How long have you been on Tildes? How did you find out about us? I’m another Reddit API refugee, once Apollo shut down I started searching for other communities that provided some semblance of...
How long have you been on Tildes? How did you find out about us?
I’m another Reddit API refugee, once Apollo shut down I started searching for other communities that provided some semblance of value. I found Tildes searching through a list of Reddit alternatives, and the very first thread I read led me to an album that has carried me through a really challenging time in life. Needless to say, I’ve been a daily reader ever since.
How did you choose your username?
It’s a new one for Tildes, I like interesting two-word combinations, and it’s the best one I could think up on the fly.
What are your interests?
I love music, collecting vinyl records, and listening to audiobooks. I’ve been a lifelong gamer, despite limited time to play these days, esp. Metroidvanias, survival horror, open world RPGs. I love animals, nature, space, science, and learning as much about the world I live in as possible. I love human physiology, neurophysiology, biomechanics, pain science, neuroplasticity, and its various clinical applications.
A/S/L (age/(gender|pronouns|identifier)/location)
45 / M / Texas. Chaotic good.
What do you do? This could be in your spare time, for work, your passions.
I’m a physical therapist specializing in orthopedic, neurologic, and vestibular rehabilitation. I previously had a 14 year career in pharmaceutical management and was doing pretty well, but as a primary caregiver for my spouse who lives with several neurological and autoimmune disorders, I actually found that my greatest strengths and greatest intrinsic value came from helping her recover and live her best life despite her physical challenges, so I quit my job, went back to school, and got my DPT. Now I use those strengths everyday to help others live their best life. I’m thinking about starting some kind of podcast or vlog with an emphasis on the physical, mental, emotional, and spiritual aspects of the caregiving experience and living with chronic health issues, patient-caregiver relationships (esp. in marriages/partnerships), self-care, finding purpose, motivation, etc.
Do you want other users to PM/DM you from this thread?
Sure
Give us a fun fact (or a link!)! If there is anything to know about tilderinos, it's that we value knowledge sharing!
I may be standing on a professional soapbox here, but I feel too many people with musculoskeletal pain define and limit themselves based on the words their doctors use and their imaging findings. From using terms like “bone on bone”, “this is the worst knee I’ve ever seen”, “your posture is killing you”, etc, I feel that the words doctors use can have a significant nocebic effect on patients both physically and mentally, especially when proper education is lacking (which it usually is, given the 5 minutes you get actually get to see your doctor these days, at least in the US).
For example, 40-year-old individuals who are completely asymptomatic show lumbar disc degeneration, disc bulging, and intervertebral disc height loss on MRI at a rate of 68%-50%-33%, respectively. Those percentages jump to 88%-69%-68% at age 60, and 96%-84%-43% at age 80. Again, these findings are seen in individuals without pain. Summed up, ‘degenerative factors’ seen on imaging are common in asymptomatic individuals, and this only increases with age, which means these “degenerative’ features are likely part of normal aging and not necessarily associated with pain. Conversely, an individual could be experiencing a high degree of pain and have imaging that is relatively free of any notable degenerative or injurious features.
Pain neuroscience education and the individual patient experience is an incredible topic that I have a deep interest in. Despite learning more and more about it each day, we still face challenges with the clinical how-to application. I find my outcomes are better and the patient experience is more positive when I place a large emphasis not just on specific exercise, but on education, not catastrophizing pain, limiting kinesiophobia, and addressing secondary factors that affect pain (like sleep, stress, nutrition, weight, aerobic exercise, etc). jumps off soapbox
How long have you been on Tildes? How did you find out about us?
I’m another Reddit API refugee, once Apollo shut down I started searching for other communities that provided some semblance of value. I found Tildes searching through a list of Reddit alternatives, and the very first thread I read led me to an album that has carried me through a really challenging time in life. Needless to say, I’ve been a daily reader ever since.
How did you choose your username?
It’s a new one for Tildes, I like interesting two-word combinations, and it’s the best one I could think up on the fly.
What are your interests?
I love music, collecting vinyl records, and listening to audiobooks. I’ve been a lifelong gamer, despite limited time to play these days, esp. Metroidvanias, survival horror, open world RPGs. I love animals, nature, space, science, and learning as much about the world I live in as possible. I love human physiology, neurophysiology, biomechanics, pain science, neuroplasticity, and its various clinical applications.
A/S/L (age/(gender|pronouns|identifier)/location)
45 / M / Texas. Chaotic good.
What do you do? This could be in your spare time, for work, your passions.
I’m a physical therapist specializing in orthopedic, neurologic, and vestibular rehabilitation. I previously had a 14 year career in pharmaceutical management and was doing pretty well, but as a primary caregiver for my spouse who lives with several neurological and autoimmune disorders, I actually found that my greatest strengths and greatest intrinsic value came from helping her recover and live her best life despite her physical challenges, so I quit my job, went back to school, and got my DPT. Now I use those strengths everyday to help others live their best life. I’m thinking about starting some kind of podcast or vlog with an emphasis on the physical, mental, emotional, and spiritual aspects of the caregiving experience and living with chronic health issues, patient-caregiver relationships (esp. in marriages/partnerships), self-care, finding purpose, motivation, etc.
Do you want other users to PM/DM you from this thread?
Sure
Give us a fun fact (or a link!)! If there is anything to know about tilderinos, it's that we value knowledge sharing!
I may be standing on a professional soapbox here, but I feel too many people with musculoskeletal pain define and limit themselves based on the words their doctors use and their imaging findings. From using terms like “bone on bone”, “this is the worst knee I’ve ever seen”, “your posture is killing you”, etc, I feel that the words doctors use can have a significant nocebic effect on patients both physically and mentally, especially when proper education is lacking (which it usually is, given the 5 minutes you get actually get to see your doctor these days, at least in the US).
For example, 40-year-old individuals who are completely asymptomatic show lumbar disc degeneration, disc bulging, and intervertebral disc height loss on MRI at a rate of 68%-50%-33%, respectively. Those percentages jump to 88%-69%-68% at age 60, and 96%-84%-43% at age 80. Again, these findings are seen in individuals without pain. Summed up, ‘degenerative factors’ seen on imaging are common in asymptomatic individuals, and this only increases with age, which means these “degenerative’ features are likely part of normal aging and not necessarily associated with pain. Conversely, an individual could be experiencing a high degree of pain and have imaging that is relatively free of any notable degenerative or injurious features.
Pain neuroscience education and the individual patient experience is an incredible topic that I have a deep interest in. Despite learning more and more about it each day, we still face challenges with the clinical how-to application. I find my outcomes are better and the patient experience is more positive when I place a large emphasis not just on specific exercise, but on education, not catastrophizing pain, limiting kinesiophobia, and addressing secondary factors that affect pain (like sleep, stress, nutrition, weight, aerobic exercise, etc). jumps off soapbox