Author Topic: The Physical Therapy/Gentle Movement Accountability & Resources Thread  (Read 39961 times)

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #50 on: November 17, 2022, 10:53:22 PM »
Welcome @philli14 ! Thank you for offering to share your expertise.

Pleased to see so much participation on this thread. I'm excited about doing PT again, even if just to have something to report. We have filled up one page already!!!  Go team PT :)

Slicey, do you use the same app for PT reminders and pill reminders?

Well - I have an extremely non-optional medication that causes withdrawal symptoms when you miss it, and last year went through some fairly extreme short-term memory loss symptoms, so I actually use two apps to remind me; the migraine tracker app I use has a medication reminder, as well as the goal tracker app. That way on the off chance one of the apps crashes or I swipe one off by accident or some other odd thing happens, the other one will pop up a couple of hours later to say "no, really, did you take your meds, like, actually?"

Haha, I do a similar thing with my bedtime alarms. Although they are not as high stakes, but one alarm is for "wind down time" and the final alarm is for "no I really mean it, go to be!" But regular phone alarms have become too easy to ignore.

Thanks, I'll look into that app after T-day.



Dug out some older PT exercises & stretches and did a bunch to test abilities. Plus did the normal stretches.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #51 on: November 18, 2022, 04:36:50 AM »
Did my stretches and one of my strength exercises.

I'm going away this weekend so I will probably miss some exercise. Going to visit my parents always gets me right off my healthy habits. Arg. On the plus side I've opted out of Thanksgiving with the family, so I'll be home doing my stretches and not eating three kinds of pie. ;-)

Habit is more important than doing specific exercises. So I always have a mini version of my PT that I can do anywhere, even if it's just a few minutes of easy stretches that I can do in a chair or sitting in bed, I make sure that I do them while traveling just to not get out of the habit.

On any given day, the goal isn't to get the exercises done, the goal is to protect the habit.

The habit is what will make you stronger and healthier, your will power should never be used just to exercise, it should always be used to build and protect a habit.

If you wrap your mind around this, you will never struggle to stay on top of an exercise routine.
« Last Edit: November 18, 2022, 04:41:11 AM by Malcat »

sonofsven

  • Handlebar Stache
  • *****
  • Posts: 2056
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #52 on: November 18, 2022, 08:49:09 AM »
Just a funny aside about the physical therapist I was seeing through my local hospital previously. She is a "farm gal" in her sixties, aka tough as nails. You know the type, used to birthing calves by yanking them out by hand, able to skin and harvest an elk, chop a cord of firewood, etc.
I was so fragile at the time I was anxious that she might break me, but no, she was gentle enough.
And strong, real strong.
It's too spendy to see her through the hospital now that I have insurance that doesn't cover it, so I need to find someone in private practice. Just another reason why I fell off the PT wagon (EXCUSES).

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #53 on: November 18, 2022, 09:44:44 AM »
Just a funny aside about the physical therapist I was seeing through my local hospital previously. She is a "farm gal" in her sixties, aka tough as nails. You know the type, used to birthing calves by yanking them out by hand, able to skin and harvest an elk, chop a cord of firewood, etc.
I was so fragile at the time I was anxious that she might break me, but no, she was gentle enough.
And strong, real strong.
It's too spendy to see her through the hospital now that I have insurance that doesn't cover it, so I need to find someone in private practice. Just another reason why I fell off the PT wagon (EXCUSES).

I personally only see my physio a few times a year, so I don't really care what it costs to see a great one.

How much in-person PT do you actually need?

tygertygertyger

  • Pencil Stache
  • ****
  • Posts: 875
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #54 on: November 18, 2022, 10:42:28 AM »
After my first foray at the gym where I did two brief circuits of bodyweight exercises that kicked my ass, I took it much easier yesterday. Nice stretching, light walk/jog around the track, a little fun volleyball with that partner since space was available. Trying to get into the mindset/habit of enjoying movement more than pushing myself. Next week I want to get in the pool, since swimming is enjoyable. 

I've seen lot of recommendations to listen to podcasts while you workout or stretch. I've never gotten very into podcasts, since many seem to be listening to other people ramble, but I started listening to "Sold a Story" about why kids aren't learning how to read well, which is interesting (only 6 episodes). Any other recommendations? 

G-dog

  • Senior Mustachian
  • ********
  • Posts: 19211
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #55 on: November 18, 2022, 01:41:42 PM »
After my first foray at the gym where I did two brief circuits of bodyweight exercises that kicked my ass, I took it much easier yesterday. Nice stretching, light walk/jog around the track, a little fun volleyball with that partner since space was available. Trying to get into the mindset/habit of enjoying movement more than pushing myself. Next week I want to get in the pool, since swimming is enjoyable. 

