MSK_Pain @PainCurious
Rob Goldsmith, 2Y Care Neurosurgery Physio, Injection Practitioner, MACP Welsh Regional Rep, tweets are my own... Cardiff, UK Joined July 2014-
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Here is one reminder why you must come to Manchester in June for the nurturing research conference! Thanks to @LPhysioprof @PhysioMACP @APPN_physio @WoodwicksLianne @sharonchanb macpweb.org/events/410/nur…
It is coming soon- 21st June! Don't miss the early bird (30th April)- a day designed to inspire, provoke discussion and get you going on your research journey #nurturingresearch macpweb.org/events/410/nur… @PhysioMACP @sharonchanb @WoodwicksLianne
Lovely stuff. Sensible, clear and useful. Highly reccomend.
GIRFT CES guidelines suggests if potential stable CES symptoms >2/52 , Refer MSK triage services 2B seen within 2/52 & potentially organise urgent MRI. Are you able to follow GIRFT? What are the barriers + enablers within your MSK interface services / integrated care systems?
James Noake @DrJN_SportsMed
29K Followers 3K Following Consultant in Musculoskeletal, Sport & Exercise Medicine. Interest in difficult stuff; hip, groin & gluteal pain; diagnostics; ultrasound. Pro rugby 10 yrs +Derek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonAdam Dobson @adamdobson123
11K Followers 1K Following Father. Physiotherapist in back pain. Member of NSN and NE CSP group. Prepping Painful Lumbar Radiculopathy course. Mini leopard cohabitation 🐆Physio Meets Science @PhysioMeScience
88K Followers 1K Following Knowledge brokers spotting the latest studies in clinical exercise physiology & physiotherapy. Tweeting a study is NOT a quality appraisal or endorsement!The Rheumatology Phys.. @physiojack
14K Followers 801 Following Jack March Rheumatology Clinical Lead - Chews Health & @TPMPodcast Operations Director📘 Tom Jesson @thomas_jesson
15K Followers 2K Following Physio & independent writer. Lumbar radicular pain & cauda equina syndrome. Not on twitter much these days. Newsletter: https://t.co/iKmvAQo3ETMartin Billing @BillingMartin
5K Followers 4K Following MSK Ops Lead in NHS. Trying to be better and test my limits. Opinions my ownGreg Lehman @GregLehman
46K Followers 4K Following Physiotherapist, Clinical Educator & Strength &Conditioning Specialist. Movement Optimist and Old Man TumblerRunning-Physio @tomgoom
60K Followers 5K Following Runner, physio at @bodyrehab & creator of Running-Physio. #RunningRepairs & #RunningRepairsOnline Course Lead. Tweets are not medical advice!Charlie Clements @ClementsCharl96
9K Followers 378 Following First Contact Physiotherapist | Instagram 📸 THETHREADPHYSIO | Passionate about CPD 🧠Jo Gibson @ShoulderGeek1
31K Followers 2K Following Shoulder rehabilitation specialist and sports consultancy.Neil Langridge @neiljlangridge
9K Followers 1K Following Director of Clinical & Rehabilitation Services at AECC University College, MACP Chair. New Milton Town FC. u18s manager . Views are my own. @ClinicsAECCRob Tyer @CombatSportPhys
7K Followers 3K Following MSK Physiotherapist. Love Martial Arts. BSc (Hons) Sports Science, MSc Physio. MSc Advanced Clinical Practice MMACP. Views are my own. Fav/RT ≠ endorsements.Pete Moore @paintoolkit2
12K Followers 3K Following Pete is a SelfMgt Coach/Author/Broadcaster of the Pain Toolkit ® Honorary member of the British Pain Society. Born in Woolwich so a #Gooner #HarleyRider 😎Howard Luks MD @hjluks
58K Followers 2K Following Orthopedic Surgeon, Author, Trail Runner, very amateur cyclist Exits x 3 co-founder: https://t.co/BoFIFxTTd2 Book = https://t.co/7hlCnE4ZAORob Yeldham (he/him) @RobYeldham
