Physical Rehabilitation Medicine/tendon reattachmen surgery

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Question
Hi.
I cut my big toe three weeks ago and doctor said the tendon of my big toe completely severed and i had a reattachment surgery immediately. I have cast since the surgery and as my doctor said i must remove it today. And now i dont know what must i do? Which type of shoe i must wear? Can i driving? Can i walking and running or do sport easily? I dont know after cares and physical therapies,please help me. Thanks.

Answer
Dear Soheila,
It's always important to ask your surgeon what your limits are.

In general I think it best to continue to protect the big toe as you begin walking in "regular" shoes.  Avoid any heels for at least a month.  A shoe with a stiff sole is often better than one that bends easily.

As you walk, take shorter steps and avoid a hard push off the toes for a month or two.

I don't know what sports you do but start with walking and get that comfortable before progressing back to running.  Again...ask your doctor.

Best wishes for complete healing.

Rachel

Physical Rehabilitation Medicine

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Rachel Katz, PT, SEP

Expertise

I have expertise working with recovery from car accidents, RSD/CRPS, neck and back pain and chronic pain. I can answer questions about pain that is not responding to expected patterns of recovery. I can address pain issues that are associated with traumatic events, and veteran associated pain issues. If you have had abuse or periods of significant stress in your life, your pain issues may be more complicated. I authored A Consumer Guide for Recovery from Car Accidents which discusses many aspects of injury recovery as all as specific detail about PTSD, traumatic brain injury, and protective involuntary muscle spasm. The link is: http://mindbodyphysicaltherapy.com/car-accident/ I can't answer questions regarding pain medications, or some specifics related to surgical interventions.

Experience

I have over 30 years experience as a Physical Therapy clinician. I taught swimming in Michigan and skiing in Aspen. I have experience in analyzing movement patterns and muscle control. I treat all areas of pain in the body including headaches, neck pain, back pain, shoulder injuries, plantar fasciitis, nerve compression, and knee pain. I have had personal experience with chronic pain, RSD, car accident injuries, PTSD, and traumatic brain injury (TBI). Muscle spasm and pain is a common component of injury and response to traumatic stress. Posture patterns and habits of how your body is often used can also contribute to pain. Restoration of movement and the senses that enable you to feel it are key. Rachel developed and implemented a stress reduction program for inmates within the Boulder County jail's drug and alcohol recovery program in 2005-2006 based on trauma healing principles from Dr. Peter Levine.

Education/Credentials
Rachel holds a BS in PT from the University of Colorado Health Sciences Center. She has over 30 years experience as a clinician. She has over 1500 hours of post graduate continuing education in many Manual Therapy and Exercise approaches. She completed her training in Somatic Experiencing under Dr. Peter Levine in 2000. This 3 year program trains therapists in treating traumatic stress conditions. Rachel has developed a body of work integrating her training and unique insights into complex pain issues. She is the developer and instructor for Sensory-Motor Manual Therapy, which is a State approved 2 day work shop for Massage Therapists through the Boulder College of Massage Therapy.

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