I live in Bayshore apartments in Astoria Oregon. The apartments have been neglected for a long time. It is time that these apartments be made into something remarkable. A village of hope. I have so many connections on both sides of the tracks and all I want to do is help rehabilitate humans, wild life, morals... The list goes on and on. I was an art teacher at a daycare for awhile and I loved it. Wrong choices caught up with me and my life went into a downward spiral. So many things to blame but my biggest was ignorance and blindly trusting those that were "my blood"... The people I once called family have tortured me for decades... I'm still under their thumb because my family is vulnerable. These people have done this to so many people I was just the OG black sheep. All I want is for the world to change for everyone and we are capable of achieving our dreams but it truly does take a village. This country has taken so much from our ancestors. I am looking forward to the future for the first time in almost a decade. I'm looking forward to your times

About 5 weeks ago, my left shoulder dislocated while I was rockclimbing but it popped back in after I raised my arm in that same moment it dislocated. But even before this dislocation, I had shoulder impingement for a while on the same shoulder while doing overhead movements in the gym (happened for a while, couple of months). Right after the dislocation at rock climbing, I went to the orthopedic and my range of motion was limited when I moved my arm but about a week in, I could move all around without it hurting a lot. 2 weeks after resting and stop doing any physical acitives (gym and rockclimbing), I went to a physical therapist who at first gave me 6 exercises to do with a band (rows, straight arm in front and swing down to side (idk the exercise name), internal band rotation, external band rotation, shoulder raises, and this hurdle exercise). I did 20 reps everyday (2 times a day) of each exercise but the next week, the pt added 5 more exercises and upped the reps of the previous exercises to 30. Also she said I could go to the gym but to go light and do my shoulder exercises before I go to the gym. I’m about a month in my exercises and going to the gym at the same but I do not really see any growth and it feels the same, where sometimes randomly my left shoulder would hurt a little and in the gym, overhead exercises burn and pinches my shoulder and I cannot overload at all. Even lowering the weight, my shoulder still burns a little and I make sure my form is good but still no difference. I go to the gym 3 days a week (push pull legs) and usually after the days where I do push and pull, my shoulder usually hurts a little for the rest of day and sometimes when I bring my arm all the way, it pinches a little, but on the other days, my shoulder feels perfectly fine, if anything, maybe a tiny bit of discomfort but rarely. I don’t know what to do, I want to go to the gym still and my pt said it was ok but I cannot overload any of the exercises and it still pinches and hurts my shoulder. And I’m not sure if quitting the gym and focusing on the exercises only will help. Some of the exercises hurt my shoulder such as the internal and external rotations and I watched a video from this other physical therapist who said those types of internal/external exercises are bad for you and cause your shoulder to feel worse. Also when I went to the pt, they just gave me the exercises, we didn’t do a mri scan of a test or nothing; they just gave me exercises to help strengthen all the parts in my shoulder. Anyways in the gym, chest exercises (bench press machine, incline bench machine, pec dec), some tricep and shoulder exercises (overhead tricep press, overhead shoulder press, dips, lateral raises), and some back and bicep exercises (lat pull-down, seated rows, cable bicep curls, reverse pec dec) all hurt my shoulder. However the other exercises that don’t really hurt my shoulder at all are (all leg exercises , hammer curls, preacher curls, I also play the viola and my left shoulder always burn after a while of holding my instrument but maybe that’s just normal, it was still there even before the working out at all so idk. I also can’t even sleep on my left shoulder anymore because when I wake up, it just hurts, it’s just random. Sometimes my shoulder feel perfectly fine and sometimes I just go to grab something or reach for something and it pinches or reach behind my back to scratch it. I just don’t know what to do and I feel that my shoulder is never going to get better and that I’ll have a weak left shoulder for the rest of my life. I’ve been consistent with the shoulder exercises and avoided doing any extra physical activists (rockclimbing, martial arts, home works) but it is no use. My shoulder still hurts when doing gym exercises or sometimes doing normal things. Can anyone help me? Preferably someone who help athletic people or is very familiarized when the gym so you can get where I am coming from. I’m not sure what to do, and I want to heal up asap, any tips and suggestions? Also I feel like I’m overworking my shoulder when doing the home exercises recommended by the pt, it takes me about 30 mins to do one workout (I have to do twice a day) and I have to eventually go up to 50 reps per 11 exercises I do (extra 5 exercises are dumbell exercises with 2lb weight). I think this would take me around 45 minutes to do once I get to the point of 50 reps per exercise then after that, I will move up to another band which is harder resistance then I would start back at 20 reps and go up to 50 again (I go up 10 reps every week, 5 for dumbell exercises and hurdle exercise). Lastly here are some things to help identify my shoulder problems, hurts where I wave and bring my arm back, hurts when I do an external rotation and go all the way back with no band, and sometimes when I reach overhead and grab something in front of me, and of course most gym exercises that consist using the shoulders (even at way lighter weights, for example I can’t even do cable bicep curl at 5 lbs where I did 50 in the past). Anyways here are the concerns: What do I do about the gym? Am I overworking my shoulder with 11 exercises that consist of a lot of reps? Should I go somewhere else?-(I found a potential better place (a physiotherapist rather than a pt from the same orthopedic place). And any suggestions to best heal my shoulder and strengthen it completely according to my problems and experiences. Anyways I hope some of you can resolve my concerns because I have really been stressed out because I do not know what to do and I told my physical therapist about some of this stuff but nothing really worked or seemed right. I told my pt about my shoulder pain after I workout in the gym and she said to ice it and I asked if I should still workout if my left shoulder burns a little and she said it’s normal and I should be fine but idk entirely. Any help will be highly appreciated, thank you. 🙏

