OpenHealth Q&A

I'm sorry to hear about the intense discomfort you're experiencing following your physical therapy session. It's understandable that you're feeling overwhelmed by the pain, especially after careful management of your symptoms before starting therapy. Let’s break down your situation clearly and discuss some actionable steps.

Main Points:

1. Intense pain after physical therapy can happen but should be monitored closely.
2. Your pain level and inability to manage it with usual medications are concerning.
3. It’s important to find relief and evaluate whether to continue therapy.

Explanation:

After surgeries like the Kidner procedure, physical therapy is crucial for recovery; however, it can sometimes lead to increased pain, especially if the area is sensitive or still healing. The massage of the incision may have aggravated the surrounding tissues, leading to the severe discomfort you're experiencing now. It’s important to communicate any worsening symptoms or reactions to your healthcare provider, as they know your surgical history best.

Your current pain, especially at a level of 9-10 out of 10, is significant and likely needs further attention. The sensation you’re describing—pulsating, burning, and throbbing—suggests that your body is reacting strongly to the therapy, which could indicate irritation or tension in the healing area.

Next Steps:

1. Pain Management: Since Ibuprofen and Tylenol aren't providing relief, consider discussing alternative pain management options, such as:

   • Topical analgesics (like lidocaine patches) for localized pain relief.
   • Prescription medications specifically tailored for nerve pain or post-operative pain relief.

2. Modify Physical Therapy:

   • Communicate with your physical therapist about your pain levels. It's crucial they understand the intensity you're feeling so they can adjust your treatment plan.
   • Avoid any exercises that cause severe pain until you can have a clearer plan with your therapist or surgeon.

3. Apply Rest and Ice: Consider resting your foot and applying ice packs (wrapped in a cloth) for about 15-20 minutes several times a day. This can help reduce inflammation and pain.

4. Monitoring Symptoms: Keep a log of your pain levels, any swelling, and changes in sensation. This information can be very helpful for your surgeon or therapist to evaluate your recovery trajectory.

5. Follow Up: Since your surgeon’s office has shown concern regarding blood clots previously, listen to your body. If you notice any changes like increased swelling in your leg, redness, or warmth, seek immediate attention.

It's commendable that you are trying to follow the prescribed exercises, but safety and comfort should be your primary concerns right now. Take care of yourself, and evaluate how your body responds as you make these adjustments. If the pain remains intolerable, further investigation may be necessary. Please keep me updated on how you're doing, and don't hesitate to seek support from your healthcare team.