#physical therapy

[the-eccentric-eclectic]

Hey kid, look at me.

I want you to T-pose. Turn your right thumb up and your left thumb doen and look at your right thumb. Move your arms up and down a bit until you feel a nerve running from your armpit to your palm. Now turn your right thumb down and your left thumb up, and look at your left thumb. Keep your chest facing forward and your shoulders back. Move your arms again until you feel that nerve again. Keep alternating between these two for a minute, or look at each thumb thirty times each.

Now sit down. Put your left hand firmly under your left buttock, palm down. Keep your shoulders back and put your right hand over the crown of your head, very gently pulling it to the right. Do this for thirty seconds, then do it again but with your right hand under your right buttock.

These are stretches for the nerves in your arms, and are very good for people who sit behind a computer a lot, or fibre artists, or you name it. Do them daily. They will hurt in the beginning, but keep doing them, even after the pain has gone, or it will return and you'll have to start all over.

[madlori]

My ankle journey

I am sharing this with all you good people on the dash because I am so fucking mad it took so long for me to learn it and if I can spare one (1) person the agony it will be worth it.

So for like...oh, 8 or 9 months, I've been struggling with pain/inflammation/tendinitis in my left Achilles tendon. I don't know what caused it. It just started up (welcome to middle age, this shit happens). It wasn't severe enough to be debilitating, but it was annoying and limiting. It was also intermittent, in that some days it would be very painful and other days hardly at all. The kind of shoe I was wearing affected it a lot.

Now, I have bone spurs on both heels (it's just a thing that happens as you get older sometimes). I'm also aware that heel pain is usually the result of tight calf muscles that pull and irritate the tendon. I tried stretching that calf muscle. You know the stretch, this bitch right here:

I did it all the time. I also iced the ankle after walking for awhile, hoping to avoid inflammation. Results were...unsatisfying.

I went to:

A chiropractor

A podiatrist

A physical therapist

A bodywork coach

They all gave me some variation on the "strengthen your calf muscle, stretch your calf muscle" advice. I continued doing this without results.

I was getting frustrated, and a little afraid that this was just my life now. Finally, I thought...maybe some targeted massage might help. I asked for rec on a local FB site and was pointed to a woman who specializes in therapeutic massage including cupping, etc.

I went to her a week ago.

She spent over half our first session working on my left lower leg. Within about 10 minutes of making my eyes water, she uttered the sentence I did not know I had been waiting to hear:

"Oh, it's your soleus."

Excuse me, what?

"It's your soleus that's the culprit. It's all tied up and stiff." She started digging into it and I felt literal sparks run up my leg as she released adhesions and got the muscle moving a little. When she finally put the leg down, it felt like it was on fire with all the blood rushing into it.

She said, "You'll need to stretch your soleus. It'll clear up, but it'll take a bit of time - tendons take ages to heal."

But I HAVE been stretching.

"No, you haven't. The usual straight-leg calf stretch only stretches the gastrocnemius, that's the big belly muscle in your calf. That's not your problem. That stretch doesn't stretch the soleus. Don't worry, I'll show you how to stretch it."

My mind is spinning.

So here are the muscles in question:

The gastroc (as the pros call it) just attaches down the back but the soleus runs underneath it from the knee around the side to the heel. The lower part above the ankle is where it typically gets tight and forms adhesions.

To stretch it, you do the same calf thing where you put your foot back and press your heel to the ground, but you have to do it with your KNEE BENT:

The bent knee keeps the gastroc from engaging. It's one of those selfish muscles (like traps) - if you give it an inch, it'll just take over and prevent other muscles from working or stretching. There are other ways to stretch the soleus but this is the easiest and you can literally do it anywhere. I've been doing it while standing and waiting for things (the elevator to come, the toast to toast). You just put the heel back and bend the knee. It's kind of like curtseying.

The minute I did this stretch, I could FEEL where it was pulling on my tendon. I knew that THIS had been the problem.

The massage therapist also told me to stop icing my heel. She said icing is for an acute injury, but a more chronic aggravation needs heat, to increase blood flow for healing. She recommended elevation with heat every day (I've been doing it in bed during "phone before bed" time).

I have been doing the soleus stretch at least half a dozen times a day for almost a week, and the ankle is at least 70% better. It is still a little tight and tender, but the improvement is significant. I think a few more weeks will have it feeling normal.

