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Diagnosing Spinal Source of Extremity Pain: Subjective Exam with Nick Rainey
Extremity pain, which refers to pain or discomfort in the arms or legs, can have various causes, including issues originating from the spine. The spine plays a crucial role in transmitting signals between the brain and the rest of the body, so problems in the spinal column can lead to extremity pain.
#extremity pain causes#spinal pain assessment#spine-related pain examination#extremity pain#spinal source#subjective exam#Nick Rainey#pain assessment#spine-related pain#pain evaluation#arms and legs#spinal pain#pain diagnosis#physical therapy#therapy content#expert interviews#physical therapist tips#practice improvement#patient care#healthcare insights#Youtube
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Had to leave school early again because the pain was making me nauseous, and I couldn't focus, and I was struggling to stand for more than like 30 seconds. I hate this. I missed a cool assembly because of this. I missed my favorite class because of this. I'm so tired.
#and no doctors believe me#or they just blame it on my arthritis#which has been in remission for OVER 4 YEARS#like jesus fuck its not that hard to evaluate me and figure it out#my rheumatologist wont even put fibromyalgia on my chart but keeps increased BMI on there#chronic illness#chronic disability#chronicpain#chronic disease#chronically ill#disabled#other chronic illness bs#disablity#fibromyalgia#undiagnosed chronic illness#chronic disorder#chronic fatigue#chronic pain#undiagnosed chronic pain#joint pain#physical disability#invisible disability#disability#physically disabled#cpunk#cripple life#cripple problems#crip punk#cripple punk#angry cripple
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My week has finished out with more just bleh feelings about training. Just a pity party down below so nothing important
I am stopping doing any training on retrieves with Ryker. I will give him a month or so off and see if I can start it again after, if not maybe it will have to wait until he gets out of adolescence. He shuts down the moment I grab the dumbbell or the PVC I had been using, or if I say "take it".
He is really really handler sensitive. Which is a bit surprising and I am really going to have to learn to adapt. Aayla is a little handler sensitive, but not like this. It makes things so frustrating and then I spiral down and things are just hard.
I think this is getting compounded by the fact that I'm seriously debating retired Aayla from obedience. Her avoidance to sitting at the last trial just has me worried about her hips. She DOES do no-sits when feeling stressed or there is too much pressure. Which the judges were doing a lot of pressure during the whole weekend. Yet the amount she was refusing to sit was embarrassing and has me worried its physical pain versus stress.
We got 0 utility Qs and therefore 0 UDX legs and her two qualifying open runs had such poor scores she got 0 OM points. The whole weekend did not progress her to those titles I want her to have...and I would like to retired her from AKC sooner than later. Maybe I should just give up. Getting her UD was amazing and she has had fantastic runs, but I am not going to trial her for two more years to get those titles.
I also decided Aayla will not do anymore agility. I had thought maybe the ASCA senior ACE program would be okay, but if she is struggling in obedience there is no way I'm making her do any agility.
I always thought I would go back to AKC rally after I stopped having her jump 20" for obedience but if sitting is bothering her than rally isn't fair for her to do either. That's a lot more sitting.
She isn't ready to retire from training or sports, I know it. She is getting upset more and more if I don't work her when I'm working Ryker but I'm getting to this point of what can I have her do that isn't asking her to do things that possibly hurt? Do I work her because it makes her happy and accept if she says no? Will she say no? I doubt it, unless it really hurts.
I'm going to be taking her into the vet within the next few weeks, might get some hip x-rays and ask about adequan and anything else we can maybe do.
I hate this. So much. It's breaking my heart. I worry that her body is going to give out on her long before her mind is.
#keep in mind that aayla is happy and mostly fine#she isn't limping#she isn't acting like its painful for most people to tell#I can tell she is moving a bit stiffer and a little different#and she is refusing to sit#yet she hikes and plays and demands to play tug and harasses rebel daily#i'm just weighing my ethics of training and trialing in sports#she wants to work#she wants to train#also ryker is just being a teenager#he has had some brilliant moments this week#yet I also worry about his hind end#so he also needs to get into the vet for an evaluation
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they really did this to me huh
#rays spoilers#rays talk#all my screaming about the epilogue on live went to a chat with v so i never really posted about it on here#(i also didn't want to spoil anything)#but MAN#julius referencing his lv10 trust skit#knowing he was at the verge of death since before canon starts#(you can see him clutching the wrist of the catalyzed hand while ludger's being evaluated in an uncomfortable/pain gesture)#elle saying what she does#and how we know victor and ludger being able to be alive at the same time#is the one thing that'd not happen in the canon not even in a million years#and ludger who (as i interpreted it at least but i could be wrong)#is reassuring elle but at the same time worrying that he didn't know about julius' and everyone's suffering#the way he words it reminds me of both victor's entry in the short story (「世界の真実」)#and the bad end summary saying he never knew how much julius went through for him (「ずっと俺のために傷ついていたユリウス」 vs rays' 「兄さんたちの苦しみを……」)#alt milla and victor don't speak but#man everyone in this screenshot fucking dies#how am i going to send any of them back#x2 talk
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hey in case anyone needs this:
your pain doesn't have to be at high levels constantly to be valid. Chronic pain is classified as "pain lasting over three months." I don't fully agree with this definition, but it supports the fact that your pain doesn't always have to be super bad to be chronic!!!
