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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The American diet was meant to put you in an American hospital for American health care so you can buy American Pharma drugs so you can go through American health insurance.
Reflections on Andrew Huberman's podcast: ‘PROTOCOLS TO STRENGTHEN & PAIN PROOF YOUR BACK’
Reflections on Andrew Huberman's podcast: ‘PROTOCOLS TO STRENGTHEN & PAIN PROOF YOUR BACK’ https://t.co/KINTCicDRY
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".

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