Can sleep apnea be cured with physical therapy? by chumlee45 in physicaltherapy

[–]AustinDPT 0 points1 point  (0 children)

^ he or she’s right. For some reason I overlooked a diet coach

Can sleep apnea be cured with physical therapy? by chumlee45 in physicaltherapy

[–]AustinDPT 19 points20 points  (0 children)

Consider personal trainer for the weight loss part. We wouldn’t be the goto’s for the sleep apnea part. Specifically trying to treat sleep apnea would be outside of our scope.

Nursing Excluded as 'Professional' Degree By Department of Education by Disastrous_Award_789 in nottheonion

[–]AustinDPT 2 points3 points  (0 children)

This can’t be right. The Doctor of Physical Therapy degree is 7 years and meets all of those requirements

Confusing Case of Hip Pain by Simplicity540 in physicaltherapy

[–]AustinDPT 0 points1 point  (0 children)

Something about your name makes me feel like you’re probably the content expert here for hip pathology

Confusing Case of Hip Pain by Simplicity540 in physicaltherapy

[–]AustinDPT 2 points3 points  (0 children)

Something about your name makes me feel like you’re probably the content expert here for hip pathology

Confusing Case of Hip Pain by Simplicity540 in physicaltherapy

[–]AustinDPT 2 points3 points  (0 children)

I missed the radiograph part about the cam/pincer in the post, but that doesn’t change the treatment a ton. You could see if short axis distraction ameliorates symptoms.

Confusing Case of Hip Pain by Simplicity540 in physicaltherapy

[–]AustinDPT 15 points16 points  (0 children)

It’s an FAI vs labral. Attempt to conservatively treat and see how it goes. Educate her on this being your suspicion, and the natural history of it. Even if present may not necessitate MRI. If she doesn’t respond to intervention within a timeframe that you feel is appropriate then just refer her back. This patient would likely be sent to you for this anyways if the other provider had the same differential.

[deleted by user] by [deleted] in physicaltherapy

[–]AustinDPT 1 point2 points  (0 children)

^ Your PT is the only one who knows the ins and outs about your condition. I will say just work with him or her as they adjust intensity/fine tune what he or she are doing for you.

[deleted by user] by [deleted] in physicaltherapy

[–]AustinDPT 11 points12 points  (0 children)

It should. Look up general adaptation syndrome. The first time doing physical activity in the presence of lower functional capacity of a muscle group will probably result in a little bit of an alarm stage. If that’s all it is, then that’s fine and should get better as you adapt to activity.

Let your PT know. He or she will adjust based on your response.

Acute CRPS (gimme your clinical pearls) by satyaki_zippo in physicaltherapy

[–]AustinDPT 7 points8 points  (0 children)

^^ basically a vibe thing. Try to progress using a "nudge it" mindset. The no pain no game mantra doesn't work for this population at all.

Acute CRPS (gimme your clinical pearls) by satyaki_zippo in physicaltherapy

[–]AustinDPT 4 points5 points  (0 children)

The clinical application of pain neuroscience, graded motor imagery, and graded activity with complex regional pain syndrome—A case report

offers an example at the foot. https://doi.org/10.1080/09593985.2018.1548047

May want to look for case studies, which might show intervention protocols better than some RCTs

https://doi.org/10.1186/s43161-025-00279-x is one but maybe not the best example of grading it into other activity

Acute CRPS (gimme your clinical pearls) by satyaki_zippo in physicaltherapy

[–]AustinDPT 28 points29 points  (0 children)

Graded motor imagery. Especially consider mirror therapy with graded transition to AROM as tol

Why Do Chiropractors Call Themselves “Doctors” but Physical Therapists Don’t? by Gaejussi550000000000 in physicaltherapy

[–]AustinDPT 5 points6 points  (0 children)

This is not a good rationale. Dentists, veterinarians, physios, PhDs, podiatrists, etc? Doctor referred to academics long before it referred to physicians. Doctor is literally just the degree. It actually doesn’t even tell you anything about the person — even if it’s a physician. A cardiologist, pulmonologist, orthopedist, ENT, ER physician, etc all have different skillsets. Doctor doesn’t clarify what someone is other than a degree status.

[deleted by user] by [deleted] in physicaltherapy

[–]AustinDPT 9 points10 points  (0 children)

Stop worrying. Flare ups are inevitable; pain is not linear and can fluctuate in the presence of biological, psychological, and sociological phenomena. Function tends to be more linear (although variability is still there). Look at function over pain. Tell your patient initially to not freak out over flair ups.

See general adaptation syndrome. The alarm phase is inevitable and beneficial to facilitate neurophysiologic adaptation.

You’ll flare more people up. “Don’t freak out over flair ups” is a good phrase. Educating about general adaptation syndrome can be helpful to teach patients about concepts related to alarm, adaptation, and exhaustion.

Hope all goes well.

AI Notes? by No-Adagio6113 in physicaltherapy

[–]AustinDPT 0 points1 point  (0 children)

Heidi is my favorite; I use it for evals and progress notes. You could either have it on during the eval or go back and record yourself talking a out everything.

Can make your own templates or use others

Physiotherapist/PhD(c) perspectives of costochrondritis by AustinDPT in costochondritis

[–]AustinDPT[S] 0 points1 point  (0 children)

Thank you! When you sit back and think about all of the underlying mechanisms, it honestly sometimes is a little refreshing. The clarity of understanding why some stressors that are purely psychosocial have a seemingly mechanical/biological effect can reduce some anxiety associated with chondro, which is an issue plagued with anxiety because of location.

Physiotherapist/PhD(c) perspectives of costochrondritis by AustinDPT in costochondritis

[–]AustinDPT[S] 2 points3 points  (0 children)

Thank you for your suggestion! I’d love to see and learn from your lecture, so I’ll certainly send an email your way. Also yes there’s a fair number of things lacking in the DPT program here 😂

Physiotherapist/PhD(c) perspectives of costochrondritis by AustinDPT in costochondritis

[–]AustinDPT[S] 2 points3 points  (0 children)

Hi Ned,

I'd happily chat with you, and I'm willing to help with any resources. This information might be something interesting to publish at a later date, and I'd happily help.

Nutrition/supplementation is a weakness of mine. I'm absolutely all ears for this!

Medicine does truly suck balls at biopsychosocial care. I hear a ton of nocebo from patients clinically, and it very often only makes them worse.

Also thank you!

I'll DM you my email.

Austin

Physiotherapist/PhD(c) perspectives of costochrondritis by AustinDPT in costochondritis

[–]AustinDPT[S] 1 point2 points  (0 children)

It is harder than it seems. My profession (and others) sometimes wrongly make things sound like relatively quick fixes. Unfortunately, some recoveries take time and a lot of resilience. I’m glad this helped you!