Physiotherapist interested in pain. Navigating the space between disillusion and awe.
Perth, Western Australia
Joined June 2018
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Physiotherapy is becoming more psychologically-informed and this is a good thing.
However, the common overlap of pain, anxiety, depression and past-trauma often means that if we are to address the psychological-contributors without psych-input we are venturing beyond our scope.
Does the SI joint move? If it does, is this movement clinically meaningful? My understanding was no to these questions though it has been challenged recently.
@PeteOSullivanPT @NSaraceniPhysio
@GregLehman
Recommended papers to read in this space?
Lee Schneider retweeted
Great clinicians do not care about loading the toolbox
They are masters of the patient relationship
Then add:
-Mastery of the basics
- Ability to identify red flags
- Understand complexity of pain
- Solid clinical reasoning
Losing toolbox mindset = path to clinical mastery
Monday bias challenge:
Shear force at the joint could be the ticket to osteoarthritis development and global contributors (smoking, weight etc) more likely impact repair mechanisms.
podcasts.apple.com/au/podcas…
Calling all rheumatology physios!
Considering this as a specialty area as I’ve been seeing a number of patients in outpatient musc with dx AS and other rheum conditions. Find it very interesting.
What are some challenges/perks of working in this space that you’ve found?
Lee Schneider retweeted
A secret:
Laying on the couch is just as effective as those fancy recovery tools.
And much cheaper.
Perk 2 of public health (at least for me and where I'm working).
Multidisciplinary team, all located on the same ward, all vying for the same outcome.
Lee Schneider retweeted
Interesting conversation on how meditation can influence mechanisms of predictive processing and pain. Only 20 (ish) mins long..Similar to the daily minimum effective dose for meditation 😎👌
open.spotify.com/episode/0iZ…
Lee Schneider retweeted
So the arthritis in my fingers and hands has been playing up, so thought I better get the guitar out and practice some chords etc. Worked wonders 😃
#MeaningfullMovement & #SelfmgtLIVING-Works
We learn more when we are breathing in versus out 😳
Some of our oldest systems phylogenetically are our olfactory. Breathing in meant sensing the world.
And now, it’s domain general (as far as we know). Can it help with sticky internal models? Pain?
osf.io/38bpw/download?format…
Perk 1 of working in public health. Your primary focus is trying to make the person well enough so that they don’t need you.
I recognize that this is a guiding principle of many private clinicians, though many feel financial pressures which may lead to over treatment.
Lee Schneider retweeted
Today I referred a pt on to a collegue because they wanted DN and I dont provide that. We had the talk about why I dont provide it and a talk about why they wanted it.
Crazy times. It’s almost like I dont have to use every «tool» to respect all the pillars of EBP. Who knew.
Lee Schneider retweeted
I forget to promote my books, which is weird, because I have (Vancouver) rent to pay. Let me tell you a few things about my books… 🧵
📘 I have written TEN books now. They are an odd mix —which I am a bit neurotic about—but all guides to common chronically painful conditions.
Starting a new job tomorrow in public health.
Getting out of the private game and into the world of "excessively complicated administrative procedures"!
Lee Schneider retweeted
Agree agree agree agreeeeeeee 🙌🏼🙌🏼
There are so many things PTs do that I cannot do, and vice versa…
which is why the real magic is in the COLLABORATION 🌟
So far this has been a really useful read. Simple strategies to introduce good habits into your life. Finding some links to physio too I believe..
Readiness for change is more than a desire to change how you are presently feeling (though this is reasonable).
It's a readiness to embark on a process of change, with many ups and downs, toward better overall feelings of wellbeing.