CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 15 0000. ref SDS 14 0000.
040502 -
040503 -
040504 -
040506 - ..
0406 -
0407 - Background
0408 -
040801 - On 170417 1330 met with Doctor Thuillier in Orthopedics, where he made
040802 - referral for Outpatient Physical Therapy to wrap plantar plate tear
040803 - with plantarflexion taping system. ref SDS 11 5T7K
040805 - ..
040806 - On 17425 0830 met with Sharlen in Physical Therapy. ref SDS 14 4G5J
040807 - Submitted Rocktape. Did exercises to evaluate flexibility. Sharlene
040808 - prescribed daily calf stretching exercises to strengthen plantar
040809 - plates toward preventing further injury. ref SDS 14 GY5J Sharlene
040810 - applied Rocktape to protect the right foot plantar plate tear using
040811 - alternate wrapping method. ref SDS 14 TW5J Did not tape left foot.
040812 - ref SDS 14 PQ4L Did 2 mile hike with good results, reflecting
040813 - Rocktape applied to right foot, and earlier in the morning taking
040814 - Naproxen. ref SDS 14 SY6N Returned home and reported good results to
040815 - Sharlene. ref SDS 14 YN59 She feels Rocktape needs to be replaced
040816 - every three days, ref SDS 14 XQ79,
040817 -
040819 - ..
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 - Anna
041211 - ..
041212 - Meeting today scheduled by Anna on Thusday, reported, 170427 0830,
041213 - ref SDS 15 ZV5I
041215 - ..
041216 - Submit Rocktape to complement PT taping solutions.
041218 - ..
041219 - Did not discuss physical therapy treatment aid healing plantar plate
041220 - tears, in addition to using protective boot and plantarflexion taping,
041221 - reported in research on 170327 1430. ref SDS 3 DX3M
041223 - ..
041224 - Jacuzzi treatment aid recovery plantar plate tear?
041226 - ..
041227 - Sharlene advised jacuzzi will not aid recovery from plantar plate tear
041228 - as it does for recovering from musculoskeletal disorders, e.g., ankle
041229 - and knee injuries in athlettics.
041231 - ..
041232 - Report doing additional stretching exercise for calves, recommended
041233 - during the meeting on 170425 0830. ref SDS 14 YM5N
041235 - ..
041236 - Hiking past 6 days best in 6 months as a result of having less pain
041237 - metatarsalgia and planar plate tear.
041239 - ..
041240 - Blisters on bottom of feet, reported during hike yesterday, see case
041241 - study on 160101 0700. ref SDS 1 UXRY
041243 - ..
041244 - Sharlene carefully removed rocktape from across metatarsals. She
041245 - pointed out very slight tear on top of forefoot. She recommends
041246 - asking for tape from Podiatry to protect ball of feet from tearing due
041247 - to dehydration.
041249 - ..
041250 - Consider trying Plantarflexion taping method to protect plantar plate
041251 - tear, using the scheme applied by Doctor Hewitson on 170411 1040.
041252 - ref SDS 4 EY7O Suggest consideration to wrap the long toe and middle
041253 - toes to secure the vertical tape going down the length of the foot, so
041254 - there is positive pull down that protects against further injury to
041255 - plantar plate when walking and running.
041257 - ..
041258 - On discussion decided to defer this tape design.
041260 - ..
041261 - Instead Sharlene initially tried cutting the 2" wide tape for about 2"
041262 - depth, and then slip the the long toe between the cut pieces. This
041263 - did not work well.
041265 - ..
041266 - Sharlene then used composite taping scheme. She first applied
041267 - plantarflexion taping similar to the scheme originally used by Doctor
041268 - Thuillier on 170327 1430. ref SDS 3 774N This was much better
041269 - implementation than patient's attempt to demonstrate the scheme during
041270 - initial meeting in Physical Therapy on 170425 0830. ref SDS 14 H55K
041271 - The only difference is using Rocktape today, rather than white tape on
041272 - 170327. Of course Sharlene did much better job, because patient has
041273 - difficult angles and difficulty reaching the work, when applying the
041274 - tape alone, as attempted on 170425 0830. ref SDS 14 H55K Further
041275 - noted that 2 angled tape strands going down the foot today, might be
041276 - shorter than on 170327.
041278 - ..
041279 - Sharlene then further applied secondary taping scheme similar to
041280 - design Doctor Hewitson used on 170411 1040, ref SDS 4 EY7O, though as
041281 - modified by Sharlene during first treatment on 170425. ref SDS 14 TW5J
041282 - This vertical tape secures initial plantarflexion tape, per above,
041283 - ref SDS 16 CL5T, so that long toe resists being forced back during
041284 - walking and running.
041286 - ..
041287 - Very pleased with Sharlene's initiative investigating for optimum
041288 - line of care today.
041290 - ..
041291 - Taped left foot in attempt to treat both feet with same thickness
041292 - that may helpf prevent plantarplate tear on left foot, and protect
041293 - against left hip injury that has occurred very slightly the past week
041294 - hiking with only the right foot taped.
041296 - ..
041297 - Will hike next 3 days to test for response to treatment, and report
041298 - results on Thursday, 170504 0900.
041300 - ..
041301 - Sharlene said she would look through the record on results using
041302 - Rocktape to protect against plantar plate tear, beginning on 170425,
041303 - shown in patient case study on exercise, diet, medicaiton and vitals
041304 - reported on 160101 0700. ref SDS 1 643M
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