Ankle fusion, also known as ankle arthrodesis, is a surgical procedure that involves permanently joining the bones of the ankle joint. This procedure is typically necessary when there is severe arthritis or significant damage to the ankle joint that cannot be effectively treated with non-surgical methods. Ankle fusion aims to eliminate pain and improve stability by creating a solid, immobile joint.
Common symptoms and conditions that may require ankle fusion include severe ankle pain, limited range of motion, instability, and deformity. These symptoms can be caused by various conditions such as advanced osteoarthritis, rheumatoid arthritis, post-traumatic arthritis, or failed previous ankle surgeries. Ankle fusion is considered when conservative treatments like medication, physical therapy, and bracing have failed to provide adequate relief.
Author: Mario Bizzini, PhD, MSc, PT I arrived in Tokyo on Thursday January 4th after a 12 hour flight from Zürich. With two Japanese long-time friends, I walked around some familiar spots such as the Asakusa district and the Skytree tower, and of course we also visited a couple of fine sushi restaurants. In the [...] Read More... The post Diary blog – “Mario in Japan” – Swiss Sports Physiotherapy Association appeared first on BJSM blog - social media's leading SEM voice.
Posted by on 2024-02-12
This blog is based on a recently published study exploring the link between walking speed and type 2 diabetes (1). Why is this study important? Type 2 diabetes is one of the most common metabolic disorders worldwide. Those with type 2 diabetes are at greater risk of many cancers, cardiovascular disease, and premature death. Currently, [...] Read More... The post Walking speed and Type 2 diabetes appeared first on BJSM blog - social media's leading SEM voice.
Posted by on 2024-02-09
Keywords: Knee, meniscal tear, structural damage This blog is based on a recent study exploring differences in structural knee joint damage [1]. Why is this study important? Recently, two randomized trials compared a strategy of early meniscal surgery to a strategy of exercise therapy with the option of later surgery (if needed) in young active [...] Read More... The post Concern for knee joint damage should not influence the choice of treatment strategy in young patients with meniscal tears. appeared first on BJSM blog - social media's leading SEM voice.
Posted by on 2024-02-04
Authors: Schulz JM, Thornton JS In this blog we will explore the current research and gaps around return to activity and return to sport postpartum. The objective of our study (currently published in BJSM) was to determine what recommendations are currently being made for return to activity and sport postpartum and highlight the gaps that [...] Read More... The post Returning to activity and sport postpartum; what do we currently know and what is missing? appeared first on BJSM blog - social media's leading SEM voice.
Posted by on 2024-02-02
The recovery time after ankle fusion surgery can vary depending on individual factors such as overall health, age, and the extent of the surgery. Generally, patients can expect to be non-weight bearing for a period of 6 to 12 weeks after surgery. During this time, a cast or a boot may be used to immobilize the ankle. Physical therapy and rehabilitation exercises are typically started after the initial healing period, and it may take several months to regain full strength and function.
As with any surgical procedure, there are potential risks and complications associated with ankle fusion. These can include infection, blood clots, nerve damage, non-union (failure of the bones to fuse), malunion (improper alignment of the fused bones), and persistent pain. It is important for patients to discuss these risks with their surgeon and follow post-operative instructions to minimize the chances of complications.
During ankle fusion rehabilitation, exercises and physical therapy techniques are aimed at improving strength, flexibility, and balance. Initially, exercises may focus on non-weight bearing movements such as range of motion exercises and gentle stretching. As healing progresses, weight-bearing exercises and strengthening exercises for the surrounding muscles are introduced. Physical therapists may also use modalities such as ultrasound or electrical stimulation to aid in the healing process.
The time it takes for patients to regain full mobility and function after ankle fusion can vary. Generally, it can take anywhere from 6 months to a year for patients to fully recover and regain their pre-surgery level of activity. However, it is important to note that individual factors such as age, overall health, and adherence to rehabilitation protocols can influence the recovery timeline. It is crucial for patients to follow their surgeon's guidance and engage in regular physical therapy to optimize their recovery.
While ankle fusion is a commonly performed procedure for severe ankle conditions, there are alternative treatments or procedures available depending on the specific condition. These alternatives may include ankle replacement surgery, which involves replacing the damaged joint with an artificial implant, or arthroscopic procedures to address specific joint issues. The suitability of these alternatives depends on factors such as the extent of the damage, the patient's overall health, and the surgeon's expertise. It is important for patients to consult with an orthopedic specialist to determine the most appropriate treatment option for their specific ankle condition.
