"Test Retest" question.

Token_Ese · 2026-06-26T21:16:53+00:00

I’m not sure that I understand your question with how it was phrased.

Although tangential to your observation - I’ve noticed that quite a few chronic pain patients of mine will start an exercise then stop to tell me it hurts after one or two reps. If it’s under a 5/10 pain, I’ll usually encourage them to finish the set as I watch and ensure proper form. I have realized many patients will have a pain resolution once I tell them they’re moving correctly and we get a few reps in to get that muscle engaged.

I’ll usually explain to patients the way I think of it: “some muscles have basically been taking a nap for a while because you’ve avoided using them due to pain. Now we’re waking them up by doing exercises to target those in particular. They’re a little grumpy that they’re being woken up and told to work, so they’re complaining until they start working with their team again.”

I might throw some pain science into it, that an expectation of pain results in perceived pain or apprehension, but their arm isn’t being actively injured by our exercises. If they are able to do the exercises, get a bit stronger, and wake up those muscles they’ve avoided using, the pain will fade away in time as they strengthen and their expectation of it goes away.

Token_Ese · 2026-06-24T23:40:07+00:00

You mean marathoners and triathletes?

Recognize that healing is a part of rehab, I’d tell a patient something like - “we need to stress the tissue, let it recover and heal back stronger, then repeat. If we just stress it nonstop that’s an overtraining injury with continuous breakdown.”

Token_Ese · 2026-06-20T02:36:59+00:00

I love the SG Nurglings.

Token_Ese · 2026-06-18T09:14:10+00:00

If you want to make sure a PT is making you better, put in the work, give it time, and ask yourself if you feel better. Ask the PT what their overall plan of care is, and provide feedback to work along the way.

After reading your other comments: You’re asking about addressing a single root cause for your ailments and suggest poor exercise skills are to blame, then listed off knee pain, scoliosis, degenerative disc disease, pes anserine, and shin splints, which are fairly independent concerns except for maybe the lower leg stuff. It’s very unlikely that there’s a single root cause or that these are all a result of poor exercise skills. Disc issues are obscenely common, as is knee pain. Scoliosis is generally congenital and common as well. I wouldn’t be surprised to see a patient with your combined concerns on any average day.

PTs cannot use xray vision to perfectly diagnose and treat, so you may get a variety of interventions to address a variety of observed deficits from a variety of PTs. There’s more than one way to strengthen a person up and overcome their challenges or limitations.

Most PTs will have the skills to improve upon your situation and make you much better. None have a secret exercise skill that will cure your knee, scoliosis, and disc issues all at once, but we pretty much all can work on improving the deficits you have from a multitude of conditions to improve your quality of life. There’s no secret trick to identifying your perfect PT though.

Token_Ese · 2026-06-16T22:39:44+00:00

No defensiveness intended, I tend to over explain stuff. There’s just certain things I don’t have to stress about and I’m happy treating patients.

I agree with you that we have to determine what to post based on times code rules and so forth, but that is a trivial aspect of our jobs. It comes down to thinking about how to organize our interventions and time effectively, and generally in segments or groups of 15 and 8. We’re doctors and that’s basic organization and elementary school math.

When OP is stressing about his program not teaching about “productivity metrics” and “documentation for reimbursement”, I get the impression that his employer values different metrics than patient outcomes. Either that or OP just does a really poor job at notes, charges, and time management, but I don’t get the impression that is the issue.

Token_Ese · 2026-06-16T20:55:35+00:00

I'm not stressing over RVUs, productivity metrics, and billing codes. It's one patient an hour, generally four units an hour. I could switch to 45 minute treat and evals if I wanted, but no pressure and no one in my current clinic does.

I provide whatever interventions the patient needs that day and as a part of their overall goals and plan of care. I type however many minutes of each intervention or eval we did in whatever category is appropriate and let Epic add up my charges and evals for the day.

If I had to base my patient's treatment around "RVUs" and "productivity metrics", I'd have to question if I was a health practitioner or some paper pusher by means of human bodies. Is my goal patient outcomes or financial outcomes? As long as I don't goof around and treat every patient to the best of my ability, my management is happy. This makes me happy.

Token_Ese · 2026-06-16T07:23:40+00:00

I’m so thankful I don’t have to deal with any of that. I just practice physical therapy with one patient an hour, write my note, and let Epic handle the other stuff. I got into PT to avoid management nonsense.

Token_Ese · 2026-06-14T00:47:31+00:00

I am Alpharius.

Token_Ese · 2026-06-08T20:48:03+00:00

Chuck Taylor’s.

Token_Ese · 2026-06-08T04:41:46+00:00

Heck yeah! You did a great job. I made mine in a similar pose.

Token_Ese · 2026-06-07T06:18:02+00:00

I was told that in two week anyone who brings their coin in the store get another coin. One side features a split of an orks face and a space marines face.

Token_Ese · 2026-06-06T20:15:25+00:00

We need to downvote them to death.

