Domain: tiger-web1.srvr.media3.us User Profile: PrezCock | TigerDroppings.com
Favorite team:South Carolina 
Location:Florida
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Number of Posts:909
Registered on:9/15/2019
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re: broken rib

Posted by PrezCock on 3/2/26 at 7:34 am to
A couple of things.

Get it checked out. An X-ray at the very least. It might be out of place and have to be set. You don't want it healing improperly.

Bones take about 6 weeks to heal.

quote:

after looking online it seems ribs heal quickly

Ribs actually take a long time to heal back to 100%. It'll be a nagging injury for awhile if it is broken. I've maybe come across a couple of people who have had quick recoveries from a broken rib. The majority of the time it'll seem like it takes forever to heal.

Hope this helps
I agree, I used to work for an Ortho. Great dude, great surgeon. It's definitely a competitive field.
quote:

Why don’t you go into medicine? Way better pay-off and a much more rewarding career.


Funny enough, every time I had someone shadowing me for hours needed to apply to PT school I would spend those hours telling them to skip PT school and go to Med School. I used to say, go be a Physiatrist. They know all the same stuff PTs do and have much better and can do much more than we can.

I'm done with healthcare. I feel my life being sucked away from spending all my days inside.
quote:


Yeah I’ve heard that the PT mills are pretty bad. DPTs are getting pumped out every year with six-figures worth of debt yet have starting salaries in the $70,000 to $80,000 range.



That's one of my major arguments. When I first went to college back in '97 a PT degree was only a B.S. Which I think is fair. They've tried to make the profession "autonomous" by pushing it to a Masters then DPT. Which is understandable. But all that did was increase the amount of debt new grads take on without really expanding the profession. Since compensation never increased it's just placing new grads into indentured servitude.

I've been a PT for about 10 years now and I'm finally out of debt. I'm not happy with the state of the profession and just burned out. Still somewhat young (mid 40s) so I'm going to make a career change.

In the meantime I get more joy from my profession doing anonymous recommendations on this board than I do actually practicing.

re: Thoughts on Civ 6 and 7

Posted by PrezCock on 2/27/26 at 1:06 pm to
quote:

As a reality check, it must be multiple thousands (probably 3) combined for Civ I - IV, pre-Steam


Lol, same for me. I might be the minority here, but I think Civ 3 was the best. I still play it today.
quote:

Do you work in healthcare?


I'm actually a PT. But I'm very disenfranchised with the profession. There are a ton of good PTs out there, but the reimbursements reward the PT mills that choose volume over care.

Since I'm transitioning to a new career I'll happily give some advice to people who may have injuries.
A cortisone shot could do the trick. It's often times the Ortho's first line of attack.

quote:

physical therapy will only aggravate it more


I completely understand this. A PT's job should be knowing how far they can push you to rehab the tissue and not aggravate it. Unfortunately the profession is in a bad place right now. There are too many PT mills and PTs are forced to treat multiple people at once which decreases standard of care. My advice would be to find a good PT, it'll probably be cash pay, and have them evaluate you and give you a home exercise program.
There is a surgery for it, but conservative treatments usually do the trick. An Ortho will have you go to PT first.
Again, without an examination it is only a guess based on the information you gave.

Usual treatment would be strengthening the Quads and finding and fixing the muscle imbalances in your lower extremity. It's one of those things that I wouldn't be able to adequately give you advice without an examination to figure out those imbalances.

Rest and Ice will help with the inflammation, along with NSAIDs. Although I don't really like to use ice anymore for inflammation control except with acute injuries.
Hoffa's fat pad. Fatty tissue that acts as a shock absorber for your patella.
quote:

It’s in the patella


My best guess, without doing an examination, would be you are pinching the fat pad. It can be very painful and coincides with the location of the pain you are describing as well as only hurting on the concentric phase of your lift.

I would get it checked out. Most treatments will be strengthening your quads, as well as fixing muscle imbalances in your knees/hips.

Hope this helps.
quote:

The only real solution when it comes to PPS is to stop doing whatever the movement is that’s aggravating it. It’s basically a throw away diagnosis for when the doctors can’t find anything wrong with your knee.


Not an attack, but this is not true. PFPS is caused by inadequate patella tracking during movement. This is usually caused by a weak VMO. I say that because muscles (for the most part) do not get tight unless a muscle in that kinetic chain is weakened. Strengthening the VMO will help the patella tracking and relieve PFPS pain. Lengthening the Vastus Lateralis and Hamstrings will also help.

quote:

X-rays have showed that cartilage is still intact


X-rays do not show this. X-rays can show joint spacing and bone alignment/health. MRIs show soft tissue health.

quote:

I basically can’t do any kind of squat movement due to the amount pain my left knee is constantly in.


