AMA, I'll try to answer all questions.
Disclaimer: My advice or education does not trump the medical advice or orders from your medical doctor or treating physical therapy team.
DOI/PMID/ISBN: https://doi.org/10.1016/j.chest.2021.07.010
https://imgur.com/a/130OB6M
Pink space traveling puff ball in claymore form. Claymore Kirby!
1 for $4, 2 for $7, or 3 for $9. Additional stickers $3 each.
100 available
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Need some advice on what's next. Waiting for the settlement offer letter. Should I pursue a lawsuit?
36 YO female here. 5’3” 115lbs
I used to run 5K’s every weekend (over 5 years ago) until I started getting knee pain. I was told it was ITBS- it’s not. I’ve done more physical therapy than I can count, tried gabapentin and a cortisone shot. I got an MRI that showed nothing. Now I can walk maybe a mile before the pain sets in. I have a handicap tag because some days I can’t even finish grocery shopping.
On top of that I have hip, buttocks, and severe leg pain from my hips to my ankles. It feels like a burning sensation. Symptoms are similar to restless legs but it’s constant and I don’t have the urge to move.
R/O Dx are fibromyalgia, rheumatoid arthritis, Ehlers-Danlos syndrome, and Lyme disease.
What I have been Dx with are muscle-skeletal issues:
11mm leg length discrepancy
Anterior pelvic tilt
Hyper mobility in lumbar spine and knees
Scoliosis
Right knee rotation
Tight psoas muscle
Tight glutes
Tight low back muscles
Hyperlordosis (lumbar lordosis)
But these Dx don’t really give me an explanation and the treatments haven’t worked.
Recently I’ve tried 10 weeks of physical therapy and myofascial release (Airrosti), acupuncture, and yoga- no change.
I’ve seen 8 doctors and have no answers.
I’m about 3 1/2 months post op after I broke my distal fibula and tore all my ligaments in left ankle. Some days aren’t terrible, but I definitely hurt after I have a more active day like cleaning, grocery store, walking up & down apartment stairs, etc. I just can’t wait to feel semi normal again, be able to run if I want, do whatever I want without worrying about being in pain later. I find myself avoiding social activities altogether sometimes because of it.
Can I get some hope and hear about when you finally felt okay again after breaking a lower extremity?
I see many residents and attendings at my hospital routinely order lower extremity doppler US for any patient admitted for a PE. This rarely affects management and seems like a waste of resources. The only situations where I really see it changing management are as follows:
- The patient has a possible contraindication to anticoagulation (bleeding, downtrending platelets) so if there is DVT, you might place IVC filter
- The patient has an asymptomatic subsegmental PE, so if there is no DVT, you might not anticoagulate them
Am I missing something: is there some benefit outside the situations above? And are there any society guidelines/recommendations on when to get the leg ultrasounds after diagnosing a PE? I've searched a bit but couldn't find.
pmj.bmj.com/content/early/2021/03/31/postgradmedj-2020-139033.long [2021, N=50, seemingly < day, seemingly untrained men]
Abstract
>Introduction: The question of whether sexual intercourse can harm athletic performance is a long-debated topic since first sport competitions were invented. Therefore, due to the lack of solid evidence, we aimed to evaluate the effects of sexual intercourse on muscle training performance.
>
>Materials and methods: Physically and sexually active, 50 men (age=29.3±1.14 years) were enrolled in the study. Participants completed three weight training sessions and all sessions were at the same time of the day. The maximum weight was adjusted in the first session. In the second and third sessions, they performed five repetitions of the squat with their maximum weight for each set with a total of five sets after participating in and abstaining from sexual intercourse the night before, respectively. The duration of sexual intercourse was measured with a stopwatch.
>
>Results: The mean duration of sex was measured to be 13.8±3.61 min. Furthermore, the mean lifted weight before sex was calculated to be 109.4±11.41 kg and the mean lifted weight after sex was calculated to be 107±11.05 kg. According to obtained data, sexual intercourse has a significant detrimental effect on maximum weight in squat training (p=0001).
>
>Conclusion: Results demonstrate that sexual intercourse within 24 hours before exercise have detrimental effect on lower extremity muscle force, which suggests that restricting sexual activity before a short-term activity may be necessary.
>
>Keywords: sexual dysfunction; sexual medicine; sports medicine.
What is the physiology/physics behind this?
I understand the importance of measuring BPs in both upper and lower extremities, but why do we need to have the patient flip over in order to do that?
This is a recommendation from the 2008 ACC/AHA Guidelines for the Management of Adults With Congenital Heart Disease.
Source: https://www.wikidoc.org/index.php/Aortic_coarctation_physical_examination
I am on my third month of HRT. Though I didn't notice any major remarkable changes, I feel so weak on my hips and legs. My hips always pains and when I go for my jogging, it hurts a lot.
Is it normal while on HRT?
Love Manusha
Rivaroxaban is the first and only therapy indicated for both coronary artery disease and peripheral artery disease.
★ ISO snowboard boots that work well for riders with:
- ➜ foot neuropathy or neuropathy in their lower extremities
- ➜ circulation issues or vascular complications
- ➜ nerve damage in their feet or lower extremities
- ➜ personal history of traumatic injury of lower extremities
★ A quick summary of my riding profile:
- ➜ age: 24
- ➜ height: 5’7
- ➜ gender: female
- ➜ shoe size: women’s 8.5 (U.S.)
- ➜ dominant stance: regular
➪ also ride switch about 25% of time
- ➜ board setup:
- ➪ primary board: 2019 GNU Klassy women’s 155
- ➪ bindings: 2016 Burton Scribes women size L (U.S.)
- ➪ second board: 2012 GNU Velvet Gru 148 used for
- ▸ park
- ▸ jibbing
- ▸ buttering
- ▸ icy conditions
- ➜ I work as a snowboard instructor at Mt. Baker
- ➪ I’ve worked there for over 5 seasons now
- ➜ Ive been riding for almost 14 years
- ➪ since I was 11
- ➪ i predominantly ride blue runs and half pipes and love to jib
I have severe neuropathy and nerve pain throughout my entire right side of my lower extremities from hips down to my foot and the bottom of toes. I have complex regional pain syndrome (CRPS) and have full body nerve damage due to an accident which are what caused the neuropathy and nerve pain; my right leg was the location that has the most concentration of nerve damage in comparison to my left leg and upper extremities.
I also have extremely flat feet, which i believes leads to there being more pressure put on my toes when riding due to the lack of arch my feet have that help distribute pressure throughout the feet and toes.
I have switched out several different types and pairs of snowboarding boots hoping that I would get lucky and find a pair that is reliable and doesn’t cause pain that exceeds 5 or 6 on a zero to ten pain rating scale, and that I can get on and off without significant trouble.
The boots that I have had and used for an extended amount of time are:
- Vans Aura boa
- Salomon Ivy boots 2016 (size 8.5)
- Salomon Ivy boots 2018 (size 8)
- burton mint boots boa
- burton limelight boa boots (2019) current boot
The Salomon Ivy 2016 boots are my favorite pair of boots that Ive had. The reason why I had to switch out of them is due to the drawstring tightening system string broke off, and I wasn’t able to tighten the outer left and right sides of the boot leaving me with just the boa system to tighten my boots with, which was an unbalanced distribution of pressure which then d
... keep reading on reddit ➡