CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
040502 -
040503 -
040505 - ..
0406 -
0407 - Background
0408 -
040801 - Met with Doctor Thuillier in Orthopedics, where he made referral for
040802 - Outpatient Physical Therapy to wrap plantar plate tear with
040803 - plantarflexion taping system, reported on 170417 1330. ref SDS 10 5T7K
040805 - ..
040806 - Meeting with Sharlene today 0830 scheduled by Sabrina on 170418 1627.
040807 - ref SDS 12 4G5J
040808 -
040809 -
040811 - ..
0409 -
0410 -
0411 - Progress
0412 -
041201 - Meeting...
041202 -
041203 - Outpatient Physical Therapy
041204 - Basement Building 203
041205 - Room BB18
041206 - 415 221 4810 ex 24396
041208 - ..
041209 - Submited Rocktape to complement PT taping solutions.
041211 - ..
041212 - Can physical therapy treatment aid healing plantar plate tears, in
041213 - addition to using protective boot and plantarflexion taping, reported
041214 - in research on 170327 1430. ref SDS 3 DX3M
041216 - ..
041217 - Is "protective boot" to aid healing plantar plate tear an orthotic
041218 - insert, with the area for the long toe through the forefoot cut out to
041219 - distribute the load to adjacent metatarsals, reviewed on 170327 1430.
041220 - ref SDS 3 676L
041222 - ..
041223 - Sharlene said sense of plantar plate tear swelling does not signal
041224 - "stiffness" that accompanies healing.
041226 - ..
041227 - Today, did not apply diclofenac gel for metatarsalgia with
041228 - plantarflexion tear taping.
041230 - ..
041231 - Sharlene said she has not previously worked with plantar plate tears,
041232 - and so is not familiar with Plantarflexion taping, as done by Doctor
041233 - Thuillier on 170327 1430. ref SDS 3 774N
041235 - ..
041236 - Tried using conventional white tape to demonstrate plantarlexion
041237 - taping on long toe right foot. This did not go well because patient
041238 - could not reach the long toe with sufficient flexibility to position
041239 - tape correctly. As a result, the tape crimped and did not provide
041240 - directional pressure to protect plantar plate tear against further
041241 - injury. Sharlene used scissors to cut this tape from the right foot
041242 - in order to start over.
041244 - ..
041245 - Today, Sharlene tried an alternate taping scheme. Agreed to this
041246 - toward experimenting to determine the best line of care for optimizing
041247 - recovery.
041249 - ..
041250 - Sharlene examined range of motion with patient doing a series of
041251 - exercises. This further showed poor flexibility.
041253 - ..
041254 - She recommends exercises to stretch calf muscles in addition to
041255 - current practice stretching hamstrings after long hikes. Lean against
041256 - wall and lift body with ankles and calves. She explained this
041257 - stretching will strengthen muscles in the feet to protect against
041258 - further injury to plantar plates.
041259 -
041260 - [On 170816 1400 regeneration injection treatments with PRP
041261 - into ankle and arch strengthens tendons and legiments to
041262 - prevent injury to plantar plate. ref SDS 13 C95L
041264 - ..
041265 - [On 170817 0836 Doctor Tucker explains pressure on the
041266 - plantar plate can be ameliorated by strengthening the
041267 - ligaments of the arch. This is why, not only did I inject
041268 - the arch directly on the bottom of the foot, but also
041269 - deeply from the inside and outside of the ankle.
041270 - ref SDS 14 V985
041272 - ..
041273 - During the meeting did several of these exercises to verify procedure.
041274 -
041275 - [On 170929 1010 Mark Wichter, CEO On the Run company
041276 - demonstrted stretching exercises to loosen tight ankle and
041277 - calve muscles. ref SDS 15 RG5K
041279 - ..
