First PT appt, terrible pain | Arthritis Information

Share
 

You may remember that I mentioned I was going to start aquatic therapy while I am out on medical leave from my job.  Yesterday was my first appointment, "on land", and was really only an assessment.  She took a medical history, had me move this way and that, bend over 10 times, etc and felt certain muscles and joints.  That was about it.

Four hours later, terrible terrible terrible pain.  Doubled my Vicodin ES, but didn't do much.  My hands, feet, elbows, shoulder and back were so bad, that I started getting referred pain in my teeth.  Hubby and I had planned to go out for dinner at a chain restaurant, and I still wanted to go, but my shoulder was so bad that I couldn't bear my bra straps, so I actually went out bra-less (covered my 42G's under a big bulky sweater) for the first time since I was 11.  And food is an excellent pain medication in my book.

Today is better, although I slept until 11 am, still haven't dragged myself into the shower, and I'm achy all over.  If this is what I get from just the PT assessment, I'm panicked over what will happen when I actually go for the therapy on Tuesday.

Any form of excercise will help keep your muscles strong.  Since our muscles support our joints, it makes sense to try to keep them as healthy as possible. 

You may experience some soreness in the beginning, but be diligent...it will pay off.  water excercise is excellent!

See... that is why i call PT - Pain & Torture!

I am sure it is just because you do not move in those positions she had your in. So it was your body retaliating. I am sure once you get in the water it will not be so bad on your body.

Good Luck and keep us posted!

Hope you feel better tomorrow

Man, that sounds bad. Hopefully you'll feel better doing those movements in the water. That's what I like about exercising in the water. It takes all  the weight off my joints. I don't know what aquatic therapy is but it sure sounds good especially if the water is nice and warm.I think any exercise when you have severe RA and you find it hard to move to do the basic things...is going to hurt at first, no doubt about it but what I found with myself is that it is worth it if I can keep going because I hurt anyway...this is a difficult hurt but if you can keep it up you will feel better.

Not easy though, when it hurts so badly. Yet if you can keep going you will eventually win out overall.

I know you can do it, Suzanne. I believe in you. Know your limits and don't push yourself excessively but keep on going if you can. The water will take all the pressure off the joints once you get in their too.

I know that any exercise would hurt at first.  This wasn't just soreness last night, it was really, really bad pain.  I'm still hurting enough right now that I decided to deal with the hives I have rather than try to get out to the pharmacy for my overdue allergy prescription.

When I did regular PT four years ago it was continued agony for the 12 weeks until the therapist told me we weren't getting anywhere.   I do hope it will be better in the water, but judging from my own pool experience over the summer, I'm not holding out lots of hope.

No pain no gai nis a crock but if you haven't moved in a while there will be some muscle pain involved.  however you should not be experiencing increased joint pain more than 2 hrs post exercise

InnerGlow,

I had a similar experience with water therapy. Seemed like the right thing to do. How could you go wrong with something specifically designed as a gentle program for those with arthritis. A lot if your condition isn't compatible with the exercises.

I tried to hang in, but it just got worse and after 7-8 sessions, I had to stop to let my body calm down. Lots of debilitating pain. The leg kicking and bending exercises exacerbated the inflammation of my pelvic area, lower back and spine. I could barely walk. Haven't been back yet, but would like to. Another PA sufferer was in the program, and she did splendidly.

That was a long time ago, and my condition has improved with Enbrel and now Humira, plus yoga, weight loss, and better nutrition. I now walk when I can, and ride a "comfort bike" which has a lower and bigger seat with the pedals moved forward. You can put your feet on the ground which greatly helps stability and safety. The gearing system making pedaling gentle on the joints even on relatively steep inclines. I started with pedaling only a few hundred yards and have worked up to 2-4 miles depending on the day. I can easily overdo it if I pedal too hard or fast or long, and my body sharply reminds me that I have limits. This might work for you too.

In other words, I had to find exercises that were right for me, and you do too. Be very gentle with yourself but as others have suggested, try to hang in for a while to see how things develop. Don't push. The important thing is to show up and get in the water and do something. If a specific exercise causes you problems, don't do it, or cut back. Don't feel like you have to keep up with the others. Just take a pass when you need to. I hope it works for you, but I understand your situation.

Geezer



It's definitely possible to be sore after your initial evaluation for physical therapy.  In order to get all of the right measurements they have to bend you around so to speak.

Tell your therapist where you were sore.  He or she may have you take a tylenol or something before your therapy in the beginning, or if it's a specific area, they may use heat to loosen you up first.

Just be honest with your therapist as much as possible.

My physical therapist suggested that I take a pain med BEFORE I started each session.  I definitely felt it after each session but it was worth it in the end as I gained strength.  

I developed a horrific case of hip bursitis after just 3 sessions of  water therapy.

2 years later its still horrific. I firmly believe that not one of the PT's have a clue as to what RA is, in fact they kept talking about  my back.. my back is FINE..

I told them specifically I wanted to get help with learning ways to protect  the joints and they were trying to make me  ride a stationary bike and do a stair climber.

 

I get exercise I walk a LOT, I cary the kids I garden I do housewwork.. but the damage  the PT did is  just awful  not only that the so called therapy pool wasnt even heated the last 2 times I used it

Thanks for all the suggestions guys.  I'm not sure I did a good enough job of giving her the full picture of my pain, but I'll be sure to fix that when I go on Tuesday.  It also was a good reminder that I am in control and I can tell them when I can't do it anymore and need to stop.  Sometimes it's hard to just speak up.

Geezer, I used to love working on a recumbent bike...that was my favorite exercise because it didn't hurt my lower back and SI joints.  But my orthopedist told me no biking at all after I developed an osteochondral injury in my left knee a few years ago.  That was the end of my exercise program, with the exception of moving around the pool once in a while in the summer.

As far as medication, I'm already taking Vicodin ES every 6 hours around the clock, 24/7/365, and after my session I took extra.  I was leery of taking extra beforehand because 1) I wanted her to understand/see the full extent of my pain and 2) I didn't want to push myself too far because I was artificially feeling good.

I'm definitely going to give the PT a reasonable try.  But there's absolutely no way I could have done this while I was working.

Now we'll see how Tuesday goes, although I realized that my RD appt is right afterwards, so I'll be racing around to shower and change and get there, all while I'll likely be hurting pretty bad.  But at least the RD will see how I'm affected.

I just finished PT after having it for a year. During that time we started
with water stuff and after muscles were built back up we went back to
land. I also had ultrasound and e-stem.

I was in alot of pain after the assesment but when we got to PT it wasn't
to bad. After we finished in the water for they day we would go back
upstairs for ultrasould to break up inflammation. You probably would get
out of the pool and go home. They usually do stuff after to prevent pain
from occuring.

Also--there are good pt's and bad pt's. If you don't think this is working
for you talk to your RD. Maybe you need another therapist. But-give it
time before you decide.

Good luck...it will be worth it!

Becky

PS...I also have a TENS unit too which the PT applied at the end of the
session before I went home.rocckyd39424.4899768519Unfortunately, I am very sensitive to temperature, humidity, sound, light, and vibration.  I had to stop getting TENS treatments when my nerve pain started.  I can't tolerate heat.  And ultrasound can only be done on the very lowest levels, very slowly, for a limited amount of time, and it is still pretty brutal.
Copyright ArthritisInsight.com