Any level of pain, if long-term, is considered chronic pain!!! For example, I have chronic pain, but most days it's at like a 1-3 when sitting or laying down and not moving my joints, and like a 3-5 when standing or walking!! You don't always have to be in like level 7-10 pain for your pain to be valid!!!
Obviously, I'm not trying to say that people who are always in extremely high levels of pain aren't valid, or that they don't need support. I'm just saying that it's ok to not be in super high levels of pain constantly and that it doesn't mean you aren't 'disabled enough'!!
this post is about physical disability, please don't derail it
#also like please don't attack me or whatever with like#some bs like “you always have to be in insane levels of pain to be disabled!!11!!!”#like literally shut the fuck up#you don't have to meet certain criteria to consider yourself disabled???#if you feel like you have something that is#in fact#disabling#then you can fucking call yourself disabled#also like before you come for my fuckin ass about this i'm literally disabled#and am diagnosed with a physical disability#i'm also being evaluated for a chronic illness that i meet diagnostic criteria for so#like i'm literally disabled by definition so i think i get to fucking speak on it#actually disabled#physical disability#hypermobile spectrum disorder#probably heds#heds#cripple punk#cpunk#c punk#chronic pain#joint pain
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ewewewewewewewew
i hate
i h a t e
h a t i n g
falls over and ies
#lemonsrandomshit#long story short shark week started for me#I'm not evaluating what that is if you don't know what I'm talking about#and no I didn't pack shit for this cause I'm a dumbass#so I'm just stuck with painful ass cramps#FIR A WEEK SAAAZWZKSJQJSJJJSWJXJ
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i love how my hands get more painful and less functional every day and when i told my doctor about it she was just like "well it's not either kind of arthritis and it doesn't sound like carpal tunnel to me (????) so i can't do anything for you" basically telling me to suck it up and use a wrist brace or whatever lmao
#txt#she didn't evaluate for carpal tunnel mind you she just based this entirely off my description of pain
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#scared to go to a new doc bc i need a referral to a rheumatologist for several reasons most of all bc im scared they wont take me seriously#last time i went to a rheumatologist the verdict was that i probably have 'light rheumatoid arthritis connected to psoriasis'#and that its too early for meds#thing is some symptoms dont match up with that and im in so much pain and the fatigue has become a real issue#the diagnosis is 3 years old now and i rly should go back to a diff doc to get re-evaluated bc i cant manage life like this#but its hard getting taken seriously when ure young and a woman#im feeling humiliated and i havent even called the docs office yet lol#i hate this
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Getting an autism eval. I'll let yall know how that goes sometime.
#personal#autism evaluation#audhd#recently was diagnosed w adhd and yeah#it just explains alot of my brain patterns and like#the way i didn't understand social cues and behaviors esp. on the Internet#ya#but ive basically self diagnosed myself bc i literally keep going back to being high support needs#it's just all conibg back bc im burnt out and cant function by masking anymore all day#always thought i was too high functioning but that shit was just covered up bt depression and extreme trauma and shit too#anyway#and they dont understand women's autism#they really don't#but the difference is that i don't have malintent and i just genuinely feel such strong emotions esp. in this world#and people don't understand that not everyone who looks “normal” is normal#i even have chronic pain bedridden pain#but you'd never see it unless you see my braces or are at my house#update in Dec!
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in retrospect it was kinda funny that when i called student healthcare yesterday the nurse got upset with me for not knowing how to describe the pain/discomfort of my fucked up ankle after i had already disclosed my eating disorder history to her. like that should be an explanation enough to why i am not necessarily in tune with bodily sensations.
#after pusing through pain and hunger for years do you think i know how my ankle feels in rest#she booked me a physiotherapist and no doctor evaluation/imaging... so i'm just going to pay that out of pocket. i think.
