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Physical rehabilitation after major trauma

Medically reviewed by Maushmi Sheth
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Medically reviewed by Maushmi Sheth

Major trauma is a violation of the physiological structure of tissues as a result of the action of external factors, physical, mechanical, or chemical.

Joint injury is a defect with a high risk of disability. Without proper treatment and rehabilitation, the patient should think about the irreversible consequences. Bone and, especially, cartilage tissue have a low degree of regeneration. And people of age will not be able to get complete healing and recovery without medical assistance.

Major trauma directly affects the quality of life and further comfort in self-care and everyday life. That is why, to fully restore our joints after injuries, timely competent admitted rehabilitation is necessary.

Joint problems are not subject to time, age or lifestyle. They are found in young people, adults, and the elderly, both professional athletes and people who rarely play sports.

More often, in youth, these injuries are associated with sports, hard work, an accident of heredity. At a more mature age, major trauma is manifested as a consequence:

  • sedentary lifestyle
  • degenerative changes in the tissues of the joints and periarticular tissues, which occur during physical inactivity
  • obesity and the increased risks associated with it will be injured.

In old age, all the injuries and microtraumas received throughout their life make themselves felt. Degenerative processes are only accelerating, and immunity resources are no longer enough to recover, to stop the course of the disease.

No one can be sure that they will be spared the risk of injury to the joint. And joints need to be immediately treated when you feel discomfort, every orthopedist and rehabilitation service will tell you.

The most common injuries that patients come to us with at admitted rehabilitation are:

  • shoulder injury
  • elbow joint
  • wrist and hand
  • hip joint
  • knee joint
  • ankle and feet.

Treatment of joint injuries

Treatment and admitted rehabilitation of the joints must be carried out as soon as possible. In the future, this will help to avoid complications. But, first, you need to consult a doctor and make a diagnosis of the injured joint.

After the injury, the rehabilitation service treats the joint in 3 stages:

  • The immobilization period lasts from plaster to the fusion of the capsule, bone, or ligaments. The first stage of treatment aims to increase blood circulation and lymph circulation at the injury site and around it, which will help remove edema and accelerate metabolism quickly. Next, physiotherapy methods are used: UHF, low-intensity magnetotherapy, and laser.

When carrying out arthroscopy of the joints, the rehabilitation process begins from the second functional stage. The advantages of using this method include its minimal damage to the periarticular tissues and its more accurate representation of the surgical intervention thanks to the arthroscope of a special small-diameter chamber. These advantages allow you to shorten the entire rehabilitation period significantly.

Improved nutrition of tissues located near the affected area stimulates the fastest restoration of bone integrity and regeneration of the joints, muscles, and soft tissues located in and near the injury site. It is essential to prevent the formation of ankylosis, joint stiffness, or joint muscle atrophy. This task is entrusted to the rehabilitation service, which closely monitors the rehabilitation process.

Also, after immobilizing the joint, almost immediately after the inflammation subsides, individual kinesiotherapy techniques can be used. First, the patient does exercises in the healthy joint of the opposite limb and the surviving joints of the affected limb. They are followed by static exercises in a healthy, and later in a damaged limb.

In addition, the patient mentally recreates movement in the damaged joint to improve the ideomotor response. The entire rehabilitation program is selected individually for each patient. But the sooner the injured patient begins to practice movements in the joint, the better for its recovery.

  • The functional period lasts from removing the cast to the moment of restoration of the joint function. The main thing in this period is to continue rehabilitation with the help of the patient’s movements at the previous stage and gradually complicate them. Add to the training program special exercises for recovery, nutrition, and strengthening of the damaged muscles.

The patient performs specific tasks at this stage to develop the sore joint with relief and later with full force. As a result of their efforts, joint mobility and muscle strength increase. Also, doctors use physiotherapy procedures (ultrasound, electrotherapy, laser therapy, magnetotherapy, etc.) and massage to increase the effect. And the number and duration of classes are getting bigger.

  • The training period is called so because the basic functions of the joint have already been restored, and it is necessary to increase muscle strength and some functions of the joint, which have not fully recovered in the previous 2 periods of treatment. Therefore, the main goal of the training period will be to restore your physical form, which was before the injury, and significantly increase it.

Admitted rehabilitation after severe joint injury

Admitted rehabilitation after severe joint injury

Rehabilitation after trauma is a set of measures to restore the integrity of muscle, nerve, connective, and other tissues. And you cannot go to the next stage without completing the current one.

The rehabilitation service applies an individual approach to each patient. As a result, each person has a different ratio of tissue density, regenerative capabilities, the strength of immunity, the nervous system, and mental processes are restored at different rates.

If you are faced with a problem that restricts your movement, take it seriously; this can be caused by damage to the musculoskeletal system or individual joint injuries that affect the functionality of your body. Major trauma entails a change in the work of body systems:

  • respiratory
  • cardiovascular
  • central nervous system
  • endocrine glands
  • gastrointestinal tract and excretory organs.

