For Kathy Hammen, orthopedic and spine challenges have been part of life for many years. She has undergone both knee replacements, four back surgeries, and a left shoulder replacement.
Before her most recent spinal surgery, even walking had become a struggle.
“I was diagnosed with spinal stenosis, and my quality of life just wasn’t there anymore,” Kathy said.
Long before surgery, Kathy began working with Jill Birks, PT, MSPT, ATC, and the physical therapy team at Stewart Memorial in Rockwell City. Together, they focused on preparing her body for surgery and setting realistic goals for recovery.
“They helped me set goals and gave me things to work on before surgery,” Kathy said. “They send home exercise programs so I’m able to do my homework. It helps me know what I need to do to keep myself healthy.”
Following an extensive thoracic and lumbar fusion, Kathy faced unexpected setbacks. She became very weak after surgery and suffered a fall at home that resulted in a fractured knee. After spending time in a nursing facility, she returned home wearing a knee immobilizer and a back brace while relying on a walker for mobility.
While the surgery relieved much of her pain, recovery presented new challenges.
“After surgery your pain is gone, but then you realize how much you have to relearn,” Kathy said.
The biggest obstacle was rebuilding strength.
“The weakness and lack of strength were the hardest parts,” she recalled.
Physical therapy focused on helping Kathy regain the skills needed for everyday life. Sessions included strengthening exercises, balance and mobility training, and functional movements that would allow her to safely return to daily activities.
Through more than 30 physical therapy visits, Kathy steadily improved her strength, confidence, and independence. Today, she can walk most distances without an assistive device but may use a cane or walker for longer distances.
“Kathy was so incredibly weak from limited mobility for an extended time before surgery,” Jill said. “Progress toward her goals was slow but steady. We progressed from simple seated and lying exercises to standing activities and eventually to dynamic balance exercises. Strengthening her whole body was necessary for her to reach her full potential.”
Most importantly, Kathy has been able to return to activities that bring her joy.
“One of my goals was to get back to doing the things I enjoy most, playing fetch with my rescue dogs and working in my garden,” Kathy said.
“When I had my shoulder replaced in March, I was so worried about my arm that I didn’t think about anything else. You don’t realize how connected the entire body is.”
Kathy credits the physical therapy team for helping her navigate each stage of recovery.
“Everything they do helps me. Sometimes it takes my entire therapy episode to accomplish my goals,” she said. “They do know their stuff down here, and I am very thankful for that. They are good to me from when I walk in to when I walk out.”
For Jill Birks, PT, MSPT, ATC, and the rehabilitation team, Kathy’s journey reflects the power of preparation, perseverance, and personalized care. Through dedication and hard work, Kathy has regained much of her independence and continues making progress toward the life she wants.
“Kathy’s positive attitude has made her a joy to work with,” Jill said. “A lot of people with her challenges would have given up. Kathy’s results are proof that hard work pays off.”






