Dr. Demetry

Chiropractor, rehabilitation enthusiast, pain science nerd, research junky, lifelong student.

[Dr. Demetry @DrDemetry]

@adfurlan Maybe it’s not central sensitization that’s the problem, but significant anxiety/distress that’s the problem?

[Dr. Demetry @DrDemetry]

@adfurlan Interesting - data from Wolfe has shown that people who have RA and fulfill the WPI/SSI criteria have significant distress that differentiates them from RA patients who don’t fulfill the FM criteria.

[Dr. Demetry @DrDemetry]

@SeanGTGibbons This is a fascinating space!

[Dr. Demetry @DrDemetry]

@PainChampions You are a anointing example of the will, adaptability and resilience every person with pain can embody. 🙏

[Dr. Demetry @DrDemetry]

@AdamMeakins Where do they actually say they’re superior?

[Dr. Demetry @DrDemetry]

@DrJN_SportsMed This is an excellent thought. I’ve seen several of these, and at best they’re extremely difficult to differentiate! Well done

[Dr. Demetry @DrDemetry]

@DrSethPT I believe they are real, but when a real case does present, they often don’t need conservative care.

[Dr. Dino Pappas @drdinopappas]

Listen to "We Fix Pain Podcast - Episode #16 with @DrDemetry Assimakopoulos, DC: What's the Deal with Chronic Pain?" https://t.co/2IcXlOvmG4

[Dr. Demetry @DrDemetry]

@marklaslett_NZ MDT does have a protocol for SIJ pain. I’ve never used it.

[Dr. Demetry @DrDemetry]

@Retlouping Agreed! So much agree. This is why I believe integration of these professionals into the same setting is the best for our future.

[Dr. Demetry @DrDemetry]

@AsafKlaf 2/2 this means you cannot have pain without nociception, because nociceptive circuits are being stimulated any some@point within the neuraxis

[Dr. Demetry @DrDemetry]

@AsafKlaf Is it not possible that circuits in the brain which orchestrate a stress response interact/overlap with central nociceptive circuits? I think the problem here is that people believe nociception to be purely a peripherally mediated phenomenon. 1/2

[Dr. Demetry @DrDemetry]

A great thread on decision making for radiculopathy/radicular pain

[Adam Dobson @adamdobson123]

Radicular pain and/or radiculopathy. A thread on decision making.

1️⃣ setting the scene

3Ps or serious suspicion aside. What does the evidence tell us

❇️ Wait and see
❇️ Physiotherapy
❇️ Nerve root blocks
❇️ Microdiscectomy
👇👇👇

[Dr. Demetry @DrDemetry]

@GravenNielsen Fascinating!

[Dr. Demetry @DrDemetry]

@CraigLiebenson @sconinxphil @Peter_Stilwell @DrZoffness @JanHartvigsen I believe the best and most empowering narratives is that we teach patients coping strategies to deal with pain as they improve. I find this to be more empowering than a “we fix it” model/narrative

[Dr. Demetry @DrDemetry]

@CorKinetic I think your comment highlights the importance of narrative.

[Michael Ingle @mikeinglephysio]

"Partial meniscectomy is eroding trust and credibility in the medical profession." I would have to agree...

[Dr Nimish Mittal MD, MS @mittalnimish]

Barbotage of calcific tendinopathy (pics from today) is valuable US guided procedure.
Generally, calcific deposits more than 5mm linear width and posterior acoustic shadow are amenable to barbotage. Come join to learn at USG workshop CAPMR 2023 meeting. https://t.co/1laQMeYs0M

[Dr. Demetry @DrDemetry]

@ksluka0101 @UIowaPTRS Can’t wait to read this!

[Dr. Demetry @DrDemetry]

@Professor_MRay @Peter_Stilwell @sconinxphil So proud of @Peter_Stilwell, too!