The SHIFT Show

Why Acute Injury/Post Op Surgery PT is Key


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Every day we pay our dues by doing the harder thing when it's the right thing to do, especially when managing the complicated early weeks of post-operative rehabilitation. 

• Understanding surgical procedures through observation, surgical textbooks, and building relationships with surgeons
• Establishing direct communication with surgeons to obtain critical information rather than navigating complex administrative channels
• Managing pain through appropriate medication, consistent icing, and education about maintaining comfort
• Controlling swelling with compression, elevation, and controlled movement to prevent quadriceps inhibition
• Prioritizing full hyperextension for knee surgeries to prevent complications like cyclops lesions
• Using "consistency over intensity" approach with gentle, frequent interventions rather than aggressive stretching
• Activating key muscles through neuromuscular electrical stimulation (NMES) in conjunction with volitional efforts
• Progressing from assistive devices based on functional criteria rather than arbitrary timeframes
• Applying similar systematic principles across different joints with appropriate modifications for specific procedures
• Focusing on early hip labral repair rehabilitation with controlled motion and gradual progression


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The SHIFT ShowBy Dave Tilley

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