This message is likely to take many more years to filter through to all clinicians and the public #LowValueCare #OverTreatment bmj.com/content/374/bm…

#(Mis)informationAge

Ultrasound-guided vs. blind injections for shoulder pain (Cochrane Review update) 💉💉 - little or no effect on pain and function (mod certainty) - does not reduce adverse events (low certainty) cochranelibrary.com/cdsr/doi/10.10… Institute for Musculoskeletal Health Rachelle Buchbinder CochraneMSK

Wow...VERY interesting! #LOOP study presented at #ESCCongress2021 'Screening' for AF - picks up lots of AF, but despite initiation of AC, no impact on stroke / embolism Ash Paul Margaret McCartney John Mandrola, MD Venk Murthy MD PhD Sanjay Kaul #cardiotwitter #MedTwitter thelancet.com/journals/lance…

That's hilarious and a bit Meta ... 😬 The Cochrane Library is the ultimate reference collection of systematic reviews and meta-analyses in medical research, the 'sacred text' of what's meant to be true in medicine ... and it just got banned from instagram for disinformation.

No profession is immune to quackery

@lbpforum2021 Peter O'Sullivan Mary O'Keeffe #bestMSKhealth NHS England have launched MRI patient information handouts for clinicians and patients - link to be attached to all MRI referrals future.nhs.uk/NationalMSKHea…

Discordant recommendations 1 Strong #recommendations require confidence in the clear net benefit of an intervention versus an alternative. When #evidence is low quality that strong recommendations are almost always inappropriate. bit.ly/3xCRFYv Victor Montori, MD 💙

One reason why OA pain is a "wet dream" for misinterpretation of various OA treatments effectiveness. Sampling from the patients in a flare will make any treatment look good.

PSA from BC times.

Effect of diagnostic labelling on management intentions for non-specific low back pain: a randomised scenario-based… pubmed.ncbi.nlm.nih.gov/35616226/

An amazing data set on 50k people with pain exploring predictors of spreading of pain over 9yrs. The predictors were irrespective of the dx/site of pain. 👉Sleep problems 👉Tiredness 👉Feeling fed-up 👉Depression/anxiety 👉Stressful life events 👉BMI >30 medrxiv.org/content/10.110…

Amidst the controversies surrounding our paper on the serotonin theory of depression, the FDA has published the largest and most comprehensive IPD analysis on the efficacy of antidepressants in the acute treatment of major depression. A brief summary: bmj.com/content/378/bm…

In this podcast episode, Kieran O'Sullivan sat down with us to discuss an editorial that he helped author titled "Back to basics: 10 facts every person should know about back pain." Check it out! open.spotify.com/episode/06csj0…

T2DM guidelines have a BIG problem. The 2018 Canadian guidelines are ~350 pages long. 2021 American ~225 pages. 2019 European ~70 pages. Frustratingly, none of them provide a useful numeric description of what the best available evidence shows for risk, benefits and harms.

As appropriately requested by many people, I've provided the references for my chart. I've also tweaked the chart a bit as there was some new evidence - I created this 3-4 years ago. If you see any errors/have any concerns please let me know. Always happy to correct and improve.

In terms of physical behaviours and MSK physiotherapists should be considering:- ✅️Goals ✅️Leisurely activity behaviours ✅️Movement exploration ✅️Habit development ✅️Advice on safety ✅️Pain implications ✅️Benefits ✅️Time frames ✅️Set backs 1/2

One of my all-time favorite illusions: The spinning dancer If you look at the dancer on the left and the one in the middle, the one in the middle spins clockwise. If you look at the dancer on the *right* and the one in the middle, the one in the middle spins counterclockwise.

Ever wonder how many new medications are better than what we already have? Check out what Prescrire and the Canadian Patented Medicines Prices Review Board thought. <5% are substantially improved. Are you surprised? It's why I say don't keep up, just use the meds we have better.

#WordsMatter