yeah!
He was admitted to Shriner's hospital for Rehab 4 days ago, but had a very short stay and actually got to go home on pass overnight and we never spent the night. That was nice since I need to pack most of his food because of his allergies, and he would have been bored and stir crazy (and made everyone else crazy too!).
Unexpected events.... alot of pain when the cast came off. I didn't really expect this. Someone moved him - very carefully, but his knee did bend and that could have been what started the pain. He was "frozen" and afraid to move for over an hour. He was given Loritab (vicodin). He calmed somewhat and we coaxed him to get into the big tub (which was GREAT!). Once he was in the warm water and his leg moved on it's own - he realized he was OK! After that he did great. He went down for rehab and actually walked about 15 feet! That was the second shocker! I didn't even think he'd be able to sit up on his own let alone walk the first day. That was great.
However, we did get alittle too excited I think because that night at home, he wanted to walk all the time and although I was right behind him ALL THE TIME, I turned my head for a second to talk to someone and he ended up falling. He tried to make a 180 degree turn and could turn his leg fast enough. Luckily he was not hurt - just surprised and scared for a minute, but did get up a few minutes later and walked more.
Since that first night he is alittle more resistant to walking. I think he is sore and the novelty has worn off. He is moving ALOT more though and that is progress. He moves all around on the couch or in bed and we have been swimming twice and he is getting some good range of motion in the water. I bribe him to walk from the living room to the kitchen for treats and he can do it without alot of pain. I'm going to start getting creative next week with "where" we go walking to make it more interesting and not just "rehab" or "practice" - because to a 4 year old you know "that's boring"! I did get out his tricycle and was surprised that he could ride it! And at a pretty good clip in the garage. So that's definately doing some good.
Sleep got alittle harder with the cast off. He had been sleeping fine through the night with the cast on - could flip all around and didn't need me after the first 3 weeks. But with the cast off - he is more exposed to pain and it is not as easy to move and he gets stiff. What really helps is we put a small camping pillow between his legs and he is much more comfortable. The therapist at the hospital told us too that if their knees are touching, it can be painful.
Here are some pics of the cast coming off!
Here is the cool "bath tub" they put him in which completely relaxed him and allowed him to start moving. They used this gurney to load him up in from the room and wheeled it right to the bath tub. They then put the gurney over the bathtub and the bathtub actually raised up to make him go under the water very slowly. The bar he held onto gave him the security he needed as he was very nervous at first. But then loved it.
He liked going to "the gym" for rehab.
1. Having a beanbag handy was very helpful. You can bring it almost anywhere and plop them down in it. We brought it downstairs to our playroom as well as outside as pictured below playing with the bubble machine by the swing set. He could also play on his stomach on the bean bag.
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Stay tuned for more info on Rehab! I also plan to write a long article on the Spica cast experience, tips, and things to do while in a spica cast.