A post acute rehab company approached me about building an alternative to Casamba as it's going away and they're not thrilled with Rehab Optima. They said that there's no competition, but I've seen other platforms like Prompt and Raintree. Are these viable alternatives to Rehab Optima or is there some crucial difference? (I'm a software developer, completely new to this space.)

Hi everyone,

I’m reaching out for some guidance and recommendations for my mom’s recovery process. She’s been through a lot, She had her first hip replacement in 1996, in 2020 she had that replacement replaced and it failed. In 2022 she had another hip replacement with the hope of helping her pain, but that one left her in only slightly less pain. These two failed hip replacement surgeries have left her in severe pain and neuropathy. Her doctor believes that her scar tissue fused with a nerve, causing significant discomfort. She recently tested a nerve stimulator that thankfully brought her pain relief, and she’s scheduled to get a permanent implant in November.

In the meantime, her doctor has suggested using a motorized foot pedal to help rebuild strength in her leg. The problem is, that he didn’t have a specific brand or model in mind, so we’re feeling a bit lost on what to look for or which ones might be the most effective and comfortable for her needs.

We’re hoping to get this before the insurance year ends to take advantage of her current coverage. If anyone has experience with motorized foot pedals for rehab—either as a provider or a patient—I’d love to hear your insights on which brands or features to consider, or any other tips you think might help her recovery.

Thanks in advance for any recommendations you can share!

This is a part of a monthly discussion thread.

​

Something make you agitated recently? Need to vent it out? Post it here!

Around February 2023 I had a bad snowboarding accident that led to my right AC joint being separated. It's been a brutal recovery process exasperated by some life circumstances following the incident, however over a year and a half later I have most functionality back - even to the point of doing handstands and ring muscle ups.

Recently I wanted to try and train chest since I haven't really been able to in such a long time and my shoulder was completely shot after. Collar bone felt unstable and it just felt... wrong.

Did I miss something in my rehab, am I doomed to never get a strong chest?

Hello everyone,

I hope you're all doing well. Recently, I wrestled in two matches, winning one and losing the other. However, I've started feeling some discomfort in my biceps, particularly a tightness when I do pushups. It feels as if my biceps are really tight, although it's not exactly painful.
Most of my workouts revolve around pullups, pushups, and dips, so I suspect the tightness is due to overuse. To avoid aggravating the situation, I'm planning to take some rest.
Does anyone have any advice on how to manage or alleviate this tightness?

I'd appreciate any tips on recovery strategies or adjustments to my workout routine to help prevent this in the future.

Title: Nerve Damage, Muscle Loss, and Long-term Shoulder Injury – Need Help with Pain, Muscle Loss, and New Technology

Hey Reddit,

I’m really struggling with some nerve and muscle issues and could use advice from anyone who’s dealt with something similar. Here’s the story:

Background:

I’ve had issues with my shoulder since 1999 due to a dislocation and multiple surgeries. It never healed 100%, but I managed to get by with limited mobility.

Now, I’m dealing with something new—nerve damage in my neck, specifically at C5/C6, which has been pinching and causing all sorts of problems.

