Founder of Inner Focus Physio - Physiotherapist - Clinical Yoga - Pain Science
Joined July 2014
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Here, i fixed it @GregLehman
Twists fall into the category of things we should NOT be scared to do
✅it's safe to move the spine
✅the lumbar spine is designed to move
✅flexion & rotation are normal, natural movements for the spine.
✅we shouldn't be scared to move
scott white retweeted
Declining muscle strength-power with ageing coincides with an ⬆️ prevalence of chronic disease. MSK pain is a consequence of the effects of these altered physiological states. Pain isn't a joint problem, it's a system's problem.
link.springer.com/article/10…
link.springer.com/article/10…
scott white retweeted
Another reason why whole body MRIs will lead to net harm
#RotatorCuff abnormalities on #MRI were found in 99% of adults aged 41–76, including 96% of asymptomatic shoulders, indicating most findings are age-related rather than disease.
ja.ma/4qD96Su
scott white retweeted
1/ Highlights from this crucially important paper:
About 7 out of 10 patients who get “evidence-based therapy” for depression are still depressed after treatment
Of the 3 that get well, about half would have gotten well without treatment
No significant differences between types of therapy (the “dodo bird verdict”)
“Third wave” therapies (eg, ACT) no better than plain old CBT, or any other form of treatment
From the paper: “Most patients do not respond or remit after therapy, and more effective treatments are clearly needed”
So… can someone please explain to me again why these treatments are routinely called “evidence-based therapy?”
scott white retweeted
This is objectively and demonstrably incorrect. Every unnecessary procedure a patient undergoes for an incidental finding has risk.
These sad stories, like a patient who is injured, or worse, from an unnecessary biopsy or procedure are referred to as VOMIT: victims of modern imaging technology.
Pre-test probability is a critical variable that must be considered.
Also, in medicine, there is rarely a justified use of the word “never”.
scott white retweeted
I'm finally recruiting for my first studies of my PhD!
If you're in sunny #Perth and would like to contribute to research into low back pain I'm looking for participants with and without low back pain.
PS if you're based in Perth and want to share this around please do!
scott white retweeted
All our tissues adapt!
Muscles, tendons, bones, discs, nerves, bursas, skin, hair and teeth!
It all adapts!
scott white retweeted
I emphatically agree - peripheral joints seem to have a 20 year lag behind the spine
scott white retweeted
The fact that this expert consensus statement only expresses the opinion of a selected group of surgeons who apparently believe their personal experience prevails over the existing evidence is worrisome... arthroscopyjournal.org/artic…
scott white retweeted
We spend more time anticipating or remembering moments than actually experiencing them. Our brains are mostly anticipation and memory replay machines.
scott white retweeted
I believe we expect too much from words.
Fundamentally, pain science refers to the scientific study of pain-related occurances at multiple levels of complexity. If pain is the focus and science is the process, what else would we call it?
Happy to be wrong here..
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scott white retweeted
Overtreatment is a global problem. Stemming from overdiagnosis and/or an inherent assumption that early intervention or intervention at all outperforms no treatment.
slowboring.com/p/overtreatme…
scott white retweeted
I really value the Nature Reviews papers. For me they’ve been a good starting place for understanding different topics. That and wikipedia!
This looks like a brilliant paper on theories of #consciousness in #nature reviews #neuroscience
nature.com/articles/s41583-0…
scott white retweeted
I can’t believe a person with LBP can be sent for so many scans. Scans, drugs, needles, Surgery. No understanding - no self management tools. Disabled and distressed. So much wasted $$ and Wasted years. It Sickens me. We can and must do better to support people in pain.
scott white retweeted
There is a strong associated between trajectories of financial debt & measures of chronic pain.
sciencedirect.com/science/ar…
scott white retweeted
Only about 4% of MRI scans for acute low back pain show findings of probable clinical significance! Most see things that were there before you had back pain! pubmed.ncbi.nlm.nih.gov/1708…
scott white retweeted
Placebo analgesic effects are most likely GREATER in clinical practice than in research trials, as patients are more likely to be positively primed and influenced by clinicians! link.springer.com/article/10…