And the Physiotherapist said …

Today I woke early, after a little bit of a restless night. As soon as my eyes were unglued and my neck was unkinked, and my brain was firing on at least three cylinders, I was aware of a tiny tadlet of apprehension.

You see, today was the day for the first physiotherapist appointment following my rotator cuff repair.

For those of you who have never gone through rehab following surgery, I can tell you that it bloody hurts. To illustrate this, here’s an excerpt from a post I did three months after my last rotator cuff repair:

“So far, the exercises have been aimed at gently mobilising the shoulder joint and easing the stiffened muscles and tendons.  I had gentle circles to make, pointing towards the floor.  I had passive lifts (which did indeed hurt OH almost as much as they hurt me), and I had tentative self-powered lifts – raising my arm up to the front and the side, shoulder hitches, elbow rotations – and yes, they were painful too, but at least the instruction was to stop as soon as it hurt and not push it.

Now this sadist health professional has me sliding pieces of paper up the wall which is not only agony on the shoulder, but the elbow too, for some reason.  He showed me how to do it, then watched solemnly as I had a go.

‘Is that as far as you can reach?’ he said, with the vaguest hint of disappointment. ‘No, no, that’s fine.  Really.  You’re doing well!’

Sure.  Sure it is.

Sure I am.

‘Oh well,’ I thought. ‘If that’s the worst, I guess I can manage that.’

But then he led me into the gym.  He hooked me up to a pulley, so that I could use my left hand to pull my right hand upwards.  A sort of self-assisted passive lift, if there is such a thing.

‘Aaaaaaaaaaagghhh!’  I said, with great restraint.

‘Good!’ he said, beaming.”

And that’s what they’re like – they cheerfully ask you to do things which are extremely painful, and then they grin at you when you yell1.

So you’ll no doubt be relieved to hear that today’s physio session went really rather well! I was fetched from the waiting area by a diminutive young lady with dimples whose name was “M”. She looked about seventeen, and told us that while her origins were Italian, she herself was Portugese2. She took me to her little room, dimpled at me, and filled in her questionnaire. She had a look at my healing wounds and pronounced that they looked very nice3, and asked me to take my arm out of its sling.

Then she picked up a metal crutch and advanced upon me, whereupon the torture scenes from various movies flashed before my startled eyes.

In fact, all she wanted to do was to get me to hold it horizontally in front of me using both hands, to test my range of motion. To say I was apprehensive was an understatement, because for the entire fortnight since the op I’d been forbidden to remove the sling night or day except for washing, dressing, etc, and I’ve been firmly admonished to make sure it was supported either by the sling or by my other hand at all times. It felt very odd to allow my arm to hang loose from the shoulder for the first time.

But here’s the exciting thing: using my right hand to actually move the crutch (my left arm being a mere passenger at the other end) I was able to raise my arm up in front of me, out to the side, and even behind me to about a thirty degree angle – and it wasn’t agonising! This was quite startling, because I distinctly remember, back in 2009, turning the air blue when A was assisting me with some very gentle exercises in the early days of my recovery, and tears leaking from my eyes with the pain.

The difference – apart from the nine intervening years4 – is perhaps that the repair on my other arm was open (resulting in a two and a half inch scar across the top of my shoulder) and this one was done arthroscopically. Last time, my upper arm was black and blue (and green and yellow), and this time, it was not.

And this time, I’d already done six months of physiotherapy before I had the surgery, working on strenghtening my deltoids.

Whatever the reason, it came as a big relief to learn that I’m already in a better place after only two weeks than I could ever have imagined.

Still a long way to go, of course, but I’m going in the right direction, and this time, I seem to have picked up a faster ride!

1 They really like it when you yell. I can only assume they think it means that you’re really trying.

2 For some reason, many of the physiotherapists here are very large and gung-ho Australians, so she came as a little bit of a relief. Although it somehow didn’t feel right to be at the mercy of a dainty young thing like M from Portugal.

3 A matter of opinion.

4 The surgery was at the end of 2008 so it’s nine years, and of course, surgical techniques may well have improved during that time.

8 thoughts on “And the Physiotherapist said …

  1. Rob Lenihan 7th November 2017 / 12:36 am

    Jay, I’m glad to hear that this round of rehab is going better than the first time.

    I wish you a speedy recovery and best of luck with M from Portugal!

  2. Valerie Daggatt 7th November 2017 / 9:32 am

    Interesting to read about the therapy. I have always admired physiotherapists. I know they can cause pain but it’s their procedures I admire as well as their attitude. I find my yoga exercises help at such times. You are a brave girl. Keep at it.

    • Jay 7th November 2017 / 10:35 am

      Thanks, Valerie – yes, Physios are highly skilled professionals, and you just have to trust them, don’t you?

  3. Polly Macleod 7th November 2017 / 8:10 pm

    oooh that looks and sounds painful. Wishing you a full and speedy recovery.

  4. Jay 7th November 2017 / 9:15 pm

    Thank you, Rob, Sandy and Polly! Actually it’s not as painful as it looks, and the really bruised arm is from last time (2008).

  5. Baino 8th November 2017 / 5:27 pm

    About to find out whether pre-op rehab works. I had terrible bruises after my first arthroscopy somchanged surgeons and the second was fine. Good luck

    • Jay 8th November 2017 / 9:09 pm

      My one experience with pre-op physio tells me it does, so I hope that’s the case for you, too. My arm doesn’t feel anywhere near as leaden as the other one did after the op, and so far the post-op physio is very much easier. I’m sure that a lot does depend on the surgeon, and in the case of ligament tears, on the exact state of the injury, too – but that last bit probably doesn’t apply to knee replacements.

      Good luck with your rehab, too!

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