Dear Rod Whiteley
Erik Dombroski
Yaap-san
Thank you for your help at that time.
I was given plenty of thanks by the young orthopedist.
He was a young doctor abd located in the lowest position in an orthopaedics
department
of a hospital. So he ,at first,hesitated to use my sugestion practically
against his supervisors.
But he decided to try it at last and made a good result.
PT in Japan is generally unknown by almost people including doctor.
They don't know what PT is and what PT can do.
PT in Japan is generally 'exercise therapist'.For example we often do only
'Wiliams exercise'
without any evaluation in back pain treatment.Few PT do AKA(arthrokinetic
approach),
which is like chiropractic,not scientific,not grobal standard.
PTS in Japan is educated PT should be involved in disability level and
should be a servant of
physiatrist.(member of rehabilitation team)
I think we must adovocate what PT can do and acquire an ability to be
involved in impairment
level especially in orthopedics.
So I always intend to seek sympathetic understanding orthopedists.
After my suggestion the orthopedist became to consult me often.
It's my great pleasure.
Thanks a lot again.
Hiro Wood
Japan
At 6:02 PM 98.8.14 +0900, Hiro Wood wrote:
>Dear physio
>Are you enjoying your summer life?
>I could have summer holiday for 8 days at last.
>8 days holiday belongs to the longest class in Japan.
>But I have ever heard PT in U.S.(even administrator)have 1 month summer
>holidays.
>If PT in Japan take 1 month holidays,he will be accused of braking harmony of
>his department,office,hospital,even if he can take it in legal basis.
>This is odd Japanese culture.
>
>By the way I was asked about a physical therapy of comminuted fracture of
>calcaneus from an orthopedist.
>His patient injured 1 week ago and has been treated conservatively
>(no operation).
>He wanted to know when it will be started - active exercise of M.flexor
>hallucis longus,M.flexor digitorum longus,M.peroneus longus,M.peroneus brevis.
>General protocol in japan is as below.
> 2 weeks post injury Exercise of ankle may be start.
> 4-6 weeks post injury walk with partial weight bearing
> 10-12 weeks post injury walk with full weight bearing
>
>The problem of Fx. of calcaneus will be gait pain in weight bearing.
>Orthosis will be considered in some case.
>
>Is there any good protocol or treatment technique of comminuted Fx. of
>calcaneus in your country?
>
>Best Regards,
>
>HIro Wood
>Japan
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