Rachel Grims, SPT

University of Southern California Doctor of Physical Therapy 2015 candidate and Colorado State University alumni, Class of 2011. Fight on!

[Rachel Grims, SPT @R_Grims]

@pemuhn tell more?

[Rachel Grims, SPT @R_Grims]

@pemuhn None at all. I suspect chronic pain. She told me today there was some abuse in her past and she has a history of low back pain.

[Rachel Grims, SPT @R_Grims]

@AlineH_SPT I'll ask her some questions about that next time I see her.... She is a newly wed!

[Rachel Grims, SPT @R_Grims]

@ShauntiKazemi @AlineH_SPT R SIJ is hypomobile and she is definitely sore with sacral mobs but I think hip is primary at this point

[Rachel Grims, SPT @R_Grims]

@AlineH_SPT hard to talk about pelvic and reproductive health in a sports clinic without private tx rooms!

[Rachel Grims, SPT @R_Grims]

@AlineH_SPT SIJ cluster reproduced R hip pain for everything. Hip flexors definitely a problem. Pain is post hip & groin.

[Rachel Grims, SPT @R_Grims]

@dangnhih R side is definitely more restricted than L. Unfortunately she was 15 min late so I didn't get to measure everything I wanted!

[Rachel Grims, SPT @R_Grims]

@R_Grims Also, tx help?

[Rachel Grims, SPT @R_Grims]

22 y/o female w/ severe hip pain inc w/ distraction and all mvmts of B hips, L/S, SIJ. Worse WBing. X-ray and MRI show nada. Diff dx help?

[Rachel Grims, SPT @R_Grims]

MD called to ask why I thought pt needed L/S MRI and actually listened to my red flag concerns! #interprofessionalcommunication

[Rachel Grims, SPT @R_Grims]

@corbskinner Just blood work. Nothing showed up so they referred her to a rheumatologist.

[Rachel Grims, SPT @R_Grims]

Ant knee pn pt w/ sudden swelling, B shldr, elbow, wrist, toe, and ankle pn. Went to ER; tests were inconclusive. Differential dx help?

[Rachel Grims, SPT @R_Grims]

856 y/o w/ severe psycho-social distress missed last 2 tx sessions. I'm worried. Other than referring to psych and calling what can I do?

[Rachel Grims, SPT @R_Grims]

@KevinBoise1 Dr. Lee had 90's alt rock, Dr. Merritt was more of a Beatles and Zeppelin fan. Both were so great!

[Rachel Grims, SPT @R_Grims]

How do you manage a pt who doesn't prioritize self-care? 30 y/o F w/ B knee pain comes 1-2x/ week and doesn't exercise outside of PT.

[Rachel Grims, SPT @R_Grims]

I got to watch 2 TKAs and an anterior approach THA, all before lunchtime. Loving my experience at Glendale Adventist Medical Center!

[Rachel Grims, SPT @R_Grims]

@MelissaDeweySPT Depends on the pt. Sometimes connecting socially helps pts stay motivated to improve exercise tolerance.

[Rachel Grims, SPT @R_Grims]

@kirbachSPT @Kmaynes90 I want to say LBP with radiating pain? tough to remember - he's been doing aquatic therapy since initial eval.

[Rachel Grims, SPT @R_Grims]

Tough time getting pt w/ LBP >30 yrs & multiple comorbidities to buy in that PT can help. She seems to just want STM. Any ideas?

[Rachel Grims, SPT @R_Grims]

@cmaguire7 Figure out which dx is more problematic for the patient and prioritize exam and tx from there. You can always keep evaluating!