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Experience and expertise is there a difference? How does one develop expertise in ones chosen field of clinical care? Twitter is famous for it’s echo chambers and camps of belief and support. There seems to be a trend that leans away from experience yet not expertise? A thread

A brief thread on recovery of motor deficits after Dc herniation , the evidence for early surgery is not clear, evidence for wait and see seems comparable in recovery type and rates pubmed.ncbi.nlm.nih.gov/12358369/ Recovery of motor deficits after microdiscectomy for lumbar disc hernia

I have been pondering on the Sacroiliac Joint and some clinicians fascination with it. I think that it is the source of more “evidence based ostriches” than any other joint. Yes a brief thread The SI joint and pelvis are not a “pubics cube” we do need to stop the madness.

Updated 9/23/22 Today’s twitorial In the old man screaming at clouds series. Poulter’s paradox, the hips pelvis SI joint and lumbar spine. Some clinical types, suggestions and clinical gems, by ME. The lumbar spine transitions…….

A patient edumacation 🧵 (basically so I have all these things in one place 😂 Telling isn’t teaching. People want and need different forms of delivery of the same information. F2F allows understanding in both directions, written words don’t Enjoy the 🧵

Interesting study that may challenge some disc centric views on the effect of prolonged sitting. It took just 20 seconds of movement every 15 minutes over four hours of sitting to reverse any effects of the sitting stresses. So around 1.5 minutes of motion over four hours

A ponderance brief thread: 🧵 If you are going to do a neurologic examination why? I am going to suggest that the reason to do a neurologic exam is driven by the patients history. The INTENT of a neuro exam is to set a baseline.Baselines can be used to monitor any deficits

As an advocate for choosing our clinical messaging wisely, but “word shielding “ can go too far. We talk about exposing people to load that hurt, shouldn’t we do the same with words in context? CONTEXT is important. When discussing MRI reports the CONTEXT of the words matters 🧵

Retweeting this paper: Sometimes people want to be told what to do, other times they don’t. Different people may want different things. We need to seek to understand What do we mean by partnership in making decisions about treatment? researchgate.net/profile/Cathy-…

A really interesting set of results in this six question quiz on cervical spine, manipulation, artery dissection and risk. I have now turned this into a thread with some reading that may be of interest to one and all. Thanks for your participation.

Pain is weird….🤨 Just saw a patient who had severe sciatica from a disc extrusion for 1 year… …then was rear ended in a car and within 48 hours his pain was gone…..a year later he is still pain free I say again: Pain is weird 🤷‍♂️

This paper came out earlier in the year on how Behavioural Economics principles can increase exercise adherence ⬇️ But what does it say? Here’s a summary 🧵 Well done to Gemma Altinger Chris Maher Adrian Traeger Link to article at the end.

👏 A huge thank you to Adam Dobson for delivering an insightful and engaging session for the Northeast Musculoskeletal Society! 🦶💡 Adam's expertise and clear teaching style made this a valuable learning opportunity for all who attended. Recording now live on YouTube for 7 days

@Retloupingdo do you have any topic about patient preference ? how to implement that? what to do when pt need DN? the diff between Shared decision making and Patient preference?

ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 Mehmet Gem | The Hip Physio Adam Dobson Sarah Haag That’s exactly what I was looking for! Thank you 🙏 🙏

Physical therapies after surgery for lumbar disc herniation- evidence synthesis from 55 randomized controlled trials (RCTs) and a total of 4,311 patients sciencedirect.com/science/articl…

Following on from my NEMs foot drop talk last week, I wanted to touch on a common question: "How do they get on?" It’s a big topic and there’s never quite enough time! So here’s a quick run-through of the main ones. --- General Thoughts Research into foot drop recovery is

آپلود کورس ماشین‌لرنینگ هم تموم شد. بیشتر از ۴۱ ساعت محتوا و اینقدر کامله که به هیچ چیزی نیاز ندارین. هر جا آمار و احتمال و جبر خطی و ریاضی نیاز داشته گفتم، کلی دیتاست و الگوریتم رو بررسی کردم و از صفر رفتم تا شبکه‌های عصبی. youtube.com/watch?v=MFfbbD…

We’ve all seen the mixed results from Pain Neuroscience Education trials, But makes the positive outcomes go well? This qualitative systematic review aimed to find out, Here’s a short summary thread 🧵 (Link to paper at the end)

New systematic review confirms AGAIN the findings of Brinjikji et al. 2015. Multiple findings on MRI are CORRELATED with pain. I wrote about it a while ago (link in comments).