I am...blown away by this. This massage therapist was able to pinpoint an issue in only a few minutes that eluded all the other professionals I saw. I can't wait to go back to her and have her solve all my other problems, tbh.

[yanikzey]

Modern AU. Jayce assisting Viktor in his physical therapy

[delicatewhumps]

caretaker giving whumpee physical therapy to help them recover

gently stretching whumpee’s tight limbs

letting whumpee lean on them as they walk

massaging whumpee’s sore muscles

is caretaker kind with it? encouraging? do they wipe whumpee’s tears and tell them they’re doing a good job? “i’m sorry, i’m sorry!” as they move whumpee’s sprained joints. “one more set.”

or is caretaker gruff? blunt? “this is gonna hurt like a bitch,” they say, rotating whumpee’s injured arm. as they sit back, hands on hips while whumpee tries to stand: “come on. get up. i know you can do it, now stop pussyfooting around.” do they give whumpee tough love?

[eliana-system]

please be aware that disabled people are not "against exercising"

Some disabled people's symptoms worsen when exercising and they can't affort that while holding a job/studying/making an ssi application

some diasabled people cannot exercise unless in physical therapy, which they may not have acess to.

Some disabled people risk hurting themselves permanently by exercising

A lot of disabled people do exercise but abled people don't consider it exercise because it isn't normal enough.

Most disabled people have been told to "just exercise" or "try yoga". Most disabled people have been guilted into thinking it's their fault because they're not exercising or not enough. Most disabled people feel like shit when you bring up exercise because they'e learn it's followed up with either a lesson on how they can "cure their disability" or how they're "letting themselves go"

Some disabled people get trauma response by people telling them to exercise, or that execise is good for them even if that is true.

When someone tells me exercise is good for me i have to stop myself from sobbing on the spot. Because my dad and doctors told me i should just exercise no matter how many specialist's letters i have saying i risked permanent damage. Because my physical therapy is right there, i just can't acess it. Because all the ressources are a subway away and i'm being denied them. i'm being told to way for a year and a half while i watch my mobility and pain worsen, knowing it could be getting better. Because it reminds me how abandoned i am from people who could save me.

Because telling disabled people "exercise is good for you" or "have you tried exercising" is an insult to how much they want and are trying to get better. This is getting in the "i know better" position and getting mad when you do not know better.

[donutdrawsthings]

Xavier and Logan having a morning chat while Xavier's doing physical therapy

[cherry-pop-elf]

Follow My Lead

Curly x Disabled!Reader

Can be read as platonic

AN: Purely self indulgent. I’m suffering extreme disability issues do to the change in weather and it’s very painful and exhausting. So here we are. Friendly reminder of disability’s existing and lives can still be lived. Thank you

SUM: You were returning to the Physical Therapy center for your weekly appointment. As you enter the designated gym, with its nurses, you noticed someone new. New people in the waiting room, and new people in the gym. Wonder who that new nurse is to…

Warnings: Disabilities, medical discussion, reader’s disabilities are vague but will have issues that are common in the disability community, PTSD, Trauma, Everyone lives except Jimmy, lots of medical discussion, so much trauma Jesus Christ

“Just wait for a few minutes and we can call you back.” The woman would tell you. You would give a nod and returned to your seat in the waiting room. Right next to quite the chipper fellow. With floral attire. There with a much older man. Perhaps his father?

“Hi-!” The floral guy would say, before the older man nudged him. Telling him not to bother the other people here at the gym here. You didn’t mind. People can make the atmosphere here so depressing sometimes. It’s nice to have some sunshine.

“Hello!” You returned, meeting his energy. That had him just beaming.

“You two are new here, aren’t you? First time here?” You asked, as the floral man nodded. The older just let the younger do all the talking. The floral one seemed the social butterfly anyway.

“Yeah. It’s not for us though. It’s for our friend Curly. And also Anya! She’s a nurse. Since she’s a nurse she’s helping him with the other like physical therapists here. He really needs a-lot of extra help. His arms and legs are missing, eye is missing, had so many skin graphs. He’s been through A LOT. So we’re here for moral support.” He explained to you, and you would listen.

Damn that Curly really went through alot. Sounded like he lost the limbs then actually was without them earlier in life. He’s going to have a long journey ahead of himself.

“Swansea here is also helping install stuff at Curly’s place to make it easier to move around in. Like railings, changing door knobs, stuff like that! He’s got prosthetics he’s still getting used to, but he also uses a wheelchair when they make his muscles ache too much.” He would ramble on, and you happily listened.

