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TIFU by offering my physiotherapist a handshake and instantly regretting it

I've been dealing with shoulder and arm pain, so I went to a clinic for physiotherapy. My previous therapist was a sweet woman, she had left and this was my first session with a senior male doctor.

During the session, he massaged my neck and asked where it hurts. After few seconds, I mentioned that the pain went all the way down to my fingers, and he snapped, "Yeah, I can't do it down there, can I? The neck is the root. That's why we studied for doctor" It felt sarcastic and unnecessarily defensive, and I got a little irritated. I tried asking a few simple questions, but he gave short, curt answers.

When the session ended, I thought I'd keep things polite and maybe break the ice. I stood up, smiled lightly, and said, "Thank you, doctor," holding my hand out for a handshake. And then... nothing. His eyes flicked to my hand, he gave a tiny nod, but didn't move his hand at all. I froze for a second, my heart racing, feeling my face heat up like fire, thinking "oh no, he's ignoring me... this is so embarrassing."

I pulled my hand back feeling my stomach drop, while I noticed his hand slightly lift - just a tiny movement, like 2 inches right as I turned to leave. I felt every millisecond of that awkward tension, like we were both caught in this weird silent standoff. My cheeks were burning, and I couldn't stop replaying it in my head.

Now I have three more sessions with him, and I don't know how to act. I don't want to be cold or rude, but I also don't want to give him the chance to make me feel awkward like that again. How do you handle a situation like this without letting it ruin your confidence?

TL;DR: Offered my hand to my physiotherapist to be friendly, he didn’t shake, and now I’m obsessing over the embarrassment.

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