Effects of Percussive Therapy

Clinical evidence shows that The Massage Gun is a professional grade percussive therapy device ideal to aid in the recovery of athletes, and anyone else who suffer from injuries or muscle aches.

the benefits of massage guns and percussive therapy: speedier recovery, reduced muscle soreness and lactic acid build-up which could mean less pain, improved range of motion, better blood circulation and more.

Massage guns are primarily thought of as “recovery” tools in today’s fitness culture, but you can use them for either situation. In fact, using them as a warm up tool helps get you off the hook of that dreaded foam rolling ordeal.

In theory, the percussive therapy is doing several things you want in a warm up. First off, it’s heightening blood flow in your targeted muscles. Secondly, the pulsating is turning on your sympathetic nervous system, the fight-or-flight system that preps your body for activity and sport.

It looks like a power tool, and can sound like one, too. But it just may be your best method of recovering from a tough workout — and warming up, too.

We’ve been using massage guns on our patient and the results have been strong. If you train hard and are looking for an edge, a way to recover more quickly and get into your workouts more aggressively, this is a therapy you should consider.

Make Your Office Back Friendly

Make Your Office Back Friendly

 

 If you’re like many people, you probably spend much of your day sitting at a desk. This sedentary behaviour puts you at increased risk for spending prolonged time in poor posture, potentially causing pain and discomfort. Few easy tips that will go a long way in helping your back feel better at work.

  • Desk 

Make sure your workspace has:

  • Stable desk (not wobbly).
  • At a good height (28″-30″ above the floor is suitable for most adults).
  • Large enough for your computer and has surface space for writing and other tasks.
  • Not so large that you have to over-reach to do your work. This can cause excessive strain on the spine.

 

  • Chair

Use a well-constructed ergonomic chair to help reduce fatigue and discomfort, increase your blood flow, and reduce the risk of injury to your neck and spine.

Make sure your office chair:

  • Has a good backrest that provides lumbar support.
  • Can recline (sitting upright at a 90º angle is actually not good for your spine, 100º-110º is better).
  • Is not too high (your feet should be flat on the floor).
  • Can rotate or swivel so that you can easily switch from task to task.

 

Extra Set-Up Tip! 

All other pieces of furniture and equipment must be positioned to accommodate that perfect position. It might require stacking several books under the computer screen to bring it even to head level. The screen must be at eye level and the user should sit directly in front of the screen. A sliding keyboard attachment under the desk might be beneficial.

  • Computer

Since most office work is done on computers, where your equipment is placed can make a difference in how your back feels when you are at work. Try the following:

  • Tilt the keyboard down and slightly away from you for better wrist posture.
  • Make sure your mouse is close enough so that you can use it with your arms relaxed and as close to your body as possible.
  • Place the monitor directly in front of you at eye level, not off to one side, to avoid neck and eye strain.
  • If using a laptop, consider getting an external monitor or keyboard (or both). This will allow you to move each of these components separately to create a comfortable arrangement.

 

  • Practice Safe Sitting

Even with the “best” equipment, if you are not sitting correctly, your spine will suffer. When sitting, note where your head, hands, and legs are. To avoid back pain, make sure to:

  • Sit upright with your back and shoulders against the back of the chair.
  • Avoid holding your phone between your head and shoulder.
  • Don’t slouch.
  • Arms should rest lightly on the armrests to avoid circulatory problems or nerve pressure.
  • Keep your feet flat on the floor (don’t cross your legs!).
  • Relax your shoulders while keyboarding.

 

  • Take a break

Not just a coffee or tea break, but a spine breaks. Stretch, take a short walk, get the blood flowing. When you are at your desk, avoid staying in one position for a long time. Try switching between sitting and standing.

Wouldn’t it be great to be able to leave your office feeling as refreshed as when you came in? Avoiding excessive strain on your spine can help you do just that.