I've seen lot of recommendations to listen to podcasts while you workout or stretch. I've never gotten very into podcasts, since many seem to be listening to other people ramble, but I started listening to "Sold a Story" about why kids aren't learning how to read well, which is interesting (only 6 episodes). Any other recommendations?

I like “Cautionary Tales” by Tim Hartford (sp?), “Revisionist History” by Malcolm Gladwell, several NPR podcasts (Planet Money, Click and Clack, Hidden Brain, Radiolab).

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #56 on: November 18, 2022, 01:48:57 PM »
After my first foray at the gym where I did two brief circuits of bodyweight exercises that kicked my ass, I took it much easier yesterday. Nice stretching, light walk/jog around the track, a little fun volleyball with that partner since space was available. Trying to get into the mindset/habit of enjoying movement more than pushing myself. Next week I want to get in the pool, since swimming is enjoyable. 

I've seen lot of recommendations to listen to podcasts while you workout or stretch. I've never gotten very into podcasts, since many seem to be listening to other people ramble, but I started listening to "Sold a Story" about why kids aren't learning how to read well, which is interesting (only 6 episodes). Any other recommendations?

I don't like podcasts, so I do audiobooks. What I like about them is that I'll get really into a book and only let myself listen to it while doing PT/exercise.

This can help with day-to-day motivation and usually makes me tack on an extra 10-20 minutes of boring ass stretches I would likely not do otherwise, but I want to because I want to keep listening.

sonofsven

  • Handlebar Stache
  • *****
  • Posts: 2056
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #57 on: November 19, 2022, 06:45:34 AM »
Just a funny aside about the physical therapist I was seeing through my local hospital previously. She is a "farm gal" in her sixties, aka tough as nails. You know the type, used to birthing calves by yanking them out by hand, able to skin and harvest an elk, chop a cord of firewood, etc.
I was so fragile at the time I was anxious that she might break me, but no, she was gentle enough.
And strong, real strong.
It's too spendy to see her through the hospital now that I have insurance that doesn't cover it, so I need to find someone in private practice. Just another reason why I fell off the PT wagon (EXCUSES).

I personally only see my physio a few times a year, so I don't really care what it costs to see a great one.

How much in-person PT do you actually need?

My only experience was twice a month, and after six visits my insurance wouldn't pay for more. I continued doing some of the exercises I learned at the pool until covid shut the pool down.
I was attending "gentle yoga" once a week.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #58 on: November 19, 2022, 06:51:10 AM »
Just a funny aside about the physical therapist I was seeing through my local hospital previously. She is a "farm gal" in her sixties, aka tough as nails. You know the type, used to birthing calves by yanking them out by hand, able to skin and harvest an elk, chop a cord of firewood, etc.
I was so fragile at the time I was anxious that she might break me, but no, she was gentle enough.
And strong, real strong.
It's too spendy to see her through the hospital now that I have insurance that doesn't cover it, so I need to find someone in private practice. Just another reason why I fell off the PT wagon (EXCUSES).

I personally only see my physio a few times a year, so I don't really care what it costs to see a great one.

How much in-person PT do you actually need?

My only experience was twice a month, and after six visits my insurance wouldn't pay for more. I continued doing some of the exercises I learned at the pool until covid shut the pool down.
I was attending "gentle yoga" once a week.

So for ongoing PT, you don't go that often. You learn the exercises, learn how they are supposed to produce results, and then just go for follow ups to monitor and adjust your routine as needed.

I literally haven't seen my PT in nearly a year, now that's a bit longer than normal, but I wasn't living here for half the year.

My point is, if you don't find a PT who is as good, it may still be worthwhile to just pay out of pocket for a really good one less often.

IMO, PT should always be ongoing unless you get to a point where there's really nothing wrong with your function.

I just ignore what insurance pays for and consider it a bonus. Otherwise, I just pay what I have to for my body to function optimally.

I never had extended insurance until my mid 30s, so I've always just paid out of pocket for extended healthcare (I'm in Canada, allied healthcare isn't covered under universal insurance), and even then, they only reimburse a few hundred a year, which is nowhere near enough for the average person to get enough benefit.

My PT and I talk about this all the time. People use up their insurance, then stop going. When really, they just need to invest once in getting to a place where they no longer need frequent visits and then they can go indefinitely just checking in a few times a year.

But because they all stop when the insurance runs out, they always get worse and then come back a year later for another brief spurt and no real progress gets made. Then they say things like "PT didn't work for me."

