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Re: prepping for PT

AP 11:25pm May 6 2012

Did your OS already teach you ROM exercises to do while you're NWB? Since your fracture was stable enough for a closed reduction and not an open one with hardware, perhaps you're able to do ROM earlier.

Depending on the issues that your PT finds and works on, you can discuss with your PT what is your optimal schedule. A good PT will know the fine details of your ankle's strength, ROM, scarring even better than your OS. You will spend 2 hr/wk with the PT while you get 15-20 min during your OS appointment every 2-4 weeks.

Beware of the giant PT mill where one PT overseas 10-15 patients in one hour, and the patient is left alone or with an assistant to do the rehab exercises. One would do better with close, direct supervision by the PT who can watch you exercise and correct your form. Depending on your recovery, one might need manipulations and hands-on stretching by the PT. I've only gone to the smaller PT practices wher I would get the PT's close attention for most of the full hour. I have extensive scarring in my Achilles tendon after my trimal which has required a lot of stretching and manipulation by the PT. I've also gone to PTs who have doctorate rather than a master's degree, and one PT actually specializes mainly in foot and ankle rehab.

Good luck and stay motivated to do your rehab exercises.

R Trimall Fx (Weber C) 1/2/12, ORIF, NWB splint 1/9/12. POWk 2: SL NWB cast; POWk 6: Cast off, cast boot with TTWB; POWk 8: WBAT in air splint; POWk 10: Driving and walking w/o crutch/splint but limping 3/19/12; POWk12: syndesmotic screw out.

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