Non-Weight Bearing

The Ponseti method involves 4-8 weeks of plaster casts that run from the toes to the groin. The casts are changed every 5-7 days after gentle stretching and manipulation to slowly and gently move the foot into the correct position. Eighty percent of patients will require an Achilles tenotomy to correct residual equinus deformity (AFP, 2012). Achilles tenotomy is a quick minor procedure that can be done in the doctor’s office. After the procedure, the patient is placed back in a cast for a few more weeks while the Achilles tendon regrows to the needed length. After the Achilles tendon has healed, the cast is removed and the patient must use an abduction brace “which is worn 23 hours a day for 3 months and then 14-16 hours, while asleep, until the child’s fourth birthday (AFP,

I met Mr. Eigner at the office of Dr. Taha. Mr. Eigner reports he is not taking any pain medications at this time. He reports he has a jolting shooting pain to the right and left legs only occasionally. He denied any pain to his right forearm. X-rays taken showed good alignment and healing of the fracture. The incisions are all healed except for a couple small spots on the right ankle. There is some swelling to the right ankle which Dr. Taha said is to be expected. The range of motion to the left ankle and toes was good. The range of motion to the right stores was limited. Dr. Taha said there is scar tissue at times from this type of repair and he would like physical therapy to start working on that. He is still going to be non-weight bearing for another 6 to 8 weeks on the right leg. He is now allowed full weight bearing as tolerated to the left leg. Dr. Taha ordered a rolling scooter to aid with ambulation and stop using the wheelchair. I have contacted Reverence physical therapy and faxed the new orders so the service can begin. I will process the rolled scooter with directions from the adjuster. The attendant care and replacement services will continue through to the next appointment.

Describe the bone healing process and why Minnie may experience an additional 8-12 weeks of discomfort after the cast was removed.

Physical therapy is a huge part of the recovery process. Almost immediately following surgery, a physical therapist will come in and do an evaluation on the patient and then either the PT or a physical therapist assistant will help the patient start off with an exercise program. In the first few weeks following surgery, the main goals for the patient are learning to walk with their walker or crutches and gentle massage to the foot area. The patient can start a few exercises including keeping the knee and hip joints strong and moving with strengthening and range of motion exercises. During weeks two through six, other exercises are introduced including range of motion exercises for the ankle. Calf and ankle stretches, towel crunches, and ankle range of motions with a babst board are all beneficial and appropriate during this stage of treatment. After week six and x-rays are taken to confirm the ankle has healed, strengthening and weight bearing exercises can slowly be introduced to strengthen and reeducate the ankle back into a normal walking program and gait pattern. Swelling, popping, and decreased strength can be expected for at least the first year following the

Often times if the spina bifida is minor the surgery can almost completely solve the issues the person is having. These surgeries require many different procedures that normally include neurosurgical, orthopedic, and urologic. Infection is common among these patients especially after being operated on. They must be monitored very closely so the infection can be reversed. After the surgeries the orthopedic surgeon becomes the most important role. Their job is to monitor the range of motion, motor strength, skin irritation, and more. Many times the orthopedic surgeon will have to provide the person with braces. These braces will help the person stand the correct way if they can. That way when walking they can strengthen the muscles used to walk. This will get the person one step closer to living a close to normal

Bone fractures happen in different severities. Some only require immoblisation, while others need surgery to heal properly. The doctor often prescribes a cast walker or moonboot after he sets the bone in the right position either by itself or in addition to surgery at a certain point in the healing process. A moonboot will keep the bone stationary enough for the bone to knit completely back together successfully.

You may go to physical therapy right away for pain management with heat or ultrasound treatments. Once your tendon has partially healed, you might begin exercises that strengthen the muscles that support your ankle. Range of motion exercises are helpful too because they restore full movement of your ankle after it has been held in place in a cast. Once you learn how to do the exercises properly, you can do them at home to help your foot recover quicker. An acute injury might be quicker to heal than a degenerative injury that has caused significant damage to the

You will need to remain in the hospital for a few days after your surgery. This time will allow the surgeons to monitor your post-operative progress. During this time in the hospital, you will experience some pain and discomfort after surgery

You have had a surgery just an hour age, haven’t you? So, how is your feeling now? I see you are bit anxious now. Could you tell me why you are feeling like that because of pain? I understand it must be annoying for you, but please rest assured. That pain and discomfort comes from the surgery and will go away soon. Now, you have 4 things you can do to make a quick recovery and I would like to explain to you if I may. Firstly, it better to avoid taking shower for the first 2 weeks. This is because the skin requires about 2 weeks for closing completely. Second, you should have a bed rest. Much research shows a positive relationship between rest and wound healing. Thirdly, why don’t you wear a surgical shoe? The reason for this is that

Douglas G. Smith’s Transtibial Amputations Successes and Challenges, discusses the importance of trying to save an amputee’s knee, and the challenge of giving a transfemoral amputee the power needed to walk affectively. It also discusses the different approaches to post-operative treatment. The most controversial of Smith’s topics (Immediate Post-Operative Prosthetics “IPOPs”) have been debated through out the prosthetics community. On the opposite end of the spectrum, from the IPOP approach; some surgeons believe a simple dressing and delayed rehabilitation process, is the best approach for recovery. While this approach takes into account the severity of the surgery and the necessity of healing; I believe,

Sometimes following the first day of postoperative, The patient can be discharged, In this situation patient should be avoided of crowds, Elevated the leg and hold on when is not able to ambulating for better protection use the crutches at all

Following Achilles Tendon Surgery, immobilization of the affected foot is essential. Immobilization can last up to 12 weeks. During this time, patients receive either a walking boot or cast designed to provide support and prevent movement.

Once you have passed the initial stage of your recovery, the bandages may be removed, and you may return to your normal routines with limited activities.

In the case of the 16 year old that sustained a fracture to the tibia and fibula, could go multiple ways. It really depends if the young man had an open fracture (Compound Fracture) versus Closed Fracture. If it is determined by the on-site physician to be a closed fracture, this simply means that the skin is intact and has not broken the skin then as long as no pins or surgery is needed then I would say that this would heal the quickest based less complications, and a cast and pain meds would more than likely fix the issue due to less complications. If the Young Man has a open fracture, then the healing time is much longer based on the fact that the skin and muscles in the both damaged and need to be repaired as well as monitored and a risk

In the first couple of days of rehab, she received high volt, and ice to help with the swelling she also did ankle pumps that also help with moving out the inflammation. As each day went by, towel scrunches, towel stretches were performed as three set each. Compression pumps were administered for 15 minutes several times a week, rhythmic stabilization, and aquatic therapeutic exercises were added as she