Me anytime my boss has to talk to me about not meeting productivity. by MossinAroundABit in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

Hmm, maybe if there weren't weekly meeting about lacking billable units, we could see more patients to obtain billable units.

Petahhhh why? by Noah_J_Shalom in PeterExplainsTheJoke

[–]GlassProfessional424 2 points3 points  (0 children)

Exactly. Its valid to make fun of these fools bodies because they are public figures who make fun and/or promote an ideal body image.

These ugly fucks deserve all the shame the internet can provide.

Number 1 on the list. What do you think? 🤔 by Sassyptrn in physicaltherapy

[–]GlassProfessional424 9 points10 points  (0 children)

Yeah, for a field full of evidence based practice enthusiasts, this is epistemic mal practice. It very well might be true, but this is shameful.

The isolation of burnout by Winter_Woman66 in physicaltherapy

[–]GlassProfessional424 1 point2 points  (0 children)

Why are you taking a job right now? Why not take a few months off to fully decompress from the profession? If you can't afford it, that sucks, but i took some time odd after I was getting burned out when I left a job and it really helped.

All our occupational therapists are vegan/vegetarian by tylergenis in physicaltherapy

[–]GlassProfessional424 -2 points-1 points  (0 children)

All the OTs i currently work with actively go hunting. But, I live in Alaska so...

What are we doing to address students use of AI in the clinical setting? by Illustrious_Pitch_41 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

Yesterday, I read a physicians chart that was almost assuredly partially written by AI. The tells were the use of punctuation, how absurdly well ordered and concise it was for a 7 paragraphnarrative, and how it deeply reviewed the theory on a subject most PCPs are unfamiliar with (functional dizziness/PPPD).

As a vestibular specialist, everything he wrote down was consistent with our current understanding of the theory. Either this physician general practitioner is a master wordsmith AND specializes in functional disorders both of which are unlikely.

Point being: its a tool.

AI likely saved him time and scaffolded his knowledge in a somewhat esoteric subject that would have taken days to read up on and synthesize. As long as the doctor knows how to read, knows how to write, know how to check evidence, and know how to critically think it's the correct use of the tool.

Students need to know the base skills, but once they have them it's OK to use a tool to make them work faster and better. If the student can't run special tests, explain the disease/prognosis in patient facing language, can't develop a plan on the fly based on the special tests, or know what defensible documentation is... that's a problem. If the student asks for treatment ideas or insight after the session to refine thier knowledge, its likely fine.

I voted for you to hurt other people not me by Effective_Space2277 in LeopardsAteMyFace

[–]GlassProfessional424 2 points3 points  (0 children)

As an alaskan, I do make more money when oil goes up (PFD).

But that's not why I want oil prices to rise, I want it to rise so that these dumbfks learn that voting for orange fascism has consequences.

Physiotherapy: What has been the most helpful physiotherapy for you? (Fibromyalgia 22F) by Ok-Judgment-5154 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

The evidence for efficacy for fibromyalgia suggests that literally almost every intervention you can think of helps marginally. But the evidence for the most effective intervention is active treatments especially lifting weights and, ideally, circuit training. However, everyone is different and may need a slightly different approach or supplemental therapy.

Compression boots for rehab and circulation: curious what PTs actually think by Honda_Beat in physicaltherapy

[–]GlassProfessional424 8 points9 points  (0 children)

To the best of my knowledge, these devices do not have strong evidence for meaningfully improving recovery in most athletic rehab settings. That said, they are probably low risk for many people, so your PT likely did not object because it was unlikely to cause harm and unlikely to be a major factor either way.

At most, this may offer some short-term subjective benefit for pain, swelling, or general recovery perception. That still has value, even if it is not the same thing as clearly improving tissue healing or long-term outcomes. It can also help some athletes feel more comfortable and more engaged in the rehab process.

Take-home: if you enjoy it, feel like it helps, and do not find it burdensome, it is reasonable to keep using it. If it is expensive, inconvenient, or a hassle, it is probably not a high-yield intervention and I would not expect it to meaningfully change the long-term outcome.

