bigpoppa
Well-known member
its almost like the smart guys who spend years learning about the human body while accruing tons of student debt are experts or something
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waitin4BOOST
Well-known member
Why not go see both a doctor AND physiotherapist lol
Just like with mechanics, financial advisors, mortgage brokers, sales reps, personal trainer etc. etc. sometimes you just need to find the right person to help you out. Some doctors may brush it off as phantom pain and another may want to dig deeper signing off on extensive diagnostic services. The thing is not to downplay or exaggerate your condition since there is a level of scrutiny involved (hopefully) to make a sound prognosis.
Just like with mechanics, financial advisors, mortgage brokers, sales reps, personal trainer etc. etc. sometimes you just need to find the right person to help you out. Some doctors may brush it off as phantom pain and another may want to dig deeper signing off on extensive diagnostic services. The thing is not to downplay or exaggerate your condition since there is a level of scrutiny involved (hopefully) to make a sound prognosis.
Docs told me not to start physio for months after my shoulder was reset and my arm was in a sling. When that time expired and I went to see physio, he lost his mind. Recovery would have been a lot simpler with light activities during that time instead of letting everything atrophy.
Getting more opinions is always better, especially from a variety of practitioners. Then you need to pick and choose your way through the suggestions to find the best path for you.
Trials
Well-known member
this. Atrophy
Too many medical doctors promote rest relax and immobilize to make everything better but muscles don't work that way and they darn well know it.
"Muscle atrophy. Muscle atrophy is when muscles waste away. It's usually caused by a lack of physical activity. When a disease or injury makes it difficult or impossible for you to move an arm or leg, the lack of mobility can result in muscle wasting."
Physiotherapy should not be to recover from your recovery.
JFD
Well-known member
If you have a **** doctor, they will give you **** advice. If you've had the same dr for years and they know you, you might get better advice (vs walk in type deals).
I had an accident years ago - dr advised a course of action for rehab. Included his directives, plus a round of chiro for a year, and some physio built in.
if you have good drs. you will get good advice.
I had an accident years ago - dr advised a course of action for rehab. Included his directives, plus a round of chiro for a year, and some physio built in.
if you have good drs. you will get good advice.
Not necessarily. When my shoulder was out, Toronto General ER doc and radiologist said I was fine, my family doc (since I was born) said I was fine, ER doc and radiologist at another hospital said I was fine, I had to pull some strings to get a referral to a great shoulder guy and he was able to diagnosis me in two seconds by looking at me. The shoulder doctor was the one that recommended almost complete immobilization for an extended period. He was recommended to me by a family member that has been an orthopedic surgeon for decades (family member does primarily knees and wasn't comfortable with shoulders) as the guy he would want if his shoulder was wrecked..
My premise was that he had already been to see a doctor when the accident occurred last year and that the issue was still unresolved.
In my personal experience orthopaedic surgeons spend very little time doing a physical exam and often just send you off for various scans. On the other hand, on the initial visit physiotherapists do a series of range of motion / pain /no pain tests with the area in question to determine type of injury and if they can treat it. They will refer you to an MD if they believe you have a defect that has to be surgically repaired or requires further investigation. Also, an elective appointment with a specialist can take 3 - 5 months. If you have coverage go see a PT and get their assessment and referral back to an orthopod or just continue on with treatment. If they can help, you'll be better before you'll ever get in to see that specialist who may well just refer you back to physio............
I'm not discounting Physiotherapists - heck, I have a great one and I fully attest his hard work resulting in the most excellent result I had with my right shoulder reconstruction.
What I am saying is that you need to go down the path that makes the most sense. Physiotherapists are NOT doctors. They understand physiology, sure, but they may not be looking at things from a wide enough scope to see the forest for the trees sometimes as was my scenario.
They also can't order diagnostic tests that can, right of the gate, tell you if physio is going to be successful or not.
In some cases physio can actually be harmful, FWIW. If you have a 90% thickness supraspinutus tear for example and go into heavy physio you may end up with a full thickness tear for the effort. There is a signifigant difference in the physical repair required on one versus the other - a partial thickness tear is a much less painful surgery with a much faster recovery than the full thickness tear I had. 5 weeks sleeping in a chair post-op taking percocet every few hours, 2 months of brutally painful physiotherapy, and 1 month of strength training before I got back to work.
What I am saying is that you need to go down the path that makes the most sense. Physiotherapists are NOT doctors. They understand physiology, sure, but they may not be looking at things from a wide enough scope to see the forest for the trees sometimes as was my scenario.
They also can't order diagnostic tests that can, right of the gate, tell you if physio is going to be successful or not.
In some cases physio can actually be harmful, FWIW. If you have a 90% thickness supraspinutus tear for example and go into heavy physio you may end up with a full thickness tear for the effort. There is a signifigant difference in the physical repair required on one versus the other - a partial thickness tear is a much less painful surgery with a much faster recovery than the full thickness tear I had. 5 weeks sleeping in a chair post-op taking percocet every few hours, 2 months of brutally painful physiotherapy, and 1 month of strength training before I got back to work.
Trials
Well-known member
thats why I just ride for physiotherapy, if it's going to make it worse, I want to have some fun doing it.|
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