041280 - Sharlene commented patient's legs are too muscled, and so lack
041281 - flexibility to perform Plantarflexion wrapping alone with Rocktape,
041282 - and therefore requires assistance. Patient cannot reach the bottom of
041283 - the foot to wrap Rocktape in the manner specified for recovering from
041284 - Plantar Plate tear injury.
041286 - ..
041287 - Sharlene applied Rocktape supplied by customer to protect the right
041288 - foot plantar plate tear, using a scheme similar to the design applied
041289 - by Doctor Hewitson on 170411 1040. ref SDS 4 EY7O However, she
041290 - started the tape at the base of the toes, rather than extend to the
041291 - top and then cut the tape between the long toe and the middle toes,
041292 - as done on 170411.
041293 -
041294 - [On 160101 0700 case study for 170426 during 7 mile hike
041295 - about mile 4.6 seemed to notice swelling of left foot
041296 - plantar plate area, and is subsided within .25 miles.
041297 - ref SDS 1 UWQV
041299 - ..
041300 - She asked about also taping left foot? Decided against this, since
041301 - at this time have never noticed pain from Plantar Plate area on left
041302 - foot.
041304 - ..
041305 - Work plan: will go for hike and then return to evaluate response to
041306 - treatment, and adjust taping scheme for further testing with daily
041307 - hiking until next treatment in 3 days on Friday.
041308 -
041309 -
041310 -
041312 - ..
0414 -
0415 -
0416 - 1005
0417 -
041701 - Returned from 2 mile hike, reported in case study on 160101 0700.
041702 - ref SDS 1 643M Saw Anna getting supplies from the hall closet just
041703 - outside the Outpatient Physical Therapy office. Anna said Sharlene
041704 - just started helping another patient. She didn't have an estimate of
041705 - when she might have time to review response to treatment. She will
041706 - advise Sarlene that hike went pretty well, and that she can call in
041707 - about 2 hours after the patient arrives home.
041708 -
041709 -
041711 - ..
0418 -
0419 -
0420 - 1143
0421 -
042101 - Called VAMCSF Outpatient Physical Therapy
042102 -
042103 - 415 221 4810 ex 24396
042105 - ..
042106 - Left message for Anna
042107 -
042108 -
042109 -
042111 - ..
0422 -
0423 -
0424 - 1204
0425 -
042501 - Sharlene called back.
042502 -
042503 - Agenda...
042504 -
042505 - 1. Hike went well.
042506 -
042507 - Started pain level 4.
042509 - ..
042510 - Within 100 yards dropped to pain level 0 - 1
042512 - ..
042513 - Going uphill on Point Lobo from Luie's Restatraunt pain level
042514 - 1 - 2 all the way back to the VA - very tolerable.
042516 - ..
042517 - Good results may have reflected Naproxen and taping.
042519 - ..
042520 - No evident metatarsalgia feet pain, and no knee pain going
042521 - downhill from the VA, nor returning uphill to the VA.
042522 -
042524 - ..
042525 - 2. Schedule next taping scheme.
042526 -
042527 - Sharlene advised Rocktape should be changed every 3 days, and
042528 - confirmed prior understandings it should withstand showering,
042529 - and walking around the house, shopping for that period. She
042530 - will ask Anna to try call after 1300, and schedule next tape
042531 - application on Friday.
042532 -
042534 - ..
042535 - 3. How much Rocktape should customer buy, or will VA buy it, or
042536 - use something equal or better?
042538 - ..
042539 - Did not discuss. Will address in next meeting.
042540 -
042541 -
042543 - ..
0426 -
0427 -
0428 - 1335
0429 -
042901 - Called Anna...
042902 -
042903 - 415 221 4810 ex 24396
042905 - ..
042906 - Anna said Sharlene forgot to leave a note to call.
042908 - ..
042909 - She said Friday is already booked. She can schedule Thursday.
042911 - ..
042912 - Scheduled Thursday - 170427 0830
042914 - ..
042915 - Anna wants to wait and schedule Monday, after talking to Sharlene.
042916 -
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0430 -