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Manual Therapy Symptom Review: Before Your Procedure Guide
Summary
Preparing for your upcoming manual therapy session is important to ensure a smooth and effective experience. This handout will guide you on what to expect, how to prepare, and when you might need to contact your healthcare provider.
What Is This & Why It Matters
Manual therapy involves hands-on techniques used by physical therapists to relieve pain, improve range of motion, and enhance overall function. These procedures are designed to address musculoskeletal issues such as joint pain, stiffness, or muscle tension. It's vital to prepare properly to maximize the benefits and minimize discomfort.
What You Should Do
- Stay NPO (nothing by mouth) for at least 6 hours before your procedure if instructed by your therapist.
- Discontinue any blood thinners 5 days before the procedure if advised by your healthcare provider.
- Arrange for someone to drive you home after your therapy session.
- Take acetaminophen (an analgesic) 500 mg every 6 hours as needed for discomfort, unless otherwise directed.
- Wear loose-fitting clothing for easy access during the session.
- Plan a follow-up visit one week post-procedure as recommended by NICE guidelines.
- Ensure your contact information is up-to-date with the clinic in case they need to reach you.
- Keep a list of any questions or concerns you might want to discuss with your therapist.
What You Should NOT Do
- Avoid consuming alcohol 24 hours before your session as it may interfere with treatment.
- Do not apply any lotions or oils on the area being treated on the day of the procedure.
- Refrain from engaging in strenuous activities immediately after the session unless cleared by your therapist.
- Do not skip meals leading up to the NPO period, as good nutrition supports recovery.
- Avoid self-medicating beyond the recommended dose of acetaminophen.
Symptoms: Normal vs Warning Signs
Normal (Don't Worry)
- Mild soreness in the treated area that resolves within a few days.
- Slight swelling or redness that diminishes quickly after the session.
- Temporary fatigue or tiredness following the therapy.
- A feeling of warmth in the area where therapy was applied.
Call Your Doctor If...
- Fever exceeding 101°F that does not subside with medication.
- Bleeding from the treatment area that increases or doesn't stop.
- Pain intensity rated higher than 8 out of 10 on a pain scale.
- Unexpected numbness or tingling in areas other than where treated.
- Severe swelling that does not improve or worsens over time.
FAQ
Why do I need to stay NPO before my procedure?
Staying NPO ensures your body is ready for treatment and can help prevent complications during certain manual therapies.
Can I take my regular medications before my session?
You should continue taking most medications unless directed otherwise by your healthcare provider. Check with them if you're unsure.
What should I wear to my appointment?
Comfortable, loose-fitting clothing is best so the therapist can easily access and treat the affected area.
How soon can I resume normal activities after my session?
You may resume light activities immediately but avoid strenuous tasks until your therapist gives the all-clear.
What if I feel worse after my therapy session?
Mild discomfort is normal, but if symptoms significantly worsen, contact your healthcare provider for advice.
Can I eat right after my procedure?
Yes, once you're allowed to eat again post-NPO period, you can resume regular meals unless advised otherwise.