11K Followers 11K Following Transforming lives as director @theCSP. FCIPR. My views mainly on health, rehab, work, comms and environment. shares/likes not endorsements.Andrew Cuff @AndrewVCuff
11K Followers 2K Following Director of Clinical Strategy @Connect_Health_ | PhD | Consultant MSK Physio | Exec @PhysioMACP @FSEM_UK | @BritishArmy Officer #Leadership Views own etcAsh James 💭 @ashjamesphysio
11K Followers 1K Following Director @theCSP - Leading all professional matters for 65,000 physios, physio students & support workers. Board Director @SignSightSound1 🏴helen welch @helschez
1K Followers 376 Following Consultant Physiotherapist at BHSCT .SOMM injection therapy tutor. Proud MACP member. PD candidate at University of Bath.John Drummond @GatesPhysio
4K Followers 5K Following Advanced Practice MSK Physiotherapist @connect_health | MSc ACP Student @AcpMmu | Occasional cyclist 🚵♂️ | Dog dad 🐾 | Views my own | He/him🏳️🌈ACPSEMdance @ACPSEMdance
3K Followers 5K Following Performing Arts representative for the Association of Chartered Physiotherapists in Sports and Exercise Medicine. Current Rep Alexander McKinvenLynn Murray @LynnMur82836034
0 Followers 41 FollowingᔕᑭᎥᑎᗴᗪᖇ @Chir0pract0r_
2K Followers 2K Following Husband. Father. Chiropractor #EvidenceBasedChiro #VaccinesSaveLivesChandragiri Physiothe.. @chandragiriCP
7 Followers 77 Following के तपाइँ दुखाईले ग्रसित हुनुहुन्छ? अब चिन्ता नलिनुहोस् हामी फिजियोथेरापी र अकुपंचरद्वारा औषधि र अप्रेसन बिना हजुरको अत्याधुनिक उपचार गर्नेर्छौँJenny @JArcher100
339 Followers 1K Following Practice Principal of Bangor Physiotherapy Practice, founder member of MLACP and NI Physiofirst. MA Medical Ethics and Law, DSA. Passionate Physiotherapist.Emil Carlander @EmilCarlander
4 Followers 87 FollowingMicah Wong @MicahWong_DPT
403 Followers 522 Following DPT pushing for primary care PT and asking why we do what we do. HI ✈ OR. Obsessed with self efficacy, internal locus of control, and evidence. studying RMSKzac @_zacroberts
358 Followers 527 FollowingKate Purcell @k8purcellphysio
893 Followers 405 Following Advanced Physiotherapy Practitioner, former Lecturer, Mentor, HEA Fellow. Love learning. Tutoring and mentorship available - website belowIain Harrington @iain_harrington
3K Followers 542 Following 🇨🇦 Sharing MSK Health Info 🧵 Finding gaps in my knowledge & sharing my learning resources along the way 🔗 Go water your houseplants...now.John Lottes @doctadonny
25 Followers 72 FollowingRachel Neal @Osteo_Rach
72 Followers 259 Following Registered Osteopath based in Alsager, Cheshire, ST7Sean Paul Carroll @SPCphysio
603 Followers 793 Following Lecturer in Physiotherapy @GCUphysio | Physiotherapist: MSK & Orthopaedics | PhD: Walking Exercise Behavioural Interventions for IC pain and physical activityRichard Valdhauser @rvaldhauser
47 Followers 593 FollowingDr Alice Berry @Alicebez123
592 Followers 2K Following Associate Professor in Rehabilitation @UWE. MSK conditions, physical activity engagement, under-represented groups, motivation and enjoyment! 😀Josh Chacko @PROJ101THERAPY
315 Followers 453 Following MSK Physiotherapist. Keen on combat sports and food. @project101therapy on InstagramTom Hamilton @tomjhamilton_
85 Followers 417 Following Rotational Physiotherapist at UCLH. Currently: Neurosurgery at NHNN. Interested in Paeds, learning disabilities and (for better or worse) Leeds United.Eoin Sheridan @EoinSheridan12
27 Followers 199 FollowingLuke Hills @LukeHillsPT
