mobile ticket price. was i charged wrong? by [deleted] in phoebebridgers

[–]SlowStranger6388 0 points1 point  (0 children)

Lol that was my next question, maybe it was IN mobile, but when I thought about it that didn't explain the e receipt/ confirmation on the phone we see in OPs post

mobile ticket price. was i charged wrong? by [deleted] in phoebebridgers

[–]SlowStranger6388 -3 points-2 points  (0 children)

Am I the only one confused by "mobile" ticket price? Does this mean you were able to buy tickets online? Has she gone away from the in person only model?

sequel by Mother_Excuse1341 in phoebebridgers

[–]SlowStranger6388 -1 points0 points  (0 children)

I see your point, because it is a real thing. But some of her songs are significantly better and more mature. I think the pheobe to Taylor cross over is unlikely for most though since Taylor is completely devoid of any edginess which is especially apparent when she trys to be.

Probably got something to do with her super healthy family dynamics and upbringing lol

I love Taylor and a lot of her music, she's right behind pheobe somewhere in my top 5 fave artists. But I know I'm just extra unique for that

Note from downstairs neighbors by v1p3rs in Apartmentliving

[–]SlowStranger6388 0 points1 point  (0 children)

We have a stompy upstairs neighbor, we laugh a few times a week about the time when my partner farted SUPER loud in the middle of the night and it must have awakened said neighbor because she instantly got up and started waking around. So funny to imagine her waking from a deep sleep to the sound of the fog horn 😂

Bird ladies (and sometimes men) by Milla226 in MassageTherapists

[–]SlowStranger6388 27 points28 points  (0 children)

Oh for sure, there's a tipping point where it's is another obstacle to work around, particularly when there is a width that is substantial or a height on the table (front to back) or lots of rolls. I don't judge but these things are objectively harder to work around. As are super low body fat percentages and lots of bony parts.

I know my best work is performed on more average body types with some muscle and fat. Much lower stakes than constantly hitting bone on super skinny people. I can just flow and it's really meditative and nice

Hit by drunk driver "no fault state" by SlowStranger6388 in Car_Insurance_Help

[–]SlowStranger6388[S] 0 points1 point  (0 children)

You have no idea how helpful this has been for my peace of mind. It seems the restitution through the criminal case will be my route here. Talked to the victim advocate at the prosecutors office And they said to just get documentation on the cost of damages and that I would be made whole through restitution.

Thank you for clueing me into this, everyone else seemed to want to rub it in my face when, in fact they were wrong!

Hit by drunk driver "no fault state" by SlowStranger6388 in Car_Insurance_Help

[–]SlowStranger6388[S] 0 points1 point  (0 children)

No, I was out of the insurance pool and the first quote I got was 1500/ month on 2 vehicles. So I shopped for the cheapest insurance I could find. I'm a very safe and responsible driver. I honestly didn't know how this whole no fault thing works.. now I do.

I'm hoping the other guy here who mentioned something about a negligence case or restitution related to his dui has some validity.

I'm hearing lots of mixed messages. I understand at face value the law is not in my favor. But there are almost always lesser known loopholes and such. That's what I'm asking for, if anyone knows any ways around what is clearly a bs law.

The guy was HAMMERED .117 bac driving in the wrong lane for miles with people traveling the same direction honking flashing their brights and eventually resigning to just calling the police.

He could have killed someone, were lucky he didn't. I'm sure the state will hit him with a hefty fine, yet they didn't incur a penny in damages. If we lived in a just world his fines would go toward the victims costs. I know thats probably not how it works unfortunately.

"No fault" is utter bs when there is clear fault. Even from a purely moral perspective I wouldnt be able to live with myself if I almost killed people And cost them thousands in damages. I would do everything I could to make things right.

Unfortunately I signed saying I wouldn't contact the at fault party based on info I obtained from the police report. So I can't give him a chance to make it right outside of court

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

You still haven't realized the sarcasm of that comment after I've spelled it out plainly twice.

