Joe Barry

@DerekGriffin86 yes..the nature of what you just described requires more consideration than classic exposure rx 👍

@JoeBarryPhysio Not necessarily - CFT isn't always about avoidance/exposure based rx; for example sometimes it might be suitable to limit end range loading if clearly mechanical & symptomatic repeated movement testing. Sometimes avoidance is the answer!

How people move & why they move that way can give more insight than measures of range of motion alone. link.springer.com/article/10.118…

@DerekGriffin86 yeah im with ya, its just that part caught my eye. tricky to do CFT behavioural exps on that subgroup!

@JoeBarryPhysio But that tell us that a majority of people with LBP has some form of limitation with forward bending - often in clinic due to pain or altered motor behaviours (e.g. guarding).

@ZacharyGrinDPT Theres a common theme to the history of these peoples stories, of which, is normally one thats emotionally laden...Understandably the pain and frustration gets projected back out - unfortunately its very negative for the understanding and Rx of the conditon.

Please don’t listen to people like Dr. T (who is not a clinician but acts like one). She is spreading the usual harmful FND misinformation. They’re all very wrong. Many diagnoses were renamed as our understanding improved. FND is common in people diagnosed w/ ME/CFS and hEDS.

Uh oh .... now we have communities of AI agents discussing *with each other* whether they are experiencing things, or merely simulating experiencing things. Humans can only observe, not interact @moltbook moltbook.com/post/6fe6491e-…

@teamjohntee @Be_Believing What does that even mean 😂

@Be_Believing Low IQs....they should just have held their breaths! 🤡

These dudes try not to react to smelling salts

@adamdobson123 This was a difficult watch. Not the W he was hoping for

This is comedy gold. Critiquing Aaron's well known post with absolute pseudoscientific slop. This is parody.

This screenshot went wild on social media a while back. That is some 🧑🏻‍🍳😘 irony! Nature took down the paywall on this (ancient) article—no doubt because of the flood of traffic! Just a bit more about this, and tips on how to get full text papers: PainScience.com/blog/inaccessi…

Functional Neurological Disorder is still too often labelled as “medically unexplained”. That’s outdated. Here are 5 reasons why #FND shouldn’t be grouped under #MUS 👇

🔥 Hot off the press! NICE has published NG252, a brand-new guideline on rehabilitation for chronic neurological disorders, including Functional Neurological Disorder. Another big step after #FND became a core neurology subspecialty in NHS England! 🧠 nice.org.uk/guidance/ng252

@urrestifisio @AsafKlaf There is a study that has kinda done this - it showed no difference between PNE and generic education..My masters thesis looked at exercise and PNE vs exercise alone and although technically the results supported it, the papers were low quality

@AsafKlaf Is there some study with PNE, control and placebo? Which it would be the more logical.

I wonder when will systematic reviews of #Pain neuroscience education will frame such pain reduction results as statistically significant but clinically MEANINGLESS?! Why haven’t these authors chose to do that? Their framing “PNE decreases pain intensity” is inaccurate to say the least. Such a negligible effect of ~1.0 SMD, barely exceeding MCID. Additionally, the results for disability are even worse than previous reviews of PNE which is interesting. Even exercise results here are also very disappointing and should be acknowledged. The authors’ interpretation is too biased. This is probably the worst review ever for PNE yet they frame it positively. 🤦🏻‍♂️ Its open access #ChronicPain #physio

The difference between real healthcare experts and wellness influencers is simple. Experts aren’t afraid to say, “I don’t know.” They’ll double down on it by acknowledging uncertainty, clarifying what we do know, and committing to look deeper. That is how science moves forward. Wellness influencers, on the other hand, rarely admit uncertainty. With no training or clinical background, they speak in absolutes and position themselves as authorities on complex topics they barely understand. Humility is not weakness. It is a hallmark of real science and medicine.

@BillingMartin @MKargelaDPT People will always want hands on treatment, we hear it all the time.. Context and messaging is key. I often say to people; have the massage, just be cautious about what they say! (I rarely do it because I just don’t wanna work that way)

@MKargelaDPT I have absolute confidence in that statement tbh, but of course challenges alot of folk for many reason It’s so far from what people “need” and is mostly driven by clinicians We would be no worse off without it as it’s not helped the bigger picture has it. Like, at all

What if the biggest driver of manual therapy isn’t the biomechanics or neurophysiology we argue about… but the ritual of skilled touch itself? Maybe it needs less mystique, not less skill.

🎉 Huge news for the #FND community! NHS England’s new adult neurology service specs officially include Functional Neurological Disorder - with specialist clinics, MDT care, mental health support, and access to research now part of the standard pathway.

@camtudor @CSP Good post Cameron. Many sleeping dogs will be caught out given how quick AI is moving

Flagged this with @csp a year ago…but AI moves faster. 👇 This is an existential crisis for large parts of the profession, yet the CSP continue to minimise what’s coming, sleepwalking into the new world. A short🧵explaining what’s coming. 1/5 theguardian.com/society/2025/j…

@hg_jefferson @IsaacKing314 Reccomend the work of mark solmes in relation to this topic

@IsaacKing314 Consciousness basically *is* magic though. We may eventually understand the underlying structures in the brain that gives rise to it, but science will never answer what it means to have an inner experience

What I find interesting about these sorts of people is that they always present themselves as being the science-loving non-woo party, yet by saying "LLMs aren't magic, thus they're totally different from real intelligence", they reveal that they think the human brain *is* magic.

@ChrisCWright1 @anilkseth Yep, our nervous system is part of a broader embodied system with biological incentives. But maybe it isn’t about these mechanisms, rather, whether or not in our day to day interactions we are going to be able to tell the difference…from the Turing test to the ‘Garland’ test.

I've always found it shocking that this is even an issue. Is AI conscious? No. Brains and computers are, um, pretty different. Computer software and hardware are not conscious -- they are not brains. How are people still arguing about this??

@PhysioMeScience I can’t understand why people are still asking these types of questions, based on what we know about pain.

Effect of Mulligan manual therapy and exercise on headache frequency, intensity, disability, and upper cervical joint hypomobility in people with episodic tension-type headache: a randomized clinical trial #abstract" target="_blank" rel="nofollow noopener">…w-tandfonline-com.livivo.idm.oclc.org/doi/full/10.10…

There’s always someone who doesn’t read the poster instructions properly 🙄. Better version of the poster here! bit.ly/3FDOHeK #BPSASM2025 ⁦@DeepakRavindra5⁩ ⁦@JoeBarryPhysio⁩ ⁦@hss_bu⁩ ⁦@TBLearning⁩

@jonnybranney @DeepakRavindra5 @hss_bu @TBLearning 😂👌