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Sandy Hilton

@sandyhiltonpt.bsky.social
2K followers 1.9K following 1.2K posts

Physical Therapist for the resolution of pain and restoring pelvic health Wanderer Mom Pain Geek Author Instructor In person in Portland OR (www.swphysicaltherapy.com)

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Sandy Hilton @sandyhiltonpt.bsky.social · 8h
Home and snuggling has commenced. 🐈‍⬛❤️🐈‍⬛ After a quick biscuit session…
Look at the claws! 
A black & white tuxedo cat curled on a white blanket with claws out mid-biscuit making.
Tail covering her eyes. 
Sleeping cat, curled up and purring.
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Sandy Hilton @sandyhiltonpt.bsky.social · 12/10/2026
It was fun being at IPPS and presenting. Now to go home and … Make bread Play with the cats Go for a walk in the woods And restart my blog on changing pain. It’s time to start writing again. Just for me this time, not to “market the clinic” or “get speaking gigs” For the joy of discovery!
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Apologies for no alt text on all these slides. I WILL be restarting my pain blog & these presentations will be the first posts.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
It makes sense to me they repeated pain monthly can sensitize the nervous system and organs. what if we reduce continued exposure that can occur w menstruation? Would love to have @kateclancy.bsky.social @drjengunter.bsky.social And the other brilliant folk who work in pelvic health thoughts!
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
It is so good to see a presentation on menstrual pain! It doesn’t have to hurt.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
ME/CFS and Long COVID are affected by concentration for long periods like people with concussions. It’s not just movement or exercise that burns through the tolerance.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Pts don’t prescribe meds, but we do hear all the patient feedback about how it’s going. #pelvicpain #MCAS
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Interesting changes in EDS and hyper mobility and MCAS
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Please! I joke about not leaving cause I’m not sure they’ll let me back in…
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Yeah! POTS MCAS ENDO LONG COVID All included in a presentation on pelvic pain.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Helena Frawley and team have done a great job changing the terminology for stiffness not tone, which matters when we talk about treatment. Overall, great to see some changes towards better, it will continue to evolve with feedback and use.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
I like the conceptual model and not so much that no pelvic physios were involved (they talk “high tone” pelvic muscles and that’s not correct…)
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
FIGO & IPPS developed a new classification system for conditions associated with chronic pelvic pain. obgyn.onlinelibrary.wiley.com/doi/epdf/10.... Pelvic pain is STILL too frequent, too slow to treatment, too slow to resolution and its excellent to see continued work towards better help.
obgyn.onlinelibrary.wiley.com
Developing the FIGO‐IPPS “R U MOVVING SOMe” classification system for female chronic pelvic pain
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/10/2026
Back at a conference for the 1st time since IASP 2024 & for someone who went to at least 2 a year prior to 2020 that’s a big step back to “conferencing”. I am already glad I’m here. @ipps isn’t on here, I’m gonna put things here anyway.
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Sandy Hilton @sandyhiltonpt.bsky.social · 18/09/2026
Self-care is part of a variety of options, not the only care. At least that’s how I understand health and health care, not abandoning people to just they can do for themselves. It’s good to have options at 2 am. As many as possible.
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Kevin M. Kruse @kevinmkruse.bsky.social · 06/08/2026
The president's authority as "commander in chief" refers to the military only. The president cannot use executive orders to expand the definition of who is eligible for birthright citizenship under the Fourteenth Amendment. The president's aide saying these things is a virulent white nationalist.
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Sandy Hilton @sandyhiltonpt.bsky.social · 29/07/2026
Nope! I know there are at least 3 of us around, never met any of them but I run across them online occasionally.
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Sandy Hilton @sandyhiltonpt.bsky.social · 28/07/2026
When vacation takes you near Seattle, a stop at @fridaytea.com is required (and thoroughly enjoyed)!
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Claire Willett @clairewillett.bsky.social · 03/07/2026
holy shit a convent got excommunicated for pledging allegiance to a sedevacantist bishop and were fully doing elder abuse behind closed doors this is very very dark but has really interesting implications for how the SSPX real estate battles may play out. the nuns were evicted after seceding
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Sandy Hilton @sandyhiltonpt.bsky.social · 02/07/2026
Came over here specifically to see what @clairewillett.bsky.social has to say. Lapsed Catholic for many reasons, some of whom just had their hero’s excommunicated.
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Sandy Hilton @sandyhiltonpt.bsky.social · 31/05/2026
I love the new morning routine 🐈‍⬛🐈‍⬛
A fuzzy black cat and a sleek black and white tuxedo cat are snuggled around each other between comforter and pillow and me.
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Sandy Hilton @sandyhiltonpt.bsky.social · 27/04/2026
Catted A purring snuggler on my lap A snoring dude against my shoulder. All together a nice end to the weekend.
A black and white tuxedo cat giving herself a bath while purring on a white blanket on my lap. An orange cat snoring on the back of a leather chair
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Sandy Hilton @sandyhiltonpt.bsky.social · 26/04/2026
It’s back! The best book club is back and we met today 🤓 A testament to the greatness of this group is how hopeful I feel after 2 hours delving into our cruelty-crafted immigration system. Good people are doing good things. We can each help, a little or a lot as we are able. @fridaytea.com
A book perched against a laptop screen: 
“Tell me how it ends: an essay in forty questions” by Valeria Luiselli
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Jonathan Howard @joho.bsky.social · 20/04/2026
Yep
sciencebasedmedicine.org
The We Want Them Infected Movement Isn’t Just for COVID Anymore
Our medical establishment’s claim that they want to save “core vaccines” by attacking other vaccines is like an arsonist claiming he wants to save your house by removing smoke detectors because
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Paul Eric @pauleric70.bsky.social · 13/04/2026
