Joseph

A long🧵on EMG and NCS: After working with many patients with neurogenic symptoms, I have come across many EMG (electromyogram) and NCS (Nerve condition studies) reports. At first, I was very confused on the findings, what they meant to the me, the patient, and their condition...

@jabroni_1 @Ask_Spectrum Same ! This is ridiculous with their lack of transparency and remediation.

@jeubanksMD TBF to everyone. The diagnosis of B CTS is quite prevalent. CTS is highly prevalent in our population. That said, the HOW to tx the patient with this dx is much more nuanced. IMO

PSA: Carpal tunnel syndrome (CTS, or median mononeuropathy at the wrist) can absolutely present bilaterally. This is commonly seen in the EMG lab. We’re talking at least 15% of the time, with most epi data suggesting it’s much higher.

@cdavidoffDO @PhysioDOH Such a hot term now! It is very difficult to study. But I believe there has been some prospective data that shows those with cervical spondylosis are significantly more likely to develop CTS than those who don't. I will try and find the resource 👍

@PhysioDOH Two words: Double Crush

When is bilateral CTS, ever actually bilateral CTS? 🤦🏻‍♂️🙃

@tosinCanada @MaxVanDerVelden The literature around management of TOS is severely lacking. Conservative management and surgical management as well. I think TOS is like the "piriformis syndrome" of the UQ. It's real, rare, but some people don't think it exists.

@MaxVanDerVelden Great.. 🧵 #TOS 👉one of those conditions your not comfortable in treating 😉 I bet you’re comfortable with a patient’s history, listening to the description of symptoms and performing a gentle meticulous clinical diagnostic exam. Multidisciplinary team input ✔️ Thank you!

Thoracic outlet syndrome is, for me, one of those conditions around the shoulder/neck that I’m not really confident in treating. So I decided to have a closer look at the literature. Be aware, this is not a heavily researched area so much is based on low quality evidence. 🧵

@ClementsCharl96 I found it interesting for CDH that there was recommendations of full recovery taking 24-36 mo. But potentially others saying surgery after 6 mo...minimal clarification on why 6 mo besides "better outcome". There are too many factors for me at that point. IMO.

Nice succinct review looking at the epidemiology, risk factors, features and considerations for onwards referral for disc herniations ⬇️ ncbi.nlm.nih.gov/pmc/articles/P…

This 👇is full of some easily digestible information for both therapists and patients. Take a look!

BFR is officially within the scope of practice of physical therapists in NY state….along with everyone else 😂

@pttimyyc I feel like this is the message the APTA needs lol

Physiotherapist’s are EXPERTS in function. And even better we are experts in restoring, and maintaining one’s quality of life! We promote resilient individuals and strong communities 💯

@Irish_Physio Yes you CAN exercise even in discomfort 👍

Physio Fun Fact Friday. What are your physio facts that your patients/clients love to hear? Keen to hear from all msk/ortho clinicians.

@pttimyyc I have a lot of articles do you have an email I could send them too?

@joegdpt Anything really. Anatomy review, mechanisms of injury, prognosis, treatment.

Does anyone have any resources on Cervical Radicular pain/Radiculopathy/facet joint pain/uncovertrbral joint pain? I want to dive deeper into this area...but not as popular as the low back.

@adamdobson123 @MovemberUK @ProstateUK In the USA 3/4 of all suicides are males. Suicide is the highest reason for death in males ages 25-45. We have a problem. It's everywhere.

A few sobering facts about men in UK: 🔵 5219 suicides were registered in 2021. Male suicide is most common. Highest in NE. 🔵 Every 45 mins 1 man dies from Prostate Ca. >12,000 a year. To raise awareness I'll be donning my moustache and donating to @MovemberUK & @ProstateUK

#burnout 52/75 When you help, you see life as weak. When you fix, you see life as broken. When you serve, you see life as whole. Fixing and helping may be the work of the ego and service the work of the soul - Rachel Naomi Ramen #MedTwitter #TeamGP

Great thread here 👇with concepts that can carry over to anyone recovering from injury or chronic illness.

@theEndurancePT I feel like this is great for many individuals recovering from injury or on their journey with chronic illness. Our mindsets need to change. We need to prepare our bodies daily, weekly, etc to rise to the challenges we wish to impart on them. 👍Great thread

Many years ago I was lucky enough to have an insight into the world of the special forces during my time as a military Physical Training Instructor. Pretty quickly I started to see how their approach to life could be so beneficial to endurance athletes. 1/5

9) Thanks for making it until the end! With Research Reviews like this, keeping up with research doesn’t have to be so hard! Our reviews break down clinically relevant research into 5 minute summaries that feature actionable takeaways. Try them for FREE physio-network.com/research-revie…

@elNicodenuevo @PhysioNetwork @SarahHaagPT @AnninaBSchmid (2) Also, work by @DrTobyHall showed that the subgroup of radicular pain WITH neural mechanosensitivity, responded the best to a Neurodynamic treatment. Just food for thought here.

@elNicodenuevo @PhysioNetwork @SarahHaagPT (1) My question as well! Additionally, what was the criteria for a positive SLR? Recent work by @AnninaBSchmid and colleagues showed a poor overall agreement in current literature on a positive test.

1) Effects of adding a neurodynamic mobilization to motor control training in patients with lumbar radiculopathy due to disc herniation. A short thread 🧵 It is based on an excellent Research Review by Dr. Sarah Haag (@SarahHaagPT)

10 things that won't matter in 10 years... From a 56-year-old perspective... / a thread 🧵

This 'spineday' literature is kinda noceobic with unhelpful info. Do we know who curates this ?