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knee rehab.
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knee rehab. - December 6, 2004 8:21:00 PM
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Brandon@personalTrainer
Posts: 10
Joined: November 1, 2004
From: Everett,wa
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Hey I work as a personal trainer, and have some experience in physical therapy exercises. My friend, a 55 year old male, had his knee opperated on recently. Basically he had scar tissue and arthritis, and after the initial rest period he was supposed to ride the exercise bike. He did this, and his strength and motion is good but it still hurts. He is holding the shots, not cortizone but some kinda lube in reserve. I guess I was wonder if there was any suggestions on strengthing the knee, or is it just pain associated with the arthritis?
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Re: knee rehab. - December 7, 2004 3:29:00 AM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
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let him have a thorough PT eval...let them look at biomechanics, ligament stress testing, look at the feet, the screw home mechanism, try some mulligan techniques, etc....maybe they can then advise him/you of what to do next..use the PT as a consult..they do not need to take him from you, just go as a consult...
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Re: knee rehab. - December 7, 2004 4:09:00 AM
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PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
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Could not agree more. Let the PT find out what all the deficits are, including strength, flexibility and biomechanics, and inform you what they are, so you can use your expertise to best decide how to address and resolve them. Usually once all the deficits are eliminated or safely compensated for, the pain will be gone and normal function will return.
John Duffy, PT OCS
[URL=http://www.PTupdate.com]www.PTupdate.com[/URL]
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: knee rehab. - December 7, 2004 9:06:00 AM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
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John, we tend to agree so much! We need to work together..when are you moving out of that cold forsaken state? I'll be willing to compromise, I'll do hilton head, or charleston or south east NC...I'll even let you name the new clinic..
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Re: knee rehab. - December 7, 2004 10:46:00 AM
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Brandon@personalTrainer
Posts: 10
Joined: November 1, 2004
From: Everett,wa
Status: offline
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yeah...I know he has been going to a doctor, but I will ask him if he has accually spoken to a therapist. I mean he can do everything, just has pain in the joint. If I am remembering right he lacks most of the padding between the joint and there are some burs and whatever that catch..aging sucks I guess:D thanks guys
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Re: knee rehab. - December 7, 2004 11:13:00 AM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
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the injections you speak of are basically cartilage replacement fluid injections, kind of like a WD40 for the joint. They either work pretty well or not at all, it seems that by time someone needs the injections it is too late and the part of the cartilage that regrows cartilage has already been worn away. If his pain was purely because of this possibly altering his patellar biomechanics via tape or brace may help, or a quick in and out debridement arthroscopic surgery may be in order...still would say have him set up an eval with a PT...you can then have him back...
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Re: knee rehab. - December 7, 2004 3:48:00 PM
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PTupdate.com
Posts: 1474
Joined: October 8, 2001
From: Pittsburgh, PA USA
Status: offline
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Ben...nice offer! Since I have a longstanding policy of doing business only with PTupdate members, I will scan through my member list and see if you are there.
_____________________________
John M. Duffy, PT
Board Certified Orthopaedic Clinical Specialist
www.PTupdate.com
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Re: knee rehab. - December 7, 2004 5:43:00 PM
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FLAOrthoPT
Posts: 1011
Joined: May 8, 2004
From: West Palm Beach
Status: offline
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lol..I am checking it out right now, hope it doesn;t cost me anything!
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Re: knee rehab. - January 5, 2005 7:51:00 PM
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ptdan23
Posts: 224
Joined: November 6, 2003
From: Orlando, FL
Status: offline
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Brandon,
How can you have experience in physical therapy exercises when you are not a PT?
Dan, PT.
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Re: knee rehab. - February 6, 2005 7:05:00 AM
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Brandon@personalTrainer
Posts: 10
Joined: November 1, 2004
From: Everett,wa
Status: offline
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hmmm....how did this thread get pulled up again? I never said that I was a PT, I said that I had experience in the exercises? Unless you have a good paying job for me, I dont really understand the point to your question. There are many ways to have gained experience in PT exercises. However I could be an athletic trainer, I could have interned and decided I didnt want to be a PT, I dont remember saying that I wasn't one....So please explain the reasoning for your question. Sorry if this sounds defensive, but due to the lack of beneficial info in your post it simply seems as if you grilling me on my credentials.
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Re: knee rehab. - February 7, 2005 4:31:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
Status: offline
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Brandon-
There is good reason to believe that a regimen of treatment with a Physical Therapist using manual therapy and strengthening for the knee is very successful in managing arthritis, and more successful than exercise alone.
Here is the citation.
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=pubmed&dopt=Abstract&list_uids=10651597
I would recommend your client see a PT familiar with manual therapy techniques for the knee to acheive his maximal outcome.
I think he is lucky to have a trainer so knowledgeable and interested in helping him.
Good luck.
Jason
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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Re: knee rehab. - February 8, 2005 10:39:00 AM
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Randy Dixon
Posts: 744
Joined: August 6, 2004
Status: offline
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I agree with Jason. I have often heard PT's complaining about personal trainers on this forum, but here is one who is looking out for his client and reaching out. I think that having some training for personal trainers done at an outpatient PT clinic is a good idea, it lets them know what you expect and what is the best way to proceed with your clients and let's you know what they already know. This can give the PT's confidence in discharging a patient to a personal trainer.
Dan,
There are no copyrights (are whatever is applicable) to movements.
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Re: knee rehab. - February 9, 2005 6:48:00 AM
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JLS_PT_OCS
Posts: 1684
Joined: January 30, 2005
From: USA
Status: offline
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Brandon, keep up the good work.
Keep seeking good communication with Therapists as well as other providers.
It shows that you know what your educational limits are (and we all know ours) that you are trying to improve both your knowledge base and the outcome for your client.
J
_____________________________
Jason Silvernail DPT, OCS, CSCS
"It isn't what you're able to do that requires your courage but rather what you have come to understand and are willing to express." - Barrett Dorko,PT
**I no longer post on RehabEdge**
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