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Quad NMES with diagnosed DVT

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Quad NMES with diagnosed DVT - January 26, 2017 12:56:19 PM   


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Hoping for some advice

I have a post op knee patient (distal realignment, MPFL reconstructions) who was diagnosed with a posterior tibial vein DVT and has now been on Lovenox for 3 days.
She is early post op and so one of our main goals is getting quad activation. I was always taught no estim on these patients with an active DVT. However, I am wondering when folks would consider the use of NMES safe in this situation. I.E. at what point would the clot be stable enough to apply NMES to the quads fairly near the clot site.

I usually consult the below reference b/c I think it is pretty complete. They list it as a contraindication but obviously there has to be a point that one could use the modality I'm just not sure what that point in time is.

Physiotherapy Canad
Contraindications and Precautions: An Evidence-Based Approach to Clinical
Decision Making in Physical Therapy
VOLUME 62 NUMBER 5 SPECIAL ISSUE 2010 ISSN-0300-0508 E-ISSN-1708-8313

Thanks in advance for the input

< Message edited by KBrownPT -- January 26, 2017 12:58:40 PM >
Post #: 1
RE: Quad NMES with diagnosed DVT - February 6, 2017 8:58:29 PM   
Randy Moore

Posts: 113
Joined: July 7, 1999
From: Columbus, OH USA
Status: offline
I would call the surgeon and ask him/her when you have the green light. Its always good to take an opportunity to interact with a referral source.

(in reply to KBrownPT)
Post #: 2
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