It was so nice to have someone be so positive. Many able bodied people just treat disabled situations with such mourning and sadness. It was refreshing to have someone have a positive outlook. To be excited to help compared to just mourning and worrying.

“You can come back when you are ready-!” A physical therapist would call for you. As you went to leave, the floral man was quick to call out.

“Oh! I’m Daisuke!”

“Well hello Daisuke. Please talking to you-!” You would wave, before heading back to the gym area with everyone else.

Typically most physical gyms would have a designated nurse for each person, that way you can be watched carefully and monitored for improvement. This gym, however, allowed that people who had progressed to a certain level can work out independently with the gear offered here. As a means to allow more independence, and for them to improve or care for their health by their own speed.

It seems like that Curly guy won’t reach that milestone for ages.

He was very easy to notice amongst the often elderly folks there. The rare younger type, but often it’s from some kind of long turn injury or recovery of surgery.

There you would see a man using the standing bars. Metal bars on each side, and a person would walk through the middle. Gave them the ability to use their arms to keep support instead of using all their weight on their legs.

Just like Daisuke said he was in pretty rough shape. His arms had prosthetics and same for his legs. A eye patch covered his missing eye, and much of his skin still was incredibly rough.

Despite it all, he’s trying. He’s shakily walking through, with his arms on the metal, and he’s taking it step by step. Still trying to adjust to having somewhat of limbs again.

Next to him was a kind looking woman. Her eyes looked like they had seen too much, but her smile said she is willing to keep on living. To spite the world she will be happy.

“There you go Curly. You are doing a good job. Just take it very slow. There’s no need to rush. You will be able to do more once you adjust. How about you finish this walk and we can sit down. Then we can try and use your arms for a while. Legs are the most exhausting.” She would say to him.

She had such a warmth in her voice. A nurse that everyone wished they had after any life threatening event. She was perfect for a physical therapist.

“Shit shit shit-!” He would start to panic, and he would end up slipping. She was quicker though. She managed to grab him by his chest, as his limbs went limp. Just dangling like a doll. He looked so humiliated.

Maybe he needed a friend.

“Hi! I heard you two are new here. That guy in the waiting room, Daisuke, told me a little about you two. Do you need help with like, oh I don’t know, anything? I’ve been coming here for a while now. If you want anyway.” You would offer, as Anya would help him stand back on his bionic feet again.

“Oh that is very kind of you. I think we are alright, for the time being. But thank you so much.” She was so gentle with her words. Clearly each word was truly kindness, and not just words to push someone away.

“I wouldn’t mind it. I….I have no idea what I’m doing.” Curly would admit, as there was still shame in his expression. As if he felt unworthy to be there. To be helped at all. That he just deserved the worse.

Very relatable.

“Oh sure! Oh oh! Maybe I can be on the other side of the bar. You can place your hands on my shoulder and your other arm on hers. We will hold you up ourselves so when you slip you don’t fall.” You offered, as you stepped into position.

Anya would do the same, and made sure there was a hand on his back and one on his chest. To help him keep himself straight, and if he slipped you both can push him back into place.

“Deep breaths Curly. You got this. You are almost to the other side.” Anya reassured, as you smiled as well. Suppose seeing you both trying so hard helped him gain the motivation to push through.

Each step was heavy, slow, and frustrated. He was trying his best, but sometimes his muscle spasms kicked in and his leg would just move the wrong way. You could relate to that. Muscle spasms were so annoying to deal with. Especially in public. People think you are on some kind of drug and question you. Annoying as hell.

It was slow, but you didn’t care. He needed a little extra help and you figured you could offer it. Make things just a little easier for him. It’s rough. You know it so well.

He finally reached the other end, and Anya couldn’t help but clap and beam. So proud of him. So damn happy he did it. Course when she let go he ended up falling into you, but you managed to help him get back up again.

“Sorry! Just you did it! Before you know it you’ll be running and jumping. You’ll be back to skiing in no time.” She would encourage, before bringing the wheelchair over. The two of you helping him sit in it. Such a relief.

“You ski?” You asked, as Anya would help take his legs off. Let him breathe for a while. While she did that, he gave a small nod.

“Before all….this….I used to really be quite the athlete. I loved winter sports. If it was in the snow I was there. Snowboarding, Skiing, ice skating, ice climbing, I used to do it all. Even was a body builder. To think I used to do so much…..” He sighed, as he looked over at his arms. Looking at what was once muscle and bone. Now just metal and specialized plastic.