217 Followers 208 Following Back & Neck Service Lead | Advanced Practice Spinal Physiotherapist |@NatSpineNetwork Regional RepWill Boggis @BoggisWill
30 Followers 97 FollowingJake Webster @the_jakewebster
350 Followers 190 Following Physio, Exercise Scientist & Father | Providing families with the information they need to make healthy choices |Freyja Shofestall @shofestall98707
104 Followers 5K FollowingHelp Us @shiobiwan
288 Followers 3K Following Could/Would/Should HAVE. Who's/Whose - These 2 things are not the sameLena Howze @HowzeLena87232
81 Followers 5K FollowingMags Manton @MagsManton
290 Followers 438 Following Part of the CTMUHB physiotherapy leadership team. I am a mammy and a wife, proud 🇮🇪 and just tweet my own thoughts and opinions.Rona Deremiah @deremi_ro
88 Followers 5K FollowingLucasFerrini @lucas_ferr32491
134 Followers 2K FollowingCarl Wong @CarlWongCM
90 Followers 322 Following Senior MSK Physiotherapist at @ImperialNHS with a research interest in sciatica and low back pain. Views are my own.Gareth Marlow @GarethPhysio
172 Followers 468 Following Physiotherapist in NHS // APP, FCP, Spinal Ortho practitioner // interest in everything spinal and innovation // #myviewsaremyownTomasz Karmazyn @tomaszkarmazyn
35 Followers 286 FollowingRicky Shamji @p4exercise
607 Followers 936 Following Being active is a clinical need, not just a 'lifestyle choice'. Working to help clinicians and their patients talk about 'being active' for health. #never2L8Thomas Griffiths @TommyG_093
197 Followers 551 FollowingChris Knudsen @MuscleIQ2
752 Followers 1K Following Doctor of Physical Therapy - Muscle IQ. FDM and Afferent Input Practitioner, ❤️ @FamilySearch, @StarTrek, @OrsonScottCard, @BYUFootball. All In $TSLA.George Spink 💙 @heyneurosurgeon
2K Followers 2K Following Consultant Neurosurgeon, Spinal specialist, senior clinical tutor Hull York Med School, Surgical mentor. Own views. #neurosurgeon #spines #PBL #medicaleducationLaurie Haslehurst @lauriehasle
52 Followers 132 FollowingEoin Kealy @eoin_kealy
64 Followers 325 FollowingNick Browning @NickBrowning01
353 Followers 280 Following Trust Lead - Advanced Practice- NBT Advanced Practitioner in Colorectal/GI emergency and elective surgery- NBT. Centre Reviewer- NHSE. FNF Scholar 23/24Ryan @PhysioGoon
4 Followers 82 FollowingɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 967 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)James Noake @DrJN_SportsMed
29K Followers 3K Following Consultant in Musculoskeletal, Sport & Exercise Medicine. Interest in difficult stuff; hip, groin & gluteal pain; diagnostics; ultrasound. Pro rugby 10 yrs +Derek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonAdam Dobson @adamdobson123
11K Followers 1K Following Father. Physiotherapist in back pain. Member of NSN and NE CSP group. Prepping Painful Lumbar Radiculopathy course. Mini leopard cohabitation 🐆Peter O'Sullivan @PeteOSullivanPT
56K Followers 655 Following Professor, Curtin University, Specialist PT, https://t.co/PtvOZsO0my, Bridging research and practice to empower clinicians & people in pain. My views.📘 Tom Jesson @thomas_jesson
15K Followers 2K Following Physio & independent writer. Lumbar radicular pain & cauda equina syndrome. Not on twitter much these days. Newsletter: https://t.co/iKmvAQo3ETMartin Billing @BillingMartin
5K Followers 4K Following MSK Ops Lead in NHS. Trying to be better and test my limits. Opinions my ownJack Chew @JackAChew
19K Followers 2K Following Builder of things | Founder & Director @TPMPodcast #TherapyLive @Chews_Health etc | Editor-in-chief #MSKMag |Greg Lehman @GregLehman
