I’ve been in physical therapy for a recurrence of sciatica since late July. I’d had pain and weakness in my right hip since May, causing me problems climbing stairs and pain that would wake me up at night. Blech!
Once I finally acknowledged that yes, I needed some help, and got started with a supervised twice-a-week plan, plus at-home exercises, I felt relieved. Relieved that I had a structured plan for dealing with the pain and getting stronger, and also relieved that I could leave this plan up to the professionals (thanks, Julian and Louis!), who would guide me through a process of healing and rebuilding my muscles and getting needed functionality back. Ahhh…
Starting with stretching exercises and some easy strength-building (e.g. bridge, clamshells), I moved on to a full array of hip machine exercises, leg presses, balance activities, farmer’s carry, and stair climbing with dumbells on one side. It’s been gratifying to see and feel my strength increase and pain decrease. Yay!
My classes are all on the second floor of one of the campus buildings, with extra stairs to get into the building. I’ve really not enjoyed waiting for the super-slow elevator to take me to my floor, but it was necessary. Until the past couple of weeks. I’m now taking all the stairs, and my strength has increased so I don’t need to rely on the stair railing to offset weakness in my hip. Yesss!
I knew it was coming, so I wasn’t surprised when I got a call from the PT practice to say I didn’t need twice-a-week sessions anymore. I’ll go once a week for the next few weeks to transition to discharge. This means they think I’m recovered enough to maintain my newly-regained strength and flexibility on my own. Uh, yay?
I mean, here’s the thing: I know I should be feeling like this:
And I am. It means I’m pretty recovered and functional. I’ll have 4 more hours back for my week. I won’t be paying $40 in co-pays each week. I’ll be climbing stairs to beat the band!
But I also I feel a little like this:
What am I worried about? I’m worried about the challenge of keeping up my fitness maintenance without the help of the PT bros, who I’ve come to like and respect and depend on. Now I have to depend on, well, me. Hence the worried face.
The good news is that my gym has all the machines I need and is a mile from my house. I also know what to do, and in fact like the experience of the weight work and strength training. And, I can bring a friend to my gym for free on the weekends, so I can enlist help in getting there.
And yet.
I’m almost at that transition point– not yet finished with PT, not yet into a regular gym routine. So that’s my next challenge: get to the the one-mile-away-from-my-house gym to do those exercises without the guidance of physical therapists, but instead with the company of other exercisers, including friends.
Maintaining strength, flexibility and functional fitness is really important to me. And it doesn’t always come easy. It’ll take some adjustment, just like twice-a-week PT and at-home exercises did. I’ll report back in a month to let you know how things are going.
Dear readers, what have your experiences of transition from PT/physio to maintenance exercise been like? I’d love to hear what’s worked for you.
Thanks!