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this is actually the most stupid as fuck intentional misconstruction of how anything in the world works if you make a post like this i genuinely just assume you're getting paid by animal ag to do their propaganda for them
#even if this were true like lers evaluate why 'kill some animals' is just fine and whatever to you. and not like they feel pain and suffer#in evil conditions on a genuinely staggering scale BILLIONS every year. like how can you not care a little
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thinking about how I want to move out of my parents' house so I can have more space for myself and my life instead of having an entire adult life crammed into a room that's smaller than a full size walk in closet
also thinking about all the things I need help with and can't do by myself, therefore can't live independently, but can't get a roommate because I can't male friends and Do Not trust or feel comfy with strangers. and also can't afford hired help even if I could afford to give out
#THIS POST IS BROUGHT TO YOU BY Realizing that if i lived alone i wouldnt be able to open some foods like jars or bottles because hands#DONT WORK RIGHT and refuse to be hands. and then i started thinking about everything i struggle with in general 😭#disabled adult#disablity#disabled#autistic#autism#actually autistic#adhd#audhd#neurodivergent#chronic pain#im suspecting heds. does that affect your ability to hands lmao. like fine motor skills and grip? and very shaky. because my hands are bad#i wish i could find a specialist or at least any doctor that could evaluate me properly. my last doctor did not it seems
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i love posting about a show that none of u followed me for, for a solid month. i am going to complain about things that you have no context for and that's just the way it has to be. anyway. I love the dynamics in 3zun and im obsessed with the Vibes but trying to find good Content for them is fucking impossible if you happen to actually like nie mingjue 💀 based on the vibes you get about jgy and nmj from ao3 and fans on this website you would nEVER guess which one tortured and murdered the other LMAO
#bitch i swear. none of these 3zun writers actually even like him#it's really weird! like they genuinely hate the guy. why is he here in the fic and the relationship then!!#it literally seems like the only reason it's tagged as 3zun and not as xiyao is because they want nmj there to bash him. it's insane#jgy pulled the equivalent of switching out nmjs IV bag and filling it with poison for months until his brain actually exploded.#obv i LOVE that kind of relationship#aljfljkdas the succession line of Hey Do You Really Want To Do A Full Accounting Of All The Pain In Our Relationship? line comes to mind#when im reading these fics. god bless#nmj: i am sorry for not taking class into account when evaluating your daily life and for kicking you down those stairs.#jgy: i am sorry for killing several of your disciples in cold blood; torturing you; and murdering you horrifically in front of your brother#like. guys#what are we doing here DLKJDSKJGHKSDLF
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I keep thinking about going on T again. I don't have debilitating dysphoria anymore so it's not really needed as in being the thing keeping me alive. But it would be nice to get some of the deeper notes of my voice back and more hair
#It's not a major pain in the ass to get evaluated. I already gave consent so I think it should be good#it's just whether or not the doctor I saw has availability and whether or not she's been kicked out of another clinic
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really love how the sterek fandom collectively ignored dob’s latest movie roles like yeah we should always do thag unless his role is like gay twink prey
#txt#like the rate of dob getting roles that exude toxic masculinity misogynistic probably racist and would#most likely call me his exotic asian babygirl is alarming . he needs to stop and evaluate#every clip i see of him in ponyboi i immediately ignore#like god bless. i know what ponyboi is trying to do and good for them but not good for me it pains me to see dob like that#like his fucking fake tattoos in not okay and pb.. girl please jusy kill me at this point. please
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Tbh Dana kind of reminds me of Daisy from the great gatsby, If that makes any sense?? I just get strong vibes of immaturity and not really understanding/not caring about the consequences of what she does from her at times.
okay i apologise in forward but you've reawakened my daisy enjoyer status from highschool fjdhsjkfhdskj i see the comparison and agree that there's some similarities especially when it comes to the waif like immaturity, but I have personally always read Daisy in actuality as someone who, for all that she sincerely grieves what she lost with Gatsby, knows that ultimately that despite any unhappiness with Tom, she was never going to abandon the place she's accepted.
To me that's always what her little line about her daughter ("I hope she'll be a fool—that's the best thing a girl can be in this world, a beautiful little fool.") was about. It doesn't matter how hard Daisy cries over Gatsby's shirts, how conflicted she feels, how much she still cares for him, ultimately she's accepted her place within the world and ultimately she wasn't ever going to abandon that.
There's a level of immaturity - as well as heartache - in never really communicating this to Gatsby (though considering he's wooing a visage of a woman long changed and with a version of himself that is itself constructed, who even knows how successful she would've been), but I interpret Daisy's choice as hinging upon the fact she intimately understood the ultimate consequence of her actions, of abandoning her husband.
Dana on the other hand seems utterly unable/unwilling to interogate the nature of her own actions for what they are. She sincerely seems to believe she dislikes active conflict, and this extends into lying to herself about just how far she goes to hurt Miguel over slights (hanging out with the guy that Miguel confided in her drugged him with an incurable addiction, purely because she's upset he hasn't been home enough). Dana seems to me more like someone who follows the whim of her own desires/impulses without consideration for the harm she stands to inflict upon on others. The way she speaks in the aftermath of cheating conversation to Gabriel is also just. bizarrely self-centered when it doesn't verge on martyrdom (I hate conflict, I just want people to be happy, hate me FOREVER if you need to but don't throw away your relationship with miguel).
#WOW i am sorry for great gatsby meta in all of this fksdjhfjkhsdjk i just genuinely still fucking love that book and loved it as a kid too#ask games#theres an entirely different problem writing wise where the writing just. doesnt bother to dig into how dana can go to/justify to herself#WILDLY opposing beliefs/stances and i don't think that is at all a problem for daisy. but thats more of a writing thing fkjhsjk and im#trying to evaluate them as characters here#i havent read gatsby in a HOT minute so if im misremembering/forgetting anything pls @ me haha#long post#augh. daisy wanting her daughter to be a little fool because she knows how much pain there is in accepting this place in the world#and wanting more anyways.
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