New Grad Physio 🧠🧐 | Instagram: @kabir.physio |
Vancouver, British Columbia
Joined April 2025
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We make patients hop to diagnose Achilles tendinopathy—no hesitation.
But for rotator cuff, lateral elbow, or IT band issues, we might just stretch or resist.
Why don’t we load the shoulder with push-ups or test the elbow with repetitive activities to provoke pain?
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Could peripheral nerve sensitization or irritation be one of the missing pieces in some pain presentations? It might not be the primary cause, but it could be a contributing factor -> one that’s worth considering, especially when things don’t add up. #ClinicallyCurious
We often think of double crush in the upper limb (like cervical radic + carpal tunnel/ulnar nerve entrapment), but what about the knee or shoulder? Could PFPS (even early OA) be related to saphenous nerve entrapment? Just exploring here
journals.lww.com/acsm-csmr/f…
Starting to think manual therapy doesn’t need to be biomechanically precise but maybe nerve-specific enough. Finding areas of peripheral sensitization changes kinda shifts the game. A nod to Diane’s work… less about what’s tight, more about what’s talking loud.
Kabir Dhaliwal retweeted
I'd like to bring attention to the posterior branch of saphenous n. Treating that branch completely relieved a cranky knee problem I had lived with for a few months. Tunnel syndromes can happen to any branch of any cutaneous nerve and really mess up biomechanics.
Big respect for your work, @JaredPowell12 . Curious on your thoughts on nerve tension tests (suprascapular, axillary) in chronic shoulder pain. Not much out there yet but could positive responses to these provocation tests actually give us meaningful clinical data?
If the saphenous nerve is involved in knee OA more than we think, could this help explain why some patients improve with yoga? Neural mobility? Are we overlooking a neural mechanism in knee pain?
jamanetwork.com/journals/jam…
Hey @GregLehman — when working with chronic low back pain, do you ever explore neural tension beyond the usual suspects? Thinking middle/superior cluneal, obturator, lateral femoral cutaneous, etc. Could provocative positions become part of the exercise prescription?