Ben Cormack

Whatever social media tells us, there is not a secret answer to back pain!

@DerekGriffin86 Could get bigger 😉

@CorKinetic Notwithstanding the observational design, would the very small difference hold up in an RCT?

The between group difference at the final time-point is less than 1-pt on the NRS. The Y-axis should be 0-10.

Rather than seeing the spine as fragile and flawed in its design (needing to be protected) 😢 Instead, see it as an amazingly robust bit of our bodies that can sometimes get injured like any other part when used regularly 🤷‍♂️

The new BA tier points structure sets impossible hurdles even for frequent flyers regularly using business or first. I have always planned my extensive and expensive global travel through London to use BA. These days are over. I will now use whatever airline is most convenient and competitive. It will make travel planning easier. I can make more use of other airlines whose business and first seats are far superior to BA. Hello Emirates, Qatar, Singapore, Etihad etc. I have BA gold for life so it no longer matters how much I use BA. I also have Group 0 status which is meant to allow priority boarding. But, like yesterday in Nice they could not even be bothered to call it. Same in London for plane to NYC. BA can’t even organise an orderly queue at the gate these days , something you’d think would come naturally to a British airline given the Brit propensity to queue. BA now run by numpties who put no value on long-standing, big-spending loyal customers, of which I’ve been one for 55 years!! They can’t even get the little things right. I flew London-NYC yesterday in First. WiFi meant to be free and I needed it for work. But free wifi didn’t work. So I had to pay for it. The lovely crew embarrassed by the poor service. I remember when my friend John King was the boss how proud the crews were to work for BA. Long gone. Crews are ashamed. No idea who runs BA these days. But he/she clearly useless. They’ve inherited the dead hand and cheapskate service of Willie Walsh, whose inability to determine what quality service meant began the long-running decline. He really was useless. Crew moral is very low as a result. Passengers see it. Good crew people, badly led. They lost any pride on working for what was once ‘the world’s favourite airline’ — then a matter of pride for staff and country and passengers. Now BA is just another middling airline over charging over the odds for a level of service barely above the cheaper budget airlines. A business model with suicide written all over it. @British_Airways

Hi folks, in this 9-min video I demo how I explain tendon pain to patients youtube.com/watch?v=KnJqXO… It shifts away from the faulty concepts of overuse and “exceeding capacity,” toward understanding pain as a multidimensional, individual experience. 📚 Hope you enjoy it 👍

There is a message here for everyone who promotes physical activity. Accessible, social, respectful, fun, welcoming & low cost. Helping people to get more active is more about creating the right environment & less about the medicalisation of exercise. thetimes.com/life-style/hea…

@v_owerneck Available how?

@CorKinetic Good morning Ben, can you make the full text available?

Whatever your beliefs about the causes of pain, there are obvious effects on the person! "Elite athletes with pLBP report disruption to identity, self-confidence and perceived worth" bjsm.bmj.com/content/early/…

Yep. I think it’s finally dead on here

If you commit to some element of evidence based practice you have to…. ✅Be prepared to change your opinion/practice as new evidence emerges ✅Not react emotionally to things that might challenge the above ✅Welcome an element of change

File under (all) treatments don't do much for back pain "Spinal manipulative therapy for adults with chronic low back pain" ⭐️ Effect on Pain SMT may slightly reduce pain compared with sham (placebo) SMT Compared to no treatment, SMT may moderately reduce pain.

⭐️ Effect on Function SMT may moderately improve function (e.g., ability to perform daily tasks) compared with sham SMT. ⭐️ Effect Compared to Other Conservative Treatments Evidence is mixed or uncertain when SMT is compared with other non-surgical therapies

@GregLehman @PratikxPatel The amount and conviction of the message. Surely there is something 🤣

@CorKinetic @PratikxPatel Ya, we said this a lot 15 years ago - it was an interesting notion but we never moved beyond it being notion with any good data. Now, its just becoming dogma which is an issue greglehman.ca/blog/2012/03/1…

Tight muscles are generally weak/easily fatigued muscles You DON’T need to stretch that area more You NEED to get that area STRONGER

@GavC96 @PratikxPatel I am interested in if there is any science to this common saying

@CorKinetic @PratikxPatel Do you feel like the perception of tightness can be reported by patients who are actually just weak? I agree I have never seen a truly tight muscle that was just weak, but I’ve seen patients reporting feeling tight and restricted to have great PROM but weak++ (Dancers)