Another interesting observation of our monitoring work in people with low back pain (year in their life, every 3 mths): alot report seeking 'treatment' for a 'flare-up', but actually, its something they always just do b/c its part of their identity now (its there every 3 months)
it's informed alot of my change in practice/teaching-what are we doing as clinicians that might be reinforcing a negative perception? as ex professionals, its the words we use 'weak spine' 'unstable spine' 'firing problems' that reinforce this, and we need to change that
while we want 'clients' to come to us for our long-term prescription, maybe a problem is those in ex-rehab simply aren't that good at long-term prescription and need to keep their simple, reductionist programs in place long-term? @MitchTGibbs @GregLehman
& we need help from our therapy colleagues (physio/chiro/osteo etc): it doesn't help us when a client says "I can't do X, one leg is longer than the other" "I'm out of alignment" "I have to have my X put back in" so again, what are the words you're using for your treatment?
Do you really need to talk about 'breaking up tissue' 'your MF is in spasm and must be released' 'putting X back in' 'changing neural circuits with [INSERT TECHNIQUE]'
We're in this together (helping chronic pain patients), we all need to check we aren't the problem
We're in this together (helping chronic pain patients), we all need to check we aren't the problem
@threadreaderapp unroll bro
