Pat Stanziano (He/Him)
3.6K posts
Pat Stanziano (He/Him)
@Stanz1980
Dad, Husband, 🏈 Lover (played, coached, team trainer, now ref), Sport Physio, Cert MDT, IST ➡️ @skatecanada, On-site ➡️ @peelpolice, owner ➡️ @LABsRehab
Oakville, ON Katılım Eylül 2010
908 Takip Edilen286 Takipçiler
67 not out 😊 cycled into London and back to Kidbrooke , a bit windy but good fun on the new cycle. Nice 20+ miles on my birthday. 🚴♀️
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Is this really good advice for people with acute low back pain?
Why the catastrophic title? Shouldn’t this read
“The emergency DON”T panic page”
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Thank you @isufigureskating for a lovely evening.
What an incredible week & a true privilege to cover the journeys of the athletes. 🤗
I am utterly exhausted so I can only imagine how shattered the skaters are!
Wishing everyone a happy/ healthy off season! 🫶🏻#commentary
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@mhjd_85 @SkatingScores What about having a second rink available so skaters can stay warm, or warm up whenever they want, ahead of their program? It’s a long wait for skater 5 and 6 in a group. Probably a lot of logistics, esp. 💰 but maybe something to fight for.
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@SkatingScores Removing the 6 minute warm up would be SO incredibly dangerous to the skaters competing 🫣
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ISU is considering removing the 6-min warmup to make events go faster, meanwhile I'm over here demanding that we now have a Zamboni flood after EVERY SINGLE PROGRAM so this never happens again!! 😭
SkatingScores@SkatingScores
OMG 😱😭
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@BevSmithWrites @_liapereiraaa @trennt22 Shouted loudly and proudly for first three elements, then quickly got choked up 🤪
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OMG. I think that @_liapereiraaa and @trennt22 were even better today in the pair SP at #WorldFigure than they were at the Olympics. That was stunning!!!!!! Level 4s out the ears! Effortless, confident.
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@hjluks That said, there's still a period of decr load w/ spine-specific tx & a progression of load post sx-relief. It just happens too fast & exercise is not tendon specific for Dx glute tendon (days to weeks), compared to true tendon pathology, which is more specific & takes months.
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@hjluks I will agree (1) majority of gluteal pain is spinal referred & (2) post-spine-screened lat hip pain is almost always tendon-related. Still going to say 20-30% (a good chunk) of all lat hip pain responds to spine intervention. Haven't tracked my whole career, more so in last 10y
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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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TOP-3 AND A PB! 👏
Lia Pereira & Trennt Michaud are lights out in the pairs short program at #WorldFigure, soaring into third place with a score of 75.52. 💥
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@Retlouping I just read this from start to end. My brain is tired (as are my eyes). 🤪
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Focalisation or centralisation/localisation it’s important to note no pain or symptoms actually move or change location. It’s like a row of light progressively going out in sequence, it’s an illusion of movement,in reality it’s sequential abolition of pain from distal to proximal
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping
I ask this question from time to time on the bird app How does modern pain science understanding explain McKenzie’s centralisation phenomenon? (Or as I like to call it focalisation) plus the rapid reversal ie peripheralization? Thoughts Tweeps?
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@Stanz1980 Use Poulter’s paradox 👇
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping
Updated 9/23/22 Today’s twitorial In the old man screaming at clouds series. Poulter’s paradox, the hips pelvis SI joint and lumbar spine. Some clinical types, suggestions and clinical gems, by ME. The lumbar spine transitions…….
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Still relevant 👇 our critique of the McKenzie EXPOSS study
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I have been pondering on the Sacroiliac Joint and some clinicians fascination with it. I think that it is the source of more “evidence based ostriches” than any other joint.
Yes a brief thread
The SI joint and pelvis are not a “pubics cube” we do need to stop the madness.
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@Retlouping I can understand the reason why this info is important for study purposes. There’s always a scientific curiosity in the clinic whether someone is responding to LSp or hip ext (let’s say). Sometimes I try to tease it out through isolated hip flex’n vs bilat hip flex/lumbar flex
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@Stanz1980 Response here, bizarrely it was published before our letter 😂 pmc.ncbi.nlm.nih.gov/articles/PMC85…
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@Retlouping I’m sure that’s part of it. It’s a chat I have with students all the time…
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@Stanz1980 Is it all priming on the side of the clinicians?
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping
pdf.sciencedirectassets.com/315581/1-s2.0-… Patient expectations about a clinical diagnostic test may influence the clinician’s test interpretation “changes in pain perception observed in this study were more aligned with the participants’ expectations than with the actual pathobiological process”
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@Retlouping Perceptual contrast? diffuse ache ➡️ sharp localized pain feels stronger
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@Stanz1980 Simple answer, because they do.
I don’t buy the old mechanical model of pushing material back through the annulus.
It may be that as the rest of the pain has abolished the local pain is perceived as more intense.
To be honest, no body knows.
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