21 Mar What is a physiotherapist?
What should you expect before and after seeing a physiotherapist?
Physiotherapists have advanced years of training and therefore understanding of how the body moves, what keeps it from moving well and how to restore mobility after injury.
Therefore on your initial visit your physiotherapist will tell you what parts of your body have quit moving right and explain to you clearly what will be done to get them moving right again. Once movement is restored then your pain is reduced. On subsequent visits the physiotherapist will work to restore movement and will prescribe specific exercises aimed at supporting this healthy movement.
You have been out in the garden and you were lifting pine logs diseased with pine beetle. A little voice was saying, “This is too much weight”, and as you turned your body to put them on the truck, you felt an excruciating pain accompanied in your back. During your visit to your doctor she will prescribe anti-inflammatory, ice, pain killers and hopefully a prescription for a physiotherapist.
After an initial consultation the physiotherapist tells you have a second degree (moderate partial tear): partial tear of the rotator muscle that sits in the bottom of the canal beside the 4 and 5 lumbar vertebrae (low back). Your physiotherapist will tell you your load was too heavy for the present physical condition of your body as your injury is classified as a second degree. This was determined by the large spectrum of injury and the significant early functional loss.
The recovery time for this second degree is any where from 20-90 days. Whereas typical low back strain recovery time is only 2-21 days. You are told because of the nearness of the injured muscle to the 4 and 5 spine bones the movement of these bones will have to be restored.
On subsequent visits the physiotherapist will do mobilizations (movement) to restore your stiff back bones and if acupuncture is available, it will be used to promote healing and relaxation of the taunt bands that will be felt as back spasms. They might use modalities as well. Here at Consult, Educate and Treat we use the five point protocol for pain which incorporates all of the above in one treatment. Unfortunately most people are unable to afford to attend the required number of visits that would promote an optimum out come.
So you have stopped attending physiotherapy – What can you expect now?
HERE ARE SOME SUGGESTIONS:
You will be fed up with the process long before it’s over……..
At one time physiotherapy was covered by medical services plan and a large part of our role was monitoring correct restoration of movement, pain reduction techniques as well as encouragement. You used to have a great deal of help navigating through your recovery, now for the most part you are on your own.
- You will be given a time frame for recovery. Please keep that in mind as you fight discouragement and fear. (WHAT IF I NEVER GET BETTER, WHO WILL LOOK AFTER MY FAMILY ETC).
- If there is increased pain, this usually follows increased movement that has been tackled too soon. If it persists please return to your physiotherapist. If she feels its necessary she will return you to your doctor.
- Unfortunately, for most humans, it’s their nature that; WHEN GIVEN EXERCISES-THEY IGNORE THEM. Remember the exercises were given to restore lost movement. DO NOT STOP DOING THEM. IF YOU DO, THE STIFFNESS WILL HAVE A TENDENCY TO RETURN.
- Another observation made over the years is following an injury there is a tendency to feel exhausted. Many people state “I HAVE BECOME OLD OVERNIGHT”. Try not to become discouraged. This is normal. Your energy levels will return as the injury heals.
- When healing and restoration of normal movement is not achieved due to lack of adequate monitoring caused by people being unable to afford physiotherapy, then unfortunately you can slipped into chronic or persistent pain which is an escalating problem in Canada and the U.S.A. Check out the increasing waiting list at Kelowna General hospital or your local hospital
PAIN IS A MORE TERRIBLE WARLORD OF MANKIND THAN EVEN DEATH ITSELF” ALBERT SCHWEITZER 1931
Please book your next appointment at Consult, Educate and Treat
2178 Pandosy Street
Kelowna B.C. Canada