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  1. #1
    Join Date
    Feb 2005
    Location
    Concord, MA
    Posts
    13,394
    Good call, Catrin. Do you have a video to show the ortho? I hope you get the approval for the gait training.
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  2. #2
    Join Date
    Nov 2009
    Posts
    10,889
    Quote Originally Posted by Crankin View Post
    Good call, Catrin. Do you have a video to show the ortho? I hope you get the approval for the gait training.
    Sadly there wasn't enough light for his Coach's Eye on his phone to record my "walk of shame". The interesting thing is I've been VERY consistent with my PT exercises, but as Rick said, those are mainly for ROM and not so much for the eccentric loading involved in walking. I do weighted exercises with ankle weights, leg raises, and bench squats but obviously that hasn't been enough. Flexion and extension are both great - but there are apparently other pieces in this puzzle. It feels like I'm still wearing a brace - which I never used more than 4ish hours a week.

    Hopefully they will approve it - my "Active Release" specialist (who has done close to miracles with my neck, shoulders and hips) is also movement specialist and he may be able to advise me on things I can do if the gait training isn't approved. We will see what the Workman's Comp folks will approve.

  3. #3
    Join Date
    May 2008
    Location
    northern Virginia
    Posts
    5,897
    I think PT should be about more than range of motion. You might want to consider the possibility that the therapist isn't good at their job. I wasted months with a bad one, made very little progress until my doctor sent me to a different one.

    You should find someone to video you while walking in a well lit area to show the doctor. And stress to him that you are not recovered -- you cannot walk. If it's not addressed now, you will develop all sorts of other problems with your knees, hips and back and you probably won't have that treatment covered by worker's comp.

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  4. #4
    Join Date
    Nov 2009
    Posts
    10,889
    Quote Originally Posted by ny biker View Post
    I think PT should be about more than range of motion. You might want to consider the possibility that the therapist isn't good at their job. I wasted months with a bad one, made very little progress until my doctor sent me to a different one.

    You should find someone to video you while walking in a well lit area to show the doctor. And stress to him that you are not recovered -- you cannot walk. If it's not addressed now, you will develop all sorts of other problems with your knees, hips and back and you probably won't have that treatment covered by worker's comp.
    Good idea NY Biker, there just isn't enough space at the office to show them that it is like and I will see what I can arrange to make that happen. To be fair to the PT, she did have me on the treadmill and THAT looks fine - because I was holding on and supporting myself. My gait is much better with a cane, oddly enough - probably because it's helping out my good leg a bit more than I knew. The knee wasn't normal for a very long before the surgery and while I did walk normally, it could be that my body had made certain compensations that no longer work with my patella finally being in the "right" place. It really feels like there is now an internal physical impediment in that knee - like an internal brace - and I had ascribed that to nerve "stuff" and recovery.

    Thanks again everyone!

  5. #5
    Join Date
    May 2008
    Location
    northern Virginia
    Posts
    5,897
    Quote Originally Posted by Catrin View Post
    To be fair to the PT, she did have me on the treadmill and THAT looks fine - because I was holding on and supporting myself.
    That might be a big cause of your problem. When I was in PT for the ankle they emphasized normal walking on the treadmill, without limping and without holding onto anything.

    - Gray 2010 carbon WSD road bike, Rivet Independence saddle
    - Red hardtail 26" aluminum mountain bike, Bontrager Evoke WSD saddle
    - Royal blue 2018 aluminum gravel bike, Rivet Pearl saddle

    Gone but not forgotten:
    - Silver 2003 aluminum road bike
    - Two awesome worn out Juliana saddles

 

 

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