In the early stages of recovery after injection (weeks 1–4), you may start with gentle myofascial release, kinesiology taping, gentle stretching, ROM, isometrics, and mat-based core stabilization exercises. Stationary bike, elliptical, and swimming are acceptable early in the recovery phase (Swimming should be avoided until incisions are healed). Avoid traction, heavy load or resistance, and NSAIDs the first four weeks of recovery. Ultrasound/STIM/TENS units are not suggested for therapy during this time. In weeks 4–8, you can progress to more activity and gradually add more resistive load to workouts. This is a great time to incorporate core yoga, Reformer Pilates, TRX, and light weights, with a gradual increase in resistance (50–75% of pre-injection workouts). Avoid any forceful rotation or manual manipulation. Remember that good healing during the first two months after the procedure will give you the best chance for success. The cells are fragile, and you need to be cautious that you don’t overload them or cause too much stress or shearing on them. Have your physical therapist call us with any questions. In general, we always try to look at more than one injured part. As a result, it is very likely we will recommend other types of conservative care to restore normal biomechanics. This might include physical therapy, gait/grip strengthening, different types of myofascial release, and specific home exercises. Every case is unique and side effects differ for each person. Some patients may experience more pain and inflammation than others; please contact us if you have any questions or concerns. Certain joints and body areas can be more painful to inject, such as the ankles/thumbs/toes. Expect varying degrees of pain in the first few days after the procedure, and treat with ice and prescribed medication if necessary. If your severe pain lasts for more than a few days, contact your provider for advice.
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