@GregLehman I’m calling my liability insurance carrier now.
Will report back.
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Jeff Nicholson
3.6K posts
Jeff Nicholson
@JNicholsonnn
Passion for helping elderly ⬆️ quality of life. Doctor of PT. Small biz owner. Behavior change enthusiast.
Phoenix, AZ Katılım Temmuz 2019
1.3K Takip Edilen551 Takipçiler
@JNicholsonnn A therapist would also need to build more therapeutic alliance to deliver hickeys. There could be something there
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Nothing except the story given by the PT who cupped you before charging you $250 for the session and telling you to drink lots of water to clear out the toxins!
Nick Ilić@NickIlic_Physio
Honest question - apart from the clinical setting and contextual effects: What is the difference between Cupping and a Hickey?
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@jamesonhaslam If you scroll way down and to the right you’ll find it.
Just a little farther.
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@GregLehman @drcarlylescott As with most things musculoskeletal.
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@JNicholsonnn @drcarlylescott And the point of questioning this is it means there are probably many other exercise or treatment options to help someone.
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Best summary for treatment of lateral hip pain.
(Which also happens to play into my personal biases)
People look at me like I’m a charlatan when I tell them to stop stretching and load into tolerable levels of pain reproduction.
Howard Luks MD@hjluks
Pain on the outside of your hip is one of the most common problems I see in my practice. Walkers get it. Runners get it. People who've never been to a gym get it. For decades, we called it bursitis and injected it. We were treating the wrong thing.
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@JNicholsonnn @drcarlylescott Not exactly. The tendons may be the nociceptive source but not because they lack capacity. The author implies heavy loads are needed to increase stiffness (capacity) and that isn’t supported.
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@drcarlylescott @GregLehman I suspect Greg is suggesting that blaming the lateral hip musculotendinous structures is equally as inaccurate as blaming the bursa.
Which is likely true.
But I don’t like it 😝
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@GregLehman @JNicholsonnn That is sort of what the article says, just kind of hits the point that the bursae is not the cause most of the time and the tendon usually is the problem. Also mentions a quality physical exam is important in proper dx
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@JNicholsonnn Maybe 15 years ago. It’s a nice idea but it’s been tested and not supported. Progressive overload has not outperformed sham exercise. It’s not really a capacity issue.
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@brianm1669 @hjluks Sometimes getting to the tolerable pain threshold is effective, particularly in more chronic cases!
Also a nice psychological assessment for the individual to experience symptom improvement within a single bout of exercise.
Can be an “aha” moment.
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@hjluks Progressive load below the threshold for pain is the key. That and compliance with home program.
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Pain on the outside of your hip is one of the most common problems I see in my practice.
Walkers get it. Runners get it. People who've never been to a gym get it.
For decades, we called it bursitis and injected it. We were treating the wrong thing.
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Been away from social media.
Barely peeking at X.
Deleted Facebook/instagram.
Was annoyed with it all.
Came back and saw a quadruple amputee cornhole pro murdered someone with a gun, and some religious dude admitted his wife is a (former) whore to the world.
We’re so back
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Day in the life of an early 30s guy in the suburbs (Saturday edition/1 kid)
3:17am — wakes up (son needs water)
4:02 — wake up (son needs blankie)
4:28 — actually wake up
4:48 — espresso shot, chug LMNT
5:05 — workout
7:35 — get up kid, make family breakfast
9:30–2:00 — groceries? park? the universe decides
2:30 — accidental nap (I fell asleep on the couch trying to watch a movie)
5:00 — dinner out (no reservation because no one else eats this early)
7:00 — finish son’s leftover entree
8:30 — story time (same book we’ve read all week)
8:35 — bedtime (son)
8:38 — bedtime (me and wife)
12:42 am — son needs water
Same script, every weekend (until next month)
Murray Hill Guy@MurrayHillGuy1
Day in the life of a mid 30s guy in the suburbs (Saturday edition/no kids): 7:30am — wakes up before his alarm anyway 8:00 — walks the golden retriever 8:30 — chug a black coffee 9:30 — Costco run that somehow turns into $347 12:30 — eats samples like it’s lunch 2:00 — “quick” nap that ruins the rest of the day 4:30 — stands in the backyard staring at nothing 6:00 — gets yelled at by his wife for something he definitely did wrong 7:30 — 1.5 beers = exhausted 9:15 — falls asleep mid-movie he picked 2:30am — wide awake for no reason, contemplating everything Same script every weekend
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Jeff Nicholson retweetledi
Please stop telling people with osteoporosis not to lift anything heavy... I've heard it from docs, PTs, Trainers, etc... This might seem protective... but it's not.
This risk calculation... A hip fracture in an older adult carries a one-year mortality rate of roughly 25 percent. Half of those who survive never walk independently again. That is the cost of fragility.
The risk of a well-supervised, progressively loaded heavy (80-85% 1RM) strength program (LIFTMOR) is a muscle strain or a bruise. These are not equivalent risks, and treating them as equivalent, as avoidance does, is not caution. It is a decision to accept the larger risk in order to avoid the smaller one.
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Jeff Nicholson retweetledi
>Be Paul Saladino
>Heal your eczema with carnivore
>Write a book about how plants are poison
>Tell everyone that nose-to-tail is essential so you can sell liver pills at $60 a bottle
>Not eating enough fat, eating way too much liver
>Things start to nosedive
>Start adding honey because your testosterone has collapsed
>Tell your audience carbohydrates are actually fine and you've grown
>Migrate to 300g of sugar per day and call it ancestral
>Tell everyone carnivore was slowly destroying you
>Explain that ancestral humans ate carbs because raw meat contains trace glycogen
>Confirm Liver King is completely natural, no notes
>Liver King is on $11,000 a month of synthetic hormones
>Pivot to scaremongering: soap, shampoo, sunscreen, toothpaste, toilet paper
>Vegetables turn out to be okay actually
>Launch protein bar sweetened with coconut nectar
>It is ancestral
>You said so
>The liver pills are still available
>Nothing has been refunded
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GM
My parents are staying with me to help with Little Boy Kong
My mom and I talk every morning, it's really nice
She told me a story today about reading Love You Forever to me in pre-school. She got choked up and said, "we're almost at the end of the book"
I held back tears and told her we are not, long ways to go
Then I got choked up realizing I can't even read that book to my son
And now I have tears streaming down my face typing this out
Really puts things into perspective
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My 50+ y/o cousin has started a podcast about buying real estate with creative financing.
Last time I saw him was 5 years ago, he was begging family members to let him sleep on their couch while competing in Halloween costume contests to get $.
The top is here.
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Jeff Nicholson retweetledi
@JohnGoldman This reminds me of when I was a high-level high school basketball player.
I was trying to increase my vertical jump/explosiveness.
My schools strength and conditioning coach told me I needed to stop running anything more than 1/4 mile.
“Turns fast twitch into slow twitch”
🤣
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This is so brain dead I can’t even.
Every single play involves all out sprints when you’re fatigued for 3/4 of the players on the field. And even then ask the pulling guards if they ever have to sprint while fatigued.
Zac Goodman@ZacGoodman_
Louie Simmons on Conditioning for Football Players… “Football is a knock you out, back up, knock you out, back up sport. When you run gassers, you turn explosive athletes into endurance athletes.” You must train the correct energy systems for success in Sport!🙌🏻
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Unfortunately, the answer to the question of cost in health care is usually:
“Whatever your insurance allows”
Secretary Kennedy@SecKennedy
We're now requiring all health providers and insurers to post their prices publicly so you can shop around and make an informed decision.
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