Derek Miles

@kcrehabguy @ArthroscopyJ When we have some of the more prestigious institutions in ACL rehab/research quantifying their loading protocols with an “x” instead of sets/reps/some form of intensity can we be surprised. It’s probably as much talking past each other on what is loading as anything else.

New article from @ArthroscopyJ. I absorbed an ACLR that's roughly 12 weeks s/p and his 90 deg isometric test showed a 69% deficit. Sigh. Check out the highlighted spot. We. Suck. At. Loading. Then it manifests with terrible loading response.

Derek Miles, DPT (@DMilesPT) with an assist from Thomas Campitelli wrote the Barbell Medicine Guide to Tendinopathy. What it is, what are the likely causes, and how to approach rehabilitation.

@kcrehabguy @DR_Ebner @DrQuinnHenochPT Yeah, I’ve seen it a few times in athletes who have been pulling >2-3x/week at higher RPE/%’s

@DMilesPT @DR_Ebner @DrQuinnHenochPT Have you seen that dx though? I don't know what else to call it. Ass tendinitis? 😆

Saw ♀️ Strongman competitor/powerlifter. Similar case few mos back, male Xfitter, convert to powerlifting. Both had crazy high volume session (30+ sets!) & worked thru, both seem to have distal glute max insertional tendinopathy/itis. Seen it @DMilesPT @DR_Ebner @DrQuinnHenochPT?

This thread sounds eerily familiar to the expansion in another, closely related field in the US.

@PhysioSkeptical @GregLehman This is probably the closest I came across but I don’t know if it is especially pertinent to @GregLehman’s question. pubmed.ncbi.nlm.nih.gov/25833204/

@GregLehman Maybe @DMilesPT

Anyone know of a review in this area? The relationship between LBP and Spondys in sport. pubmed.ncbi.nlm.nih.gov/16520993/

Excellent opportunity to work with an excellent clinician. If you’re looking for a clinic to grow and learn from one of the best, look no further.

Choose your character

@Matthew_Rupiper I don’t *want* to like this but the accuracy of the tweet is spot on. Almost like the JOSPT article on trunk exercises. Low certainty in evidence, high certainty after a weekend course or because that is what the residency pushes.

But High level evidence clinical practice patterns and attendance in con ed will remain status quo:@DMilesPT cochranelibrary.com/cdsr/doi/10.10…

Our most recent article on programming power as part of rehab. barbellmedicine.com/blog/how-to-tr…

@buceoman I hope it was an excellent cup of coffee once brewed.

@Jordan_theCoach @WillBrink @DMilesPT My apologies to Derek Miles. I did mess that up. That's what happens when you make Twitter comments before the coffee has even finished brewing.

We’ve done a few podcasts in TRT (EP 21 and 22 I believe), but may do a series on PEDs. People have assumed we are on tons of drugs for a long time, which is funny in its own right, but I find the TRT thing even more funny. Why? Because TRT in someone w/o low T does nothing.

New @BarbellMedicine podcast is up. In this one, @DMilesPT and I talk about SI joint movement and how it's probably not causing low back or hip pain. open.spotify.com/episode/2JoKBo…

In Ep. #216 @DMilesPT and I discuss power training after an injury and beyond. "Everyone’s like "yeah I strength train my patients” and you’re like what does that mean? It’s good that you have found the exercise, but odds are you’re underdosing them." tinyurl.com/3n6dyz4b

@mike_exercise Do you have a citation for that? “Muscle tone” isn’t really a measurable construct. Stabilization exercises are typically as much motor learning/coordination as anything else. There are plenty of strong individuals that experience low back pain.

@DMilesPT I understand its not a panacea. But there is a strong correlation between people having back pain, and almost zero muscle tone, or ability to perform a stabilization exercise. Maybe there are many 12 pack ab people with back pain who don't come see us, but i think thats unlikely

The issue is that now with high certainty institutions will continue to implement trunk and core work as a panacea for low back pain.

Pretty excellent group to be mentioned in. CSM is always a great time and getting to talk to these folk is a big part of what makes it that way.

Great turnout for our performance in rehab talk with @DMilesPT and Rob Rowland. Looking forward to the rest of the conference! #aptacsm

Itching to join us but missed LA? The #Pain and #Rehab seminar has been retooled, revamped and is just around the corner. Join @DMilesPT and the rest of the P&R crew in Miami this January! barbellmedicine.com/seminars/barbe…

@AlexisMLeveille It is all going to be based on professional opinion. I would say resistance training is perfectly fine for kids with a diagnosis of scoliosis. The angle “can” increase but it can also stay the same/regress. We can’t always make decisions based on the possibility of a problem.

@DMilesPT I think powerlifting is fine for adult scoliosis since progression is nearly nil past skeletal maturity (although there’s no studies I could find strictly on lifting heavy), but what’s your take on kids? Couldn’t find a single paper, but scolisosis can ⬆️ a lot in kids

🔥#SundayFunday🔥 - This week we cover the rarest of the rare, the #ankle #sprain! 🤣🤣 Check out this phenomenal piece from @DMilesPT and let us know what you think?! barbellmedicine.com/blog/how-to-ma…