“Hey….I know you’ve been told this a million times, so I’ll just say it from a person that also doesn’t have the best mobility either. You’ll have good days and bad days. Some more extreme than others. It’s gonna to fucking suck. It’s gonna hurt. It’s going to be exhausting. You’ll have days wondering why you should even stay alive. But you’ll also have days where you can accomplish simple things like making your own dinner. Taking out the trash. Fold some laundry. You’ll get there. It’s gonna suck but you’ll reach it.”

Having someone keep it blunt with him seemed to be what he needed to hear. Was like he learned a mistake about keeping things to sweet. That sometimes you need a reality check.

“Thank you….I think it was very important for me to hear that. Thank you.” He would do his best to smile at you, but the nerves in his face were rather damaged. You wouldn’t be surprised if he needed some more surgery there to.

He’s still going to go through so much, but maybe having someone who can genuinely relate to it all could help.

“Hey, I come here every Saturday. That way when I’m painfully exhausted from it I can just relax and have Sunday be a complete recover day.” You said, as you walked with him as Anya rolled him over to a spot to not bother people. She would soon sit across from him, with a small ball, and the two of them would try and play simple catch with it. Both to help with his arms and his new adjustment with a single eye.

“Think that sounds like the best plan for me right now as well…” He nodded, as that was the way you two could agree on it.

He would do his best to play catch with her, but it kept falling in his lap. His limbs just not moving quite fast enough, and his send of direction never quite there. Was so frustrating, and you understood it.

“Said a million times, I know, but take it from me. You’ll genuinely get there. But it will take a while. Not days. Not weeks. Months if you keep at it. But it’ll get there.” You reassured, as you stepped away. Off to do your own exercises for your own issues.

Was a peaceful gym day like that. Spending what spoons you had to take care of yourself. Every now and again, when taking a breather, you looked over to him. Seeing Anya help him get used to his limbs. Small things like picking up something, catching, even paddy cake. Taking it slow for him.

Once you ran out of energy you would kinda hang out with them.

You didn’t ask him how he ended up like that, you just let yourself breathe. Breathe as he spoke what he wanted to speak about. Same for her.

From what little pieces you could pick out from them it sounded like they were victims of a ship crash. No wonder he ended up so fucked up. That fact he’s alive at all is insane to you. Anya deserved way more credit.

There also seemed to be a shared enemy between them. When a person called over for a therapist, named Jimmy, the way they flinched and looked around like someone started unloading a gun. Whoever this Jimmy was sure made his mark on them.

Once he finally couldn’t go on any longer she would take the arms off as well. Letting what was left of his limbs breathe. He was so exhausted, but he seemed happy. Happy to have made some kind of progress, and even happier he had someone to talk to through it.

“I’ll see you next Saturday.” You smiled, and waved, as you started to leave. He gave a wave of his own, before Daisuke and Swansea returned to him. There to carry his prosthetics and be his cheerleaders.

You were happy for him. He deserved a support network.

He deserved to smile again.

You just knew he did.

[necarion]

It's kind of amazing how universal the physical therapist (and biomechanics-based trainer) community opinion is on "don't stretch your hamstrings". This is in contrast to most of my sports coaches and PE instructors, who had us do hamstring stretches constantly.

The best explanation I've seen for "don't stretch your hamstrings" is that "your hamstrings are tight" is usually a symptom of something else, usually weak (or inactive) glutes, but sometimes also weak hamstrings. They can also be a result of tight quads (which probably shouldn't be stretched either). Also, a lot of folks who go to stretch their hamstrings end up stretching their ligaments (bad) or sciatic nerve (bad, and also hurts like hell). The latter is why hamstring stretches were always so miserable to me; I wasn't even stretching them! In general, if stretching [your hamstrings, among others] really hurts, you might be doing a nerve stretch instead and you should stop doing that.

Much of the PT community seems pretty resistant to passive stretching. They'll support active stretching, where you resist the stretch at every point along its range. That seems to allow the muscle to relax by encouraging it to fire first and then relax. (And it seems to work for me.) But when a muscle is tight or sore, it tends to be that the tightness and soreness are a result of something else working incorrectly (obvious exception for "this muscle is sore because I worked it really hard yesterday").

[nasa]

For the Benefit of All: Assistive Tech Developed from NASA Tech

What do modern cochlear implants and robotic gloves have in common? They were derived from NASA technology. We’ve made it easier to find and use our patented inventions that could help create products that enhance life for people with disabilities.

