Thanks for the podcast! Good to hear diferent PTs. I agree very much with the start of passive motion around the 2nd 3th week. Considering the points of which repair, which kind of patient/tissue you have is very important. But we are so important for the patients, surgeon don't communicate enough , leave patients with a lot of questions and no clue for help during the day, at least that is what I feel here in Portugal .
"There's a lot of re-tears that happen between 0 and 3 months, so I get it". Ummmm, what? Never had one in my clinic during the rehab phase to my knowledge in almost 20 years of practice. Therapists and/or patients are doing it wrong if you are re-tearing during rehab or the surgery wasn't a solid repair. Set the tone for proper restrictions on day one and keep up the education throughout. It's way worse if you don't go to PT for 6 weeks plus for risk of re-tear in my opinion.
Totally agree, though some may be re-tearing without us even knowing because they do better functionally. Several studies showing this. That doesn't mean it was the rehab, Maybe was going to happen no matter what.
Thanks for the podcast! Good to hear diferent PTs. I agree very much with the start of passive motion around the 2nd 3th week. Considering the points of which repair, which kind of patient/tissue you have is very important. But we are so important for the patients, surgeon don't communicate enough , leave patients with a lot of questions and no clue for help during the day, at least that is what I feel here in Portugal .
"There's a lot of re-tears that happen between 0 and 3 months, so I get it". Ummmm, what? Never had one in my clinic during the rehab phase to my knowledge in almost 20 years of practice. Therapists and/or patients are doing it wrong if you are re-tearing during rehab or the surgery wasn't a solid repair. Set the tone for proper restrictions on day one and keep up the education throughout. It's way worse if you don't go to PT for 6 weeks plus for risk of re-tear in my opinion.
Totally agree, though some may be re-tearing without us even knowing because they do better functionally. Several studies showing this. That doesn't mean it was the rehab, Maybe was going to happen no matter what.