46K Followers 4K Following Physiotherapist, Clinical Educator & Strength &Conditioning Specialist. Movement Optimist and Old Man TumblerRunning-Physio @tomgoom
60K Followers 5K Following Runner, physio at @bodyrehab & creator of Running-Physio. #RunningRepairs & #RunningRepairsOnline Course Lead. Tweets are not medical advice!British Journal of Sp.. @BJSM_BMJ
107K Followers 7K Following Serving 25 member societies & supporting the global Sport & Exercise Medicine community. 24 issues/year. Impact Factor 18.473. EiC: @DreznerJon. RT≠Endorsement.Mehmet Gem | The Hip .. @TheHipPhysio
16K Followers 384 Following 🦴Hip Specialist Physio (FAI Syndrome) ….……………….📚IG:https://t.co/tf6EPsHm3d. |. Regional Lead @pure_physio….📝 CPD Hip Course ‘Simplifying The Hip’Charlie Clements @ClementsCharl96
9K Followers 378 Following First Contact Physiotherapist | Instagram 📸 THETHREADPHYSIO | Passionate about CPD 🧠Karen Middleton CBE (.. @KMiddleton60
25K Followers 828 Following Recently retired healthcare CEO (and having a blast), Visiting Professor at Leeds Beckett University, Executive Coach & Chartered PhysiotherapistJo Gibson @ShoulderGeek1
31K Followers 2K Following Shoulder rehabilitation specialist and sports consultancy.Chartered Society of .. @thecsp
70K Followers 1K Following Chartered Society of Physiotherapy (CSP) - the professional, educational and union body for 65,000 UK-chartered physiotherapists, students and support workers.Roger Kerry @RogerKerry1
14K Followers 1K Following Professor of Physio, University of Nottingham, UK. All Tweets own opinions. Podcast: @anarchyinthehe2 Music: @LawrenceMusicUK + IG @billkerryiii @sevendarklordsNeil Langridge @neiljlangridge
9K Followers 1K Following Director of Clinical & Rehabilitation Services at AECC University College, MACP Chair. New Milton Town FC. u18s manager . Views are my own. @ClinicsAECCChris Maher @CGMMaher
11K Followers 54 Following Co-Director, Sydney Musculoskeletal Health; Professor, Sydney School of Public Health, The University of Sydney.Uzo Ehiogu @consultantPT
7K Followers 954 Following Consultant in Rehab ⛑ & S&C🏋🏿♂️ |NHS Clinical Academic ROH| Clinical S&C |Climbing Injuries 🧗🏽♀️|MMACP |ASCC |Ex Para/Commando |ProfDoc S&C StudentSimon Everett @sdephysio
424 Followers 2K Following MSK & FCP @DCHStrust, MSc Clinical Research grad @ScHARRSheffield, & v average cyclist @tuesday_cc. He/him/his. Tweeting physio ref’s/my reading list, nowt elseAmanda Stephenson @astephj1
409 Followers 456 Following Physiotherapist MSK/Sport/Neuro Pain Management MSc Alumnus Wolverhampton Cardiff Always learning something new. All views my own.Chris Physio @Physiomaximus
39 Followers 223 FollowingSean Paul Carroll @SPCphysio
603 Followers 793 Following Lecturer in Physiotherapy @GCUphysio | Physiotherapist: MSK & Orthopaedics | PhD: Walking Exercise Behavioural Interventions for IC pain and physical activityJoel Keogh @keogh_joel
24 Followers 192 Following MSK Interface Physio working in Bristol. Emerging special interest in Spines. All views and opinions my own.Sian McCarthy @sianmccarthy
68 Followers 256 Following MSK physiotherapist, CMATS & FCP. MSc SOMM, IP, Injector.Luke Hills @LukeHillsPT
217 Followers 208 Following Back & Neck Service Lead | Advanced Practice Spinal Physiotherapist |@NatSpineNetwork Regional RepCwm Taf Morgannwg Phy.. @CTMUHBphysio
822 Followers 375 Following This is the official account for the physiotherapy department @ Cwm Taf Morgannwg University Health Board. Please note this account is not monitored frequentlyGemma Cartwright @cartwrightgemma