Timely comprehensive physical rehabilitation contributes to:

  • a quick return to a fulfilling life
  • better and efficient restoration of the lost joint function
  • restoration of household functions
  • improving the physical tone of the body
  • prevention of re-injury.

Treatment methods used by the rehabilitation service:

  • decompression therapy
  • mechanotherapy
  • shock wave therapy
  • physiotherapy (ultrasound, electrotherapy, laser therapy, UHF therapy, inductothermy, magnetotherapy
  • high-intensity laser therapy
  • kinesiotherapy Neurac
  • massage, pressotherapy
  • biological methods
  1. Angel Arthrex PRP Therapy (High Platelet Plasma Treatment)
  2. ACP therapy (low platelet plasma treatment)
  3. BMC therapy (treatment with bone marrow stem cell concentrate)
  • injections of hyaluronic acid under ultrasound control
  • kinesio taping

Neurac therapy has established itself as the most effective method of kinesiotherapy. The world’s best rehabilitation services use this Norwegian methodology. It is actively used in the rehabilitation of professional athletes.

Rehabilitation programs are drawn up individually for each patient jointly by an orthopedist and a rehabilitation therapist, taking into account all the disease factors- no group lessons, only individual and detailed work of the therapist and the patient.

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Edward Medina
Edward Medina
15:34 30 Jun 22
Just such an amazing staff that makes you feel like part of their family. I’ve been going there for over 5 years now... and each visit I get the very best care and treatments that I have ever received in the 20+ years that I’ve been dealing with severe debilitating migraines. Since i started seeing them the number of my migraines has dropped from 15-20 a month to 2-3 every 3 month. I highly recommend them …they will change your life!read more
Daneisha Johnson
Daneisha Johnson
22:20 19 May 22
Dr. Askari was very kind and explained everything so I could understand. The other staff were nice as well. I would... have gave 5 stars but I was a little taken aback when I checked in and had to pay 600.00 upfront. I think that should have been discussed in a appointment confirmation call or email just so I could have been more
Jean Cooper
Jean Cooper
16:54 29 Apr 22
I love the office staff they are friendly and very helpful. Dr. JODIE is very caring and understanding to your needs... and wants to help you. I will go back. would recommend Dr. Dr. Jodie to other Patients in a heart beat. The team works well more
Linda M
Linda M
19:40 02 Apr 22
I was obviously stressed, needing to see a neurologist. The staff was so patient and Dr. Ansari was so kind. At one... point he told me to relax, we have time, when I was relaying my history of my condition. That helped ease my stress. I have seen 3 other neurologists and he was the only one who performed any assessment tests on my cognitive and physical skills. At one point I couldn't complete two assessments and got upset and cried. I was told, it's OK. That's why you're here. I was truly impressed, and super pleased with the whole experience!read more
Leslie Durham
Leslie Durham
15:05 01 Apr 22
I've been coming here for about 5 years. The staff are ALWAYS friendly and knowledgeable. The Doctors are the absolute... best!! Jodie Moore is always in such a great mood which is a plus when you are already stressed. Highly recommendedread more
Monica Del Bosque
Monica Del Bosque
14:13 25 Mar 22
Since my first post my thoughts have changed here. It's unfortunate. My doctor and PA were great, but the office staff... is horrible. They never call you back when they say they will, they misinform you, they cause you too much stress wondering what's going on, they don't keep you posted. They never answer the phone. At this point I've left four messages in the last week, and I have sent three messages. Twice from their portal and one direct email. No response. My appointment is on Monday morning at 8:30am, no confirmation on my insurance and what's going on. What the heck is going on, this is ridiculous!I've given up... the stress her office staff has put me through is just not worth it. You can do so much better, please clean house, either change out your office staff, or find a way for them to be more efficient please. You have to do something. This is not how you want to run your practice. It leaves a very bad impression on your more
Ron Buckholz
Ron Buckholz
23:32 23 Mar 22
I was actually pleasantly surprised with this visit! It took me a long time to get the appointment scheduled because no... one answers your phones EVER! After a month, I finally got in, and your staff was warm, friendly, and I was totally impressed! I feel like you will take care of my needs!read more
Steve Nabavi
Steve Nabavi
16:28 16 Mar 22
It was a nice visit. Happy staff doing all they can do to comfort the patients in a very calming environment. You ask... me they are earned a big gold star on the fridge. My only complaint they didn't give me any more
Katie Lewis
Katie Lewis
16:10 10 Feb 22
Had very positive appointments with Jodie and Dr. Sheth for my migraine care. Jodie was so fast with the injections and... has so much valuable info. I started to feel light headed during checkout and the staff was SO helpful—giving me a chair, water, and taking me into a private room until I felt better. Highly recommend this practice for migraine patients, they know what they’re doing!!read more
Joshua Martinez
Joshua Martinez
16:02 10 Dec 21
I was scheduled to be checked and just want to say that the staff was fantastic. They were kind and helpful. I was... asked many questions related to what was going on and not once did I feel as though I was being brushed off. The front desk staff was especially great in assisting me. I'm scheduled to go back for a mri and am glad that I'll be going more