 

Angiography Procedure

About cardiac catheterisation and cardiac angiography

 Non-invasive tests can provide a lot of valuable information about the heart. However, sometimes it is not possible to make important decisions about a patient’s treatment unless a test called cardiac catheterisation is performed.

Cardiac catheterisation, also known as coronary angiography gives vital information about the blood pressure inside your heart, and how well the pumping chambers and valves are working. Most importantly, it shows whether there are any narrowing in the coronary arteries and demonstrates their position and severity. This information can be used to help plan further treatment.

Intended benefits

 To provide valuable information about how your heart is functioning which then helps us to plan further treatment.

Who will perform my procedure?

This procedure will be performed by a consultant cardiologist or cardiology specialist registrar.

Before your procedure

 Most patients attend a pre-admission clinic, where you will meet a member of the nursing staff. At this clinic, we will ask for details of your medical history and carry out any necessary clinical examinations and investigations. The procedure will be explained to you. Please ask us any questions about the procedure, and feel free to discuss any concerns you might have at any time.

We will ask if you take any tablets or use any other types of medication either prescribed by a doctor or bought over the counter in a pharmacy. Please bring any packaging with you.

This procedure involves the use of local anaesthesia. We explain this at the end of this leaflet.

Most people have the test as a day case.

You should not eat or drink anything for at least three hours before the test. However, on the morning of the procedure please take the medication as advised by staff.

When you arrive, you will meet your nurses who will prepare you for the procedure.

Please inform medical or nursing staff if there is any possibility that you may be pregnant.

You will be taken to the X-ray room (catheter lab) for the test.

You may be asked to shave the groin or wrist area prior to your procedure, however this can be done by nursing staff on the day.

 

During the procedure

  • The test usually takes between 20 minutes and an hour.
  • You will change into a gown before your procedure and a nurse will prepare you by going through a check list. When it is your turn for the procedure you will be transferred to the cath-lab where the staff will check your name, personal details and confirm the procedure you are expecting.
  • Once that is complete, the nursing staff will make you comfortable on the X-ray table. Monitoring devices may be attached to you, such as a heart monitor (ECG) and a monitor to check your oxygen levels (a pulse oximeter).
  • A catheter is a long, flexible, hollow plastic tube, about 2mm in diameter. It is passed into a vein or artery either in the groin or, sometimes, the arm.
  • You will be given a local anaesthetic by the person carrying out the procedure, using a small needle to numb the area where the catheter is put in. A local anaesthetic is a drug which numbs a specific area of the body for an operation. It stings for a few seconds when injected and then the area becomes progressively more numb. You will be fully awake during the procedure although you should feel no pain. The numbness usually fades after a few hours but occasionally it may last longer.
  • Following the injection of local anaesthetic, a small incision will be made over the groin or wrist, and a fine sheath will be inserted. The operator will then pass a series of catheters through the blood vessels and into the correct position in the heart. You will not feel the catheter moving around inside your chest, but you may be aware of the occasional missed heartbeat or extra beat. You can watch the procedure on the video screen if you want to. Feel free to ask questions about what is going on.
  • While you are having the test, you will be linked to an ECG recorder which records your heart rate and rhythm. This will be checked continuously. The blood pressure at the tip of the catheter will also be monitored.
  • X-ray pictures of your coronary arteries are taken by injecting a special fluid (contrast) through the catheter into the coronary arteries. A further picture of the left ventricle of your heart may be taken by rapidly injecting contrast. The contrast sometimes causes a hot, flushing sensation which lasts a few seconds. This sensation may pass to your groin and give you the impression that you have wet yourself, even though you have not. You will be warned when to expect this. People occasionally feel a short-lived, mild chest pain during the test. This does not necessarily mean anything is going wrong, but you should tell the doctor about the pain

 

After the procedure

 You will be brought to the Recovery area of the Cardiac Catheterization Lab on your stretcher bed. Depending on the type of procedure that was performed, your sheath (the catheter that was put in your blood vessel through your skin) will be managed with one of these options:

