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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
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Oct 12 • 6 tweets • 2 min read
On #worldarthritisday2022 so here are some thoughts 💭
Stop the wear and tear bone on bone rhubarb 👇
👇
More than we think 🤔
Darn low grade inflammation
Enjoy your day

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More from @Retlouping

ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
Oct 11
Sat here thinking it’s thread time.

So “old man shouting at the audible pop” is it all it’s cracked up to be?

A 🧵
Hot off the presses 👇
“However, noting that some practitioners and patients still consider this aspect an important part of the SMT experience, further research would be help- ful in fully comprehending the contribution to the per- ceived meaning of this phenomenon to both patients and practitioners”
Read 19 tweets
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
Jun 18
🧵
A provocative ponderance parable:

A man presents for assessment with a complaint of pain in his second MCP joint with restriction of the index finger movements and radiating pain to the wrist and down the forearm. Image
After receiving a brief history the therapist examines the hand.

The index finger is definitely stiff with a fixed extension deformity, marked loss of passive and functional movements.
On palpation there is pain around the MCP joint & anterolateral wrist
There is pain on palpation along the lateral forearm to the elbow.
The elbow joint is moving within normal limits flexion and extension. Pronation and supination appear “awkward” but no restriction.
Read 12 tweets
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
May 27
A mini 🧵 plus a link to another thread enjoy the rabbit hole that is my thread with threads.

Old man ponderance on bone stress reactions.

Stimulated by this great thread.
And my relies in this thread 🧵
So question are bone stress reactions always painful?

A short evidence thread 🧵 answer NO.

Magnetic resonance imaging of the lumbar spine in asymptomatic professional fast bowlers in cricket

online.boneandjoint.org.uk/doi/pdf/10.130… Image
Read 11 tweets
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
May 19
“One or two hours of individual patient education probably makes little to no difference in pain and functional outcomes compared with placebo for patients with acute/subacute LBP”
Houston we have a problem?
One more time education is NOT telling people STUFF in 1-2 hr blocks
🧵
I talk to this point in this thread 🧵 👇
I have hammered this phrase to death “TELLING ISN’T TEACHING”
Read 8 tweets
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
Apr 26
When PTs talk about screening for red flags 🚩 how good are we and do we miss the gorilla 🦍 in the room? Plus do we understand the difference between a red flag and the serious condition? A thread 🧵
I talk to this in this thread on clinical reasoning in LBP.

What is our index of suspicion and how common are serious conditions?
Maybe we should talk about identifying serious conditions via identifying red flags,not the other way round?
Read 18 tweets
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 Profile picture
Feb 14
I hear that the PT twitter verse (I can’t see cos I blocked the protagonist) has it’s panties in a bunch over the famous professor of spinal biomechanics (NOT a medical doctor or clinician) and advice to pro NHL athletes to avoid tying their skates. A shortish 🧵
The notion of human lumbar si discs having “finite” amounts of lifetime flexion before they apparently herniate seem to come from this paper on “dead” pig cervical discs

breathe.edu.au/wp-content/upl…
I shall repeat that “dead” pig cervical discs.
One man has repeatedly hypothesised from this study that “living” adaptable humans with intact nervous systems and functioning brains have a finite amount of forward bends before their apparently fragile lumbar discs explode
Read 14 tweets

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