This graph, which could mean anything, reminds me of the typical rehabilitation course I help guide my patients on. Initially we try some things, some work and some don't, but we get smarter during this time. There could even be a slight increase in pain. Yet, as the rehabilitation goes, with typical components in place the patient starts getting better. These components include:
- activity modification
- anti-inflammatory
- immobilization (boots, braces, taping)
- orthotic devices
- stretching
- strengthening
- shoe gear changes
- technique changes
- cross training
Then, as the patient and I feel they are ready to run, or starting back dancing barefoot, etc, the pain can reflare and we have a slight setback. All and all, at the end of the 3-5 months for a typical injury, the full return to activity is accomplished. I think the dips in the graph above, when the pain increases, is important to know that is it normal part of the rehabilitation process. Rich
Hi Dr. Thanks for the realistic and encouraging post. I have heard before that with injuries you should “wait till you feel better, then wait another day”. With foot injuries (I have a plantar plate injury) I’m wondering if there is a time period that would be a good buffer to lessen the chance of reinjuring the foot so soon after recovery, and of course shorten the total recovery period. Every time I have a setback it’s just so crushing!
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