A patient post-THA surgery complains of calf pain and has swelling. What should the therapist do?

• A. Continue with the scheduled physical therapy
• B. Perform ultrasound therapy and reassess
• C. Wait for 24 hours and then assess again
• D. Hold therapy and contact the physician immediately

Answer: (D)

The appropriate response in this scenario is to hold therapy and contact the physician immediately due to the patient's presentation of calf pain and swelling following total hip arthroplasty (THA). These symptoms could indicate a serious complication, such as a deep vein thrombosis (DVT). In the context of recent surgical intervention, particularly with joint surgeries like THA, the risk of DVT is heightened due to factors like immobilization, vascular injury, and changes in blood flow.

Prompt recognition and intervention are critical in cases where DVT is suspected because if left untreated, it can lead to more severe complications, including pulmonary embolism. By contacting the physician, the therapist ensures that the patient receives a comprehensive evaluation and necessary medical intervention as soon as possible, prioritizing the patient's safety and well-being.

Continuing with physical therapy may exacerbate the condition and does not address the potential underlying issue of a thrombus, while ultrasound therapy and reassessment could delay necessary medical attention. Waiting for 24 hours to reassess could also allow a potential DVT to progress, leading to significant risk for the patient. Therefore, the safest and most appropriate action is to halt therapy and inform the physician without delay.