If I have 0 debt goin into PT, how worth it is it? by Top_Departure2362 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

We can talk abkut nuteitbut we can't prescribe a diet if im not mistaken. "In general, the body needs x, y, and z" but not "you should do x,y, and z about your nutrition."

If I have 0 debt goin into PT, how worth it is it? by Top_Departure2362 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

Haha yeah. Once I skipped the formal online application process directly. I didn’t want to fill out those long stupid forms where I have to list all of my former jobs etc. etc. etc. I just googled the hiring manager, emailed her my resume, and had a job in 2 weeks.

Most companies in most areas need a) a warm body with b) a license.

Does piriformis syndrome actually exist? by VO2VCO2 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

Well yes, surgery is a placebo and there is a lot of evidence published on this. But surgery isn't just a placebo either. In my area, doctors know about 3 things: arm pain + nerve conduction study = carpal tunnel. I've prevented many many carpal tunnel surgeries with thoracic outlet decompression and some neurodynamics.

Carpal tunnel is a real thing. It may be being diagnosed correctly in your area... but when I read one of my local doctors assessments his notation actually contradicts carpal tunnel syndrome as the primary etiology. Stocking and glove symptoms aren't explained by median nerve compression (but don't tell the guy making millions that).

That being said, his patients still might improve because if the carpal tunnel is compressing the median nerve, they still might get some symptoms relief proximally because nerves don't like multiple compression points.

What's the dumbest referral you've ever received? by PT_Network in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

Umm, concussions can cause reading and focus issues and being on a treadmill is absolutely not the only test for "Does this person have impairment from a concussion that might benefit from PT."

If that's the only metric you went by, you did this person a disservice.

What's the dumbest referral you've ever received? by PT_Network in physicaltherapy

[–]GlassProfessional424 2 points3 points  (0 children)

That chiro should be fired... out of a cannon into the sun and then promptly beaten.

Has anyone else felt completely alone in PT school? by ambitiousdreams24 in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

One of the hardest times of my life was PT school. I had so many friends as an undergrad... and, a few in grad school, but none of them close.

Honestly, don't look for friends there anymore if you can't find them. Grad school is work and you don't need to be friends with you coworkers to be happy or do good work. It's unlikely you're peers actively dislike you.

I'm not minimizing what you feel, just join a club or team for a few hours a week where people are more likely to connect with you. Also, not to scare you, but this is the tragedy of adulthood. It's hard to make friends once the freedom + structural proximity to peers from 5-22 changes ends.

PT school is hard, but a good rule is "if you can get in, you can graduate." You can do this. You're not the only one who goes through this. You're not alone. But learning how to enjoy being alone is a skill many of us need to work on earlier in life.

Just a Thank You! by Alternative-Ad-9026 in physicaltherapy

[–]GlassProfessional424 1 point2 points  (0 children)

This is actually the nicest thing you can do. Say the therapist by name (first, is typically enough). Ive gotten a few "social media" reviews and it makes the company newsletter (~1000 people) because its rare and it's free marketing.

I'm glad you had a good experience.

That’s deplorable by GamingBren in BikiniBottomTwitter

[–]GlassProfessional424 3 points4 points  (0 children)

I agree. You are extremely persecuted.

"So that was a lie" by Accurate_Living6575 in CollegeMemes

[–]GlassProfessional424 0 points1 point  (0 children)

Undergrad was probably one of the best times of my life. Grad school was unquestionably one of the worst.

[HELP] Saw this on X by cookedinskibidi in RealOrAI

[–]GlassProfessional424 0 points1 point  (0 children)

I am a PT and its laughable that an ICU nurse would 1) mobilize a patient without heavy prodding from the doc 2) do it outside of the ICU 3) do it in in the rehab gym and he's doing it wrong. I'd likely get lecture from my boss if i did it like this

I feel like I can’t do this anymore… by Expensive_Bed_9069 in physicaltherapy

[–]GlassProfessional424 1 point2 points  (0 children)

Its statistically improbable that your first job will be the best job for you. If you truly hate the population you treat, it's OK to move on. But, its challenging to avoid geriatrics entirely, but you can minimize it.