October is National Disability Employment Awareness Month, which highlights the contributions of American workers with disabilities – many of whom use assistive technology on the job. Take a look at these assistive technologies that are NASA spinoffs.

Low-Vision Headsets

The Joint Optical Reflective Display (JORDY) device is a headset that uses NASA image processing and head-mounted display technology to enable people with low vision to read and write. JORDY enhances individuals’ remaining sight by magnifying objects up to 50 times and allowing them to change contrast, brightness, and display modes. JORDY's name was inspired by Geordi La Forge, a blind character from “Star Trek: The Next Generation” whose futuristic visor enabled him to see.

Cochlear Implants

Work that led to the modern cochlear implant was patented by a NASA engineer in the 1970s. Following three failed corrective surgeries, Adam Kissiah combined his NASA electronics know-how with research in the Kennedy Space Center technical library to build his own solution for people with severe-to-profound hearing loss who receive little or no benefit from hearing aids. Several companies now make the devices, which have been implanted in hundreds of thousands of people around the world.

Robotic Gloves

Ironhand, from Swedish company Bioservo Technologies, is the world’s first industrial-strength robotic glove for factory workers and others who perform repetitive manual tasks. It helps prevent stress injuries but has been especially warmly received by workers with preexisting hand injuries and conditions. The glove is based on a suite of patents for the technology developed by NASA and General Motors to build the hands of the Robonaut 2 humanoid robotic astronaut.

Smart Glasses

Neurofeedback technology NASA originally developed to improve pilots’ attention has been the basis for products aimed at helping people manage attention disorders without medication. The devices measure brainwave output to gauge attention levels according to the “engagement index” a NASA engineer created. Then, they show the results to users, helping them learn to voluntarily control their degree of concentration. One such device is a pair of smart glasses from Narbis, whose lenses darken as attention wanes.

Anti-Gravity Treadmills

A NASA scientist who developed ways to use air pressure to simulate gravity for astronauts exercising in space had the idea to apply the concept for the opposite effect on Earth. After licensing his technology, Alter-G Inc. developed its anti-gravity G-Trainer treadmill, which lets users offload some or all of their weight while exercising. The treadmills can help people recover from athletic or brain injuries, and they allow a safe exercise regimen for others with long-term conditions such as arthritis.

Wireless Muscle Sensors

Some of the most exciting assistive technologies to spin off may be yet to come. Delsys Inc. developed electromyographic technology to help NASA understand the effects of long-term weightlessness on astronauts’ muscles and movements. Electromyography detects and analyzes electrical signals emitted when motor nerves trigger movement. Among the company’s customers are physical therapists developing exercise routines to help patients recover from injuries. But some researchers are using the technology to attempt recoveries that once seemed impossible, such as helping paralyzed patients regain movement, letting laryngectomy patients speak, and outfitting amputees with artificial limbs that work like the real thing.  

To further enhance the lives of people with disabilities, NASA has identified a selection of patented technologies created for space missions that could spur the next generation of assistive technology here on Earth.

Want to learn more about assistive technologies already in action? Check out NASA Spinoff to find products and services that wouldn’t exist without space exploration.   

Make sure to follow us on Tumblr for your regular dose of space!

[incognitopolls]

We ask your questions so you don’t have to! Submit your questions to have them posted anonymously as polls.

[c-u-c-koo-4-40k]

What Cold Symptoms do you Hate the Most?

Now imagine being sick or disabled and Small in the midst of War.

This is Amir. A disabled child who's health is declining due to the shortage, and destruction of medical facilities in Gaza.

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No Pressure Tags, just trying for a bit more reach. Dm me for removal

@a-shade-of-blue @sunnylittledragon

@selflovejolteon @virovac

@frustrated-froglet @qattdraws @heydreamchild

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@sweet-honey-bunnies

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@comrademango

[cleolinda]

I had my second PT visit, which turned out to be my first REAL PT visit, and I got my ass kicked. I am absolutely trashed, in what I assume is a beneficial way.

[trashedanatomy]

Spinaraki week day five: climb!

Okay so uhm, were gonna ignore logic and how that wont work but uh, a new exercise created by Tomura. . . . ?

[chronicillnesshumor]

Don't worry PT exercises, nobody's doing me either

[heardatmedschool]

“There’s muscles no one cares about, and there’s the omohyoid.”

[gaystims]

Wrist exercises by path_medical