Mitch

@DocStass @DanieMontalvan How does saving a persons life become so unimportant that it is then turned into a story about your feelings. Awesome job but defo need to show more compassion for the poor person you just worked on.

@DanieMontalvan Not a bad thing, but an annoying assumption that happens weekly both in the hospital and outside of it.

I just did CPR in a grocery store parking lot and when EMS arrived they asked if I was a nurse

@AdamMeakins These are top elite physios in sport what do you know @AdamMeakins 😂😂😂😂 brutal. It’s not like the club who pay these so called professional physiotherapists are paying millions for @neymarjr. Doh!!!! 😩

Some more thoughts on this recent video of Neymar the Brazilian footballer and his awful physio treatment for his knee! 🤔

@BritTri I hope Alex Yee still has the drive to continue to be a winner and push for the next olympic gold. It must be tough when reaching the pinnacle of your sport to be as hungry as someone like Hayden Wild will be now. Can’t wait to watch Supertri now.

Alex Yee has been named Team GB Flagbearer for the Olympic Games Closing Ceremony and will carry the flag into the Stade de France alongside gold medal-winning gymnast in trampolining Bryony Page 🇬🇧 🤝 The Closing Ceremony is at 7pm on BBC One ➡️ britishtriathlon.org/news/alex-yee-…

@AdamMeakins I think a lot of the time it’s playing with mindset. Using what the athlete believes helps to get them through the events. If that’s a bit of sham therapy then it’s all good 👍 then proper rehab post event.

Worlds best athletes ≠ Worlds best physios! 🤦‍♂️

@CorKinetic If someone is active but not moving well due to fear of pain. Would it not benefit to provide exercises to improve or normalise functional movement. For example when someone protects the back and keeps it straight using hips and knees more to enable them to keep active.

If someone is already active, IS MORE exercise likely to be the answer? I don’t see it personally

@CorKinetic Hi do you know what is the best pre op questionnaire for psychosocial factors to get best spinal surgery outcomes?

@AdamMeakins But what happens if a patients belief is that them modalities work and help their pain. Use what works for the individual along side what we know or the evidence suggests. No treatment is better than the other if it works for the individual use it as a way in.

If you were to take the ultrasound machines and needles out of some physios hands I bet they wouldn’t have a feckin clue what to do with those they saw in pain! 🤣

@VEstrerg @CorKinetic I agree. If we move with fear and protection and not actually move the back. Then we will see more pathology and more flare ups more chronic pain. If we reduce fear and normalise movement then we start to continue with resistance and functional exercise. But if we just move?

@CorKinetic I think that in "how we move" it is important to observe if we move with fear or rigidity.

When it comes to back pain, I reckon how much we move is significantly more important than how we move

The journey should start with how can I understand your journey so far and how can I help you to progress. I believe in using treatments as a gate way to making connection rapport and trust building. That’s why I use hands on manual therapy along with the exercise prescription.

When the nervous system is in a reactive fight or flight state most protective responses are amplified. Making a mild MSK knee pain jump from a 4/10 to a 10/10. This pain experience then drives fear and disability along with catastrophic thoughts.

MSK pain: can we fix it without actually understanding the person who stands in front of you. The bigger picture provided by a good thorough empathic examination approach enables us hear why the patient needs help. We can’t always fix pain with modalities or specific exercises.

@jackconran8 @AdamMeakins As long as the energy demands of the body is met and recovery is maintained. Good nutrition, hydration and awesome sleep and continued stretching and relaxation. General increase in activity levels making sure we focus on time we are more inactive rather than the time we are.

@jackconran8 @AdamMeakins After an injury we all feel discomfort and pain(normal)some more than others all depending general sensitivity of the nervous system at that moment in time. If some is in a protective state of fight or flight worrying thoughts of pain related to damage this needs to be addressed.

A message to all the Pilates lovers! I love that you love Pilates I want you to continue to do Pilates BUT… Pilates alone isn’t enough to prevent osteoporosis or sarcopenia as you age Please go lift some heavier weights as well! pubmed.ncbi.nlm.nih.gov/38030985/

@jackconran8 @AdamMeakins Once a patient understands that graded loads of 10% increase a week over a period of 3-6 months with 3 x a week of consistent exposure we will see good progression in the ability of the tissue to respond well to load. Tissue will adapt and grow.

@jackconran8 @AdamMeakins Once fear of damage and sensitivity pain is more understood through education and that pain of 4-5/10 when exercising is ok as long as it reduces after and ok next morning. Having a rest day then go again chasing pain. Pain is good it protects us and lets us know we are alive.

@WritesBright Same for illness you only get treated when your ill. Why not be proactive and treat people to stay healthy. Sort the issues before they become a headline in the news. Reactive response just cos they have to.

Ian Hislop is dead right - there is something hopelessly wrong about the way that politics works in modern Britain, where problems are only addressed after they become front page media scandals twitter.com/BestForBritain…

@protriorg @BritTri @LucyAnneCharles @BBCSport @timlovejoy @simonrim @leonalewis @RichardHammond @Herring1967 @Lolitachakra @roisinmurphy @SundayBrunchC4 Can’t wait for 100km races sounds exciting. I would also love to see Lucy compete at standard distance but I guess money will be in PTO. Wonder if other athletes will cross over?

@SuperLeagueTri Brutal not a team mate I would want. Defo done on purpose obvious