  • Removed right after the procedure with a closure device put in. There are different types of closure devices. They are a seal or plug for the tiny hole in your artery.
  • Removed right after the procedure and a special band/brace will be put around your wrist.
  • Removed after you are transferred back to the Cath Recovery area
  • In place for a few hours
  • In place overnight

If you have a sheath in your groin, the nurses will place a special clamp over your groin to stop the bleeding after they remove it (unless you have had a closure device). This clamp will apply pressure for about 20 – 45 minutes. The nurses will check your pulse, blood pressure, pulses in your feet or wrist and the puncture site often.

You must rest in bed for a few hours after the procedure. It is very important to keep your head on the pillow and your leg (the one that held the catheter/sheath) straight to prevent bleeding from the puncture site. If your back becomes sore, please let your nurse knows. You may be given some medication to help lessen your discomfort or your nurse may reposition you. During this time you may sleep, read, or rest. You will be given a snack.

If the doctor used your arm (radial artery) you will have a clamp applied to your arm after the procedure before you leave the lab to prevent bleeding. You will be on bed rest for approximately one hour after the procedure. It is important to keep your arm on the pillow. Do not twist or bend your wrist. You may move your fingers but please do not use your hand. Your nurse will be available to help you while the clamp is in place.

It is important to drink a lot of fluids for the dye to flush out through your kidneys. Ask your nurse for help as soon as you feel the need to empty your bladder because you will not be able to sit up. Once your bed rest is complete, your nurse will help you to stand. You will be encouraged to walk.

When the test is completed, the catheter and sheath are removed. If the catheter was inserted in your groin, pressure is applied to your leg for about 15 minutes. If the catheter was inserted into your wrist a pressure band will be applied and worn for about two to three hours to prevent bleeding. Some people feel washed out for a few hours after the test. A nurse will examine your groin or arm several times after the test, to check for any possible bleeding.

The site where the catheter was inserted may be tender for a few days. Most people return to normal after a day or two, but can vary from one person to another.

Eating and drinking. After this procedure, you should not have anything to eat or drink until advised – this is usually for about one to two hours.

Getting about after the procedure. We will help you to become mobile as soon as possible after the procedure. This helps improve your recovery and reduces the risk of certain complications.

Leaving hospital. Generally most people who have had this procedure will be able to leave hospital the same day generally three to four hours after the procedure. However, the actual time that you stay in hospital will depend on your general health, how quickly you are recovering from the procedure and your doctors recommendations.

Resuming normal activities including work. Usually you can resume normal activities after 48 hours. Your doctor will advise you on how quickly you can resume normal and more vigorous activity.

Special measures after the procedure we will give you a post procedure leaflet about any special measures you need to take after the procedure.

Check-ups and results:

 Before you leave hospital, the doctor will come and discuss the results of your angiogram. At this time any further treatment needed will be discussed. Depending on the results of your tests, you may be advised to take medication, to have angioplasty with stents, or to have heart surgery. You will be able to discuss this with your cardiologist.

Talking with your doctor about this procedure

The table below lists the most common potential benefits, risks. Other benefits and risks may apply in your unique medical situation. Talking with your healthcare provider is the most important part of learning about these risks and benefits. Dont be afraid to ask questions or discuss your concerns.

Potential benefits

Useful information for diagnosis. Cardiac catheterization gives your doctor more detailed information than other tests.

  • Faster recovery. The procedure doesnt require a major incision (cut) or general anesthesia (medication that makes you sleep).

