PT With No Actual Diagnosis - Page 2

chrystaltree · ‎05-10-2010

@CrazyKittyLvr2 wrote:
@chrystaltree She was told not to take anything other than Tylenol because she is taking Xralto and the bleeding issue thing. She took a Percoset once when she had major dental surgery and it made her feel weird. She threw the rest out and said never again.

@CrazyKittyLvr2 Well that's a bummer because Tylenol really doesn't do much for knee arthritic knee pain. Percoset is a narcotic, I wouldn't take that either because knee pain is chronic and Percoset can only be taken short term also I doubt that any doctor would prescribe it for knee pain. Actually, I know they wouldn't. They usually prescribe 600mg or 800mg Ibuprofen. That's prescription strength and it is not a narcotic. The Ibuprofen relieves the pain but it also relieves the inflammation which causes the pain. However, if she cannot take it with the Xralto, that's not an option. She has a lot going on so the usual remedies are not available to her.

mousiegirl · ‎03-09-2010

@CrazyKittyLvr2 wrote:
I am totally baffled by my DD's doctor. DD is an adult and was diagnosed with a blood clot in her right calf in late Nov. and is on Xaralto for it. She also has been seeing an Ortho Dr.for mild arthritis in her right knee. She had to stop the Meloxacam for her knee because of the blood clot and the Xralto. Her left leg is now very stiff especially when she sits for an extended time. Went to her PCP and was told they think it's a back issue. DD wanted an MRI to find out what's going on. She was told they don't order an MRI unless other treatments don't work. Ordered PT. First, I never met a Dr. who didn't love a test. And how is PTs done if you don't know if it's a pinched nerve, herniated disc etc. She is hobbling around and in pain because she can only take Tylenol which does nothing and she refuses precription pain meds. I am tired of seeing her in pain and she gets bitey if I say anything. Am I silly to think a firm diganosis is in order before ordering treatment?

@CrazyKittyLvr2 DH has had pain for quite a while due to sciatica which had to do with his back/spine, so finally, after a year, an MRI was ordered, now he has specific exercises which have really helped.

Also, after months of nonstop headache and nausea, a trip to ER and a CT scan performed, a week later an MRI was ordered, a sinus infection was discovered, no one had thought of that, received meds and in a month or so the headache was gone. The ER doctors wanted me to have a spinal tap, NO WAY I said, and it was a good thing I listened to myself. You would think that at least one of the five doctors that tried to coerce me into the test would have thought first that it might be a sinus infection.

I would demand an MRI if my insurance covered it, otherwise there is no way to know for certain what is causing the pain.

Harvard99 · ‎06-18-2018

@CrazyKittyLvr2 wrote:
I am totally baffled by my DD's doctor. DD is an adult and was diagnosed with a blood clot in her right calf in late Nov. and is on Xaralto for it. She also has been seeing an Ortho Dr.for mild arthritis in her right knee. She had to stop the Meloxacam for her knee because of the blood clot and the Xralto. Her left leg is now very stiff especially when she sits for an extended time. Went to her PCP and was told they think it's a back issue. DD wanted an MRI to find out what's going on. She was told they don't order an MRI unless other treatments don't work. Ordered PT. First, I never met a Dr. who didn't love a test. And how is PTs done if you don't know if it's a pinched nerve, herniated disc etc. She is hobbling around and in pain because she can only take Tylenol which does nothing and she refuses precription pain meds. I am tired of seeing her in pain and she gets bitey if I say anything. Am I silly to think a firm diganosis is in order before ordering treatment?

@CrazyKittyLvr2 I hear your concern and I agree. My opinion of the situation is based on me having severe orthopedic injuries and having been to at least 20 doctors and so many courses of PT that I've lost count.

What part of her leg is hurting?? Her knee, her muscles, sciatic nerve pain? First, her PCP cannot diagnose her left leg pain without tests. Did he at least do any X rays, the first and cheapest test to do. For him to diagnose referred pain from her back to her leg with no tests is totally improper. It's difficult to diagnose that even with xrays, MRI, etc. Does she even have a history of back pain?

Second, will her insurance allow her to see an orthopedic without a referral from her PCP. Can she go back to th Ortho Dr. that treated her right knee?

From vast experience, I know that PT can cause much much more harm than good. She should refuse PT until she finds out what's causing the pain.

I understand your position, she's in pain but she is a grown woman. She needs a second opinion! Does her insurance carrier have a department that helps people in her type of situation or specializes in getting their insured a second opinion. Most do.

