This month marks a year since I started physical therapy. I thought I’d share the highlights of my journey … you know, just in case your body isn’t functioning as advertised. If physical therapy is an option, this might help you weigh the pros and cons.
I originally started physical therapy after several bouts of debilitating sciatica, presumably caused by spinal stenosis. Other body parts soon cried out for attention, and my PT helped me work through those issues as well. Medicare is my primary insurance, and Tricare for Life is my secondary. Other than deductibles, I have paid zero out-of-pocket expenses.
When I first started, I went weekly. Since then, I’ve averaged twice a month. During my 30-minute visit, we review my home exercise program, and the PT uses manual therapy to treat whatever hurts the most that day.
My home program started with exercises to strengthen my core. There’s no universal prescription, but my routine includes dead bugs, forearm planks, Pallof holds and slow sit-ups using a resistance band to help get me up and down. It takes about an hour to complete them all, and I usually do them every other day. It’s a commitment.
It took about six weeks of regular exercise to feel any difference, but I’ve had very little back or leg pain since. I had one flare-up around Christmas, but it only lasted a couple of days. Early in my treatment, he massaged the glutes to relieve sciatic pain, but my back has been remarkably responsive to the exercise regime.
My other bad actors are knees and wrists. We shall start with wrists. I broke both of them about 15 years ago, and they haven’t been the same since. I’ve had tests and seen specialists, and the only thing they found is thumb arthritis.
I usually wear thumb braces at night, and they help a lot. My PT also massages my wrists and the base of my thumb, and that is hugely helpful. I try to copy his technique between visits. One of the exercises for my back also helps my wrists, and that is the marching carry. I do high-step marches around the house for a few minutes with my arms hanging down but carrying 8-pound weights. I started with 5-pounds and am working my way up.
My wrists are better. I just have to be careful – it’s easy to over-do an exercise and go back to square one.
Both knees have been abused for many years overdoing it in sports activities, but the right one is mostly OK. The left one hurts a lot, and we’ve spent months working on some relief. We started with lunges and squats to strengthen the quadriceps, and that was working well. By September, I had graduated to leg extensions on the machines. But it was too much, and my knee went batshit crazy.
I am no stranger to pain, so believe me when I say this was bad. But there was no popping or anything like that. Just intense burning pain that would come on fast and then go away. The doctor ordered an MRI, which shows cartilage damage and a possible meniscus tear, but the she said that could be degenerative and not necessarily an acute injury.
The worst of the pain was gone by late November. I was back to whatever passes for normal by the beginning of the year, so the PT put me back on leg extensions but this time at home first using no weights at all and then adding 2.5-pound weights. I just increased to 5-pound weights, and so far, so good.
This is the best my knees have felt in a long, long time. As I’ve read about chronic knee pain, you have to think of it as “cartilage time.” Nothing happens fast. My PT wants me to keep working with the ankle weights with a long-term plan to go eventually back to the machines. I suspect lunges and squats are in my future as well.
I was thinking today – geez – what’s this weird feeling? Oh, yeah, my body feels pretty good! It has not been a perfect journey. That little setback with my knees was brutal, and I wanted to give up. But I knew quitting wasn’t going to get me out of this hole. I did not want to be hobbling around on bad knees forever if I could do anything about it. I saw the solution as a matter of patience and persistence.
And that’s my final thought if you are considering physical therapy. It’s not a spa. You have to make yourself do these damn exercises, but the results for me have been worth it. I’m active … walking, swimming and playing golf, sometimes with a little pain and sometimes not, but I’m still active. The only thing I take for pain is the occasional Advil and have so far avoided surgery.
If this is as good as it gets, I’ll take it, but I am hopeful continuing PT will bring further improvement. I keep joking with the PT that I’ll be 70 in September — he’s got until then to get me fixed up. Maybe it’s crazy talk, but I want to start my 70s feeling strong.