Isabel Ivy
Isabel Ivy
21:42 03 Nov 21
I had such a good experience with Lone Star Neurology, Brent my MRI Tech was so awesome and made sure I was very... comfortable during the appointment. He gave me ear plugs, a pillow, leg support and blanket, easiest MRI ever lol 🤣 My 72 hour EEG nurse Amanda was also so awesome. She made sure I was take care of over the 3 days and took her time with the electrodes to make sure it was comfortable for me! Paige was also a huge help in answering all my questions when it came to my test results, and letting me know her honest opinions about how I should go forth with my more
Leslie Luce
Leslie Luce
17:37 20 Oct 21
The professionalism and want to help attitude of this office was present from the moment I contacted them. The follow... up and follow through as well as their willingness to find a way to schedule my dad was above and beyond. We visited two offices in the same day with the same experience. I am appreciative of this—we spend a lot of time with doctors and this was top notch start to more
robert Parker
robert Parker
16:38 16 Apr 21
I love going to this office. The staff is friendly and helpful. The doctor is great. I am getting the best... neurological tests and treatment I have ever had. The only reason I did not give them a 5 star rating is because it is impossible to reach a live person at the office to reschedule appointments. Every time I have tried to get through to the office it says all people are busy and I am sent to a voicemail. If they could get their phone answering fixed, I would give them a strong 5 more
MaryAnn Hornbaker
MaryAnn Hornbaker
00:26 25 Feb 21
Dr. Harney is an excellent Dr. I found him friendly , personable and thorough. I evidently am an unusual case. ... Therefore he spent a Hugh amount of time educating me. He even gave me literature to further explain my condition and how to follow up. This is something you rarely get from your doctors. So I am more than please with my doctor and his more
Roger Arguello
Roger Arguello
03:05 29 Jan 21
Always courteous, professional. The staff is very friendly and always work with you to find the best appointment time.... The care team has been great. Always taking the time to listen to your concerns and to find the best more
Margaret Rowland
Margaret Rowland
01:12 27 Jan 21
I have been a patient at Lone Star Neurology for several years. Now both my adult daughters also are patients there. I... love Jodie. She is always so prompt whether it is a teleamed call are a visit in the office. She takes the time to explain everything to me and answers all my questions. I am so blessed to have Jodie as my more
Susan Miller
Susan Miller
03:01 13 Jan 21
My husband had an accident 5 years ago and Lone Star Neurology has been such a blessing to us with my husbands care.... Jodie Moore is his provider and she is amazing! Jodie is very knowledgeable, caring, and thorough. She takes her time with you, making sure your needs are met and she is happy to answer any questions you may have. Lone Star Neurology’s patients are very lucky to have Jodie providing their care. Thank you Lone Star Neurology and especially Jodie for everything you have done for us. Jodie, you are the best!read more
Windalyn C
Windalyn C
01:32 09 Jan 21
Jodie is wonderful. She is very caring and knowledgeable. I have been to over a dozen neurologists, and none were able... to help me as much as they have here. Thanks!read more
Katie Kordel
Katie Kordel
00:40 09 Jan 21
Jodi Moore, nurse practitioner, is amazing. I have suffered from frequent, debilitating headaches for almost 20 years.... She has provided the best proactive and responsive care I have ever received. My quality of life has been greatly improved by her caring approach and tenacity in finding more
Ellie Natsis
Ellie Natsis
15:41 07 Jan 21
I have had the best experience at this neurologist's office! For over a year I have been receiving iv treatments here... each month and my nurse, Bobbie is beyond wonderful!! She's so attentive, knowledgeable, caring, and detail oriented. She makes an otherwise uncomfortable experience much more pleasant and definitely puts me at ease! She also helps me with my insurance,ordering this specialty medication and dealing with the ordering process which is no easy feat.Needless to say, she goes above a beyond in every way and I'm so grateful to this office and to Bobbie for all they do for me!read more
Matt Morris
Matt Morris
15:39 07 Jan 21
Let me start by saying that I have been coming here for years. Due to my autoimmune disease, I am in this office... once every three weeks for multiple hours at a time. The office is very clean and the staff very friendly. My only complaint would be there communication via phone. They aren't the best at responding if you leave a voicemail and expect a call back. I understand that this is prob just due to the sheer number of alls they receive daily. What I can say I like the best about the office are the people. Bobby who handles my infusions is great. I never have any issues with her setting up my infusions. She is very quick to reply to messages sent via text and if she were to leave then my whole opinion of the office may change. I also enjoy people like Matt, Lauren, and Jodi. I appreciate all that they do for me and without this team I'm not sure I would be as happy as I am to visit the office as frequently as I have to. Please ensure that these folks are recognized as they are what makes my visit to this office so tolerable :).read more
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