It's very frustrating that insurance companies don't pay enough for people to actually get good results.
« Last Edit: November 19, 2022, 06:55:45 AM by Malcat »

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #59 on: November 19, 2022, 08:41:03 AM »
I like the psychology podcast,  the next big idea, the artful painter, the history extra, freaknomics, someone knows something.

Yesterday was minimal physio.  10 minutes in the morning and 5 at bed. But I got a lot of exercise (for me) while participating in a painting workshop.

More time today.

mspym

  • Walrus Stache
  • *******
  • Posts: 9838
  • Location: Aotearoa
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #60 on: November 19, 2022, 03:31:56 PM »
Did my ankle stretches/adjustments pre-run then a really great glute roll-out and stretching session afterwards. It was of the good-hurting variety.

G-dog

  • Senior Mustachian
  • ********
  • Posts: 19211
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #61 on: November 19, 2022, 03:43:19 PM »
Did my balance ball core exercises.  A couple arm exercises added in.

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #62 on: November 19, 2022, 09:29:02 PM »
Bonus Internet Points to everyone who did some PT! ✨✨✨

Yesterday did only 2 out of 10. Today did all the seated stretches. But there's still time; I might do the standing ones later.

G-dog

  • Senior Mustachian
  • ********
  • Posts: 19211
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #63 on: November 20, 2022, 07:01:40 AM »
Bonus Internet Points to everyone who did some PT! ✨✨✨

Yesterday did only 2 out of 10. Today did all the seated stretches. But there's still time; I might do the standing ones later.

Excellent!  Like Malcat mentioned - working to having it be a habit can help keep you going. So doing anything is better than doing nothing.

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #64 on: November 21, 2022, 08:25:03 AM »
Hit my physio goals for each day by Saturday mid afternoon, Sunday evening and already this morning by 9am. 

The way I am perceiving the injuries has been changing again. I would describe it as a localized dull ache. Less localized than last week but also less tender overall. Completely bearable most of the time.  Really only distractingly uncomfortable when sitting for extended periods. Unfortunately, I can't find a position that is completely comfortable with zero pain so I just keep shifting around to the least uncomfortable at the moment.

Physio session gives me a complete break from any type of pain for 14 hours straight. Then for the next 24-48 hours, blocks of pain free time.  No pain at all for an hour and very low pain that I can relieve with meditation, heating pad, movement and stretching.

Physio appointment Thursday (4 sleeps!).  This is the first time I have gone two full weeks between appointments. I would love to cut the expense of physio. I have been going weekly for 7 months and bi-weekly for 3 months.  But given that I am counting down the days I don't think I am ready to half the appointments yet.




Serendip

  • Handlebar Stache
  • *****
  • Posts: 2214
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #65 on: November 21, 2022, 11:52:01 AM »
I might join this thread with my daily's...I have a micro therapeutic yoga practice that I try to do daily (10-15 min) to keep a pain condition at bay. Some weeks I go strong but then others I let it slip (particularly when I'm busy). This thread was a good reminder to do a session right now... and then I'll pop back in here occasionally for accountability :)

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #66 on: November 22, 2022, 07:02:08 PM »
Welcome, @Serendip ! Glad to have you along.

@Frugal Lizard  That's a great streak! It really sucks when sitting is uncomfortable.




@G-dog you know what is not a habit yet? Replying to this thread! Although for the next few days I'll be preoccupied with holiday stuff, so that habit won't be full fledged yet.

But, in the last two days, I did all the stretches and mimed all the movements (exercises without resistance). Plus, printed out the last few that were only on the website, so all of the directions are now in one easily accessible place.

Today, nothing yet, but can do a bunch sitting, even with cat on lap. So that's next.

mspym

  • Walrus Stache
  • *******
  • Posts: 9838
  • Location: Aotearoa
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #67 on: November 22, 2022, 07:33:22 PM »
@oneday I believe in you!

Today was ankle cracks pre-run, then ball roll-outs on my glute, TFL and feet afterwards, with bonus cat & cow stretches. Time to get this farty dog out for a midday walk and then I’ll do some glute PT after that.

FrugalShrew

  • Handlebar Stache
  • *****
  • Posts: 2213
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #68 on: November 22, 2022, 08:11:23 PM »
I've been doing increasingly more PT since this thread started, except for one day where I had slept horribly the night before. Based on our conversation here, I did super easy, relaxing stretches that day to maintain the habit.