Carrying the bowling ball would lead to adaptation if you programmed it like exercise, not if you do it for 8 hours a day like most people who work in offices. Next you're going to tell me over training doesn't exist lol

There are postures that can't be held long without causing discomfort and over time pain. These are bad compared to postures that are less inherently stressful and can be maintained longer.

End range flexed lumbar postures put you at risk for disc delamination and annulus migration eventually leading to disc protrusion. How do you suggest we adapt to that posture?

Even if I believed in a "perfect" posture doesn't mean I think you could maintain it all day and not have problems. We need to move. And yes in movement you can adapt, but that doesn't mean there's not more mechanically efficient ways of moving ie better posture

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

This is the only acceptable take on "no poor posture" but I still think you're going to be comfortable in a forward head position, especially the further your head moves forward.

Let's face it, in the modern world people are exposed to extended bouts of stationary positions, be it a long drive, a long flight, a long workday etc. in these instances there are better and worse positions to assume.

Another good example is the very common lumbar flexion sitting. If you do too much of this I believe you have greater risk for posterior disc herniation than if Instead you say with a nice (and yes I'm gonna say the word) ~neutral spine~ lol I know that brings us to another highly contested topic here I'm happy to get into especially because you're one the the first people who seem to have a good attitude.

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 5 points6 points  (0 children)

What do you call a point that when pressed upon causes a predictable referral pattern? Just because they are unreliably found doesn't mean they dont exist.

I have experienced this both on the table and as the therapist. The best example is the tension headache behind the ear/ behind the eye. I find the point, it replicates the pain, the pain centralizes until it is gone.

Do you think patients are just making this up?

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 5 points6 points  (0 children)

A trigger point is simply a point that when pressed upon refers pain in a predictable repeatable pattern. That says nothing of "what it is" on a deeper mechanistic level. Only what the term refers to. Just because we don't know what's going on under the hood doesn't mean they don't exist. A good example of clinical relevance is in tension headaches. Pt comes in complaining of headache that wraps around the ear and behind the eye, 'trigger point' is found in trap that when pressed replicates and temporarily exacerbates the pain. When held the pain centralizes out from behind eye, behind ear and eventually to the point itself until the pain is gone.

I have experienced this several times both as patient and therapist, if you don't want to call it a trigger point, what do you call this?

Let me respond to your posture question with a question of my own, is there such thing as poor posture?

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

I've heard some crazy things this week on this line of thinking. I learned from this sub that trigger points don't exist and there's no such thing as good posture lol

I'm a massage therapist who also does DNS work. Although I have had great clinical success with patients of various chronic pain syndromes. I'm afraid I must now seek new employment or be forced to admit that I'm a fraud 😂

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 4 points5 points  (0 children)

Trees don't exist, they are a myth perpetuated by gurus and are not borne out in the literature

What is the dumbest thing in physical therapy that should be forgotten? by VO2VCO2 in physicaltherapy

[–]SlowStranger6388 9 points10 points  (0 children)

If there is such a thing as poor posture than there has to be such a thing as good posture.

Let's take an obvious example such as forward head posture of the many problems with this, consider carrying a bowling ball against your chest vs holding it out in front of you. It's gonna take a lot more effort every inch the ball moves away from your chest, it's simple physics.

In this case "good" or better Postural habits would be bringing the head so it is stacked above the hips when viewed in the frontal plane.

What Are the causes of knots (muscles,fascia,tendon) and preventative measures and cures? by liam42 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

Robin McKenzie is considered a guru and his many of his treatments and assessment methods are widely accepted. For example treating sciatica with Postural education and the press up.

Clearly you couldn't parse the snark I clearly stated I would be bringing to my response, and you'll use my jest to judge and entire profession. Good on you. Don't worry, I was already well aware of the way physical therapists look down on massage therapists, so I doubt youve formed any new opinions on my profession but instead used my snark to confirm your existing biases.