Potential risks /complications

  • Leg numbness or weakness for a few hours after (rare)
  • Bleeding or infection where the catheter was inserted (rare)
  • Bleeding or bruising at the site of the incision
  • Haematoma – if there is bleeding from the areas where the catheter was placed, you may have a patch where blood collects under the skin, called a haematoma. This usually clears up on its own.
  • False aneurysm – Rarely, a pulsating lump develops in the groin at the siteof the puncture. This is because bleeding occurred when the catheter was removed. The clot produced a small sac on the side of the artery via the hole made in the artery. This sac is called a false aneurysm, and can be treated with a small injection into the sac to block the hole to the artery.
  • Infection at the incision site, which may need to be treated with antibiotics
  • A mild to moderate allergic reaction to the contrast dye – this can usually be controlled using anti- allergy medication
  • Reduced kidney function (kidney failure in rare cases) – tell your doctor or the imaging technician if you have kidney disease or diabetes
  • Exposure to x-ray energy, which can slightly increase your lifetime cancer risk (for more information, see Intermountains Guide to Understanding Radiation)
  • Damage to the artery or heart muscle (extremely rare) Blood vessel damage requiring further
  • Heart attack or stroke (extremely rare, and not typically caused by the procedure itself)
  • Death
  • Unforeseen complications

Alternative procedures those are available

 There are other tests available to assess the arteries of your heart, although this test gives the most complete information. Your cardiologist has recommended cardiac catheterisation because he/she feels that this is the best test for you. However, if you have any concerns about the procedure, you should discuss these with your doctor/cardiologist. Cardiac catheterization is the best way to get accurate information about your arteries or heart valves. Other tests include:

  • Electrocardiogram
  • Cardiac stress test
  • Cardiac CT scan
  • Cardiac MRI

If you have any concerns about your cardiac catheterization, discuss them with your doctor

Anaesthesia

You will be given a local anaesthetic by the person carrying out the procedure, using a small needle to numb the area where the catheter is put in. A local anaesthetic is a drug which numbs a specific area of the body for an operation. It stings for a few seconds when injected and then the area becomes progressively more numb. You will be fully awake during the procedure although you should feel no pain. The numbness usually fades after a few hours but occasionally it may last longer.

 

Angioplasty Procedure

WHAT IS ANGIOPLASTY?

 Angioplasty is a type of Percutaneous Intervention but the two terms are often used to talk about the same procedure. Angioplasty is much like an angiogram procedure. It is also done in the catheterization lab or “cath lab”. It is a procedure used to widen the narrowing in the arteries of your heart without open surgery.

In an angioplasty, a catheter with a small inflatable balloon attached is positioned within the narrowed section of the artery. When the balloon is inflated it pushes outward against the narrowing and the walls of the artery. This opens up the artery so that your blood flows freely through the artery. The balloon is then deflated and removed from the artery. In some patients, a stent is placed within the artery once it is opened.

A stent is a small metal mesh tube that is put inside your blood vessel on a balloon catheter. When the balloon is inflated, the stent opens up against the wall of your blood vessel. After the balloon catheter is taken out, the stent stays in place permanently, holding the walls of the vessel open for better blood flow. Stents lower the risk of this area narrowing again. There are several types of stents available. Your physician will select the best type of stent for your medical condition.

In some cases, an angioplasty may be performed on you at the same time or during the same day as your angiogram. You might also be asked to return for a second time to have your angioplasty performed. This decision is made by your doctor.

Angioplasty is not a cure for coronary artery disease. It needs lifelong management. You can control your condition with a healthy lifestyle.

 

ADVANTAGES OF ANGIOPLASTY

 Over 90% of angioplasties are successful immediately. Blood flow through the artery returns to normal or near normal and patients get complete relief from angina. People with severe coronary artery disease may not have complete relief but their symptoms are improved, allowing them to be more active and comfortable. Unlike surgery, you do not need stitches and you are not put to sleep (general anaesthesia). People recover more quickly from angioplasty than from heart surgery. Most people are up walking on the same day. Some people go home the next morning.

 

DISADVANTAGES OF ANGIOPLASTY

 Angioplasty is not for everyone. It does not work well when there are many narrowings in many arteries or in certain locations. Your doctor will decide if angioplasty is suitable for you.