Sailor Sam

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 5732
  • Age: 43
  • Location: Steel Beach
  • Semper...something
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #69 on: November 22, 2022, 08:30:25 PM »
Grumble. I’ve been doing my exercises, but my symptoms are worse than before starting PT. The negotiation period is always so annoyyyyying.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #70 on: November 23, 2022, 06:48:26 AM »
Grumble. I’ve been doing my exercises, but my symptoms are worse than before starting PT. The negotiation period is always so annoyyyyying.

Indeedios. Sorry to hear you're stuck in the shitty phase.

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #71 on: November 23, 2022, 07:06:50 PM »
@oneday I believe in you!

Today was ankle cracks pre-run, then ball roll-outs on my glute, TFL and feet afterwards, with bonus cat & cow stretches. Time to get this farty dog out for a midday walk and then I’ll do some glute PT after that.

@mspym hey, that's very good!

I didn't do many of the stretches last night 😔 I blame Lore Olympus. In other news, I am caught up on Lore Olympus. So that's out of the way!

Tonight I have done all of the moves from last night +1 more. My best time to do PT is during work meetings (Zoom, camera off), but this week so many people were out of the office and there were hardly any suitable meetings or calls. Let's see how well I can protect the habit during the long weekend.

@FrugalShrew amazing results!

@Sailor Sam I don't recall that phase from prior injuries; not looking forward to it. I have not been able to see the PT about this new injury yet, so just doing whatever moves are possible from prior injuries. No real improvements yet, but I sure will have a lot of anecdotes of how I'm broken for whenever the appointment rolls around. (This is me grumbling about how long it takes to see a dr.)




Keep up the momentum, everyone! I will probably not post for a few days due to holiday activities, but rest assured I'll still be making an effort regardless. Hope you all will too. Happy (American) Thanksgiving!

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #72 on: November 24, 2022, 08:17:17 AM »
Today is physiotherapy appointment!

My daily exercising has gone well.  This morning I had a good session of relaxation/stretching and a couple of strength building exercises.  I can now do all the assigned exercises. 
When glute squeeze was first assigned I could barely move my left butt cheek.  Now both move completely symmetrically. 

I am pretty sure we need to revisit my daily program.  I have been assigned hours and hours of exercises, but never told to stop any of them or this one does the same as that one - pick one.  No increase in any reps or counts for holding.  (Although last week was the first week I could actually do all the reps for the count of the hardest exercises)

Folks: I have made so much progress these past two weeks!  I think I am at the edge of healed. 


FrugalShrew

  • Handlebar Stache
  • *****
  • Posts: 2213
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #73 on: November 24, 2022, 08:41:27 AM »
That is amazing progress, @Frugal Lizard!

I had the same issue with the PT & PTA's just adding more and more exercises. The first PT wanted me to theoretically do all the exercises and increase the difficulty as exercises became easier: adding weight/resistance or increasing reps/counts. My next PT admitted that I was reaching a point where I had too many to realistically do them all and suggested I pick 20 that I felt were helping the most and do 10 one day and 10 the next day.

Anyway, that's all to say that hopefully when you follow up at your appointment today, the PT will give you some guidance on what makes the most sense going forward. :)


Dollar Slice

  • Walrus Stache
  • *******
  • Posts: 9653
  • Age: 46
  • Location: New York City
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #74 on: November 24, 2022, 09:53:47 PM »
OK, I had a weird-bad week with sick family and five straight days of not-quite-but-nearly-migraines and a stressful doctor's appointment. But I'm back on the wagon. Did all my stretching exercises today and a handful of reps of both strength exercises (mainly just to feel like I wasn't totally abandoning those). Fully back to doing all my cardio goals, too, after a few weaker days.

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #75 on: November 25, 2022, 09:23:05 PM »
@Dollar Slice welcome back to the wagon ☺️ It's great that you are still putting in the effort. Many people would just quit when they run into a rough patch, but you've got perseverance.

Yesterday was tough because it was a get up early and travel all day agenda. Snuck in a few kneck stretches. Today, got a bunch of stretches and tried a few exercises prescribed for a prior knee injury, which flared up on a recent hike. Should have good habit adherence for the rest of the long weekend.

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #76 on: November 26, 2022, 11:58:14 AM »
My PT decluttered my daily physiotherapy program. She asked me what I was able to do and how I was fitting it in to my day.

It is a completely doable program. It shouldn't take more than 25 minutes total. Breathing and stretching morning and night while in bed. An 5-8 minute stretch first thing in morning called face the day. I  have been doing FTD since March. It is a gentle way to get the morning stiffness out of my joints.

She gave me three strengthening exercises. Two of them one day and the other on alternate days. Clear direction on reps, sets and holds.

Also recommended: 20 minutes of walking outside every day.  But if it's too slippery, to pass until I feel it's safe.