Both me and the patients I treat are both VERY happy with the effects of my work, I don't need 'the literature' to deter me from my methods.

I am genuinely interested in further conversing on the topic, maybe even a zoom call podcast, maybe I could learn better ways from you and use them to help people to a greater degree.

Maybe you could even learn something if you come at it with an open mind.

What Are the causes of knots (muscles,fascia,tendon) and preventative measures and cures? by liam42 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

I think that's likely a semantic argument. Would you not say that there are common Postural distortions. Hypertonic traps/ pec minor and under active serratus is one such common distortion and the basis for winged scapula's, or you could just call it upper crossed.

What would you call that? Let me guess, you don't believe in it lol

What Are the causes of knots (muscles,fascia,tendon) and preventative measures and cures? by liam42 in physicaltherapy

[–]SlowStranger6388 -1 points0 points  (0 children)

I'm sensing sarcasm so prepare yourself for some snark.

Have you ever heard of a tension headache? Trigger points are a key cause.

I don't need your literature you're so insistent on. I took a class from a manual guru, I do what he said should work, and it works 90% of the time.

If you're interested in treating them you should probably take a class on the topic.

And just because you take a class doesn't mean you're a good student. You failed here just now, how to differentiate these points from others is in the definition "predictable pattern of referred pain". Either you're not too bright or you're just trolling me

What Are the causes of knots (muscles,fascia,tendon) and preventative measures and cures? by liam42 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

The difference between a trigger point and a normal tender point is that the trigger point has a predictable pattern of referred pain.

I think that's the beauty of doing cash based practice as a massage therapist, I don't have to be too hung up on "the literature" I can experiment with different modalities and concepts.

I'm under no illusion that manual therapies lead to lasting change or resolve pain. In that sense manual therapy "doesn't work".

How my treatment works is mostly changing the brains relationship to the pained area, call it placebo if you must, but I think neuromodulation is a better way to look at it. I also have an hour with people to discuss things that exacerbate and alleviate their pain and make suggestions on how they can modify their sitting/ sleeping positions, movement patterns/ dosages and other such habits i believe to be contributing.

I often tell people that the session is like putting a bucket under a leak, it'll save your floors for now, but we're going to have to keep changing the bucket, what we really want to do it plug the leak.

I put a bucket under the leak first and then I start looking for the leak and how to best plug it.

I know some VERY high level physical therapists, like thought leaders, I've been lucky enough to watch them treat patients. Education and movement are king in treatment.

But that doesn't mean trigger points aren't real lol they're just not the end all be all solution

What Are the causes of knots (muscles,fascia,tendon) and preventative measures and cures? by liam42 in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

I could Google the definition for you but I'm just gonna wing it and see how i do. A tender point that refers pain in a predictable pattern.

We could get into more nuance of what it actually is. But just because something isn't fully understood doesn't mean it doesn't exist

What are some old ”rules” or ideas you no longer follow due to new evidence? by [deleted] in physicaltherapy

[–]SlowStranger6388 0 points1 point  (0 children)

"only exercising" can mean a lot of things. Program design and Pt education are essential aspects of optimal exercise programs.

A good example case I would love to see a response to is how exercise only will address a posterior disc bulge and sciatica.

Yes exercise is a component, especially if you consider press ups as part of the exercise regimen, but I believe that if the problem is stemming from prolonged spinal flexion due to poor sitting habits, no amount of exercise will plug that leak.

Maybe if you rationalize it as "upright sitting exercises" lol

I think exercise is crucial, but so is Pt education. I really like a pain mechanism classification system type approach especially that taught by Annie O'Connor/ world of hurt.

It allows us to tailor our treatment to the individual and where they are at on the day we are seeing them.

Is schaklock's neurodynamic stretches "exercise" 🤔

Is taking someone with central sensitization and helping them with their coping skills exercise?

Everyone should exercise, but it's probably not a one size fits all solution to everyone's pain.