An artery may become narrow again after angioplasty. This is called restenosis. If the artery narrows enough you may feel angina again. The use of stents has reduced the restenosis rate to 0-15% of cases. Restenosis is usually treated with a second angioplasty but occasionally bypass surgery is needed or medical therapy is used.

 

Who will perform the procedure?

This procedure will be performed by a consultant cardiologist or cardiology specialist registrar.

 

Talking with your doctor about benefits, risks, and alternatives

 The below lists the most common potential benefits, risks, and alternatives for this procedure. Other benefits and risks may apply in your unique medical situation. The conversation you have with your healthcare provider is the most important part of learning about these risks and benefits. Don’t be afraid to ask questions. It’s important to have all your questions answered before you agree to a recommended procedure.

 

Potential benefits

  • Relief of symptoms, such as chest discomfort or shortness of breath.
  • Restoration of blood supply to the heart muscle. This can prevent a heart attack or stop heart damage if you’ve had a heart attack.
  • Faster recovery than with surgery. The procedure doesn’t require a major cut or general anesthesia.
  • Lower risk and cost when compared to surgery.

 

RISKS DURING CATHETERIZATION AND/OR ANGIOPLASTY

 What could possibly happen?

  • Leg numbness or weakness for a few hours after (rare)
  • Bruising and bleeding at the site of arterial puncture due to blood thinning medication. Haematoma – if there is bleeding from the areas where the catheter was placed, you may have a patch where blood collects under the skin, called ahaematoma. This usually clears up on its own. False aneurysm – Rarely, a pulsating lump develops in the groin at the site of the puncture. This is because bleeding occurred when the catheter was removed. The clot produced a small sac on the side of the artery via the hole made in the artery. This sac is called a false aneurysm and can be treated with a small injection into the sac to block the hole to the artery.
  • Infection – There is a risk of the puncture wound becoming infected. This can be treated with antibiotics
  • Allergy/reaction to the dye used in the procedure, leaking of the contrast dye into tissues (rare and temporary)
  • Radiation exposure from the X-rays, which can slightly increase your lifetime cancer risk (for more information, see Intermountains Guide to Understanding Radiation)
  • Reduced kidney function (kidney failure in rare cases) – tell your doctor or the imaging technician if you have kidney disease or diabetes
  • Need for surgical repair of the artery that held the sheath
  • Dislodged plaques and clots from your coronary artery – causing stroke, paralysis, heart attack, permanent kidney failure, the need for urgent Dialysis, death
  • After Angioplasty, the artery becomes blocked again in the days to weeks after the procedure.
  • After Angioplasty, scarring of the artery happens and the procedure needs to be repeated
  • Damage to the artery or heart muscle (extremely rare)
  • Heart attack or stroke (extremely rare, and not typically caused by the procedure itself)
  • In rare angioplasty cases, the artery collapses or is damaged by the wire or balloon. A stent(s) can often fix this, but sometimes patients need emergency coronary artery bypass surgery. If you need bypass surgery, you will be flown immediately to the Operation Theatre. Talk to your doctor about your risks and the benefits of this procedure for you.
  • Restenosis or renarrowing at same site
  • Failure to cross the lesion.
  • Edge dissection
  • Arrhythmia -During and post procedure for which Need of DC Shock
  • Requiring intubation and prolonge ventilation
  • Death
  • Risks of stent placement include blood clots in the stent – youll need to take medication to prevent clots for at least 6 to 12 months afterward

 

Alternatives

  • Medication
  • Healthy lifestyle changes
  • Surgery to bypass blocked arteries

 

ABOUT YOUR PROCEDURE (ANGIOPLASTY)

