Episode 5: The Sugars and You Got Me All Twisted

Hey, guys, it’s Andrew Dombek from “The Any Day Happenings of a Physical Therapist,” and this is episode five. Today, what I’m gonna to talk about is a recent doctor visit and a question I had from one of my clients this week. First thing is, I went and got my physical last week. I just turned 41, and they sent me some blood work back, and they…some of the response, and this is why I think you should always kind of ask questions and question your doctors. Just because they have an MD after their name doesn’t necessarily mean that they know everything. So anyways, I get some blood work back, and I get an email, and I don’t know if this was a canned response or they actually specifically typed this, but it says, “Oh, well, your blood sugar level is bordering high and what you need to do is lose 10 pounds and exercise more.”

And I look at that and I question that. I’m six feet, I weigh 175 pounds, I run at least twice a week, go to the gym twice a week, I’m starting yoga today, and I’m a physical therapist, I don’t sit around much. So, I don’t know how much more active I can be and I definitely don’t have 10 more pounds to lose. So, I asked to my doctor, “Why would you send that to me and how is that helpful?” Moving on, I had a new client, a return client, come in today or this week, and he asked me, you know, he’s been suffering from mid-back thoracic pain for the last six months.

He went to his doctor, he told him about the pain, the doctor sent him to their in-house physical therapist, and they did a little bit of dry-needling, but, you know, the pain went away, but not really. It was bothering him when he was sleeping and he was having trouble sitting all day. Mark is an active guy. I’ve known him and his family for a couple years. He’s probably in his late 40s or early 50s. And so, one of the things I said is, “How do you sit? How is your desk set up?” And he said, “Well, why do you ask?” I said, “Well, your posture is in relationship to the way you hold yourself on a daily basis. And if you are sitting improperly, your body’s gonna adjust to the way it holds itself on a daily basis.”

So, he goes, “Oh, that’s interesting that you say that. I have a dual monitor screen, and one of the screens is off to the left, and I kind of tilt my body to the left.” And I said, “Well, where’s your pain?” He goes, “Oh, on the left side,” and I said, “Well, let’s take a look.” I have him stand up, and we look at his posture, and I showed him, and he goes, “Oh my god, I can see it. My right hand is more forward than my left hand.” I said, “Yeah, your body’s accommodated to allow it to hold itself in that, you know, trunk rotation to the left position. And, why your back is having problems is because it’s in a shortened position to the left, and then when you try and lay down or do something else, it’s in a constant state of stretch, going back the other way.”

His trunk rotation was far better going to the left than it was going to the right, so his… Once I pointed this out to him, he was like, “Man, you know, the other physical therapists didn’t even look at that.” And I said, “That’s why AID Performance Physical Therapy is better than the rest of the clinics is because we take the time to not only treat your symptoms, but fix the cause of the problem.” So, that’s the end of this episode of “The Any Day Happenings of a Physical Therapist.” I’m glad you could join me. I look forward to seeing you in the near future. Continue to follow me on Facebook and on Twitter, at www.aidppt.com. This is Andrew Dombek. Boom!

Andrew Dombek, PT, MSPT, CMTPT, CGFI

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