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Director, Rehabilitation Services
Pain Management Service
Class of 2007
Nexus :: 2007
Ronney Snell Dies | 5/13/2003 | The O&P EDGE | oandp.com
St. Jude Rounds - Spring 97
Most of our patients now are being treated for leukemia or brain tumors , says Lola Cremer , a physical therapist and director of St. Jude's rehabilitation services.Each treatment , tumor type , and individual patient has unique rehabilitation needs.Children being treated for leukemia present the broadest range of challenges.One problem Cremer frequently sees is ischemic bone pain-which can make a child reluctant to walk.Later , chemotherapy can cause peripheral neuropathy and degenerative joint changes.Without help , these kids can lose mobility and independence unnecessarily , says Cremer.After limb-sparing surgery , rehabilitation is actually longer and more complicated than it is after amputation.The endoprosthesis must be periodically lengthened as a patient grows , which often requires additional physical rehab work to stretch the soft tissues.Also , the presence of an endoprosthesis can permanently sideline patients from some activities , such_as contact sports.Some patients ( usually athletic teenage boys ) choose amputation for these reasons , and in some cases , amputation is unavoidable.Upper and lower extremity amputations present very different challenges.
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