 Before the Procedure  

  • You may eat a light meal up to 4 hours before your procedure
  • You may have clear fluids to drink.
  • You will be asked to change into a hospital gown and to remove your undergarments.
  • A small area on each side of your groin will be shaved and a medication patch put there.
  • If you haven’t already watched our video about the procedure, you and your family can view this program from your stretcher in the recovery area.
  • An intravenous catheter will be started on a vein in your hand or arm. In the Cardiac Catheterization Lab You will be escorted to the Catheterization Lab either walking, by wheelchair, stretcher or bed. You might find the temperature in the room is cold. You will lie on a narrow x-ray table and you will be attached to a heart monitor. Your groin will be washed with a cold solution and sterile sheets will be placed over you. It is important that you lie still and do not touch the top of the sheets once they are in place. You may be asked to put your arms above your head for a period of time. A nurse is available to help you.  You will be given medication to help you relax during the procedure. The procedure is not pain. You will be awake so that you can talk with the doctor and nurses and you will be asked to follow instructions. The doctor will put local anaesthesia in your groin to make it numb. A small catheter will be threaded into a blood vessel and floated up to the heart. Dye is injected through this catheter to highlight the coronary arteries. Many people feel warmth throughout their body from the dye – this is normal.  X-ray pictures will be taken throughout the procedure. You do not have to move, the x-ray machine will move very close to your body.  During the procedure, you may be asked to take a deep breath and hold it for a few seconds or to cough. If you have any discomfort or chest pain, please let one of the nurses know right away. It is not unusual to experience some chest pain but it is important to let us know if you have discomfort. The usual time for the procedure inside the lab is between 30 minutes and 90 minutes. If your condition is complex, your procedure will take longer. In rare cases, there may be a lengthy wait in the lab waiting area or you may be returned to your room without your procedure being done

 

After your Cardiac Catheterization and/or Angioplasty

 You will be brought to the Recovery area of the Cardiac Catheterization Lab on your stretcher bed. Depending on the type of procedure that was performed, your sheath (the catheter that was put in your blood vessel through your skin) will be managed with one of these options:

  • Removed right after the procedure with a closure device put in. There are different types of closure devices. They are a seal or plug for the tiny hole in your artery.
  • Removed right after the procedure and a special band/brace will be put around your wrist.
  • removed after you are transferred back to the Cath Recovery area
  • In place for a few hours
  • In place overnight

If you have a sheath in your groin, the nurses will place a special clamp over your groin to stop the bleeding after they remove it (unless you have had a closure device). This clamp will apply pressure for about 20 – 45 minutes. The nurses will check your pulse, blood pressure, pulses in your feet or wrist and the puncture site often.

You must rest in bed for a few hours after the procedure. It is very important to keep your head on the pillow and your leg (the one that held the catheter/sheath) straight to prevent bleeding from the puncture site. If your back becomes sore, please let your nurse knows. You may be given some medication to help lessen your discomfort or your nurse may reposition you. During this time you may sleep, read, or rest. You will be given a snack.

If the doctor used your arm (radial artery) you will have a clamp applied to your arm after the procedure before you leave the lab to prevent bleeding. You will be on bed rest for approximately one hour after the procedure. It is important to keep your arm on the pillow. Do not twist or bend your wrist. You may move your fingers but please do not use your hand. Your nurse will be available to help you while the clamp is in place.

It is important to drink a lot of fluids for the dye to flush out through your kidneys. Ask your nurse for help as soon as you feel the need to empty your bladder because you will not be able to sit up. Once your bed rest is complete, your nurse will help you to stand. You will be encouraged to walk.

After an angioplasty, you will stay overnight in a recovery area of the hospital. You are welcome to have visitors, however, due to our limited space, only one family member may visit at a time.

After your procedure, you need to have someone pick you up at the hospital and drive you home. An adult needs to stay with you overnight on your first night at home. If this is a problem, please let your nurse know. If you live more than 60 miles (or approximately 100 kilometers) outside the city, please make arrangements to spend the night in the city after your procedure.

