Targeted Screening and Physical Therapy for Hemophilia Patients

The Joint Health Clinic at Indiana Hemophilia & Thrombosis Center (IHTC) specifically focuses on keeping joints healthy. This clinic is held at IHTC in Indianapolis as well as at our many outreach sites throughout the state of Indiana.

A visit to the Joint Health Clinic is typically much shorter than a comprehensive clinic appointment and includes a complete physician and physical therapy evaluation. Patients who benefit from this clinic include those on prophylaxis or immune tolerance and/or those who are experiencing multiple bleeding episodes in the same joint. Typical services offered at the Joint Health Clinic include:

Medical Management

  • Review bleeding logs and/or bleeding history to determine if your current treatment is working
  • Determine any problems affecting your ability to follow the treatment plan
  • Use of laboratory evaluation (factor levels) to modify your infusion schedule/dose if needed
  • Identify the need for additional medications and treatment to keep you healthy
  • Determine the need for radiologic studies (MRI, X-Ray, Ultrasound) to evaluate joint health
  • Identify early joint changes

Physical Therapy

  • Discuss the connection between joint bleeding and joint disease
  • Evaluate your body alignment and movement to identify anything that might put extra stress on joints
  • Counsel on exercise/sports and maintaining an active lifestyle
  • Develop home programs for joint strengthening/rehabilitation
  • Determine the need for equipment such as splints, crutches, etc.
  • Assess joints for problems with stability and function
  • Complete an ultrasound assessment of joints—ankles, knees, and elbows—if needed
  • Education plays an important role in the Joint Health Clinic. We work together to identify appropriate physical activities depending on your specific condition and lifestyle.