126 Followers 732 Following Clinical Lead CTMUHB MSK and PH physiotherapy Thoughts and views are my ownJim Crawfurd 💙 �.. @jim_crawfurd
5K Followers 1K Following A&E Consultant, parent, occasional sabreur and #militantlymoderate doctor. All views my own and not those of my employer (but likely shared by 90% of NHS staff)Zoe @zlbrewster
390 Followers 483 Following Passionate AHP. Head of Physiotherapy🏴 Views are my ownMags Manton @MagsManton
290 Followers 438 Following Part of the CTMUHB physiotherapy leadership team. I am a mammy and a wife, proud 🇮🇪 and just tweet my own thoughts and opinions.Monty Don @TheMontyDon
299K Followers 289 Following Gardener, writer & broadcaster. I am afraid that I do not answer gardening queries via Twitter!🧠Michael W. Robert.. @painandthebrain
484 Followers 194 Following PT - learning about how each brain makes a mind - interests: Pain/Consciousness/Neuroscience/Evolution/Genetics/Biology 📚 Bibliophile - Occasional Writer🖋Carl Wong @CarlWongCM
90 Followers 322 Following Senior MSK Physiotherapist at @ImperialNHS with a research interest in sciatica and low back pain. Views are my own.Key Clinical Skills @KeyClinSkills
2K Followers 868 Following Key Clinical Skills brings evidence-based post-professional education to Canadian health professionals.George Spink 💙 @heyneurosurgeon
2K Followers 2K Following Consultant Neurosurgeon, Spinal specialist, senior clinical tutor Hull York Med School, Surgical mentor. Own views. #neurosurgeon #spines #PBL #medicaleducationTim Noblet @timnoblet
1K Followers 1K Following Consultant MSK/Spinal Pain Physiotherapist PhD, St George’s University Hospitals, Hon. Associate Professor SGUL, Adjunct Fellow Macquarie University SydneyEoin Kealy @eoin_kealy
64 Followers 325 FollowingNick Browning @NickBrowning01
353 Followers 280 Following Trust Lead - Advanced Practice- NBT Advanced Practitioner in Colorectal/GI emergency and elective surgery- NBT. Centre Reviewer- NHSE. FNF Scholar 23/24UWE Health Research @CHCR_UWE
2K Followers 712 Following Centre for Health & Clinical Research, UWE Bristol. Outstanding health research with impact. See website for our research themes. Who's tweeting?→Pinned tweet.Nicola Walsh @NWalsh_Research
474 Followers 282 Following Prof Knowledge Mobilisation & Musculoskeletal Health; Physiotherapist; MSK Researcher. Views my own.Dr Alice Berry @Alicebez123
592 Followers 2K Following Associate Professor in Rehabilitation @UWE. MSK conditions, physical activity engagement, under-represented groups, motivation and enjoyment! 😀COMPAR-EU @COMPAR_EU
550 Followers 162 Following This project receives funding from the @HorizonEU Research & Innovation Programme. Any related tweets reflect only the views of the project owner.Doxy Foc @AlwynUK
571 Followers 1K Following TPD T&O FRCS Examiner. Treasurer World Orthopaedic Concern UK Striving for competence, common sense and compassion in equal measureNeil Stewart @neilstewart101
158 Followers 184 Following APP Physio & FCP @ SCFT. Husband. Father. Surfer. SUP. Always learning, sharing. Co-presenter of: MACP Intergration of Radiology: Hip.Lucy Ridgway @RidgersL
106 Followers 1K Followingneil orpen @neilorpen
1K Followers 1K Following spinal surgeon - interested in all things medical and factual - the many opinions will be my own - good food,wine & positive stories please - @ProgressiveRugTracey Loftis @traceyaloftis
124 Followers 441 Following Head of Policy, Public Affairs and Engagement @VersusArthritis Interested in all things health related. Avid reader. All views my own.Steve Hill @SteveHi94456620