Please let us know how she is doing, and you also. Best wishes.

software · ‎06-08-2016

I'm not a doctor but I don't think Xarelto & ibuprofen play well together.

Both can cause digestive bleeding.

Doctors have to treat the most serious dx first, which is the clot.

She can try the PT, if it is arthritis, it could help but it will take time.

Icegoddess · ‎03-19-2010

Ibuprophen must have blood thinning properties. I was told not to take it for at least a week before my colonoscopy.

CrazyKittyLvr2 · ‎05-11-2013

@Harvard99 She has no back problems and the left leg is"stiff" the length of it. Her Ortho Dr. she sees for her right knee had no issue sending her for MRI and he has done x-rays right in his office with no issue from ins.co. Her PCP said left stiff leg is a back thing and they had to do PT first. I'm not sure when her next appt.is. Like you, my fear was doing PT without knowing what you were doing them for would cause more harm than good.

She's an adult, and we have discussed it, but the constant pain is making her very cranky which is understandable, so I've backed off.

Nuttmeg · ‎03-09-2010

@CrazyKittyLvr2 wrote:
I am totally baffled by my DD's doctor. DD is an adult and was diagnosed with a blood clot in her right calf in late Nov. and is on Xaralto for it. She also has been seeing an Ortho Dr.for mild arthritis in her right knee. She had to stop the Meloxacam for her knee because of the blood clot and the Xralto. Her left leg is now very stiff especially when she sits for an extended time. Went to her PCP and was told they think it's a back issue. DD wanted an MRI to find out what's going on. She was told they don't order an MRI unless other treatments don't work. Ordered PT. First, I never met a Dr. who didn't love a test. And how is PTs done if you don't know if it's a pinched nerve, herniated disc etc. She is hobbling around and in pain because she can only take Tylenol which does nothing and she refuses precription pain meds. I am tired of seeing her in pain and she gets bitey if I say anything. Am I silly to think a firm diganosis is in order before ordering treatment?

Your daughter may want to consider getting a second opinion.

I have. Lupus, and have received excellent PT and OT.

I want to LOL. My PCP is a good doctor, but he doesn't treat my condition. The kidney doctor prescribe meds and shares info with my other three specialist.

Please have your daughter. find the right doctor to lead her treatment team.

LilacTree · ‎03-25-2012

@Harvard99

when I broke my right hip and arm, they were surgically repaired the very next day. I also happen to have severe osteoporosis with numerous collapsed vertebrae and several autoimmune diseases, the main one being Rheumatoid disease (formerly Rheumatoid arthritis) for 16 years.

i was sent to an acute rehab facility immediately just two days later, where I spent one month of PT three times a day, six days a week. Because I have a high pain threshold, no one, including me realized this was the worst thing I could have done. A few days after I got home, the RD pain started and I went into a flare that lasted eight months. I am just getting over it. It was the worst chronic RD pain I have ever had in 16 years, and full body.

Just wanted to let you know you are right in what acute PT can do when someone has other serious chronic illnesses. I should have been given a “bolus” dose of prednisone before the surgery, and I should never have been put on an acute level of PT for a month.

You can be sure this will never happen to me again.

Formerly Ford1224
We must always take sides. Neutrality helps the oppressor, never the victim. Silence encourages the tormentor, never the tormented. Elie Wiesel 1986

Harvard99 · ‎06-18-2018

@CrazyKittyLvr2 wrote:
@Harvard99 She has no back problems and the left leg is"stiff" the length of it. Her Ortho Dr. she sees for her right knee had no issue sending her for MRI and he has done x-rays right in his office with no issue from ins.co. Her PCP said left stiff leg is a back thing and they had to do PT first. I'm not sure when her next appt.is. Like you, my fear was doing PT without knowing what you were doing them for would cause more harm than good.

She's an adult, and we have discussed it, but the constant pain is making her very cranky which is understandable, so I've backed off.

@CrazyKittyLvr2 I've not been on here most of the last 48 hrs. From what I understand, she has no back pain now, no history of back pain and yet her PCP thinks her leg pain is spine related. I'm not an MD but this makes little sense to me. I sure hope she gets the appropriate medical care she needs and I think you are 100% right. If you wish, please update us. Take care.

Harvard99 · ‎06-18-2018

@LilacTree I apologize to you for this delay in my response to you. On Wednesday, I had an minimal eye procedure, which they botched on one eye and now I have to keep using RX white eye ointment to avoid an infection. It's hard to see, it's very blurry.

I really hope things are going better for you. I do not wnat you to think I just ignore posts that people take their time and effort to write. I will post when I can see and write a better respose to you than this. Please take care.

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