The Naked Physio™ @nakedphysio
I’m a Curiouser, Becoming-curiosity, deterritorializing chaos, love of networking, discourse and constructive rebellion (opinions are mine, not employers). thenakedphysio.com Auckland, NZ Joined August 2014-
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Love your guidance for patients on here @adamdobson123 I follow a very similar approach podcasts.apple.com/nz/podcast/the…
📢@NZPainSoc 2024 webinar series presents: 🗣️ "Conversations Inviting Change (CIC): An Introduction to Narrative Based Practice in Health Care" 🧑⚕️Clair Jacobs & Diarmuid Denneny 📅2 May 2024; 7-8:30 pm (NZST) @NZPainSoc & @AusPainSoc Members: Free Non-members $20
Our paper has just been published open access. frontiersin.org/journals/psych… Don't be a nocebo! Why healthcare organizations should value patients' expectations’ Kudos @GiacomoRoss86 @MaxiMiciak @Jerry_DurhamPT
Physios in Aotearoa NZ, please consider helping AUT Master's student Claire Earl by completing this survey about how you treat low back pain. 👇👇👇 qfreeaccountssjc1.az1.qualtrics.com/jfe/form/SV_7N…
I am sorry but I stand by “none of us needs what the average of all of us needs.” Stating things like “well at 12 weeks most people have resolving sciatica” is just using the evidence as a blunt instrument. People, people, people that’s who we treat, not population averages.
It’s interesting reading the claims of little research on post traumatic OA following ankle sprain/fracture. Ankle sprains the most common & normal MSK injury. With 70% going on to develop OA, should this be regarded as normal too? Just seems to instill fragility in people.
Chris Kenedi sharing his stairway to behaviour change. #nzps24
Chris Kenedi talking about the importance of debriefing, supervision, language use. I’m reassured we offer supervision for all clinicians at APM. #nzps24
Joletta Belton discussing the deeper phenomenological experiences of living with pain. If pain is not a thing then we have to discuss and understand these individual experiences. #NZPS24
Pete basically manages to attend #NZPS24 remotely without us live streaming. Skills. 😂@NZPainSociety he can interview you @ANZCA_FPM @nakedphysio @southernfoss1
Pete basically manages to attend #NZPS24 remotely without us live streaming. Skills. 😂@NZPainSociety he can interview you @ANZCA_FPM @nakedphysio @southernfoss1
Lovely to see Joletta Belton again and to see so many curious clinicians at #nzps24
I’ve written about pathologising in the past, but only ever thought about this from a biomechanical faults perspective, which has been extensively refuted. However, I’m seeing more & more evidence that suggests the term ‘pathology’ at other levels is epistemically fallacious.
Stunning autumn has arrived in Dunedin 🍁 . Bring your puffer jacket & wet suit for the #NZPS2024 conference @PelvicPainNZ @NZPainSoc @TheNZSA @millie_mardon @nakedphysio
Interesting results from this poll. A mini thread 🧵 ensues. Only 18% voted for the traction option, which somewhat counterintuitively is the one with good evidence of articulation cartilage regeneration in the knee. Let’s look at the evidence.
Does anyone know? @JaredPowell12 @AdamMeakins and other shoulder knowledgable people?
Does anyone know? @JaredPowell12 @AdamMeakins and other shoulder knowledgable people?
Hey clinicians who manip , just curious, has anyone ever done like a sham manip procedure (like follow the steps but don’t manip) with verbal placebo/priming compared to a true manip procedure to see what the outcome is?
A ponderance thread 🧵: I’m going to suggest that there are significant differences between mechanical compromise to a nerve root and a nerve trunk (nerve true). Hence we need to use radiculopathy for root and neuropathy for nerve, they are NOT the same.
I had a chat with ChatGPT about ontology and the BPSM #BTCP
Pain can be devious. Do it anyway. (Disclaimer: using curiosity can help to find ways to do it) #BTCP
The Sp⚽️rts Physi.. @AdamMeakins
105K Followers 2K Following Physio and S&C coach for 20+ years with a passion for getting people stronger and occasionally using stronger language! Views my own! #CantGoWrongGettingStrongɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)Derek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonPhysio 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!James Noake @DrJN_SportsMed
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15K Followers 2K Following Physio & independent writer. Lumbar radicular pain & cauda equina syndrome. Not on twitter much these days. Newsletter: https://t.co/iKmvAQo3ETBritish 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.The Endurance Physio @theEndurancePT
21K Followers 2K Following Physio | Sports Scientist | Coach | S&C | Podcast host | endurance athlete | USW Lecturer | specialising in ⬆️ performance & rehab for endurance athletes.The Rheumatology Phys.. @physiojack
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0 Followers 99 Followingflexibility matters @FlexMattersPT
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34 Followers 96 FollowingThe Sp⚽️rts Physi.. @AdamMeakins
105K Followers 2K Following Physio and S&C coach for 20+ years with a passion for getting people stronger and occasionally using stronger language! Views my own! #CantGoWrongGettingStrongɹǝʇlnoԀ pıʌɐ�.. @Retlouping
24K Followers 965 Following All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)Derek Griffin @DerekGriffin86
36K Followers 2K Following PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner | 2'27 marathon | 1'11 half marathonPhysio 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!Peter O'Sullivan @PeteOSullivanPT
56K Followers 654 Following Professor, Curtin University, Specialist PT, https://t.co/PtvOZsO0my, Bridging research and practice to empower clinicians & people in pain. My views.Greg Lehman @GregLehman
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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 Network @PhysioNetwork
33K Followers 222 Following 🙏🏻 Become a better physiotherapist with online education from world-leading experts ⬇️Running-Physio @tomgoom
60K Followers 5K Following Runner, physio at @bodyrehab & creator of Running-Physio. #RunningRepairs & #RunningRepairsOnline Course Lead. Tweets are not medical advice!📘 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/iKmvAQo3ETBritish 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.The Rheumatology Phys.. @physiojack
15K Followers 801 Following Jack March Rheumatology Clinical Lead - Chews Health & @TPMPodcast Operations DirectorChartered Society of .. @thecsp
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57K Followers 1K Following Scientifically rigorous, clinically-relevant musculoskeletal rehab & sports-related content for clinicians, researchers and patients. Retweet ≠ endorsement.Seth Peterson @DrSethPT
5K Followers 1K Following #Physicaltherapist on a journey to think clearer, care more, and stay curious | private practice owner | writerJack Chew @JackAChew
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179K Followers 816 Following DM for removals/credit I disapprove of what you say, but I will defend to the death your right to say it. ― S.G. Tallentyre, The Friends of VoltaireJared Powell @JaredPowell12
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122K Followers 1K Following From the team at OUP | Home of #PhilosophyInFocus bringing focus to key themes of #philosophy through OUP's wealth of publishing. | Part of @OxUniPress@nakedphysio Possible but pain fluctuations are common in persistent pain presentations.
