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Question: therapy after NA surgery
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01/10/2009 21:56
bshatzer 
01/10/2009 21:56
bshatzer 
Question: therapy after NA surgery

I'm scheduled for an NA in February - after my failed experience with the Xiaflex trials, I've finally decided to bite the bullet.

My physician has me scheduled for up to 12 physical therapy sessions in the four weeks following the NA. Is this overkill or is he just staying on the safe side? Everything I've read indicates that no or minimal physical therapy is required post-op.

Is this just a money maker for the physical therapy department or is this much PT actually the norm?

I don't want to spend the time (and money) if it's unnecessary. On the other hand, I want to maximize the chances of an optimal recovery.

Any ideas or experiences which might guide me?



01/11/2009 18:24
Mike S

not registered

01/11/2009 18:24
Mike S

not registered

Re: Question: therapy after NA surgery

Mu recommendation is to take as much PT as your insurance company will allow. it is very helpful after NA. If memory serves, I had some 15 sessions or so after my NA. 3x/week at 1st and 2x/week after a while. Well worth it. Also, expect to wear a night splint for 3-6 months after the procedure. I'm 2+ years in, and still wearing a (llose0 splint).

01/12/2009 08:24
Randy_H 
01/12/2009 08:24
Randy_H 

Re: Question: therapy after NA surgery

I believe the amount of PT after NA has everything to do with how much correction you are attempting. Eaton prescribed no PT following NA on a PIP that started with a 30 degree contraction. I don't see how it would have been of value. The night splint is however a must in all cases PIP correction.

Essentially, you will know how well you are doing fairly quickly. If you have sufficient flexibility and strength I can't see a need for too much PT. I would want to know what the goals are going in.

It will be very interesting to see if NA can accomplish what Xiaflex (or whatever they want to call Collegenase) could not do. Please keep us posted.

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