🇻🇦: Pope Leo XIV Will Be Addressing The Press Tomorrow Aboard The Papal Plane I expect him to respond to Trump’s attack and the blasphemous images he posted tonight. I imagine Catholics are NOT HAPPY
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Sandy Hilton @sandyhiltonpt.bsky.social · 13/04/2026
I have the pin on my jacket and forget it’s there until people stop me to say they love it 😂
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Mayor Zohran Kwame Mamdani @mayor.nyc.gov · 12/04/2026
I was elected as a democratic socialist, and will continue to govern as a democratic socialist. 100 days in — and we’re just getting started.
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Sandy Hilton @sandyhiltonpt.bsky.social · 11/04/2026
This is horrible. For the love of all things good we must end the building of new data centers and their use of fresh water.
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Friday Afternoon Tea @fridaytea.com · 09/04/2026
It's #ThirstyThursday, which means everything (yes, even top shelf single origin, book club boxes, etc) is 10% off at fridaytea.com through midnight PST! 🍵🛍️
Welcome back, Thirsty Thursday! 10% off everything at fridaytea.com with code "ThirstyThursday"
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Sandy Hilton @sandyhiltonpt.bsky.social · 06/04/2026
It’s a global issue.
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Megan Watzke @mwatzke.bsky.social · 04/04/2026
Astro book for kids (and adults): www.waterstones.com/book/why-spa...
waterstones.com
Why Space Will Freak You Out by Kimberly Arcand, Megan Watzke | Waterstones
Buy Why Space Will Freak You Out by Kimberly Arcand, Megan Watzke from Waterstones today! Click and Collect from your local Waterstones or get FREE UK delivery on orders over £25.
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Barred and Boujee aka Madiba Dennie @audrelawdamercy.blacksky.app · 05/04/2026
Thank you my friend 🙏🏾 bsky.app/profile/audr...
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Kate Clancy @kateclancy.bsky.social · 05/04/2026
My 2023 book PERIOD: The Real Story of Menstruation bookshop.org/p/books/peri... And my upcoming book PREGNANCY INTERRUPTED: The Science & Stories of How Pregnancies Really End, out August 25: bookshop.org/p/books/preg...
bookshop.org
Period: The Real Story of Menstruation
The Real Story of Menstruation
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Sandy Hilton @sandyhiltonpt.bsky.social · 05/04/2026
Mine is a self-help for pelvic pain. Extremely niche until it’s not! And I am horrid at promoting it. Treating pain doesn’t have to hurt: www.optp.com/products/sel...
optp.com
Self-Care for Pelvic Pain A Sensory Integration Toolkit | Sandra Hilton
A Sensory Integration Toolkit
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Erin Biba @erinbiba.bsky.social · 04/04/2026
In light of the conversation about how hard it is to promote your own book: Post a link to buy your book here and I’ll boost it cause you destroyed yourself to get it done, your publisher won’t help you sell it, and you deserve cheers and admiration for your accomplishment.
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Arctic Velocipedist @arcticvelocipedist.bsky.social · 31/03/2026
I stood on a wall created by monsters masquerading as men like Hegseth here, who is recreating the old USSR. That wall was to keep people in. I was there the night it fell. We should not be doing this. It is an affront to American values.
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"Spooky" Gene Rayburn @generayburn.com · 30/03/2026
Timeline cleanser. #kitty
Kitten from underneath a pane of glass showing the toes
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Keith Meldrum @keithmeldrum.bsky.social · 16/03/2026
Today’s A Path Forward blog post is about, despite the challenges in effectively enacting systemic change in chronic pain education and management, change, albeit slowly, is happening. www.facebook.com/share/p/185V...
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Sandy Hilton @sandyhiltonpt.bsky.social · 19/03/2026
The app says it won’t be updated until after funding is restored… Still cool, just perhaps not accurate?
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Sandy Hilton @sandyhiltonpt.bsky.social · 19/03/2026
Thank you! That’s a great help!
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Sandy Hilton @sandyhiltonpt.bsky.social · 19/03/2026
How is the TSA line at PDX these days? Dropping someone off Friday morning… 2 hours early is enough or no? #Portland
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Sandy Hilton @sandyhiltonpt.bsky.social · 05/03/2026
Ha! Yes. That fits him well!
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Sandy Hilton @sandyhiltonpt.bsky.social · 05/03/2026
I wish I could understand what he is thinking.
A black fuzzy cat is lounging at the top of a cat tower.
One arm hooked over the edge and the elbow bent at 90* looks like he’s ready to give a lecture.
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Chris Polansky @chrispolansky.bsky.social · 06/02/2026
“Renee Goodman [sic], Alex Pretti – there are no words,” DeLauro said. “You said there were no words after the murder of those two individuals,” said Rev. Jack Perkins Davidson. “I think the words are ‘Abolish ICE.’” www.ctpublic.org/news/2026-02...
ctpublic.org
DeLauro to pressing clergy: 'I will not vote to abolish ICE'
The Connecticut U.S. representative found herself at odds with faith leaders.
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bronnieltnz.bsky.social @bronnieltnz.bsky.social · 08/02/2026
The Emotional Dimensions of Pain Assessment Take your mind back to your last pain assessment. I can bet good money pain intensity was measured (that 0 - 10 'how much does it hurt' question). Where it hurts on a body map. Perhaps even duration and constancy (intermittent, ongoing, fluctuating).…
healthskills.wordpress.com
The Emotional Dimensions of Pain Assessment
Take your mind back to your last pain assessment. I can bet good money pain intensity was measured (that 0 - 10 'how much does it hurt' question). Where it hurts on a body map. Perhaps even duration and constancy (intermittent, ongoing, fluctuating). Quality or 'what does it feel like?' could be included: burning, aching, gripping, cramping, stabbing.... All excellent things to know as clinicians, and as people seeking help - we need to know 'what it is like' because none of us can feel another's pain, and yet clinical decision-making relies on it.
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Sandy Hilton @sandyhiltonpt.bsky.social · 07/02/2026
The best book club 🤓 From casually checking email to signing up online in less than a minute!
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Eric Alper @thatericalper.com · 06/02/2026
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demon grrl | cyberdemon era @demongrrl.gay · 02/02/2026
BAHAHAHAHAHAHAHAHAHAHAHAJAHAHAHAHAHAHAHAHAHAHAHAHAHAHA *breathes* AHAHAHAHAHAHAHAHAHAHAHAHAHAHAAHAHAHA
Twitter post from @BenjaminDEKR

