Michael Smith, PT @MSmith_DPT
Physical therapist (Ortho, SCI). Interested in pain and promoting better treatment of it throughout the healthcare system Boston, MA Joined April 2015-
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This needs to be shared. #MedTwitter We need patients' just as much as they need us.
For every impairment that a clinician identifies and links to pain, someone else has that impairment and yet no pain. Instead of asking about why someone is at risk of pain, shouldn't we ask why some aren't at the same risk? Move from risk factors to protective factors.
Can I remind the health & fitness gurus of some things? - 95% of adult will never sprint again - 88% are metabolically unhealthy - 72% don’t meet CDC exercise goals - 42% are obese - 33% are pre diabetic People don’t need optimization secrets. They need starting secrets and…
And there is no specific exercise that can make up for an unbalanced approach
And there is no specific exercise that can make up for an unbalanced approach
Meta-Analysis: Exercise as Effective as Cognitive Behavioral Therapy or Medications for Treating Depression 👇👇👇 jamanetwork.com/journals/jama/…
Sometimes it can feel like there’s nonstop negativity all around us—and this can impact our mood. If you ever feel overwhelmed, I welcome you to visit this mindfulness practice I worked with @calm to create.
I continue to be shocked and disappointed to hear stories of patients being told by clinicians to avoid doing the things in life that give them meaning....due to pain. The result is greater distress and disability with no pain benefits. Why do we continue to do this?
We often point to the misdirected problem solving model as a reason patients are stuck. They are trying to solve the problem of a lack of a "fix" for pain when often the problem they need to solve is no longer sitting on the sidelines waiting for a fix and getting back to valued…
We really need to stop demonizing running. Even the phrase, “just don’t run marathons” implies there’s something negative about it. We’re actively making the population less healthy with these false narratives!
On #WorldPhysiotherapyDay, here is a recent article I wrote highlighting some of the myths around osteoarthritis.
On #WorldPhysiotherapyDay, here is a recent article I wrote highlighting some of the myths around osteoarthritis.
Graded Exposure Activities for Managing Fear of Movement Due to Chronic Pain. A step-by-step guide for clinicians and patients.
Today is the launch of BACK UP, my new book on back pain. I wrote a piece for @theage and @smh about why back pain is an epidemic, and how we can start to fix it theage.com.au/healthcare/we-…
Great clinicians do not care about loading the toolbox They are masters of the patient relationship Then add: -Mastery of the basics - Ability to identify red flags - Understand complexity of pain - Solid clinical reasoning Losing toolbox mindset = path to clinical mastery
I wonder how much of our inability to stick to exercise programs is due to: Running too fast Lifting too heavy Chasing quick results Focusing on outcomes versus the process. It’s a superpower to be able to start where you are, and embrace the journey to where you want to be.
Exercise works at the site of injury, at the DRG & systemically to promote anti-inflammatory response. Nice work from @ksluka0101 et al. sciencedirect.com/science/articl…
@NickHoopes_ You’re only as strong as the hardest thing you do! “If going up your stairs is the hardest thing you do..then it’s gonna be the hardest thing you do.”
Truly individualised care for people with nsLBP isn't compatible with "subgroups".
Our health care system has a disease focus: OA Tears Wear & tear Rather than a bioplastic focus: Graded exposures w/in tolerance ➡️ adaptation Move to improve The financial & human costs of being reactive instead of pro-active are unsustainable. Especially w/ the #greywave
Crazy thought, why don't we ask patients how healthcare can serve them better? And use that information to change care?
