and as it turned out, at least for one day anyway, I was able to let my guard down and relax, if only just for a little while.
Have you worked with QTR patients before? Yes, a bilateral actually (definitely off to a good start).
How long did you work with him and how did it turn out? Over 3 months and he was happy with his progress by the time we finished.
We were in one of these little treatment cubicles running along the side of the main workout area and I was sitting up on the table, which actually had adjustable levels with foot controls, almost like a dentist chair, and impressed the heck out of me for no reason at all. In answer to the obligatory 'how did you get hurt' question, I talked about going downstairs, hearing a loud popping sound as I got near the bottom, bla, bla bla, having surgery, giving up crutches after 13 days, brace after 4 weeks other than outside errands, no lingering pain, but lots of stiffness and swelling. In answer to the question of what did your OS have you doing before now, I answered truthfully he wanted nothing to disturb the work he had done.
Do you specialize in a particular area? No, he preferred to do a little bit of everything.
Show time. Sitting up on the table, we started off with some leg extensions--no problem there. Next, laying down on the table, some heel slides measuring out at 75 to 80 degrees with a ruler, no less, followed by some foot and ankle resistance movements, which I didn't know the point of since this wasn't where I had surgery, then he left for a moment and came back with the longest belt I had ever seen in my life, wrapped it around my foot, handed me both ends of it and asked me to do those same heel slides again while pulling on them, so I did that for a while. Then, laying on the table again, holding his hand up about a foot and a half in the air as a target, he wanted some leg raises, so I did a few of those, all of which were quite a bit higher.
After we finished that, he felt around my patella, manipulated it back and forth to see whether or not he thought it was tight, commented on how warm the area had become since we started, offered to go out and get some ice for it, which I passed on, and finally came and said my leg strength appeared to be a little more than he expected at the 7 week point, which I took to mean as another sign he had actually learned something about QTR surgery prior to our appointment.
For the last exercise he had me do some trunk raises where I just lifted and lowered my hips after holding them up in the air for a few counts. OK.
So far so good, and all during this time I kept getting one compliment after another for everything from exercises to even the shoes I wore (turned out he was very partial to Oasics) and as much as I like to think I was doing my part, he was definitely doing his a lot better, especially considering I never volunteered what I had been doing before on the grounds that I wanted to see what he had to offer first, plain and simple. Put another way, I already knew what I was going to be doing with or without him and wanted to know what he was going to be doing to add to it.
In summarizing what we had done so far, the goal as he saw it was to improve my ROM and continue to build up the strength in the leg, which was pretty much what I was looking for, and after excusing himself again, he returned with a printout of some of the stretching exercises we had done earlier with notes he had written next to the diagrams. I still had a few more questions though.
What's evidence based treatment all about? He described it as an emerging standard in the industry.
Will you be my assigned therapist from this point? Yes (by now I was starting to get hungry).
See you next week? Sure.
Edited by KneeToKnow - 5/16/15 at 12:09am