Have you ever noticed just how delicate the balance of the body is? This fact was brought home to me recently, when a patient who was rushing to get off her walker and onto a single point cane ended up with a calcaneal bursitis and rotator cuff tendonitis on the uninjured side, caused by shifting her weight too vigorously onto her good side and pushing too heavily on the cane. No one can blame a patient, especially a young one, for wanting to get off a walker — but she had plenty of compensation going on for her healing hip, and the race to gain more independence gave her a nasty setback.
Another patient who is in anticipation of a knee replacement surgery has just realized that he had better attend to his CMC osteoarthritis problem, or he won’t be able to push up from a chair or use a walker easily after surgery. And another patient with stress and urge incontinence is hurrying to schedule her bladder sling surgery before her upcoming hip replacement, for fear of not being able to make it to the toilet in time postoperatively.
Like most of you, I look at each patient as an entire person, rather than as just an injured body part, but it’s often amazing which systems and structures will become stressed along the road to recovery … it’s all connected.
Have you noticed any compensatory changes in your patients lately?
Anne Ahlman, MPT
Another patient who is in anticipation of a knee replacement surgery has just realized that he had better attend to his CMC osteoarthritis problem, or he won’t be able to push up from a chair or use a walker easily after surgery. And another patient with stress and urge incontinence is hurrying to schedule her bladder sling surgery before her upcoming hip replacement, for fear of not being able to make it to the toilet in time postoperatively.
Like most of you, I look at each patient as an entire person, rather than as just an injured body part, but it’s often amazing which systems and structures will become stressed along the road to recovery … it’s all connected.
Have you noticed any compensatory changes in your patients lately?
Anne Ahlman, MPT
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