James Noake @DrJN_SportsMed
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3K Followers 5K Following Immediate Past VP-@PatientBPS @livewellpain @MyLiveWell @FestivalPain @WorksWalking @PhysioPainAssoc @Paindofficial LX Opioids Advocating Safe PrescribingMaster Supervising Th.. @PitterPatterPTA
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1K Followers 1K Following |👩🏼⚕️🏋♀️🧠 LSVT BIG Certified 🦴 very interested in neuro rehab & all things movement related 📚 | Tweets do not reflect the views of my employerSaquesuth @saquesuth6926
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59K Followers 3K Following 🌐 Director | Dr Matt & Dr Mike 🧠 Associate Professor @BondUniversity 🔆 YouTuber 📺 | 🔆 Podcaster 🎙️ | Academic & Researcher 🎓Someone on Strava called Boston the “Bank of America Marathon”. 😭
"There was no correlation between the presence of cam-type morphology and range of motion of the hip, presence of positive impingement test nor labral tears." journals.sagepub.com/doi/abs/10.117…
Jack, you have been the voice of a golden era of Bruins hockey. Over the course of two decades, you brought passion and authenticity to the NESN broadcast each night as you narrated so many unforgettable moments and memories for B’s fans across New England. As you enter your…
🗣️Reminder not just for patients but my clinical colleagues in primary care and #spine. Disc herniations can improve and resolve through intrinsic immune mechanisms.
Here is my spine. Horrendous disc herniation at C6-7 in June 2020. Fast forward to April 2022 and the extrusion is completely gone. They can get better on their own.
So glad I didn’t miss this! Almost did when some knee pain popped up with 3 weeks to go. My mindset had always been to fully send it out there, but after almost missing the race, now it really was. Next year is never guaranteed. If you’re healthy and prepared at that starting…
Best birthday ever! ✨ Boston you were so hard and so amazing as always. It was warm, started feeling my quads very early. Kept fully sending it and hoped my body would hold up. Had to dig pretty deep but your cheers and happy birthdays kept me going- thank you! 2:27, 15th…
The very best birthday gift- I get to run @bostonmarathon in the morning! I’m just giddy to be out there tomorrow! I’m obsessed with this race. From the minute I crossed the finish line last year I’ve been telling my agent I was 110% on coming back here to see what I could do…
Nociplastic pain mechanisms and toll-like receptors as promising targets for its management pubmed.ncbi.nlm.nih.gov/38595206/ 👉Nociplastic pain involves 3 main pathophysiological mechanisms: 1. Central sensitization, 2. monoaminergic imbalance, and 3. neuroimmune interactions.
Neal Shipley is a grad student at Ohio State and the only amateur who made the cut at the Masters. His caddie is one of his good high school buddies. Today, they are casually playing in the final round of #TheMasters with Tiger Woods.
The absence of a flexion-relaxation response among people with low back pain is associated with fear avoidance beliefs and not pain or disability. tandfonline.com/doi/abs/10.130…
Good morning and welcome to the final round of the 88th Masters Tournament. #themasters
When people ask me about super-shoes I ask back: “do you golf?” and send them this: Can you hit the “sweet spot” every single time? If not, just like hitting blades on the course, a racing shoe might not be the best choice…
$800 billion global fitness economy. 300,000 scientific studies on exercise. And yet only 28% of Americans meet the basic guidelines for physical activity.
ANOTHER ONE! 🏆 @GatorsTF’s @ParkerValby smashes the NCAA 10,000m record in 30:50.43 at the Bryan Clay Invitational, which was also her debut at the distance. She took 28 seconds off the previous record, which has stood for 14 years. Valby split 15:30 through the first 5000m.…
I love that after playing 24 seasons in the NHL, Zdeno Chara is now a marathon addict. He runs 60 miles per week and ran 3:10 in Houston in January at age 46 (at 6'9", 200+ lbs!). Next week he'll do Boston on Monday and London on Sunday. bostonglobe.com/2024/04/11/spo…
This you?
Taxpayers shouldn’t be forced to foot the bill for Joe Biden’s illegal student loan bailout scam. “Biden Unveils Plan To Wipe Out Student Loan Debt For Millions More Americans” dailycaller.com/2024/04/08/bid…
@JasonFitz1 Well. You weren’t sitting still. We work better when we’re moving. Health isn’t just about what zone you’re in 🤣😂
Take the stairs to boost your VO2max? Inactive adults who did 3 bouts of “all-out” stair climbing (6 flights in ~30-seconds) on 3 days per week improved their VO2max by 7% after 6 weeks. Simple (and not easy), but effective. pubmed.ncbi.nlm.nih.gov/38569204/
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