It feels like concrete progress.

Sailor Sam

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 5732
  • Age: 43
  • Location: Steel Beach
  • Semper...something
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #77 on: November 26, 2022, 06:51:06 PM »
I did my exercises Wednesday, then drove 5 hours. Ran 10k on Thursday, and skipped the PT. Friday I successfully imitated a sloth, save for the action of shoveling food and booze in. Today I ran 3k, then drove 4 hours.

Can’t imagine why I’m now all stove up…

Serendip

  • Handlebar Stache
  • *****
  • Posts: 2214
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #78 on: November 26, 2022, 09:35:57 PM »
Came home from a long shift at work & was on a fast-track to the couch but thankfully my SO was watching hockey--which sent me promptly in the opposite direction so I managed to get some gentle neck stretches in before dinner :)

Dollar Slice

  • Walrus Stache
  • *******
  • Posts: 9653
  • Age: 46
  • Location: New York City
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #79 on: November 26, 2022, 10:45:16 PM »
Got all my stretches in today (and cardio). I forgot to mark my PT down yesterday so I'm not sure I did all of them, but I'm pretty sure I did at least some. My shoulders and upper arms were very sore today and I'm not really sure why, so that's been fun. This body is hard to live in sometimes.

mspym

  • Walrus Stache
  • *******
  • Posts: 9838
  • Location: Aotearoa
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #80 on: November 26, 2022, 10:56:00 PM »
Ankle cracks pre-run, then ball rollouts for my glutes afterwards, and then we all went snorkelling

Dollar Slice

  • Walrus Stache
  • *******
  • Posts: 9653
  • Age: 46
  • Location: New York City
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #81 on: November 27, 2022, 10:55:52 PM »
Got all my stretches and cardio done today, and my strength exercises scheduled for Sunday and Monday (just after midnight - I was in the mood).

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #82 on: November 28, 2022, 06:02:26 AM »
I got spinal injections last week, which cause huge inflammation, so basically took the week off of PT even though there was some I could do.

Back at it today and seeing my PT in person for the first time in nearly a year!

I'm excited to see her because I adore her, and I need her to do a bit of work on my neck. But we've essentially been in a maintenance pattern for years now.

I think she's going to enjoy the challenge of working with me after.my surgery in Jan.

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #83 on: November 28, 2022, 08:47:52 AM »
At first I was disappointed: my new physio routine is just 3 strength building exercises.  Two one day alternating with the third the other day.  I went from an impossible long list to 2 on one day and 1 the other?!?

But then I got into the reps, sets and length of time to hold each exercise. 

OMG - I am wiped attempting the daily requirement.  I literally can't do all the sets for all the repetitions for the length of holds she indicated.
I break a sweat. 
My heart starts pumping. 
All the muscles get too tired and start aching.
I have to dial it back and quit without doing it all.

Not disappointed now - I have goals! I will see progress!

And I read the fine print:
20 minutes walk outside everyday - unless the ground is icy.  No walking on ice.
morning Face the Day stretching series (takes 7 minutes). Love this, sets the day up.
morning and night in bed breathing and pelvic muscles relaxation. (takes about 5 minutes tops to do the whole routine perfectly but most nights I fall asleep without finishing them)

For a fit person, all of the above would be a piece of cake.  For me: this is a lot. More than I can do right now. But hopefully, soon, it will be a piece of cake again.

I did the whole program Sunday accept for the third set of one exercise, and only managed 10/15 reps of the other.
Noble attempt on Saturday: 5/10 for the reps and length of hold.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #84 on: November 28, 2022, 11:26:42 AM »
So I've done enormous work to rehab my collapsed shoulder from my old job, it's been a grueling, tedious process and I only started seeing results when I started with the spinal injections. Before that, the PT was just slowing the progression.

So I go on today and show off my miraculous progress and I ask her to assess where my shoulder should be positioned. I push it into a position that hurts and say "like, is this too far? And I over doing it?" Then I reduce the strain a bit and say "is this where it should be?"

She hmms for a bit and then pushes on my shoulder blade, which pushes the shoulder well past what I can force it to do and says "you want it to be *at least* here." At this point, there's so much pressure on my diaphragm that I literally can't breathe and I'm like "OH FUCK OFF ANDREA!!!"

I love her and I very, very much hate her.

Sailor Sam

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 5732
  • Age: 43
  • Location: Steel Beach
  • Semper...something
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #85 on: November 28, 2022, 04:05:13 PM »
After 4 visits, I’ve concluded that the PT practice my insurance is sending me to is pretty much bullshit.