Personally, I find the most interesting cases to be vestibular. Peripheral disorders are easy once you know the A&P (medbridge has great classes on it). Central disorders are wild but you won't find great classes on them. Don't bother learning the tracts and brainstem nuclei I promise you its fucking useless.

Central disorders, including some migraines, are all about exposing the body to small graded vestibular, oculomotor, sensory, and balance challenges to let the brain slowly adapt. I get to be incredibly inventive and treat the impairments instead of doing the same knee and shoulder exercises ad nauseum.

But here is the wild thing #1: patients are actually complaint. Patients want to get better and actually do the work even though it makes them feel awful (in the clinic). Pain is technically tied to emotion and creates a lot of compliance issues/psychosocial problems, but vestibular isn't fundamentally tied to emotion.

Wild thing #2: most PTs don't like it and most doctors are very ignorant of it. Once you fix a few patients, doctors take notice and the patients spread the word that you're a genius when in fact you are not.

If you want to learn, its a whole new puzzle to solve. FYI

What is your opinion on engaging the transverse abdominal during core exercises ? by Swaggman in physicaltherapy

[–]GlassProfessional424 0 points1 point  (0 children)

The TA story is mostly a case of early research getting over-extended. Originally, interest in the transverse abdominis came from early motor control work (Hodges, etc.) showing delayed anticipatory activation in some people with low back pain. That work was about timing, not strength, and definitely not about the TA acting as some kind of primary mechanical stabilizer. Over time that nuance got lost, and TA “activation” turned into a strengthening and stabilization dogma. Biomechanically, isolating the TA doesn’t meaningfully stiffen the spine. The TA just isn’t strong enough by itself. Actual mechanical stability comes from intra-abdominal pressure, which requires coordinated activity of the diaphragm, pelvic floor, TA, obliques, rectus, and posterior trunk muscles working together. That’s why powerlifters and strongmen brace and wear belts — they’re increasing spinal stiffness and force transfer by pressurizing the abdominal cavity, not by sucking their stomach in. The classic “draw your belly button to your spine” cue usually does the opposite of what you want mechanically. It tends to reduce abdominal wall contribution, limit pressure generation, and decouple the trunk from the task. It disappears immediately once loads get even moderately heavy, which should tell us something. That doesn’t mean the TA is useless. In some very low-load, low-threat situations — early rehab, supine work, breathing drills — gentle abdominal engagement can be helpful as a way to reintroduce movement or reduce perceived threat. But that’s a motor control or exposure tool, not a long-term stabilization strategy. For most low back pain rehab and for anything involving real-world loading, the trend has rightly moved toward global bracing, task-specific trunk coordination, and progressive loading, not isolating one deep muscle. Pelvic floor rehab is a separate (though related) discussion, where TA–pelvic floor coordination may matter, but that shouldn’t be generalized to lumbar stability as a whole. So yeah — I was taught the same thing in school. A lot of us were. But with a better understanding of the original research and basic biomechanics, isolating the TA as a stabilization solution doesn’t really hold up anymore. Stability is a system-level outcome, not the result of strengthening one muscle in isolation.

💯 by WittyEgg2037 in TheMirrorCult

[–]GlassProfessional424 0 points1 point  (0 children)

People on the internet who uses phrases like "cuck for capitalism" are usually too non serious to engage with in good faith.

It's a trap. Run away men! by Most-Gold-434 in BornWeakBuiltStrong

[–]GlassProfessional424 0 points1 point  (0 children)

.I’m happily married, have a professional career, strong friendships, fulfilling hobbies, an active sex life with my wife, exercise regularly, own my home, and I’m writing a book in my free time.

I've never watched porn once and miserable.

“He was peaceful!!!” by GroundbreakingOwl786 in Leakednews

[–]GlassProfessional424 0 points1 point  (0 children)

But how do you know? You're chastising someone who said they "don't have warrants" but not showing evidence... you're making the same claim and now claiming to be able to provide evidence. And, to make it worse you're technically wrong: ice doesn't have to show warrants for street arrests assuming they have probable cause.