These are my thoughts, musings and personal experience about this, so please, do not take my opinions as if from an expert, I am not. That said……..LOL
I am having traditional physical therapy with an emphasis on rehabilitation. I have been accustomed to physical therapy with the point being to adapt to debilitation. Having been diagnosed since 2004 and this is the first time I am having PT for my left leg which is my oldest damage for the purpose of walking better, increasing my strength and reworking the whole area to support my weakened hip flexor, feels good. I have had PT twice here in Calgary, never in Maine, US, not even an option, so in that way, this has been better. The PT for my cognitive problems was fantastic and it was rehabilitative, but the physical therapy was to teach me to adapt to a cane and not on relearning how to walk despite the damage. Big difference.
The therapy I am having now I fought for. We had so much bureaucracy surrounding getting me into a few sessions of PT to learn where I should put the electrodes for e-stim was ridiculous. But, I have it now, thanks to my disability worker, the social worker at the PT center and my own diligence to push on. I was approved for nine visits and I have loved every one of them. Today was number seven, I have two more. The last six visits have focused on exercises to strengthen the glute, quads, lower back and abdominal muscles that can work together to pick up where the hip flexor can’t. Today, though was exercising directly what does not work in terms of messaging from the brain. I had a bizarre reaction.
I was directed to bring my feet close to a step, I still need to hold a pole for balance, and lift my foot back, then up clearing the step to the other side. That was hard, we started with a high step, which I couldn’t do. He adjusted the step to something I could clear from this position, which was about half the height of the initial step. I could max three at a time and it involved a lot of pain to lift that leg like that. On the third set, I got sick. I was flushed with heat, light headed and nauseous. My chest felt like fingernails running down a chalkboard. I stopped and rested for ten minutes, then found some cold water to drink. When I felt a little better, I tried again. I discovered that if I lift my leg with my abs, I could do it easier. Still made me sick, but not as bad. What did alarm me worse though was my back going numb after seven sets of 3, 3, 3, 3, 2, 1.5, and 1. The abdominal twist got me very excited, because that can make a huge difference in lifting my leg straight up. Rough one today, but I can see the benefit.