I show up, I lay on the table doing the exercises assigned while being ignored. Once I’m done doing the exercises, the PT guy comes over and massages my hip. The massage feels very nice. Thank you American tax payer!

During today’s visit, as an experiment, I asked the PT guy what muscles I should actually be recruiting when doing one of the exercises. I told him that I can feel that the muscles I’m firing on the left side of my spine are different from the muscles I’m using on the right side of my spine. He seemed confused about why I would ask, but did readily explain.

During the massage, I asked him what specific muscle/tendon/ligament thing he was pressing on, because it felt amazing and I wanted to reproduce it at home. He stopped massaging just to look at me in puzzlement.

The other PT in the office is the same way, so I don’t think it’s today’s guy. I think it’s the business model. And I’m sure when both PT bros were young, they were on fire to educate the patient, and that the average patient just stared at them in puzzlement. I could see any medical type getting worn down and disillusioned by the typical patient, and somewhat giving up.

But, also, like…I’m you are paying $120 2x/week for me to not even be supervised while doing PT exercises. I wanna know what muscle to clench!

« Last Edit: November 28, 2022, 04:10:31 PM by Sailor Sam »

mspym

  • Walrus Stache
  • *******
  • Posts: 9838
  • Location: Aotearoa
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #86 on: November 28, 2022, 07:38:44 PM »
@Sailor Sam you should definitely be checking if there are any other PT practises you can go to instead - that sounds like bullshit.  Maybe it's different here but I don't think I've ever spent most of my session doing the exercises - that's homework. Instead it's been massage/adjustments/checking out the effect of the exercises I have done at home on my body plus maybe a third of the time addressing any questions with my existing exercises/trying out new ones once I've adjusted and need a new set. Also my physio has a super sweet sheltie that hangs out under a chair just being encouraging.

deborah

  • Senior Mustachian
  • ********
  • Posts: 16072
  • Age: 14
  • Location: Australia or another awesome area
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #87 on: November 28, 2022, 11:29:12 PM »
I’ve decided to join this thread. Haven’t seen the pt since July, but I’ve just been diagnosed with some issues that need strength training. My pt is off on paternity leave, but I’ll see him in three weeks when he returns. Until then I’ll find the exercises he gave me and do them. Hopefully.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #88 on: November 29, 2022, 04:27:39 AM »
After 4 visits, I’ve concluded that the PT practice my insurance is sending me to is pretty much bullshit.

I show up, I lay on the table doing the exercises assigned while being ignored. Once I’m done doing the exercises, the PT guy comes over and massages my hip. The massage feels very nice. Thank you American tax payer!

During today’s visit, as an experiment, I asked the PT guy what muscles I should actually be recruiting when doing one of the exercises. I told him that I can feel that the muscles I’m firing on the left side of my spine are different from the muscles I’m using on the right side of my spine. He seemed confused about why I would ask, but did readily explain.

During the massage, I asked him what specific muscle/tendon/ligament thing he was pressing on, because it felt amazing and I wanted to reproduce it at home. He stopped massaging just to look at me in puzzlement.

The other PT in the office is the same way, so I don’t think it’s today’s guy. I think it’s the business model. And I’m sure when both PT bros were young, they were on fire to educate the patient, and that the average patient just stared at them in puzzlement. I could see any medical type getting worn down and disillusioned by the typical patient, and somewhat giving up.

But, also, like…I’m you are paying $120 2x/week for me to not even be supervised while doing PT exercises. I wanna know what muscle to clench!

Yeah, that's BS, I have never once done my PT exercises alone at a session.

G-dog

  • Senior Mustachian
  • ********
  • Posts: 19211
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #89 on: November 29, 2022, 07:51:48 AM »
@Sailor Sam you should definitely be checking if there are any other PT practises you can go to instead - that sounds like bullshit.  Maybe it's different here but I don't think I've ever spent most of my session doing the exercises - that's homework. Instead it's been massage/adjustments/checking out the effect of the exercises I have done at home on my body plus maybe a third of the time addressing any questions with my existing exercises/trying out new ones once I've adjusted and need a new set. Also my physio has a super sweet sheltie that hangs out under a chair just being encouraging.

I did exercises at my PT, but in the beginning it was for me to learn the exercises and for the PT to check my form, adjust as needed, and check how much effort was needed by me for each exercise.  In those early sessions, the appointment would end with e-stimulation, ultrasound, percussive massage, maybe an adjustment or check of alignment. As we progressed, I would come and do some warm-up stretches and exercises while the PT watched, and then new exercises would be added or adjusted to be more challenging.  Middle sessions still ended with e-stimulation (it’s fantastic!) or other treatment to aid healing / mitigate soreness.  At the end, it was all exercises, but more challenging- starting with a small set of warm-ups, then challenges on stability equipment (things I don’t have at home).  The PT wasn’t hovering during my warm-ups at the end, but she was watching and commenting as needed.

