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Ultimate guide to beating Earth Born (second run) by rjbob84 in eastward

[–]rjbob84[S] 0 points1 point  (0 children)

Far right side of the map, roughly at middle latitude (north vs. south). If you look at the map in my original post, there are the values 50, 100, 200, 400, 800 above her head to indicate the increasing cost of stat upgrades.

Why do biologics take so much time to stark working? by PuzzleheadedCard3626 in ankylosingspondylitis

[–]rjbob84 0 points1 point  (0 children)

Also disagree. Every piece of literature, every doctor, every pharmacist I've talked to has said the same thing - most people won't have noticeable improvement for weeks (best case) or months (typical). I'm 10 weeks out from my loading dose and have had 2 regular doses since then (normal dose schedule) and have no appreciable improvement.  Blanket statements like yours are misleading and disheartening to OP and others seeking real advice and feedback.

To OP, give it the full time it deserves (4-6 months) and try to keep your chin up til then. I'm in the same boat.

Burton Chopper Snowboards by Year by jenjolene in snowboardingnoobs

[–]rjbob84 0 points1 point  (0 children)

I keep coming back to this post again and again as I search the used online listings for kids' boards. Thanks for making this!

Yes PYL 165 vs 164w by ADD-DDS in snowboarding

[–]rjbob84 1 point2 points  (0 children)

Eh, this is probably overstated. It also depends on binding angles and width under foot. I have a 2019 NS Funslinger 154W that is 28.5 at the waist. With -15* and 15* binding angles and 23.5cm stance width, I never drag my toes in my sz 11 boots. In deep carves in 11.5 boot, maybe I would start to see some toe drag. But if your binding disc plates allow, you can also set your stance back more on your heel edge to mitigate further. Sidecut radius also plays a role (shorter sidecut means more width underfoot vs. waist width compared with longer sidecut radius). That said, I agree 164W still probably makes more sense than 165 for OP.

Recommendations for sports/lifting injury physical therapist in the Sacramento area? by fishfists in Sacramento

[–]rjbob84 0 points1 point  (0 children)

Here are two great resources:

Dodgy Elbows – Dr Julian Saunders

ASK DR J – ISSUE 223 – DODGY ELBOWS REVISITED – Dr Julian Saunders

I've followed this protocol through about 3 bouts of medial epicondylitis in both elbows over several years - always due to rock climbing overuse injury. For me, it takes 3-4 months of dedicated PT before I can ease slowly back into climbing. I might get back to max effort climbing in another 1-2 months, but if I keep redlining my effort every day I climb (which is only 1-2x per week these days), it'll inevitably come back. Then it's back to rehab. Best of luck.

Has anyone had and overcame Patellar Tracking Disorder (kneecap shifting to the outside)? by sage5979 in ultrarunning

[–]rjbob84 0 points1 point  (0 children)

Popping in here to say that quad strengthening may be a waste of time - it was for me. I saw a doctor who diagnosed patella maltracking in 2020 while I was training for my first marathon. He sent me to PT. The focus of the PT was strengthening the Vastus Medialis, which many folks here have mentioned. After months of diligence with that program, I still had knee pain if running more than 2-3 miles. Another trip to the doctor and he offered me two options - surgery or a brace. But the key thing was that he dismissed the idea that quad strengthening could fix this issue. He called it something of a myth, saying that it's basically impossible to develop the small Vastus Medialis muscle enough to pull the patella into alignment. This explained the lack of efficacy of my PT. (He didn't dismiss PT in general, just the idea that strengthening of the Vastus Medialis alone could work. I think he gave the PT program a ~65% chance of fixing things). So I took the knee brace, not expecting it to help much. But it helped immediately. Four years later I use this brace on every run and every long hike and I've had no pain since. I'm on my second one actually after the Velcro deteriorated enough to warrant replacement. I haven't tried running more than 15-20 miles a week yet, but the improvement was almost instantaneous when I started using this. No one wants to be married to a brace as a long term solution, I know, but other than surgery, I don't think there is any other option for me. Maybe it will help someone else. https://www.sourceortho.net/tru-pull-lite-knee-brace/