Matt @ The H🧐nest Physio @MattDelBrocco
Sharing knowledge. Learning from others. Views are my own and not my employers. There is beauty in simplicity Instagram: @honest_physio United Kingdom Joined July 2018-
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Great new paper looking at barriers & enablers to exercise A real key message is that most things can be BOTH an enabler/barrier ✅ See & hear the individual ❌ Do not force a vision of exercise on people pubmed.ncbi.nlm.nih.gov/38635470/#:~:t…
The gap between psychology and physiotherapy courses is where you find real life patients. Psychology and physiology coexist and are not separate entities.
Any msk radiologists/radiographers following me?
Best splint for a suspected Scaphoid fracture?
Has there been a data breach @The_HCPC?
Trying to understand the complexity of human pain and suffering by splitting it into bio-psycho-social is like trying to understand water by looking at hydrogen and oxygen. The human condition is a complex interacting whole, it's parts don't reveal its complexity. @Retlouping
Did any of my physio friends happen to see the Martinez injury? Sounds like a possible ACL but not seen a video personally @GatesPhysio @_lewadam
Telephone consultation 📞☎️ 70 year old man left sided shoulder pain 😩Comes on when hes walking 🚶 but no pain at home sat down 🪑Asking for steroid injection 💉 as he had one on the right with good benefit. Thoughts? 👇
This 👇💯
@MattDelBrocco Well that’s disappointing
@MattDelBrocco Sorry to hear about this Matt, an unfortunate example of ignorant care. Yes FCP have short appointment times, but this doesn’t mean simple listening and patient centred care is forgotten
@MattDelBrocco What needed to be done should have been any explanations or actions needed to meet her need ie why did she arrange a primary care appointment in the first place? That's the most important role of FCP. Careful assessment of presenting symptoms and previous mgt to meet current need
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@AdamMeakins Manual Therapy, including manipulation, is a required element in PT Education. Perhaps sunk-cost phenomenon.
@MattDelBrocco I’m done with him. Don’t snatch a pen when we’re comfortable then miss several big chances in a cup final a few days later
Great new paper looking at barriers & enablers to exercise A real key message is that most things can be BOTH an enabler/barrier ✅ See & hear the individual ❌ Do not force a vision of exercise on people pubmed.ncbi.nlm.nih.gov/38635470/#:~:t…
The gap between psychology and physiotherapy courses is where you find real life patients. Psychology and physiology coexist and are not separate entities.
@MattDelBrocco Like right now ? Behind you as you walk home from work in a dark area? 😂😬
@Martin_Nekkolai @MattDelBrocco This is the kind of informative honesty we need more on social media
@MattDelBrocco @GatesPhysio I was busy crying over the Chelsea game… still am
@MattDelBrocco Hmm, pain left arm aggrevated by movement.. Sounds like sth to urgently visit a cardiologist...
@MattDelBrocco Lots of follow up questions. True location of pain? Does the pain relate to arm swing when walking? How long does the pain last? Any other things that bring on pain? Any stiffness or loss of neck motion, same for shoulder? Any cardiac issues ie exertion angina pain in L sh?
@MattDelBrocco R/O vascular, then consider C Spine? Had a very similar discussion today with a PT.
@MattDelBrocco GP might want to have a listen to that heart 👀
@MattDelBrocco Did you try explaining pain is in the brain? 😬
@MattDelBrocco My first thought was angina. Shoulder pain on walking doesn’t really fit.