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #90 on: November 29, 2022, 09:24:17 AM »
@Sailor Sam - the only times I have done the exercise at PT was when she was teaching me how to do them, and doing massage/release so that the pain I was feeling at that moment would decrease. She would move around with pressure to get to position where pain was a three or less and then have me do breathing and visualization until the pain was gone.  It was freaking magic.

I went to physio feeling pretty lousy and always left without pain. Sometimes really tired. But always always always feeling better than before the appointment. Gradually the length of time it took for pain to return after the appointment got longer and longer. Sometimes she would leave me for 10 minutes with a heating pad, but that was always after the 40 minute appointment. Most of the time, I just go home, with the seat heater cranked and then sit in the comfy chair with my heating pad.

FrugalShrew

  • Handlebar Stache
  • *****
  • Posts: 2213
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #91 on: November 29, 2022, 09:42:54 AM »
@Sailor Sam you should definitely be checking if there are any other PT practises you can go to instead - that sounds like bullshit.  Maybe it's different here but I don't think I've ever spent most of my session doing the exercises - that's homework. Instead it's been massage/adjustments/checking out the effect of the exercises I have done at home on my body plus maybe a third of the time addressing any questions with my existing exercises/trying out new ones once I've adjusted and need a new set. Also my physio has a super sweet sheltie that hangs out under a chair just being encouraging.

I did exercises at my PT, but in the beginning it was for me to learn the exercises and for the PT to check my form, adjust as needed, and check how much effort was needed by me for each exercise.  In those early sessions, the appointment would end with e-stimulation, ultrasound, percussive massage, maybe an adjustment or check of alignment. As we progressed, I would come and do some warm-up stretches and exercises while the PT watched, and then new exercises would be added or adjusted to be more challenging.  Middle sessions still ended with e-stimulation (it’s fantastic!) or other treatment to aid healing / mitigate soreness.  At the end, it was all exercises, but more challenging- starting with a small set of warm-ups, then challenges on stability equipment (things I don’t have at home).  The PT wasn’t hovering during my warm-ups at the end, but she was watching and commenting as needed.

My experience at PT was very similar to @G-dog's, with the progression of early sessions, middle sessions, and later sessions. Maybe this is a U.S.-based approach to PT, to have patients do the exercises at PT? 

Additionally, my PT started with 2 times a week, and then they let me go down to 1 time a week once they realized that I was actually doing the exercises at home. I got the impression that most people don't do any of their homework exercises at home. 
« Last Edit: November 29, 2022, 10:52:18 AM by FrugalShrew »

tygertygertyger

  • Pencil Stache
  • ****
  • Posts: 875
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #92 on: November 29, 2022, 09:59:18 AM »
When I did PT a long time ago, it was just like Sailor Sam says... they set me up and I did exercised on my own. Who knows if I did them correctly. At the end, I got a nice massage. That was it... the place I went to did PT for athletes, and I wasn't one, so I always wondered if they just didn't worry about me for that reason. I also didn't make a fuss about anything, so I'm sure that's part of it too.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #93 on: November 29, 2022, 01:38:15 PM »
@Sailor Sam you should definitely be checking if there are any other PT practises you can go to instead - that sounds like bullshit.  Maybe it's different here but I don't think I've ever spent most of my session doing the exercises - that's homework. Instead it's been massage/adjustments/checking out the effect of the exercises I have done at home on my body plus maybe a third of the time addressing any questions with my existing exercises/trying out new ones once I've adjusted and need a new set. Also my physio has a super sweet sheltie that hangs out under a chair just being encouraging.

I did exercises at my PT, but in the beginning it was for me to learn the exercises and for the PT to check my form, adjust as needed, and check how much effort was needed by me for each exercise.  In those early sessions, the appointment would end with e-stimulation, ultrasound, percussive massage, maybe an adjustment or check of alignment. As we progressed, I would come and do some warm-up stretches and exercises while the PT watched, and then new exercises would be added or adjusted to be more challenging.  Middle sessions still ended with e-stimulation (it’s fantastic!) or other treatment to aid healing / mitigate soreness.  At the end, it was all exercises, but more challenging- starting with a small set of warm-ups, then challenges on stability equipment (things I don’t have at home).  The PT wasn’t hovering during my warm-ups at the end, but she was watching and commenting as needed.

