Adam Dobson @adamdobson123
Father. Physiotherapist in back pain. Member of NSN and NE CSP group. Prepping Painful Lumbar Radiculopathy course. Mini leopard cohabitation 🐆 southtees.nhs.uk/services/back-… Stockton-on-Tees, England Joined February 2016-
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Watch this tonight. Some mindless entertainment. Expectations calibrated.
Watch this tonight. Some mindless entertainment. Expectations calibrated.
Phraseology through osmosis, I feel. Certainly, talking pros & cons out loud is helpful as well priming your pt before sending for bloods or imaging. If it returns back with A, we know that..... One of the worst things we can do is put all the eggs in the same basket.
Phraseology through osmosis, I feel. Certainly, talking pros & cons out loud is helpful as well priming your pt before sending for bloods or imaging. If it returns back with A, we know that..... One of the worst things we can do is put all the eggs in the same basket.
New Podcast for Your Morning Commute. Discussing Managing Distress, Empathy, ICE questions, loss aversion and a lot more with @runchatlive Links: Apple: podcasts.apple.com/gb/podcast/spo… Spotify: open.spotify.com/episode/3mrq67… YouTube: youtube.com/live/QQSjSnEZW…
great paper on current concepts of cortisone injections for MSK use. Every clinical who performs CSIs should read and reflect. Some take-home messages for me 1/4 pubmed.ncbi.nlm.nih.gov/30691559/
Quality, sensible advice here on making solid onward referrals 😊
Quality, sensible advice here on making solid onward referrals 😊
The art of a good referral: Mindset, Principles and Phrases to consider. A 🧵..
TENDONS!! We must address the person not the tendon ☑️ Think SYSTEM and comorbs ☑️ And systems need wide ranging advice and change ☑️ Load, but not always the tendon (initially) ☑️ Interventions directed at the tendon itself prob not worth the time ❌ AVOID STEROID INJECTIONS ❌
"All of the athletes studied had MRI findings that could be considered abnormal, despite the fact that they were clinically asymptomatic." sciencedirect.com/science/articl…
Solid advice.
Are disc bulges painful? thescandiphysio.com/2024/04/18/are…
Nice new paper here on exercise for hip OA My take homes ✅ Resistance training is OK for OA! ✅ Exercise doesn't need to be progressive ✅ Low or higher load can help ✅ How much change should we expect in a multifactorial degenerative condition? ✅ Need a no treatment group
Calling all *soon to be* #graduates... 📣 There's still time to apply for our 2024 Graduate Development Programme starting this September. Don't miss out, apply by Sunday 21st April! 👉 connecthealth.co.uk/gdp #ConnectCareers #Physiotherapy #SportsTherapy #Osteopathy #MSK
How low back pain is managed—a mixed methods study in 32 countries. Part 2 of Low Back Pain in Low- and Middle-Income Countries Series | @JOSPT jospt.org/doi/10.2519/jo…
Great work Adam. Look forward to seeing you in action!
Great work Adam. Look forward to seeing you in action!
Does surgery really work with Ian Harris & @MKargelaDPT Great listen. Very interesting towards the end on fusion surgery. We can be critical, but be willing to test those biases. A high-quality fusion surgery trial ready to start, similar in the UK. Right now, outside of…
Radiologists mean well but their reports can do more harm than help.
🎯’Don't be a nocebo! Why healthcare organizations should value patients' expectations’ 👏🏻 @MaxiMiciak @Jerry_DurhamPT @Retlouping for your help! 🔓frontiersin.org/journals/psych… #nocebo #expectation #organization #healthcare @FrontiersIn
Preach.
There is no gold standard objective test for a lumbar bone stress injury. In more acute or advanced stages lumbar extension and side flexion may be painful on end ranges. But if it is not, what is your go to objective test to help support the diagnosis? #LBSI #spondylolysis
Made up problems people do not need to be thinking about. The well really is drying up....
The Sp⚽️rts Physi.. @AdamMeakins
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253 Followers 414 Following paediatric msk physio. views are my own - although in reality are any views truly our own?Hands up who thinks we make things far more complex than they are
@adamdobson123 Dealing with uncertainty is one skill, but being able to communicate it effectively is just as important. Thanks for sharing chaps
@adamdobson123 @GregLehman @TendonGlasgow I pretty sure that still happens in some places
@adamdobson123 @Skpainandinjury @MKargelaDPT “only 14% of trials comparing surgery to nonsurgical intervention, placebo surgery, or no intervention of common MSK conditions demonstrated a clinically relevant benefit from surgical intervention.” jospt.org/doi/full/10.25…
@BillingMartin @lorenzo_masci Yes please if you have time Martin. I could do a search myself but I’m a lazy get.
@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…
@PainCurious @BWhybrowPhysio @adamdobson123 @DrMarwanAl_D @RobSetters Build relationships and optimise our understanding of what we all do. Rather than just “here’s my diagnosis and what we’re going to do”
@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 @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.
@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.
@adamdobson123 @k8purcellphysio @BWhybrowPhysio @DrMarwanAl_D @RobSetters Dont mind the grammar...as long as it gets the point across!
@adamdobson123 @k8purcellphysio @BWhybrowPhysio @DrMarwanAl_D @RobSetters Sorry cross purposes. I was talking about 1Y care letters to 2Y care. Im unlikely to see the patient again in my role....i can be more explicit on FC letters with less chance of blowback' compared to a GP./FCP who may need to be more concerned about this.
See our new article with @jheick1 and Brian Young dealing with DVT knowledge! Great read for any ortho or sports PT!
@adamdobson123 @k8purcellphysio @BWhybrowPhysio @DrMarwanAl_D @RobSetters I feel 'seen' lol. I have to wade through a lot of 'required' but useless info to find the info that is important (im happy to do this...its not about me...but concerned ill miss something important). I think that may be the 'Art' Adam....being concise but clear!
@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
I find TAPING a hoax for hoffa's fat pad Impingement in my opinion, I have no idea why clinicians opt for it as a first line of management for the syndrome!
@adamdobson123 My son is "gen alpha". Apparently all obsessed with "Mewing" and "gigachad". Looks like we're about to have a wave of MSK issues coming in.
An interesting time lapse video showing the effects of braces on misaligned teeth.
@adamdobson123 It really is mount stupid for those folks. Abject Dunning Kruger in full effect.