Tag Archives: physical therapy

Inappropriate?

I’m struggling a bit with understanding if the physical therapist I saw today was inappropriate with his comments. L says he definitely was, as his comments were very devaluing.

I was telling him about my bad days since this whole muscle thing started (basically, load up on pain meds, and veg on the couch because I physically cannot do anything else). He said something along the lines of “Netflix and bon bons… So you’re basically the person I’ve been making fun of all this time”. He kinda laughed as he said it, and it wasn’t in a mean tone. I was a bit taken aback by it, but tried to roll with the “teasing”. He seemed to be joking with everyone in the office as we were walking back, so I assumed he was just being goofy.

Prior to that, he also commented “so you’re scared” at one point when he was reading my paperwork. When I looked at him confused, he elaborated that he saw I wanted to be told everything he was going to do before doing it… At this point, if he hadn’t been giving me negative vibes, I probably would have disclosed my PTSD, and maybe given him some cursory info, but… I wasn’t consciously sure why I didn’t offer more info, I just didn’t. In hindsight (and after several hours of processing the encounter in my head), I’m glad I didn’t disclose anything beyond what he immediately needed to know for the PT.

At another point in history-taking, I was explaining my anxiety and agoraphobia since this muscle thing happened, and he commented “how’d you ever find anyone to marry you with all this anxiety & not going out?”

There were other things that bothered me also, like his distinct lack of personal space. I’ve been to physical therapy before, and I’ve not had any of the PT’s sit so close while doing the initial assessment. At one point, he rolled his chair right up to mine, and basically blocked me from moving when his legs touched my knees. I pushed my chair back, and to his credit, he moved away and to the side with his, but that didn’t last long. Within a few minutes, we were back in that position. He was a hair further away the second time, but it still made me really uncomfortable. I’m not quite sure why I didn’t move away again.

He seems to know what he is doing in terms of the physical therapy (maybe?), But he either has no filter, doesn’t understand social norms, or just doesn’t care…

I told L about my interactions, and she was able to label it as devaluing and inappropriate (I had simply presented it as being uneasy about the guy, but not being sure if I was taking things harder in light of my history). She was mad enough that she wanted to call the office and get me either switched to another PT, or to switch offices completely. Unfortunately, the office was closing by the time she decided this, so we tabled it for another day. I suggested I return for my Monday appointment & see if that was just a fluke. If he still makes me uneasy, then I’d either confront him about it (unlikely, as I suck at confrontation, but big dreams of standing up for myself), or cancel my other appointments with him and ask to switch PT’s and/or offices…

Part of me still thinks he was just kidding around and being a jerk, but then, that’s not his place as a new-to-me medical professional… Sure, I joke and kid with people, but not in that way, and not with people I’m not more familiar with…

:Sigh:

I don’t want to get him fired or anything. I don’t want him in trouble, but I don’t really want to work with him either. I keep going back to feeling like I’m just taking things the wrong way, that I shouldn’t be bothered by these interactions, but… I am.

Ugh! I have bring so unsure of everything. L is sure, why can’t I trust her insight?? I keep thinking maybe I presented it to her in a biased way… I’m probably just overreacting. It’s probably nothing, and I’m just attributing meaning that isn’t there…

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Arthritis…

The MRI my PCP ordered came back showing advanced arthritis in my neck (and likely back also, since it gets worse the further down my neck you look).

It’s apparently from overuse… And I have the neck of someone twice my age.

She said it can explain some of my symptoms, mostly the tingling & pain in my left arm, but not the vertigo, confusion, memory issues, shortness of breath…

There’s nothing else there though; no disc erosion, no herniated discs… That’s a relief.

Now, off to PT to see if I can learn stretches and strengthening exercises, and also help this most recent round of vertigo that hasn’t subsided in going on 3 weeks.


More on feeling defective…

Despite all my labwork that insists I’m ridiculously normal, my brain certainly doesn’t feel it.

I went to physical therapy today because I tweaked my back a few weeks ago, and my range of motion since then has sucked. Specifically, I have trouble lifting my left leg over the dog gate. I go over with my right, and kinda just drag my left over after me…

Anyway, I remembered why it was I failed so miserably at pt last round; it sparks intrusive memories I’d rather not have.

I’m supposed to go back on Monday, but I think I will cancel.

Even if it doesn’t trigger full-on flashbacks, it does trigger anxiety and dissociation. The longer the pt goes on, the worse it all gets, and soon I can’t remember what we did, and what I’m supposed to do between sessions. It’s a waste of time and resources that I know could be used by others (they book 2 weeks out on a good week)…

So, yeah. I’m going to cancel. I’ll do the exercises she gave me today, then try to remember to start planking to help build my core strength up again.

And maybe I’ll mention it to Dr C, and we can work more on the body stuff so maybe if I ever need pt again for my back I’ll be able to follow through…


Vertigo and the Epley Maneuver

I was taking to one of my nieces about vertigo, and realized that most doctors either don’t know about, or don’t care to mention to their patients about the Epley Maneuver. It’s simple, quick, effective, and doesn’t require meds. Oh, and did I say it was effective?! It consists of finding out which ear is the one causing the issue, then doing a series of turns in a specific way to move the calcium crystals further out the ear canal. It takes about a minute to do (maybe a minute and a half), and makes the vertigo so much calmer. I went from the room spinning wildly to being able to walk a straight line immediately after we did it.  Prior to trying the Epley Maneuver, I was popping motion sickness pills like candy just to get the room to slow. I would lay in bed not moving in hopes of not making those pesky crystals shift.
There are a few considerations with it though, the biggest being able to figure out which ear canal has the crystals (generally, if you lay on your side, the world spins faster when you lay on the side with the floating crystals). When doing the maneuver, make sure you turn to the affected side. The other consideration is doing it with someone who can hold your head steady and keep time (you would be surprised how hard it is to keep your head still when the world is like a merry-go-round on coke). If you don’t hold your head steady, the crystals don’t go to the right place.  If you don’t hold the pose for the recommended time, the crystals can’t float on down to where you want them to be.
The best thing about this: it’s free and you can do it as many times as you need to. I only did it once the first time, but twice, a few days apart, the second. It sure beat all the meclizine I would have taken.
Anyway,  I will dig up the video link and post it here, along with some links to other helpful articles on vertigo. Hope no one experiences it, but in case you do, hope this can help.

I couldn’t find the site I had originally visited, but here is the link to the Johns Hopkins info page on it.