840 Followers 2K Following NHS Consultant MSK Physiotherapist, MSK Sonographer, MSc Musculoskeletal Medicine, permanently in the DogHaüs, 2 beautiful daughters, one incredible wife!David McKean @DrDavidMcKean
1K Followers 2K Following MSK Radiologist. MSK&Spinal Fellowship Program Director. ISS, ESSR & BSSR member. 4kids, 2dogs, 1wife, 0time. #mskrad #MSKUS All views my own.THEneurosurgerySpRonc.. @neurosurgerySpR
2K Followers 861 Following An insiders view of neurosurgery. Always breakdown the GCS. Have you transferred the scan? Tweets are not the neurosurgical SpRs advice, 97.3% sarcasm.Orthopaedic Prehabili.. @OrthoPrehabSB
99 Followers 212 Following Multi-disciplinary team-Dietitians and Physiotherapists. Supporting patients on the waiting list to try to optimize patients pre-surgery health status.Regional Anesthesia &.. @RAPMOnline
13K Followers 81 Following RAPM is your authoritative medical source for regional anesthesia and pain knowledge – from pediatric to geriatric. The official journal of ASRA. @ASRA_societyMichel Coppieters @michelcoppie
3K Followers 654 Following Menzies Foundation Professor of Allied Health Research - Griffith University (Australia) & Vrije Universiteit Amsterdam (Netherlands)Lewis Nozedar @Lewis_ACP
437 Followers 832 Following Advanced Clinical Practitioner working in Primary Care. Physiotherapist by background. Views my own. FCP Burnout: https://t.co/8a9frAngoHNikhil Verma, MD (Ins.. @DrNVSportsSpine
2K Followers 3K Following PMR/Interventional Spine and MSK Doc. Podcasts, books, sports, spine/MSK, functional, and regenerative medicine. Opinions are my own. IG: dr.nvsportsandspineRudders @RichRudders1
123 Followers 227 Following Physiotherapist, Occasional poker player, RaconteurNick Allen @snickalous
1K Followers 1K Following Remains passionate about MSK but not too seriously. Raising boys. Outdoors and cricketer.Adi Kumar @adi_kumar1
11K Followers 258 Following Neurosurgeon | Author - I help doctors thrive at work and at homeSharon Chan @sharonchanb
640 Followers 547 Following Doctorate in Physiotherapy. SOMM Fellow. MACP Member. APPN. Author. AP in MSK. Spinal pain. Injection Therapy. Co-chair UK MSK Partnership. MSc MSK medicine QMUNiki 🏴.. @Fizzbw
1K Followers 2K Following pain self management, Footsteps Festival. “recovery” IS possible, patient advocate, TN chronic pain, PAWS prescribed opioid withdrawal, tapering is hard.Shaun fowler @smfowler_shaun
439 Followers 769 Following Musculoskeletal radiologist: Fowler Simmons Radiology.@k8purcellphysio @GregLehman @BillingMartin @TendonGlasgow I’m listening to the research, judiciousness is key. An issue with the lit is it doesn’t even clinically reason if the patient has an inflammatory pattern, the diagnostic criteria doesn’t mention this …. have we researched the wrong thing? Also has the research been reproduced?
@PainCurious @CTMUHBphysio really useful and helpful info for all MSK clinicians
@BillingMartin @GregLehman @TendonGlasgow @Bill_Vicenzino @alisongrimaldi As usual people like a nice Binary choice ‘do’ or ‘do not’ as yoda would say. Probably why I gravitate to a character like Mace Windu who embraces the dark and the light. In reality practice and research has many shades of grey and uncertainty ?
@PainCurious We always refer and reply in the best interests of the patient but at the same time keep ourselves right in “excluding other pathology” and “he/she is requesting”, “ascertaining the level of” and “would welcome your opinion”.
