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Post-Op/Post-Surgery Rehabilitation

Rehabilitation programs follow specific post-surgical rehabilitation protocols focusing on individualized treatment interventions with the goal of therapy to minimize the adverse effects of the surgery such as pain and swelling as well as of returning the patient to optimal strength, function and mobility. Programs include:

  • Individualized Treatment Plans
  • Nationally Certified and State Licensed Clinicians
  • Identify & Target Specific Deficits
  • Short-Term, Achievable Goals


The programs involve a variety of treatment options with goals set for the patient to resume normal activities of living as much as possible. Goals are established by a physical therapist and/or an occupational therapist and the patient after a thorough evaluation.


Our highly skilled staff have been trained and educated  to work with a variety of post-operative procedures:


Total Joint Replacements -
This is a surgery in which the worn surfaces of the joint are removed and replaced with a new metal surface. Rehab starts within a few hours after surgery and continue for the next 3 months or longer. You will learn how to use your new joint and return to normal activities.


Ligament and Tendon Repairs – a surgical procedure to correct damaged and torn tendons.  Most common examples include Rotator Cuff repair and Anterior Cruciate Ligament (ACL) reconstruction.


Open Reduction Internal Fixation - Often abbreviated as ORIF, this is a method of surgically repairing a fractured bone. Generally this involves either the use of plates and screws or an intramedullary rod to stabilize the bone.


Amputations – The removal of a body part which may or may not be replaced with a prosthesis.  Our staff are comfortable working with various prosthetic training including above knee, below knee, partial foot, arm and finger.
    

Nerve Compression Release – release of various nerve restrictions that are causing pain and numbness.  Examples of this are Carpal tunnel release, and ulnar nerve transposition,


Tendon Transfers or repairs – various tendons in the body may rupture and be repaired or reattached.  Examples of this are Achilles repair, finger and hand tendon repair, biceps tenodesis, ankle reconstruction.
     

Joint Fusion – In the case where a joint because degenerated to the point of constant pain and decrease function, the physician may elect to fuse the joint.  This will generally remove the articular surfaces and add bone to facilitate boney fusion.

 

Low Back and cervical surgeries


Discectomy - This is a procedure in which a portion of the disc that rests between each vertebra is removed.
Foramenotomy - This procedure is used to relieve pressure on a nerve by removing a portion of the bone and other tissue that may be compressing it as it exits the spinal column.


Laminectomy - This procedure is performed to relieve pressure on the spinal cord itself. It is most commonly used to treat conditions such as spinal stenosis and spondylolisthesis.


Spine Fusion - This procedure is done to eliminate motion between two adjacent vertebra. It is usually performed to treat an unstable spine (spondylolisthesis)


Joint fusions (Arthrodesis) - A surgery in which the two bones on each end of the joint are fused secondary to the joint being eroded or destroyed by trauma or severe arthritic changes. This will eliminate joint motion thus reducing pain.

 

Pre Operative Physical Therapy

Physical therapy may be indicated prior to surgery to maximize joint motion and overall strength and endurance that will assist you in a more speedy recovery post-operatively. It may also be indicated for patient education on what to expect and what to do on their own immediately or shortly after their surgical intervention.  Examples could be basic ROM exercises and use of an assistive device such as crutches or walker.

 

Justin Hash, PT, CSCS

Justin Hash, PT is a Lincoln native that has treated patients in the Lincoln area for over 10 years. Justin graduated from the University of Nebraska in Lincoln and studied physical therapy at the Mayo School of Health Sciences in Rochester, MN. Justin will be completing his certification in manual therapy from the University of St. Augustine in Feb 2014 placing him among an elite group of therapists who have achieved this level of competency.  He has treated all types of orthopedic injuries and has helped develop a hand therapy program which included fabricating custom splints. He has completed special training in gait analysis and fabrication of custom foot orthotics.  Justin has an expertise of working with patients with spine pain and is an integral part of our spine rehabilitation team. He also has experience with work injuries and has helped develop return to work programs and pre-employment testing. Justin has a special interest in golf related injuries.  He enjoys spending time with his wife and two children as well as golfing in his spare time.

Justin’s treatment philosophy is to accurately identify the underlying pathology and treat the cause of the orthopedic condition rather than the symptoms of the pathology.

Terry Maly, MA, PT, ATC

Terry graduated from the University of Nebraska - Lincoln with a BS in education in 1982, he then went on to receive his MS in Health and Recreation and athletic training from the University of Nebraska –Omaha in 1984.  He graduated from University of Nebraska with a degree in Physical Therapy in 1986 and has been practicing in the area ever since. His professional focus has been on rehabilitation of orthopedic and sports related injuries as well as post operative rehabilitation of extremities. Some of Terry’s professional highlights include working with Nebraska Athletics including, football, baseball and wrestling. Terry’s basic philosophy with treatment is to find the underlying cause of the injury and treat and educate the patient in a way as to prevent future injuries and/or complications.

When Terry is not working he is an avid sports fan, watching and attending as many Husker events as possible. 


 

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