Recent Situation:

Around June/July, I could still move my arm, but the pain was excruciating. I was on painkillers, but they barely touched the pain. After weeks of that, I ended up getting acupuncture, and it actually helped a lot—it fixed the pain, and I regained movement.

Fast forward a few months, and it feels like the nerve damage is coming back. Now, I’ve noticed that my deltoid is basically fucked—I’m losing muscle mass, and I’m starting to worry it’s irreversible.

The Problem:

My deltoid muscle is visibly atrophying, and I’m concerned that the nerve damage is getting worse. This seems to be a repeat of the pain and mobility issues I had over the summer.

I suspect it’s partly due to bad posture, but the Canadian healthcare system hasn’t been much help. I’ve been to doctors, been prescribed painkillers, but I’m not getting any real answers or solutions for the nerve damage or muscle loss.

My Main Concerns:

1. Muscle loss in my deltoid—is this something that anyone else has dealt with when the C5/C6 nerve gets pinched? How did you handle it?

2. Has anyone had success with alternative treatments like peptides (I’m looking at BPC-157 and TB-500) for nerve and muscle recovery?

3. Physical therapy, nerve regeneration, or surgery—what’s worked best for you if you’ve dealt with nerve damage leading to muscle atrophy?

4. Are there any new technologies or non-invasive treatments that I should look into? I’m hoping to avoid anything too intense or vigorous surgery but still need a solid solution to fix this.

I’m open to any advice or personal experiences that might point me in the right direction. This has been dragging on for way too long, and I’m worried the nerve damage might get worse without intervention.

Thanks in advance for any help!

This is a recurring monthly discussion thread.

​

What is a big success you've had this week?

Hello, I am trying to make a workout routine to rebuild my legs and try to lessen the pain in the injures in my knees. I tore my patellar tendon in my left knee while playing soccer two years ago. I was not aware that it was torn until a year and a half later and I played another season of soccer with it (I was wearing a patellar brace). The MRI showed that the tendon was not completely torn and as long as I workout/play sports I should be fine. I haven't been able to work out my legs in the gym out of fear of worsening my injury. Now that I am no longer playing soccer routinely, I want to focus on rebuilding my legs before playing again. I also have tendonitis and sometimes experience pain in my right knee as well, but it's not as bad as the left. What workouts should I start with and how much should I progress? I understand that going to a professional in person is the logical solution but I've started college and am not financially straight enough to go routinely. Just looking for any tips, inquiries, or comments on how to approach working my legs out again. DM me if you need more details 👍

Hello,

I am going to a PhP residential program to - of course - treat problematic mental health issues recently - but it is also court case involved. Attorney does not answer my questions, I have no agenda just want to know what to expect on the below! I have been to Detox's before so this isn't treatment related, the questions are. based on me wanting the best care.

1. If I had a Plea Agreement where my lawyer/judge/DA agreed to let me go to a 30-day program instead of... 15 day misdemeanor... is that considered voluntary or court ordered.
2. I already sent my letter of admission over to the court. I am just wanting to know from someone who may have worked at any treatment facility or a therapist, are they going to be following up throughout my stay to check whatever it might be, like attendance, behavior etc. or probably only admission and completion?
3. Last, related, what are the HIPAA guidelines. Could the DA or whoever in the court system just call the therapist or facility and ask for this type of check up over the phone or would I e.g., have to agree, be informed, etc. or can they not call in general.

Hi I’m Amy I’m a student interior designer I’m currently working on a project for rehabilitation. I’m working towards redesigning centres to benefit the community and people who use the space and I thought I’d ask from people who have actually been inside and seen the design aspects for themselves.

What I’m looking for is what would make you more comfortable? How are they designed now? Are they home like, do you feel safe in your own room? I want to try and make a change in the design industry and I believe this is something that needs to be changed and quickly.

Are they designed like prisons? Are they cold, comfy beds?

Any feedback is greatly appreciated, and hopefully with enough evidence I can write my essay and begin to make a change! Thankyou

If anyone would like a free movement assessment please dm me. With The movement assessment I can see the cause of the pain and possibly help!

