So this is what a Goblin Shark actually looks like…

I have had physical therapy ELIMINATE the following medical and pain problems, solely or in large part:

Lower back pain so severe I could at first not even walk to the bathroom (sciatic)

Foot pain whenever I walked (plantar fasciitis)

Three years of a fucked up ankle that was at times seriously impacting me

Pain when typing (carpal tunnel), at least twice

Widespread nerve damage that caused massive chronic pain and left me housebound for two years

The physical pain/fatigue/other results caused by having to recover from that kind level of pain and inactivity (cough being housebound) for so long

I try not to talk too much about my health on here, for a variety of reasons, but I am being newly reminded of how much basically every single person with chronic pain should be referred to physical therapy imho

If literally nothing else, because being in that much pain for that long causes a lot of inflammation and makes your body get stuck bracing and moving in ways that ALSO cause chronic pain, so that has to be addressed too.

If you don't have access to physical therapy, there are some really good resources, exercises, and videos online that can at least get you started (but be cautious if you can't get assessed in person), but I'm not qualified to vet or recommend any of those.

But if any of this sounds like it might help you, and you can go to physical therapy, please go to physical therapy.

The issue is not that healthcare providers are not referring (at least not in North America) - the issue is access.

Unless you have private insurance, even in places like Canada with universal healthcare, physio is for some unexplainable reason, often not covered.

And unfortunately, physio is expensive. This is very much a system problem - and not a problem with the individual healthcare providers themselves or the medical field (because I will reiterate again; physio is first line treatment in virtually all major medical guidelines - I would know, I’ve read them!)

Every time we hear that a patient can’t afford physio we die a little inside because we know how effective it is.

Executive dysfunction comes from a lack of available dopamine. Common advice is wrong. You need to provide your own dopamine before you can start. Otherwise you're trying to run your car on empty.

"But what if I still don't do it" well you already weren't getting it done anyway. Now you have a little treat. Try again later.

You deserve kindness and care even when you aren't being productive.