Lounge Doctor

TKR Outpatient PT and Mask Anxiety

Rapunzel

new member
Joined
Jun 6, 2021
Messages
4
Age
69
Gender
Female
Country
United States United States
Hi, I had my right TKR on July 6, 2021. Been doing OK with in house PT but now it is time to start Outpatient PT. I have my first appt this Tuesday, August 3rd. We live in Florida and they just reinstated the indoor mask requirement. I am so stressed because I know I will have to wear a mask on Tuesday even though I am fully vaccinated. I have problems wearing a mask with breathing and experiencing panic attacks. I know outpatient PT would the best thing for me but my anxiety level is at an all time all
 

Jockette

MODERATOR
Moderator
Joined
Aug 29, 2017
Messages
24,126
Age
65
Location
Delaware
Gender
Female
Country
United States United States
I have problems wearing a mask with breathing and experiencing panic attacks. I know outpatient PT would the best thing for me but my anxiety level is at an all time all
Been doing OK with in house PT
I think under these circumstances I would continue to work on my recovery at home. Breathing problems and stress are not helpful for your recovery. We have members who choose not to go to a PT office and they recover fine.

Saying no to therapy - am I allowed to?

Regaining our ROM is more about Time than repetitions of a list of exercises.

Time to recover.
Time for pain and swelling to settle.
Time to heal.

Our range of motion is right there all
along just waiting for that to happen so it can show itself.

In the general run of things, it doesn't need to be fought for, worked hard for or worried about. It will happen. Normal activity is the key to success.

I will leave you our Recovery Guidelines. Each article is short but very informative. Following these guidelines will help you have a less painful recovery.

Just keep in mind all people are different, as are the approaches to this recovery and rehab. The key is, “Find what works for you.“ Your doctors, PTs and BoneSmart are available to help, but you are the final judge as to the recovery approach you choose.

Knee Recovery: The Guidelines
1. Don’t worry: Your body will heal all by itself. Relax, let it, don't try and hurry it, don’t worry about any symptoms now, they are almost certainly temporary
2. Control discomfort:
rest
ice
take your pain meds by prescription schedule (not when pain starts!)​

3. Do what you want to do BUT
a. If it hurts, don't do it and don't allow anyone - especially a physical therapist - to do it to you​
b. If your leg swells more or gets stiffer in the 24 hours after doing it, don't do it again.​


4. PT or exercise can be useful BUT take note of these

5. At week 4 and after you should follow this

6. Access to these pages on the website

The Recovery articles:
The importance of managing pain after a TKR and the pain chart
Swollen and stiff knee: what causes it?
Energy drain for TKRs
Elevation is the key
Ice to control pain and swelling
Heel slides and how to do them properly
Chart representation of TKR recovery
Healing: how long does it take?

Post op blues is a reality - be prepared for it
Sleep deprivation is pretty much inevitable - but what causes it?

There are also some cautionary articles here
Myth busting: no pain, no gain
Myth busting: the "window of opportunity" in TKR
Myth busting: on getting addicted to pain meds

We try to keep the forum a positive and safe place for our members to talk about their questions or concerns and to report successes with their joint replacement surgery.

While members may create as many threads as they like in the majority of BoneSmart’s forums, we ask that each member have only One Recovery Thread. This policy makes it easier to go back and review the member’s history before providing advice, so please post any updates or questions you have right here in this thread.
 

Gunu_21

new member
Joined
Jun 7, 2021
Messages
13
Location
Amsterdam Netherlands
Gender
Female
Country
Netherlands Netherlands
I also go for outpatient physio and here in the Netherlands the physiotherapist wears a mask and patients are allowed and encouraged to not wear a mask while exercising as it is important to breathe well. The first day I insisted on wearing a mask but as I felt breathless while exercising with the mask I took it off. If you are not allowed to be without a mask I would suggest to not do outpatient PT until the situation becomes better.
 

Sisterpat

MODERATOR
Moderator
Joined
Feb 14, 2021
Messages
1,140
Age
74
Location
Arkansas
Gender
Female
Country
United States United States
I agree. Do your own PT at home. I thought Florida was not allowing mask mandates.
 

Jo Wo

senior
Joined
Feb 28, 2021
Messages
411
Age
64
Location
Long Island NY USA
Gender
Female
Country
United States United States
I am in NY and have a hunch we will be in lockdown soon....ny reopened in may but healthcare facilities still require masks and that you hit the purell dispenser before entering the treatment area. Everything I can do at outpatient I can do at home but their massage does loosen me up a bit. I may get nervous and suspend treatment if things get crazy here.
 

kneeper

FORUM ADVISOR
Forum Advisor
Joined
Dec 11, 2010
Messages
13,539
Location
USA
Gender
Female
Country
United States United States
I found once I learned the exercises, the PT appointments were more for adjusting a few things and reassurance. You may do just fine for now, continuing your exercises on your own at home.
 

Jamie

OneStep AMBASSADOR
Senior Administrator
Joined
Mar 24, 2008
Messages
64,892
Age
72
Location
Kansas
Gender
Female
Country
United States United States
OneStep Ambassador Icon
@Rapunzel, you had indicated an interest in the OneStep therapy program. Would you like to look into that instead of your outpatient PT or in addition to it?
 

New

OneStep App

BoneSmart #1 Best Blog

Members online

Forum statistics

Threads
56,757
Messages
1,457,762
BoneSmarties
34,950
Latest member
Badbone
Recent bookmarks
0

Top Bottom