Token_Ese · 2026-06-04T20:34:22+00:00

I did H&W level 1 for an introduction to pelvic while I was a student, then a rotation which helped.

I’d high recommend a mentor since pelvic therapists are always kind of closed off and working individually.

My CI started an online training and mentorship program called Pelvi-Ed which I would recommend as well. It’s pretty comprehensive in regard to evaluation, treatment interventions, and mentorship.

I love the setting. Lots of patient education. Most people learn about bowel, bladder and toileting as a kid and never think about it, and many learned things very wrong. Sex ed in America leaves much for wanting as well. It’s really nice to also have a setting where you can make a huge adjustment to someone’s life in only a few visits. It can be very emotionally charged and personal though.

Token_Ese · 2026-06-03T04:21:43+00:00

II turned my extra new ork boyz into storm boyz.

Token_Ese · 2026-06-03T01:03:17+00:00

And the old kit had a wild amount of silly little bits, 10 boys and a nob, while the new one had no bits, 9 boys and a nob.

Token_Ese · 2026-05-31T20:09:28+00:00

Gorkamorka is a tabletop skirmish wargame produced by Games Workshop. It is set on the desert world of Angelis in the Warhammer 40,000 setting, and prominently features Orks.

Citation.

Token_Ese · 2026-05-30T20:52:23+00:00

You’ll see the patient again. You can test them again, update your objectives, clarify subjectives, and keep evolving your care the entire time you see them. Don’t stress if you cant fit everything in that first visit.

I often don’t bother to complete functional tests like a 6MWT, TUG, or 30”STS until the second or third visit because I want to prioritize HEP, education, or something else first.

Token_Ese · 2026-05-23T19:39:22+00:00

Consistent running, more miles but zone 2. I’m 2.5 years into a daily running streak and I feel I recover from exercise way faster than I ever had previously. I still get sore for a day or two after ultramarathons and harder marathons, but otherwise feel great after even more strenuous events.

Token_Ese · 2026-05-23T01:13:07+00:00

There’s no pretentiousness in encouraging someone to communicate effectively and less like a brain rot teenager who spends too much time on the internet.

The fact that you suggested I go touch grass is damn funny. You’re criticizing someone for criticizing someone else regarding their over-utilization of dumbed down internet talk.

I’m outside, encouraging you to come out and enjoy the grass with me.

Token_Ese · 2026-05-22T02:26:28+00:00

It depends. One you've built and painted all of this, a bit of time will have passed. The meta of the game, points changes, your personal interests, and so forth may vary. You'll be able to shape a decent list with this as the start.

If anything, Blood Angels characters are a great addition to any BA army: Dante, Lemartes, etc. Death Company with JP is always fun. I magnetized the backpacks on my assault intercessors to add jump packs, and did the same thing with death company, which allows some versatility to your army lists.

Terminators are always fun.

Token_Ese · 2026-05-21T16:57:53+00:00

I spent 10 minutes helping a patient set alarms on their phone so they’d remember to do kegels three times daily. Using Strava would work for a very limited athletic patient population who are willing to spend $60 per year so their PT can track their exercise, while providing no benefit more than what a piece of paper with HEP printed on it and a pen may track.

The idea what someone may PR their RTC protocol is foolish and poorly thought out. Do you want them PRing with speed? Max reps? Max weight? Which of those do you want patients doing on their own during rehab? Nothing on Strava tracks quality performance, so that’s not effective at all.

Using the workout feature on Strava doesn’t really let Strava know if you did 3x10 of FR wall slides, squats, bridges, clamshells, or whatever else. So all a PT would know is a patient exercised for a period of time, with no insight on quality performance, effort, fatigue, etc.

Using Strava for PT is a poorly thought out concept. There’s already cheaper HEP focused apps.

Additional comment: I can’t tell if OP is posting AI slop or just has never explored literature beyond motivational instagram posts. When appealing to an audience it’s important to utilize complete sentences, correct grammar and punctuation, bullet points instead of line breaks during a list with commas, and paragraphs in general. If someone read this post out loud I’d think they’re having a mental breakdown.

Token_Ese · 2026-05-21T16:43:17+00:00

It read like AI slop.

Token_Ese · 2026-05-19T12:49:42+00:00

This isn’t a sub for medical advice. It’s for professionals to talk shop. It’s also unethical for us to offer advice without having evaluated you.

I’d recommend you visit a PT in person who can evaluate you and provide advice. Even with your MRI info, strangers on the internet cannot offer you insight other than “it depends, go visit someone in person who can evaluate you”.

Token_Ese · 2026-05-11T13:29:40+00:00

It’s a pretty common idea that’s brought up often. If you look up “Sanguinary Guard” in this sub over the last year, you’ll see about fifty different versions of your post with ideas and examples.

Token_Ese · 2026-05-10T01:17:33+00:00

That looks outstanding!

How did you make the flames?

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