Aquatic therapy has been found to be highly beneficial for orthopedic rehab due to its unique properties and advantages. The buoyancy provided by the water reduces the weight-bearing load on the joints, allowing for a low-impact exercise environment that is gentle on the musculoskeletal system. This can be particularly advantageous for individuals with orthopedic conditions such as arthritis, joint pain, or post-surgical rehabilitation. The hydrostatic pressure of the water also helps to reduce swelling and improve circulation, promoting faster healing and recovery. Additionally, the resistance provided by the water enhances muscle strength and endurance, while the warmth of the water helps to relax muscles and alleviate pain. Overall, aquatic therapy offers a comprehensive approach to orthopedic rehab, addressing both the physical and functional aspects of recovery.
The effectiveness of orthopedic rehab can be influenced by age. As individuals age, their bodies undergo natural changes that can impact their ability to recover from orthopedic injuries or surgeries. Older adults may experience a decrease in muscle mass, bone density, and joint flexibility, which can make it more challenging to regain strength and mobility. Additionally, age-related conditions such as osteoarthritis or osteoporosis may further complicate the rehabilitation process. However, it is important to note that the effectiveness of orthopedic rehab is not solely determined by age. Factors such as overall health, motivation, adherence to treatment plans, and the expertise of the healthcare professionals involved also play significant roles in achieving successful outcomes. Therefore, while age can be a contributing factor, a comprehensive and individualized approach to orthopedic rehab is essential for optimizing effectiveness regardless of age.
The recovery time for a meniscus tear with physical therapy alone can vary depending on the severity of the tear and the individual's response to treatment. In general, it may take several weeks to several months for a person to fully recover. Physical therapy plays a crucial role in the rehabilitation process, focusing on strengthening the surrounding muscles, improving range of motion, and reducing pain and inflammation. The duration of recovery can also be influenced by factors such as the age and overall health of the patient, adherence to the prescribed exercises and treatment plan, and any additional complications or injuries that may be present. It is important for individuals to work closely with their physical therapist to ensure proper healing and a successful recovery.
Yes, there are specific protocols for returning to sports after ACL reconstruction. These protocols typically involve a phased approach that focuses on gradually increasing the intensity and complexity of activities. The initial phase may involve range of motion exercises, gentle strengthening exercises, and low-impact activities such as swimming or cycling. As the individual progresses, they may move on to more dynamic exercises that challenge balance, coordination, and agility. Eventually, they will be able to participate in sport-specific drills and eventually return to full participation in their chosen sport. It is important for individuals to follow these protocols and work closely with their healthcare team to ensure a safe and successful return to sports after ACL reconstruction.
Physical therapy plays a crucial role in the comprehensive treatment of thoracic outlet syndrome (TOS). TOS is a condition characterized by compression of the nerves and blood vessels in the thoracic outlet, which is the space between the collarbone and the first rib. Physical therapy interventions aim to alleviate symptoms, improve functional abilities, and enhance overall quality of life for individuals with TOS. Therapists employ a variety of techniques, including manual therapy, stretching exercises, postural correction, and strengthening exercises targeting the affected muscles and soft tissues. These interventions help to reduce pain, increase range of motion, improve muscle strength and endurance, and correct any postural abnormalities that may contribute to the compression of the thoracic outlet. Additionally, physical therapists may provide education on ergonomics, body mechanics, and lifestyle modifications to prevent further aggravation of symptoms. By addressing the underlying causes and promoting optimal musculoskeletal function, physical therapy plays a vital role in the multidisciplinary approach to managing TOS.
Orthopedic rehab can be highly beneficial in aiding individuals with regaining mobility after a spinal cord injury. This specialized form of rehabilitation focuses on the musculoskeletal system, which includes the bones, joints, muscles, ligaments, and tendons. By utilizing various therapeutic techniques, such as physical therapy, occupational therapy, and exercise programs, orthopedic rehab aims to improve strength, flexibility, and overall function. Additionally, it may involve the use of assistive devices, such as braces or wheelchairs, to support mobility. The comprehensive approach of orthopedic rehab addresses the specific needs of individuals with spinal cord injuries, helping them regain independence and enhance their quality of life.
After orthopedic surgery, there are several highly effective exercises that can aid in regaining range of motion in a specific joint. These exercises typically focus on improving flexibility, strength, and stability in the affected joint. Some examples include passive range of motion exercises, which involve using external forces to move the joint through its full range of motion, such as with the assistance of a therapist or a machine. Active range of motion exercises, on the other hand, require the individual to actively move the joint without any external assistance. This can include activities like gentle stretching, joint mobilization exercises, and low-impact movements that target the specific joint. Additionally, strengthening exercises that target the muscles surrounding the joint can also be beneficial in regaining range of motion. These exercises may involve resistance training, such as using weights or resistance bands, to gradually increase the strength and stability of the joint. It is important to note that these exercises should be performed under the guidance of a healthcare professional or physical therapist to ensure proper technique and to avoid any potential complications.