@PainCurious @BWhybrowPhysio @adamdobson123 @DrMarwanAl_D @RobSetters So like Adam says, they tell a story, and can answer any specific Q the referring clinician has too. Nothing worse than when you know a clinician clearly hasn’t read your referral as they don’t refer to it or answer your Qs! They’re great ways for us to communicate between teams,
@PainCurious @BWhybrowPhysio @adamdobson123 @DrMarwanAl_D @RobSetters In 2ndry care we dictate and are looking to cc pts but in FCP we don’t dictate at all & refer via electronic referral system. I tend to keep 1ry care referrals very brief, but letters I send back to 1ry from 2ndry are much more detailed. Use as learning opp for referrers too…
@BWhybrowPhysio @PainCurious @adamdobson123 @DrMarwanAl_D @RobSetters Agree. They don’t even have to know you wrote it! Even if they did, you’ve given your opinion, they want a further opinion, so that’s a patient driven request - nothing harmful in that I can see.
@PainCurious @adamdobson123 @k8purcellphysio @DrMarwanAl_D @RobSetters I wouldn’t worry about compromising the relationship, if it is a patient driven referral and you’ve made that clear, you’ve still done what they’ve asked. If it gets rejected at triage or they are not offered what they want at the appointment- they can’t blame the referrer.
@PainCurious @k8purcellphysio @BWhybrowPhysio @DrMarwanAl_D @RobSetters Are you replying to me here Rob. Its coming off Kates' response.
@BWhybrowPhysio @PainCurious @DrMarwanAl_D @adamdobson123 @RobSetters I often ask referring clinicians to state on referral if it’s a pt driven request too. Otherwise the referring clinicians tie themselves in knots trying to clinically justify the referral reason- can usually read between the lines from the info provided but it’s ok to be explicit
@BWhybrowPhysio @PainCurious @DrMarwanAl_D @adamdobson123 @RobSetters How about “Despite having an indepth conversation about the risks and alternative options, this pt wishes to explore xx as a treatment option and so I would be very grateful for your expert opinion on whether this is a safe and appropriate option at this time”
@DrSethPT If the patient is better after treating for a few weeks with the hypothesis of glute tendinopathy- awesome. I want the patient to feel better. But we can’t ever know what the patient presented like with the previous providers.
Good thoughts here! @jheick1 and I also wrote this paper on referral decision making, including the why and how, which hopefully expands our reasoning outside of our clinic’s four walls academic.oup.com/ptj/article/10…
The art of a good referral: Mindset, Principles and Phrases to consider. A 🧵..
@PainCurious "Be humble and polite." This is where most go wrong, in my experience, opting instead for the far more personally satisfying: supercilious, bumtious and just plain old condescending. Excellent suggestions, though. Definitely essential the refer(ee) can see your thinking.
Quality, sensible advice here on making solid onward referrals 😊
The art of a good referral: Mindset, Principles and Phrases to consider. A 🧵..
@DrMarwanAl_D @RobSetters I think it’s also professional curtesy not to set expectations like this unless you yourself are the one responsible for delivering. I struggle with this daily. Refer for someone’s opinion/input, don’t assume any more than this.
@PainCurious @adamdobson123 @RobSetters It's often much worse than this in my world "You have condition X which needs an ultrasound guided injection. I'm going to book you in with SEM for said injection" It's even been documented when &when not I'd be doing the injectn based on neovascularisation when I scan them 😤
@DrMarwanAl_D @PainCurious @adamdobson123 @RobSetters x.com/combatsportphy… I think this'll be on my headstone. Refer for an opinion, NOT an intervention.
Sorry if it's coming across as largely negative.... ■ Patient expectations - if you write "referring to MSK for MRI/CSI", the physio is on the back foot immediately. Refer for an OPINION, not an INTERVENTION. This is my advice to any clinician!
@PainCurious @adamdobson123 @RobSetters Please do this and I will perpetually retweet it
@PainCurious @RobSetters @DrMarwanAl_D They are not uncommon. Nope.