Need to think on a better reply here, but my 2:52 am thought is that it’s critical to understand ‘bucket the patient places themselves into’ - Skiers/Active folks are often written off as malingering or needy as the 80/20 rule says most just get better.... massive confirmation bias in that narrative as many patients have no complaints after injury / surgery as they tend to be on the more sedentary side of the curve. If your mobility requirements are to get to the bathroom & shop once per week, ya tend not to drive a lot of inflammation or confront range restrictions - and that’s ok if the client chooses this. We also need to provide the road map for individuals who want to boot up on the access road, hike 1/4 mile & ski all day.
My PT's demeanor on Tuesday seemed to shift when she asked if I had competitive goals for lifting, and I said I would like to compete next year. It seemed like it was some sort of branch in a decision tree on how to approach my issue. I'm not sure I like that, and maybe I read the situation incorrectly, but it seemed to inform her approach.