Case Study: Prehabilitation Therapy for Decades-Old Wrist Injury
I met Jeremy when he came up to our booth at a health event. I noticed he had a brace on his wrist, and he told me he’d fallen off his bike twenty years ago and crushed the bones in his wrist. He’d had surgery, and the bones had healed, but he had wrist pain that came and went. About two months before I met him, the pain had become constant and he’d started to look for an orthopedic surgeon.
I asked him if he’d ever had cold laser therapy. I explained its benefits, and Jeremy agreed to come to the office. His muscles were contracted around his hand and forearm, and he had developed stiffness in his neck and shoulder as a result of compensation. We started him with the standard protocol, using Active Release Therapy (ART), the Graston Technique, and cold laser and ultrasound to relax and reduce stiffness, break down scar tissue, and repair the muscles. We also did Post-Neurological Facilitation (PNF), which tricks the muscles into stretching and lengthening. It was particularly helpful for Jeremy to get acupuncture in conjunction with cold laser therapy.
Jeremy has been with us for several months now. He still needs to get surgery, but prehabilitative therapy has been extremely beneficial for him. Prehab preps the body part for post-surgical rehabilitation, so that recovery time will be faster and the body part stronger. For Jeremy, prehab was also really important for pain management. His pain level was at a nine or ten when he first came in; it’s now down to a two. I’ll work with Jeremy up until his surgery, and he’ll be back after the operation to start rehabilitation.
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