@nakedphysio In really simple terms, extreme outlier occurrences are just that, life is more likely to be average. In patient terms we often see them at their extremes hence they often return to their average despite us. 👇
The wisdom of King James VI of Scotland and Why do we need fair tests of treatments? testingtreatments.org/book/about/nee…
@nakedphysio It’s a real bugger and most people are confused by it and just recite the mantra “natural history and regression to the mean” I did a thread, not sure who I’m talking with as they deleted all their responses? 🤷♀️ Simply put it’s a statistical glitch in measured data.
@kfjnordin @DerekGriffin86 I’ll read this on the plane and get back to you academic.oup.com/ije/article/34…
@nakedphysio Kahneman has a chapter in it in his book Thinking fast and slow. 1. Healing is not regression to the mean 2. If ou don’t measure something it can’t regress to the mean as there is no error. 3. 💩 natural fluctuations in pain may or may not reflect RTTM 4. Any data set has a mean
@tomjones_9 @nakedphysio Sorry if it sounds dull, but it is a it depends answer. Differing weighted variables. Partly, this is because the evidence base is incomplete. These are the variables you'd map on. Knowing these factors and considering them with a real pt is how I'd approach it. Case studies…
@PainSci He makes the common assumption that disc replacement is for pain relief, it’s not. No surgery is primarily for pain relief because you can’t cut out pain. Most if not all Ortho surgery is to improve function and save you from nervous system.
“And if you’re presented with the choice between disc replacement and spinal fusion, you might want to consider a third alternative: not having surgery at all.” “Blew out a disc” yep, what NO-cebo
Elon Musk says ‘disc replacement’ worked for him. But evidence this surgery helps chronic pain is lacking theconversation.com/elon-musk-says… via @ConversationEDU
I think it’s time to say this out loud: Its time to stop doing systematic reviews about non specific low back pain. Most of them are useless crap and are just papers for academics to stay relevant and get citations. Maybe one good Cochrane review once a decade for treatments and…
📢@NZPainSoc 2024 webinar series presents: 🗣️ "Conversations Inviting Change (CIC): An Introduction to Narrative Based Practice in Health Care" 🧑⚕️Clair Jacobs & Diarmuid Denneny 📅2 May 2024; 7-8:30 pm (NZST) @NZPainSoc & @AusPainSoc Members: Free Non-members $20
Our paper has just been published open access. frontiersin.org/journals/psych… Don't be a nocebo! Why healthcare organizations should value patients' expectations’ Kudos @GiacomoRoss86 @MaxiMiciak @Jerry_DurhamPT
A Person-Focused Approach to Manual Therapy JOSPT open. My letter to the editor here jospt.org/doi/epdf/10.25… Plus the authors excellent on considered reply. Here is the original paper. Integrating Person-Centered Concepts and Modern Manual Therapy jospt.org/doi/epdf/10.25…
Cc. @AsafKlaf
fascinating illusion training used to 'prove' that nociception can occur in absence of injury.
Physios in Aotearoa NZ, please consider helping AUT Master's student Claire Earl by completing this survey about how you treat low back pain. 👇👇👇 qfreeaccountssjc1.az1.qualtrics.com/jfe/form/SV_7N…
@nakedphysio What happens if someone bends forward 35 degrees to "zero" degrees of flexion? Has their spine bent 0% of their max flexion?
@nakedphysio Exactly! Or I think they’ve somehow redefined what extension is
This is not rockets science. Nociceptive back pain Somatic pain Somatic referred pain Radicular pain Radiculopathy: weakness, numbness, tingling rwillisdpt.files.wordpress.com/2014/12/bogduk…
I am sorry but I stand by “none of us needs what the average of all of us needs.” Stating things like “well at 12 weeks most people have resolving sciatica” is just using the evidence as a blunt instrument. People, people, people that’s who we treat, not population averages.
Too funny. This paper tried to "prove" that people are able to dramatically avoid spine flexion yet they actually showed the opposite. They just didn't know how to "process" their data
If root tenting is a common cause of radicular pain / radiculopathy, and the etiology of the symptoms is from ischemia and inflammation, why would you use “nerve gliding” as a therapy? This does not make sense to the underlying pathoanatomy?
@jcjfryer @FizioEdu @AnninaBSchmid @thomas_jesson most nerve roots don’t get compressed against anything, tenting is the mechanism of tenso-compression creating ischemia in the system. Pull on a tube and narrow it’s lumen. And nerve roots are always motor and sensory mixed