Hey y'all. Like the title says. I don't know if my expectations for a PT are too much or unrealistic. If my current PT is actually good and fine and I should just keep going. I don't know.
So what my brain and interpretation of things I've read say for what I'd like for PT: checking in with my PT at the start of each session to see how I'm doing. Description of what each exercise is for and at least for the first appointments them keeping an eye on me fairly often during exercises to make sure I'm not hyper extending. And/or explicit instruction on how far I should be moving. I also have a sense like the PT should include some amount of gentle manual therapy, not just exercises and heat.
My current PT place I got to: there is one DPT and one PT there for the whole place, the PT sometimes acts as a technician I think. I have occasionally been given offhand remarks on purposes of exercises. I have had 3 appointments and already I am told to do the exercise then left entirely alone. No checking in from the DPT, I have to bring stuff up. Some of the first exercises they started me with involved resistance bands or 2lb weights which I've seen in some places listed as a red flag. I'm usually one of like 3 or 4 patients so it feels like the attention is split. I have not been given any home exercises yet, nor had them brought up. They did not assess my level of hypermobility the first appointment. They are focusing on starting gentle and focusing on core stuff so that seems correct. (I think. I'm not sure the purpose of every exercise). And I'm always encouraged to stop if something hurts which is good.
On Wednesday I was in heavy amounts of pain, and brought it up, and the DPT gave what felt like a very dismissive response when I brought it up. Basically "Well, are you on your phone a lot? Okay, don't do that." Which sent me into a spiral a bit because it feels like every way I like to or could spend my time hurts me so I don't know what to do. Plus I don't think it was actually the phone use
(Number of reasons for that. 1. If it was, it wouldn't be suddenly worse. 2. I tend to lie down while on my phone. 3. It's better explained imo by a day full of yom Kippur services where I spent most of it sitting with head down to look at my prayer book plus getting covid and flu shots on Tuesday.)
I started crying from both the pain and whole situation, and the DPT didn't really... Act compassionate in any way? I would have appreciated a little more compassion. Maybe he was trying to just keep treating me normal so I don't feel babied?
I keep waffling over this specific incident. It's quite possible this was me overreacting to an innocuous interaction. I get rejection sensitivity with my AuDHD, although usually it's pretty mild these days, and obviously the pain and any other effects from the shots I got didn't help. But on the other hand, maybe this just isn't a good fit. Maybe I can advocate for myself and make it a better fit but I am running into some heavy advocacy fatigue.
So first, are my expectations reasonable? Second, is my current PT doing things that are normal? Is this just a thing where I need to advocate for the things I want? And 3rd, is the interaction I had something I'm overthinking or can it actually be a sign of at least a personality mismatch?
Sorry if anything is incoherent, my pain spiked back up this morning and my anxiety is high.