“OpenClaw is interesting, but will also drain your wallet if you aren't careful.
Last night around midnight I loaded my Anthropic
API account with $20, then went to bed.
When I woke up, my Anthropic balance was $O.
Opus was checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night."
Doing literally nothing, OpenClaw spent the entire balance. How?
The "Heartbeat" cron job, even though literally the only thing I had going was one silly reminder, ("remind me tomorrow to get milk")”Continuation of twitter post

“1. Sent ~120,000 tokens of context to Opus 4.5
2. Opus read HEARTBEAT md, thought about reminders
3. Replied "HEARTBEAT_OK"
4. Cost: ~$0.75 per heartbeat (cache writes)
The damage:
- Overnight = ~25+ heartbeats
- 25 × $0.75 = ~$18.75 just from heartbeats alone
- Plus regular conversation = ~$20 total
The absurdity: Opus was essentially checking "is it daytime yet?" every 30 minutes, paying $0.75 each time to conclude "no, it's still night."
The problem is:
1. Heartbeat uses Opus (most expensive model) for a trivial check
2. Sends the entire conversation context (~120k tokens) each time
3. Runs every 30 minutes regardless of whether anything needs checking
That's $750 a month if this runs, to occasionally remind me stuff? Yeah, no. Not great.”
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Kate Clancy @kateclancy.bsky.social · 02/02/2026
IL Prof here. Community members & faculty have been talking about this all weekend. Many have already made formal reports, but what's infuriating is that our mechanisms have been weaponized and therefore we don't trust that anything will even come of our reports.
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