Your Postoperative Care

Whether choosing to undergo a surgical procedure to better your quality of life or experiencing an unexpected trauma in need of surgical intervention it is imperative that your postoperative care be tailored to your specific needs.  Each individual case is in need of a foundation in evidence based medicine and proper tissue healing timeline based protocols as well as an experienced therapist that can analyze specific patient needs. At Rose Physical Therapy our staff clinicians are experienced and trained in evidence based postoperative care.

A patient beginning their postoperative care should be examined for red flag symptoms in regard to deep vein thrombosis (DVT), or blood clot, and infection of the involved joint or body part.  The Well’s Score, developed from a clinical checklist, leads a clinician to a “likely” or “unlikely” clinical probability in regard to DVT and physical therapists are well trained at identifying signs and patient symptoms of infection.

Physical therapists are educated in a tissue healing timeline that provides a centerpiece for an evidence based, safe treatment procedure in the initial phases of healing.  Soft tissue healing ranges from 6-8 weeks to provide a safe structure to an area that was surgically repaired.  During this healing phase physical therapists provide care that limits soft tissue and joint loading to provide a safe healing environment.  During this time it is essential that a physical therapist remain safe and continue to observe a patient’s subjective reports for signs that healing is delayed or ahead of time. This is where individual analysis is important and one on one care can provide the proper setting for clinical conversation and planning between physical therapist and client.

When soft tissue healing timelines have passed and the physical therapist has observed and measured changes indicating proper healing individuality to a treatment plan again takes the forefront.  Rehabilitation includes increasing a patient’s quality of life, functional abilities, vocational abilities, and generating patient driven goals.  Physical therapists that can provide one on one care and individualized care planning can drive their care toward each patients needs rather than completing a solely protocol based rehabilitation.

Patient driven goals provide a unique endpoint to physical therapy care that often result in varying discharge dates from physical therapy. Our goal as physical therapists is to achieve outcomes that are valued by our clients which results in discharge from our care with unique and comprehensive home exercise programs.

The end result of postoperative care is always to achieve patient satisfaction with functional outcomes. At Rose Physical Therapy we strive to achieve these results with every client who enters the clinic.

Dr. Nicholas Smith

How Physical Therapy can help you achieve a pain free shoulder….

One of our most frequent inquiries from patients is whether physical therapy can help a stiff and painful shoulder. Patients often complain of pain due to sports injury, car accident, arthritis or adhesive capsulitis (“frozen shoulder”).
The shoulder is a ball and socket joint. The ball of the humerus or upper arm  rolls and glides in the socket of the scapula or shoulder blade when we move our arm. Limiting conditions such as arthritis, general stiffness or adhesive capsulitis (“frozen shoulder”) stop this roll and glide and shoulder motion becomes quite limited and painful. Quality of life is impacted as it becomes difficult to perform simply daily tasks.
Frozen Shoulder is a condition that occurs fairly commonly with 200,000 cases diagnosed per year in the United States. Patients suffering from frozen shoulder often work with a therapist over an extended period of time so that pain is minimized without the need for prescription pain medication and motion is restored without surgery. Targeted manual joint mobilization can restore the shoulder roll and glide and therefore, the pain free mobility of the shoulder.
For patients who have suffered from chronic arthritis in their shoulder, physical therapy works to improve joint mobility that has been lessened by damage and inflammation.
Our office can be reached at 716.204.8734.  Any questions can be emailed to admin@rosephysicaltherapy.com.