 

IF YOU DEVELOP ANY OF THE FOLLOWING, CALL YOUR DOCTOR RIGHT AWAY (OR GO TO A WALK-IN CLINIC OR HAVE SOMEONE DRIVE YOU TO THE EMERGENCY DEPARTMENT):

  • Sudden or severe pain at your puncture site
  • Swelling in your site that is bigger than the size of a golf ball or wider than a hockey puck
  • More than usual tenderness or soreness
  • Bruising that has spread to your knee or past your hip (toward your buttock)
  • Pulsing at the site
  • Tingling or numbness or sudden coolness in your leg (or your hand, if your arm was used for the procedure)
  • Redness, warmth or drainage at your puncture site or you have an unexplained fever.

 

IF YOU HAVE ANY OF THE FOLLOWING, CALL AMBULANCE OR HAVE SOMEONE DRIVE YOU TO THE EMERGENCY DEPARTMENT, DO NOT DRIVE YOURSELF

  • Bleeding at the site. If it starts to bleed, lie down and put firm pressure over top of the site with your fingers or your fist (or have someone else do this). If the bleeding continues after ten minutes of holding pressure, have someone drive you to the hospital right away. Keep holding pressure.

 

  • Any chest discomfort (sharp pain, pressure, burning, and heaviness, squeezing feeling in your chest, neck, down your arm or in your upper back). Sit down and rest. If you do not feel relief of your symptoms within five minutes, call for an ambulance.

 

Caring for Your Puncture Site:

  • Check your groin site for bleeding every half hour for two hours; then every couple of hours over the next day.
  • Remember to hold your fist over your groin site (apply pressure) when you have to sneeze or cough.
  • It is normal to have some bruising over your puncture site. It might take a week or more for it to disappear.
  • It is normal to feel a hard pea sized lump at the site. It is scar tissue that will gradually go away.
  • You may shower today but no tub baths for three days.
  • No swimming or going into whirlpools or hot tubs for two weeks.
  • If your dressing comes off, pat the area dry (do not rub). You can put a bandaid over your puncture site and put a new one on every day for the next three days. After three days, you do not need to have a bandaid or a dressing on your site.
  • Do not put any creams or lotions on the site.

 

Activity for the Next 7 Days:

  • Avoid strenuous activities to allow the puncture site to heal completely, for example: no jogging, bicycling or curling.
  • No heavy lifting (nothing heavier than ten pounds). This includes children, groceries, etc. It takes approximately 7 days for your puncture site to heal.
  • If you have had a radial site puncture (in your wrist), do not bend or strain your wrist for the first few days. This includes computer work, gardening, bowling, knitting, etc.

 

 On your first day at Home:

  • If you have a puncture site in your groin: You can climb a flight of stairs once but try to limit this as much as possible. Try to do the stairs with one leg straight legged (do not bend your knee on the same side as your procedure).

Avoid squatting, deep knee bends, or sitting in low chairs. A recliner or lounge chair is better because it will not bend your groin as much.

Walk at a slow pace as much as is comfortable for you.

  • Most people have no problems after a successful angioplasty. They can do their usual activities within a few weeks. How quickly you return to your usual activities will depend on whether you have had a recent heart attack and the type of activities you do. Ask your doctor about this.

 

Driving Your Car:

  • Ask your cardiologist when you can begin driving again. The timing will depend on the reason you were admitted to hospital. In general:
  • Wait one month if you were admitted with a heart attack. Wait three months if you drive a commercial vehicle, a school bus or use your private car for your job.
  • You can begin driving after two days if you have had a cardiac catheterization or an angioplasty. Wait one week if you drive a vehicle for your job.
  • Avoid stressful driving situations such as rush hour traffic, poor weather conditions, night driving and high speed.

 

Anaesthesia

You will be given a local anaesthetic by the person carrying out the procedure, using a small needle to numb the area where the catheter is put in. A local anaesthetic is a drug which numbs a specific area of the body for an operation. It stings for a few seconds when injected and then the area becomes progressively more numb. You will be fully awake during the procedure although you should feel no pain. The numbness usually fades after a few hours but occasionally it may last longer.

General anaesthesia may be given if at all required as per your condition.

 

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