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Nick Ilić Profile picture
@NickIlic_Physio
May 6 • 1 tweets • 1 min read • Read on X
🧲 The Australian distributor markets EMTT as having "almost no side effects."
The trial they cite: skin redness in 49% of patients, treatment pain in 43%.
Those side effects also happened to be exactly what unblinded the trial.
New post 👇
open.substack.com/pub/nickilicph…Image
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More from @NickIlic_Physio

Nick Ilić Profile picture
Mar 19, 2025
💡 The Clinical Dunning-Kruger Illusion

Young clinicians: Competence doesn’t happen with time.

🚩 Textbook cases? Rare.
🚩 "Gold-standard" treatments? Hit or miss.
🚩 Social media rehab hacks? More rabbit holes.

The Valley of Despair is real, but you can climb out. 🧵👇 Image
The Dunning-Kruger curve is misleading.

It makes it seem like competence just "happens" over time. It doesn’t.

Real experience = Time + Caseload + Learning + Unlearning.

That first overconfidence spike? It happens FAST. The climb to competence? DECADES. Image
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The Great Unlearning is just as important as learning.

What you swore by in year 1? Gone by year 5.
What you were told was gold standard? Maybe… maybe not.

Being a great clinician isn’t about knowing everything—it’s about staying curious and adapting. Image
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Read 7 tweets
Nick Ilić Profile picture
Feb 14, 2025
1/ Got butt pain when sitting, running, or stretching? You might have Proximal Hamstring Tendinopathy (PHT). Let’s talk about how to manage this literal pain in the ass (no quick fixes, just evidence-based strategies). 🍑🧵👇 Image
2/ PHT is a tendon issue at the 'sits bone' (Ischial Tuberosity). It gets cranky with compression & excessive load, we don't think its inflammatory (that's a rabbit hole for the nerds 🐇🕳️). It seems rest & ice won’t cut it. ❌ Image
3/ Who gets PHT? It can affect both athletic and non-athletic populations:
🏃‍♂️ Runners—especially those with high mileage or lots of hill work.
🧘‍♀️ Yoga practitioners—frequent deep hamstring +/- glutes stretching.
🚶‍♂️ Desk workers—long periods of sitting compressing the tendon. Image
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Read 11 tweets
Nick Ilić Profile picture
Feb 14, 2025
1️⃣Two major plantar fasciopathy clinical guidelines are getting attention currently.
Here’s what they say! 🧵👇
🔗 BJSM 2021: Morrissey et al. doi:10.1136/bjsports-2019-101970
🔗 JOSPT 2023: Koc et al. doi:10.2519/jospt.2023.0303
#Physio #PlantarFasciitis #Rehab #HeelPain
2️⃣ What’s the difference?

📌 BJSM (2021) → Mix of systematic review, expert opinion & patient values.
📌 JOSPT (2023) → Strictly evidence-based from RCTs & meta-analyses.
👀 BJSM is practical & adaptable, while JOSPT is more rigorous & structured.
3️⃣ What causes plantar heel pain?
✅ Both guidelines agree on key risk factors:
🚶‍♂️ Prolonged standing/running
🦵 Limited ankle dorsiflexion
📈 High BMI (in non-athletes)
⚡ Sudden activity increase
❗ Always rule out stress fractures, fat pad atrophy & nerve entrapment.
Read 8 tweets
Nick Ilić Profile picture
Aug 1, 2024
/1 Nice review in March 24 issue of @PhysioNetwork by @iangattphysio .

"TFCC tear" is one of those well known therefore oft diagnosed injs.

My local hand Doc agrees:
MRI looks like one thing, then a scope finds another.
LT lig tears can masquerade like a TFCC, & ViceVersa.
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/2 The old saying "just because you haven't seen it, doesn't mean it hasn't seen you" might apply here, however clinically I rarely diagnose a "TFCC" injury.
I just manage as "ulnar wrist compartment pain" until proven otherwise. Image
/3 In my community/club sport level practice, I am more likely to reliably diagnose an ECU tendon injury due to mechanism and a (usually) more proximal location to pain.
Also due to differences in the "weight bearing test" and grip strength pain in supination vs pronation.

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Read 4 tweets

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