Physical therapy, or PT, is a vital component of recovery after illness, injury or surgery. By using modalities such as electrical stimulation and ultrasound, a therapist can alleviate pain and promote healing. Exercise, ambulation, stair negotiation and balance activities compose the functional aspect of PT and restore independence. However, completing your course of PT can lead to a variety of side effects, including physical and psycho-emotional issues. It's important to minimize these effects by addressing them during your course of therapy.
Pain
One of the major side effects you are likely to experience in the course of therapy is pain. Your baseline pain may actually increase as you rehabilitate and recover, and this may lead to confusion and poor motivation to continue. It is essential to discuss these issues with your therapist and physician to determine if alternate interventions, such as modalities, would help alleviate pain and allow continued participation. To help control pain, patients may take oral pain medication 30 minutes prior to a session; they may use heat, ice or topical treatments after a session at the therapist's direction.
Swelling
Swelling is another common side effect of PT. As your therapist challenges your muscles, ligaments and tendons to strengthen them, your body may respond with increased edema, or swelling. The edema can cause additional pain and functional limitations. Speak with your therapist about modalities or post-therapy ice to control swelling. You may also experience added relief with a hot-and-cold contrast temperature treatment, which can reduce pain and swelling and improve circulation simultaneously.
Lack of Outcome
As with any medical intervention, participation in PT is no guarantee of recovery or complete resolution of symptoms. Because this can be discouraging, you may be tempted to discontinue your therapy. However, because prematurely ended therapy will likely result in long-term pain and re-injury, it is important to stay the course. Talk with your therapist to discuss your personal goals, and be as specific as possible. Your therapist may be able to adjust the direction of treatment to target your specific goals or may educate you on lifestyle changes you can make to facilitate improved outcomes.
Pyscho-Emotional Issues
You may underestimate the psychological and emotional stress you will experience in conjunction with your therapy. Frequent appointments, pain, poor progress and lengthy time spent in therapy can tax your schedule and your emotional well-being. Discuss your issues with your family and friends, and ask for help with child care, meal preparation and transportation to allow you to focus on your therapy. Meet with an occupational counselor to guide you in an occupational transition if you are unable to return to work as a result of your injury or illness. Being proactive regarding the stresses and issues you face will allow you to take control of your situation and respond productively to the changes you are facing, both long-term and short-term.