My experience at PT was very similar to @G-dog's, with the progression of early sessions, middle sessions, and later sessions. Maybe this is a U.S.-based approach to PT, to have patients do the exercises at PT? 

Additionally, my PT started with 2 times a week, and then they let me go down to 1 time a week once they realized that I was actually doing the exercises at home. I got the impression that most people don't do any of their homework exercises at home.

Fucking weird waste of money.

The only people who do that here are athletes where they do their rehab at a specialized rehab gym and are very closely monitored, but they're not paying per hour, they have a whole team dedicated to their recovery and function.

My PT works with a lot of professional athletes and they're often there exercising while I'm being treated, but I have never, ever been left by myself to exercise.

I pay for 30 or 60 minutes and I'm attended to that entire time except for the few times she's done dry needling or TENS and left me alone for that to do its thing. But even then, the TENS session was to try it out and see if I should buy a unit and use it at home.

I always feel like I got my money's worth when I go. I honestly just wouldn't put up with a treatment model where I pay to exercise by myself at a PT office.

mspym

  • Walrus Stache
  • *******
  • Posts: 9838
  • Location: Aotearoa
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #94 on: November 30, 2022, 07:14:56 PM »
I've worked out my MVP - Minimal Viable Physio - and just have to commit to it.
- 3-way ankle bends
- glute roll-outs
- TFL roll-outs
Check, check and check for today, along with just some sort of erratic and unplanned stretching that felt like it was doing something good.

Frugal Lizard

  • Walrus Stache
  • *******
  • Posts: 5626
  • Age: 57
  • Location: Southwest Ontario
  • One foot in front of the other....
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #95 on: December 01, 2022, 07:26:11 AM »
did the physio this morning.  Today marks one week with the new (and harder) program.  Can't say I notice much difference / progress.  It took most of the week to figure out how to do the exercises as prescribed. I am still unable to meet all the goal for reps/sets/holds.  I am not going to cancel today's appointment because a)I have some neck soreness, b) have some questions on form for one of the exercises. 

I can't do the number of repetitions and hold each one for 10 seconds.  Not sure if I am even doing it right because our house has very few mirrors.  My questions is: do I try to do all the reps and skip the holds or as many reps as I can do with the 10 second hold.  Today I tried to hold the first 5 reps for 10 secs. Last 5 for more than 2 secs.

And yesterday was so awful, I did not go for a walk outside.  Technically - I could claim it was dangerous for slips and falls and getting conked on the head by tree branches. But I did walk 22 minutes on the treadmill.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #96 on: December 01, 2022, 11:14:15 AM »
I did ALL of my physio exercises today. Ugh...I don't feel well now. Lol

ixtap

  • Magnum Stache
  • ******
  • Posts: 4583
  • Age: 51
  • Location: SoCal
    • Our Sea Story
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #97 on: December 01, 2022, 11:19:27 AM »
I did ALL of my physio exercises today. Ugh...I don't feel well now. Lol

Ouch.

I got in my morning walk, but yoga was replaced with a couple of my most basic PT exercises and rolling around on the thera ball.

Metalcat

  • Senior Mustachian
  • ********
  • Posts: 17610
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #98 on: December 01, 2022, 11:38:11 AM »
I did ALL of my physio exercises today. Ugh...I don't feel well now. Lol

Ouch.

I got in my morning walk, but yoga was replaced with a couple of my most basic PT exercises and rolling around on the thera ball.

My body is an asshole who likes to get all uppity when I do too much of anything. I literally get flu-like symptoms if I even remotely over exert myself.

oneday

  • CMTO 2023 Attendees
  • Walrus Stache
  • *
  • Posts: 8940
  • Age: 48
  • Location: SF Bay Area, USA
  • only good pies and no bad pies -mspym
Re: The Physical Therapy/Gentle Movement Accountability & Resources Thread
« Reply #99 on: December 02, 2022, 12:47:40 AM »
Well done, everyone. I am reading that many of us are tackling challenges, but also some of us are finding ways to improve the experience. Like @mspym and her MVP. For the challenges, I'm glad we have this thread to learn about what others are going through. I, for one, feel heartened when I know I'm not the only one facing difficulty. Not that I want anyone to have to, but good to know it's a normal phase of treatment.

@Frugal Lizard, weirdly, I find that an invigorating time for treatment, because progress is so easy to define.

Had a great PT week while out of town, with noticeable gain in range of motion and decrease in pain. However, neither of those things are where I would consider them as normal, and still lack strength in certain areas. And yet, today did no exercises or stretches, due to feeling the pressure of catching up at work. Bleck. My priorities are out of whack.

 

Wow, a phone plan for fifteen bucks!