Ask a PT

156 Posts
 
Posted - 04/22/2008 :  16:48:12  Show Profile  Reply with Quote
Our user asked: "What should I do about PT that isn't helping me, in fact it's causing me more discomfort? I broke my leg (spiral fracture of the fibula and separation of the distal epiphyses of the tibia and fibula) in February and have had 5 sessions of PT since April 4th. The therapists seem to be locked into a routine method of treatment. I've have told them again and again that their routines are causing me extreme discomfort. They just look surprised and continue to do the same things, regardless. Yesterday I went home in tears from the pain. Now I'm even hurting in places that weren't injured, like my lower back and inner ankle and now I have edema and paresthesia in that leg and foot. The therapists seem totally baffled about this. Unfortunately, the doctor that did the surgery on my leg only recommended this group and will not allow me to go to any other place, so my insurance will not cover it if the doctor doesn't allow it. Any advice? I've just about had it."

Ask a PT Response: "I am sorry to hear that you are having a bad PT experience. Pain is usually a guide for PT's as far as prescription and progression of exercises. In most cases having a patient perform exercises which results in additional pain can be counterproductive. Perhaps your PT could try other exercises which only involve partial weight bearing such as balance boards/foam rollers in sitting or weight bearing exercises with rail or other support. Aquatic PT could be a good choice for rehab as well. As far as your doctor not allowing you to see another physical therapist other than the one he recommends is unprincipled. You should be able to see any physical therapist which accepts your insurance. You can simply call your insurance and get a list of providers who accept your insurance. You can then request to have a copy of your MD order and attend the therapy clinic of your choice. I hope this helps. I wish you a better PT experience and the best of luck."