Campbell @campbelljamesh
Physiotherapist with an interest in hips, shoulders, chronic pain and translational research Melbourne, Australia Joined September 2011-
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@mtb_woman Lots of subtleties missing. Not moving is harmful, yes, but ignoring pain is equally harmful (NB both statements broad generalisations). Becoming strong, flexible, able to move into a range of positions is an end goal, getting there differs for each person #notjustlifting
So you successfully rehabbed someone back to elite sports. Cool. But I want to hear about that dude you cant seem to handle. I dont want your highlight reel. I want the bloopers. If we learn the most from failures. Then those are the ones I want to hear about.
Physical activity is 1.5 times more effective at improving symptoms of depression, anxiety and distress compared to antidepressants. bjsm.bmj.com/content/early/…
“Why are you on gabapentin?” “Pain” “Does it help?” “No” “Why are you still taking it?” “I don’t know” “Why are you on cyclobenzaprine?” “Pain” “Does it help?” “No” “Why are you still taking it?” “I don’t know” “Why are you on meloxicam?” “Pain” “Does it help?” “No” “Why are y
We should strive to move from, "does it work"? To: “What works, for whom, in what respects, to what extent, in what contexts, and how?”
Study of the week Cortisone is worse than sham for knee OA. “2 years of intra-articular triamcinolone, compared with intra-articular saline, resulted in significantly greater cartilage volume loss and no significant difference in knee pain.” pubmed.ncbi.nlm.nih.gov/28510679/
Let this sink in this was written in 1993 that’s 30 years ago We are still slow to change.
Let this sink in this was written in 1993 that’s 30 years ago We are still slow to change. https://t.co/hYmWC1THME
Maybe other outcomes should be considered for pain neuroscience education? Or maybe it should be reserved for people with certain characteristics (e.g, nociplastic pain, catastrophication due to pathology)?
Maybe other outcomes should be considered for pain neuroscience education? Or maybe it should be reserved for people with certain characteristics (e.g, nociplastic pain, catastrophication due to pathology)?
Just because something's not your fault doesn't mean it's not your responsibility. Our ability to act and change is proportional to the amount of responsibility we take on for ourselves.
I’ve never observed anyone, regardless of field, achieve lasting prominence while voicing rancor or focusing much on the failings of others. Create and share, support others and enjoy. Givers and creators always prevail.
We keep hearing about neuromuscular exercises. Can anyone give me an example of an exercise not requiring a nervous system and a muscle? More redundant terminology. It's just an exercise!
It’s never the hip flexor. Thanks @DrJN_SportsMed
@LynnPhysio I still have pain. It is in the background unless I focus on it. Hopefully, it will go away someday. Until then, I’m okay with the pain. I can live well, despite it.
It's crazy how people don't realise that if you experience severe anxiety or depression, that's it's not so easy to just go out and exercise.
It's crazy how people don't realise that if you experience severe anxiety or depression, that's it's not so easy to just go out and exercise.
Three things really pissed me off this week. 1. 69 yr old lady Tripped fell and landed on knees - pain and worried- ref by GP to orthop Offered 2x TKR - when she didn’t want that got PRP - when that didn’t work - booked for 9k stem cell Rx. Her friend suggested she see a physio!!
Please don't blame "pain science" for a lack of clinical reasoning. Peripheral nociception as a consequence of tissue trauma is a well established component of a pain experience. Any suggestion otherwise is merely a strawman argument.
@suhailphysio89 @chadcookpt @marklaslett_NZ See as many patients as possible, listen, try to understand, reflect, reason, assist, repeat. The number one things Robin Mckenzie used ot say to me “Poulter, you can never see enough patients, they are the best learning experience.”
@ScottSwillis @apaphysio @richardmcolbeck We need physios providing evidence based care in aged care - not massage. @apaphysio
"The clearly disturbing message us that if one were to follow the strict criteria of evidence-based practice, there is little justification for almost all of the passive modalities currently in use. While we are not yet restricted in our freedom ... 1
@GregLehman @AdamMeakins @lizbayleyphysio Neuromuscular exercise. I've yet to see an exercise that doesn't involve muscle and a nervous system. Redundant, unnecessary terminology.

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