George Powell

MSK Physiotherapist @DudleyGroupNHS

[George Powell @GPowellPhysio]

@TomBroback Thanks for the reply Tom.

I’m really intrigued to understand your perspective on how physical therapy can help this.

Are we thinking generic pain modulation effects through exercise?

Sleep hygiene coaching?

Sleep position awareness?

[George Powell @GPowellPhysio]

@Matthew_Rupiper Broadly speaking, what are the other options you would typically give if the expectation is exclusively pain modulation in a physio clinic? What influences your decision making in this scenario?

[George Powell @GPowellPhysio]

@AdamMeakins Thanks for sharing mate. We should always be goal-focused of course, but curious - should mechanotherapy guide ex choice? For example, favouring weight-bearing ex over swimming to maintain cartilage health in knee OA? Is that where some exercises could be considered better/ best?

[George Powell @GPowellPhysio]

@PracticeMoving @DudleyGroupNHS We assigned 9 patients to 1:1 due to leg pain concerns, so only around 30% actively opted against group assessment. Interesting stuff!

[George Powell @GPowellPhysio]

@GregLehman @DerekGriffin86 What MSK pathology would you not apply this too and why? Keen to understand the evidence base and rationale behind why certain types of exercise can be superior to others for particular MSK pathologies.

[George Powell @GPowellPhysio]

@GregLehman @DerekGriffin86 I’m curios, would you shelve this narrative for all MSK pathology, or is this exclusive to knee OA?

[Practice Moving @PracticeMoving]

Excited to see how some would misinterpret this as ‘accurate diagnosis doesn’t matter’

[George Powell @GPowellPhysio]

@kperkins92

[George Powell @GPowellPhysio]

@DerekGriffin86 @BillingMartin @CraigLiebenson @neiljlangridge @k8purcellphysio Great debate! If pain limits function, restoring function should be the goal imo. But if there’s no functional issue and the aim of physio Rx is exclusively for pain relief, I’m curious to understand the rationale for referring such pt’s to a physio/ ‘movement expert.’

[George Powell @GPowellPhysio]

@tomjones_9 @HJT96_ Mate, those are very tame celebrations imo 😂

[George Powell @GPowellPhysio]

@AdamStenman @k8purcellphysio @Physio_James @adamdobson123 From my perspective, it boils down to honesty. Assuming serious pathology has been excluded, NS Dx are better equipped to embrace uncertainty, and help mitigate the deleterious effects of misnomers when providing a specific Dx to a pt that you know could be wrong.

[George Powell @GPowellPhysio]

@physiojack How many signs on the SCREENDEM tool are needed to warrant further investigation? If no consensus, what signs are most sensitive?

[The Sp⚽️rts Physio @AdamMeakins]

There is absolutely NO point being a great rehab specialist or manual therapist if you cant develop trust and respect with patients!

Before worrying about mastering the skills of rehab or manual therapy, first perfect the art of communication and building relationships!

[George Powell @GPowellPhysio]

Brilliant virtual open day hosted by @TherapyDudley. I’m really excited about the latest developments happening @DudleyGroupNHS. Thank you to all those involved in hosting this event.

[Karen Lewis @KarenLe08016942]

Fantastic attendance and feedback @TherapyDudley virtual open day this morning with 53 people joining the event 😀 Hope to see many of you in roles very soon 🤗
@ImagingDudleyg1 turn at 1.00 🙌

@MariaDanceEire
@GlynnJenny
@gradyle83
@DudleyGroupAHP
@DudleyGroupNHS
#OurFuture

[Frankie Twyford @Physio_Frankie]

Mine and @GSPowell97 thoughts on the virtual AHP day in this months newsletter @DGFTAHPCouncil @DudleyGroupNHS. This was a great day to be able to experience as a student, so inspiring and has really broadened my understanding of AHPs in practice. #AHPs #physiostudent #placement