What is happening with your knee? Perhaps we can help you, or at least point you in the right direction. Being as specific as possible can help us help you better.

I hope this helps.
I'm sure the science behind it will be more psychological than physiological. Changing a person's diet is life changing. That is why most diets and fads usually fail. I used to tell people that if you eat healthy 90% of the time (and what I mean by that is 90% of caloric intake) then you are doing really good. Changing your diet so that it is 100% healthy is great, but many people would fall off the wagon. Cheat meals offer a person that chance to jump off the wagon for that 10%.
Thank you for the info. Get checked by a PT. It could be PPS or it could be a few other things. In the meantime, start strengthening your Vastus Medialis Oblique (VMO). Look up Terminal Knee Extensions (TKE). Start incorporating those into your training program. There's a little controversy about VMO strengthening exercises to fix PPS, but I've personally seen it work hundreds of times.

Hope this helps.
Where does your knee hurt, especially in relation to your patella? What movements cause it to hurt? Bending, straightening, pivoting, lateral movements. Does it hurt while squatting, going up or down the stairs?

These are the things that we need to know to offer any kind of advice.

re: workout bench - pad width?

Posted by PrezCock on 2/20/26 at 2:47 pm to
Get a day pass at a gym and try out different width benches for bench presses. It's going to be personal preference. In regards to what Lemmy said, I'm the opposite. I like a wider bench because it helps me keep my shoulder blades squozen (I know it isn't a word, but I've been using it forever for this very conversation) together better.

re: Full knee replacement

Posted by PrezCock on 2/12/26 at 7:02 am to
No worries. As I said, it's going to suck, a lot. But if you're at the point of needing it, you'll be happy you got it after it's done.

re: Full knee replacement

Posted by PrezCock on 2/12/26 at 6:44 am to
Here's what I wrote someone in another thread.

https://www.tigerdroppings.com/rant/health-fitness/knee-replacement-surgery/115952392/

"After you are discharged it'll be an average of 12 weeks of PT. The first week after your surgery you are going to feel like you made the worst mistake of your life. It's going to hurt like nothing you've ever known in your life (for the average person). After that first week it'll start feeling a little bit better and will exponentially get better after that. It will not feel like "your" knee until 12 months or so, but you will be able to do the things you normally do well before that. Three months after your surgery you'll be active. Playing golf, no problem walking, etc... At 6 months is when you'll probably be doing squats and deadlifts etc...

Do's:

Extension: It's going to hurt bad. I can't reiterate that enough. But suck it up and get as much ROM as fast as you can. Especially extension! Get full extension (being able to straighten out your leg completely). That is the most important thing for your everyday activities like walking.

Flexion: Really you're looking at trying to get at least 115 degrees. More is better, but 115 will let you accomplish pretty much whatever activity you want to do. Again, you will hate me for saying this, but suck it up. It's going to hurt.

Don'ts:

Don't be a bitch. Suck it up. Don't get pissed at your PT. Total Knees hurt bad. I don't envy what you are about to go through. And to be honest I've never gone through it. I've gone through some pretty painful surgeries/rehab myself, but not a TKA. Which, to be honest, is maybe one of the most painful and miserable rehabs for a patient. I've rehabbed a bunch and they all usually follow the same pattern.

Final Thoughts:

First 3 days after surgery you will want Full Extension and 90 degrees of Flexion. It takes 6 weeks, or so, for the bone to heal and that hardware to solidify.

Also, don't let this discourage you. If you are at the point where you are contemplating a TKA, then that means the pain and the arthritis in your knee is limiting you and your ability to live an active life. The consequences of not doing it will be much more detrimental to your health than the pain of rehab."

Good luck with everything. I hope that helps.

re: Forearm Training Methods

Posted by PrezCock on 2/11/26 at 1:33 pm to
quote:

farmers walks


Hex DB farmers walks while holding the top of the DB. Don't cheat and loop your fingers on the indented part where the numbers are.

Pinch Grip farmers walks. Holding 2 plates (weight is at your discretion) per hand.

Pull up variations. I always liked towel pull ups. Can do the same with rope. Even hangs for time will be good grip work.

Grabbing some fat grips for db/bb work is also another good way to train grip.

re: Nissan Titan Opinions

Posted by PrezCock on 2/7/26 at 8:35 am to
2015 Titan SV here, 140k miles.

So far it's been a solid truck. I have had a few issues. Replaced the starter, and my heater failed (seems this is a common problem with them, and I have weird electronic issues (volume on the radio changes by itself, display not working on the screen) these don't happen frequently, but they happen.

All in all, it's been very solid mechanically.