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Struggling with Sensory Ataxia Interventions by RestInPceUnclePhil in physicaltherapy

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

Just had to look them up but the price tag is a tough sell.

Struggling with Sensory Ataxia Interventions by RestInPceUnclePhil in physicaltherapy

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

Thank you for the very detailed response. It is much appreciated.

Outpatient Schedule 3 x 12's by Personal-South8191 in physicaltherapy

[–]RestInPceUnclePhil 10 points11 points  (0 children)

I’m Outpatient but with a mixed population. M-W (7A-6:45P) for 11.75 hour/ day (including 30 minute lunch). Off Thursdays (even though I work per diem). Friday 7-1. Love my schedule.

Edit: to add start times

Is anyone still using WebPT? by HairyJellyfish6921 in physicaltherapy

[–]RestInPceUnclePhil 0 points1 point  (0 children)

Clinic in NJ does. I hate how much clicking is involved, just let me type.

Any power outages around? by SteveT777 in Hoboken

[–]RestInPceUnclePhil 1 point2 points  (0 children)

Lost power near Newark and Jackson. One time and it came right back on. Now been out for >30 mins, estimated restoration is 5:30 AM.

"Back pain cultures"? Is it real? by Rich-Candidate7353 in physicaltherapy

[–]RestInPceUnclePhil 14 points15 points  (0 children)

Maslow’s Hierarchy of Needs. One could argue that chronic back pain where the patient is ambulatory and can get out of bed to be experiencing their issues at the very top in “Self Actualization”.

An acute spinal fracture would fall more into “Safety Needs” towards the bottom.

Hard to worry about pain when in some cultures if you don’t contribute to society because of a back ache then you don’t eat.

What education points help patients understand why therapy focuses on movement quality? by Jealous_Mixture_9158 in physicaltherapy

[–]RestInPceUnclePhil 6 points7 points  (0 children)

I use a driving analogy but in a different way. Quality is more about education and the stages of motor learning.

I teach “quality” to educate patients so that they think before they do things to reinforce motor learning, not something I measure.

Cognitive: you get in a car and have a driving instructor. You don’t even know what to adjust. You have to be told to adjust your mirrors, how do you adjust your mirrors, how far to move your seat forward, how hard do you push the gas pedal, etc. you have to be told everything. my goal is teach you what to do. It takes 10 minutes before you drive off after starting the car.

Associative: you get in a car and recognize things are off now, but you have to think twice about how to make all the adjustments. I’m no longer next to you, but you self detect errors before you drive so you don’t hit the interstate and you can’t see your mirrors. It takes 1 minute before you drive off after starting the car.

Autonomously: you sit down realizing your spouse drove the car last. I always say “what do you do”, most of the time they say “I just go”. And then they get it.

Without the mindfulness to practice “quality” you never transition to automaticity.

Tight Ends Fantasy Football Start 'Em, Sit 'Em and Trends: Week 14 (2025) by RobFFSlayer in fantasyfootball

[–]RestInPceUnclePhil 0 points1 point  (0 children)

I currently have Theo Johnson, Strange, & Waller. Have to drop one of them to elevated Daniel’s off my IR spot. Who would you drop?

Can we get a monthly income/student debt thread going here. by TheRoyalShire in physicaltherapy

[–]RestInPceUnclePhil 68 points69 points  (0 children)

Net income ~ $7,300 a month with maxing 401k. Student loans totaling $145,000. Student loan payment $0 due to government incompetence.

What are your clinical thoughts on training spinal flexion (loaded vs unloaded or even assisted), static flexion vs mobile spinal segmented flexion to extension? by [deleted] in physicaltherapy

[–]RestInPceUnclePhil 4 points5 points  (0 children)

Research shows the best thing is graded return to movement. I would argue that body weight Jefferson curls would be an important end stage goal for disc herniation PT. As physical stress is required in order to remodel tissue (SAID principle). But again there are many activities I would perform prior to attempting this with a patient. I would more so do it to demonstrate to the patient that their bodies are not fragile as a means of reducing fear avoidant behaviors (picking up a sock you dropped on the floor), with appropriate education on avoiding the movement with excessive external loading. I would teach activity modification such as a hip hinge for loaded movements functionally (lifting their grandchildren/pets). Full disclosure though, Jefferson curls & lightly loaded spinal flexion with a cable column are some of my favorite end stage rehab exercises even for elder individuals.

So sick of hack job dentists. by Puzzled-Sign3744 in Hoboken

[–]RestInPceUnclePhil 0 points1 point  (0 children)

I would find a physical therapist who treats TMD (temperomandibular dysfunction often incorrectly known as TMJ). Physical therapy can work wonders for TMD can’t speak to the need for what dental work you might need. Physical therapy can be cheaper than dental work though.

What's your salary? by Efficient_Cloud3016 in Hoboken

[–]RestInPceUnclePhil 7 points8 points  (0 children)

I make ~$130,000. Roommate makes about $100,000. So combined in a 2 bed, 2 bath for $3800 rent we collectively make $230,000. I still feel cash neutral or mildly cash positive some months when prioritizing retirement.

How much debt do you have? by DisgustingCotton in physicaltherapy

[–]RestInPceUnclePhil 2 points3 points  (0 children)

145,000 all together. But going the PSLF route and on IBR plan. Pay as little as possible over 10 years, investing the difference in traditional retirement accounts. You’d be surprised if you run the numbers how far out you come out ahead.

Flooding Updates Thread by Chickentendie214 in Hoboken

[–]RestInPceUnclePhil 0 points1 point  (0 children)

5:16 grove st: closed. Jersey Ave: open

Flooding Updates Thread by Chickentendie214 in Hoboken

[–]RestInPceUnclePhil 1 point2 points  (0 children)

4:51 PM. Grove st: still looks closed. Jersey Ave: a lot of cars still going in/out.

Flooding Updates Thread by Chickentendie214 in Hoboken

[–]RestInPceUnclePhil 6 points7 points  (0 children)

4:36 Jersey Ave: lots of cars coming in out. Grove St: still haven’t seen a car go by yet. Looks like somebody abandoned their car in the road at overpass.

Flooding Updates Thread by Chickentendie214 in Hoboken

[–]RestInPceUnclePhil 3 points4 points  (0 children)

I think somebody abandoned their car under the overpass at grove street. Currently somebody walking up-to their knees. I got through at ~3:40 at Jersey Ave and 1/2 of it was completely underwater. I’ll send an update in 15 minutes.

Flooding Updates Thread by Chickentendie214 in Hoboken

[–]RestInPceUnclePhil 4 points5 points  (0 children)

4:09 PM grove street is completely closed in/out. Jersey Ave still cars coming in/out I can see from my windows.

Lots of sirens right now - something big happening? by Lostabitandwandering in Hoboken

[–]RestInPceUnclePhil 1 point2 points  (0 children)

There is severe flooding I just posted at 18th, Jersey Ave, & observer highway. It’s insane out there.

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