Post-Surgical Incision Care

NPTE Clinical Files | Physical Therapy

Kyle Rice

Health & Fitness

2.4 • 608 Ratings

🗓️ 30 July 2025

⏱️ 10 minutes

🔗️ Recording | iTunes | RSS

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Summary

Denise is six days post-abdominal surgery with a midline incision. The incision is well-approximated with slight redness but no drainage or dehiscence. She is concerned about safely participating in physical therapy. Which recommendation is MOST appropriate for this patient?

A) Avoid core exercises until 6 weeks post-op

B) Continue light activities and monitor for redness, swelling, or drainage

C) Apply heat to the incision before exercise to promote healing

D) Use high-compression abdominal binders during therapy

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Transcript

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0:00.0	I'm Kyle Rice, awful test taker turned physical therapists and standardized test coach for over 5,000 physical therapists worldwide.
0:08.0	It wasn't that long ago that I struggle with anxiety, lack of confidence, and the fear of failing the NPTE.
0:15.0	Fast forward through the challenges, the 13 standardized test failures, and many lessons learn. And you'll see the life I
0:22.5	have today, a life filled with love, financial freedom, and a dream job that allows me to
0:27.7	change lives every single day. I created the NPTE Clinical Files podcast to give you simple,
0:34.3	actionable strategies, along with a step-by-step walkthrough of NPTE-based questions.
0:40.2	All of this so that you can dominate your exam like I did and achieve your dream.
0:45.4	So if you're a driven PT student who's looking to pass the NPTE and start creating a life
0:50.8	you love, you're in the right place.
0:53.0	Enjoy the show.
0:56.4	For this week's clinical file, we have Denise, and Denise is six days post-abdominal surgery with a midline incision. The
1:03.6	incision is well approximated with slight redness, but no drainage or dehiscence. She is concerned about safely participating in
1:14.0	physical therapy, which recommendation is most appropriate for this patient. So we have A,
1:20.2	avoid core exercises until six weeks post-op. B, continue light activities and monitor for redness, swelling, or drainage.
1:30.3	C. Apply heat to the incision before exercise to promote healing. And D is use high compression
1:38.7	abdominal binders during therapy. All right. Let's go ahead and knock this question down.
1:45.3	This is actually my first time doing a post-abdominal incision type care type question. So this is going to be really good
1:53.0	because these are MPTE curveballs that you get thrown and maybe you've never really studied
1:59.1	this or gone into it. So let's go into this together so you know
2:02.2	exactly how to answer this for the exam. So we got Denise is six days post-abdominal surgery with a
2:09.0	midline incision. I wouldn't dive too much into that right now as to what's all going on. Right now,
2:16.1	we know that there's a midline incision and she had an abdominal
	...

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