Hi I'm dealing with adductor tendinopathy from a month . Sprinting doesn't hurt that much after few warmups but strength training especially lunges deep range of motion cause pain when going heavy. Anyone recovered it if so what's the best approach to heal this. Right now I'm trying to decrease range of motion and slowly increase as pain decreases

Hi, I am Farshid Saad, a graduate student at North Carolina State University working on a product research about Physical Therapy devices integrating exoskeleton and reinforcement learning. It will help in diagnosing and providing treatment. Our targeted end users are seniors, athletes, people working in physically demanding jobs/environment.
I would love to make some connections with professionals in this domain. It would be of great help if you can assist me by giving an interview through email, phone or a meeting setup which ever is preferred. Please share with me your email so that I can reach out.
I am new in this field and want to learn more about it.
You can also reach out to me at: saadfarshid@gmail.com

Background:
I along with 5 other members are working on a product idea of a PT device by integrating exoskeleton and AI (reinforcement learning) to help elderly, high active environment workers, athletes etc. We are working with Mr. Varun Nalam (Phd candidate, Texas A&M) to develop the technology. Our goal is to use reinforcement learning to make the exoskeleton adjust with the hips and thighs and help in regenerating the muscles.
This is the prototype of our device. More information can be shared once you complete the google form.

Link to the google form:
https://forms.gle/PWa42oqMswZorfZw9

Looking for PTs & PT owners who want to share their insurance billing pains with me. I've been speaking to 15 PTs and want to get a bigger sample size to validate some common trends.

If you would be available to chat for 10-15 min, please DM me and I'll follow up with my schedule. I'm looking to build a start-up in this space to help with some of these issues. Thanks in advance!

*This is part of a scheduled monthly discussion post*

​

Did you have an interesting case recently? What did you find interesting? What did you do to treat it? What do you wish could have been done differently? Discuss it here!

Hi guys, I’ve injured myself 4 months ago while doing heavy stretching, I tried a PT but he didn’t manage to rehab me successfully. Now the pain has became chronic, I fell it everyday and I don’t now how to handle this situation. Do you have any advice for me?

Hi, I recently applied for my state license 2 weeks ago but I’m hearing mixed things about how long it will take from 1-3 weeks to 6-8 weeks to receive my license in NY.

I received an amazing job offer and I worry it may not be available come 4+ weeks from now.

Would applying for a temporary license come faster? To at least secure the job until it comes in? Or will the wait be the same?

https://preview.redd.it/y9evghkyewrd1.png?width=413&format=png&auto=webp&s=f90cc3c4bf33b65f6f63023005fd96f5c23394a8

Hi I am a student working on a project about the OT's working settings and pays. I want to learn about how OTs allocate their working settings (online or offline), their caseload, the charge per session and their idea towards handling insurances. Thanks for those who contribute precise suggestions! Based on this survey, I might be able to learn about OT's expectations towards these aspects mentioned. If you do not have specific job settings or type of clients (e.g. online patients), you can go with the closest answers. Thank you again for your participation.

Inclusion criteria:

• Practicing licensed OTs who could legally treat patients in a private clinic, hospital or other facilities

Exclusion criteria:

• Haven't licensed to legally treat clients
• Non-OT-related professions

Geographic Scope:

• No strict limits, as long as you are licensed at any of the states in the United States.

If you meet the criteria and have time, we would appreciate your participation. The survey is anonymous and it only takes 2-3 minutes. The link is https://docs.google.com/forms/d/e/1FAIpQLSdWrOy2oig23nC5g5QfmJKyVM8j64OW87fgFwlJWFDHoIEMVQ/viewform

Thank you!!

This is a part of a monthly discussion thread.

​

Something make you agitated recently? Need to vent it out? Post it here!

I am an average student and I have family issues. I have a job but I don’t see any progress in it. I don’t smoke cigarettes cuz I don’t like them. But I smoke a lot of pot. I want to leave it, but i enjoy it. I can control it sometimes but whenever I feel depressed or sad, I want to smoke up. I have been smoking since 6 years.I smoke about 2 j’s a day. Small ones. And I am 25.

I tried leaving it for a couple of days and did not face any big issues. I was normal. But then again I started smoking. I want to leave it permanently because i know it is bad for my health. I just don’t have that self control. HELP, if you coped up from the same.

This is a recurring monthly discussion thread.

​

What is a big success you've had this week?

Hi Rehab Therapy Community!

I am a Bioengineering student at the University of Pittsburgh. My team and I are working on a senior design project to improve medical devices for pediatric physical therapy (PT) and occupational therapy (OT).

We would love to hear from professionals or anyone with experience in pediatric PT and OT about the pain points, frustrations, or gaps you've noticed with current therapy devices. Your insights will directly impact and shape the direction of our project!

Feel free to share your thoughts, experiences, or observations! Your input would be incredibly valuable and much appreciated. Thank you in advance for your help!