IsAaC LaPiDeS

DPT

[IsAaC LaPiDeS @I_Lapides20]

@PaulBliton @hjluks Insertional Achilles feels like the only one that’s strong enough to avoid stretching, I’m certain others will apply but not certain we are diagnostically there

[IsAaC LaPiDeS @I_Lapides20]

@DrDiGiorgio @greg

[IsAaC LaPiDeS @I_Lapides20]

@DrDiGiorgio His suggestions to have PE invest more in healthcare without suggestions to prevent extensive documented cases of worsening patient care / worsening health of healthcare companies self sufficiency feels like he didn’t suggest much to fix our healthcare. @matthewstoller

[IsAaC LaPiDeS @I_Lapides20]

@Retlouping @CorKinetic A test without a measure of inflammatory response to a mechanical insult…. Not sure it’s the best argument

[IsAaC LaPiDeS @I_Lapides20]

@NBA_NewYork @sunsopeningband sounds PEM like. First time I’ve heard a high level professional player struggle with it. Wishing him the best

[IsAaC LaPiDeS @I_Lapides20]

@AsafKlaf Do we have specific treatment options for the specific nociceptive diagnosis?

And could you elaborate on an example? I can think of people saying “gabapentin for neuropathic pain, but frankly clinically in my experience I have yet to see that consistently help

[IsAaC LaPiDeS @I_Lapides20]

@BBlissDPT Have we really tested isometric > conc. >ecc vs other iterations / just full range strength?

[Anthony DiGiorgio, DO, MHA @DrDiGiorgio]

Those who defend hospital consolidation say that the economies of scale lead to decreased per unit overhead costs.

Those same people will also say they need higher payments for hospital outpatient facilities because the overhead costs are higher.

It can’t be both!

[IsAaC LaPiDeS @I_Lapides20]

@DerekGriffin86 Not surprising to me, still if tolerated I’d rather push the intensity and be sure that strain is met

[IsAaC LaPiDeS @I_Lapides20]

@hjluks @northwoods1980 Curious- generally do they opt for it again or go to TKR or just manage sx? I know wildly different from pt to pt

[IsAaC LaPiDeS @I_Lapides20]

@hjluks @northwoods1980 Any experiences past the 2 year mark in those property selected?

[IsAaC LaPiDeS @I_Lapides20]

@tomgoom Anyone have a good explanation why it can refer down like radicular sx?

[IsAaC LaPiDeS @I_Lapides20]

@marklaslett_NZ @thomas_jesson @DrJN_SportsMed @Retlouping Frankly, confidence was/ is not high. that’s why the tweet came out 1 year ago. Negative SIJ cluster. No pain with hip tests (fadir/ faber / hop/ resisted hip mvmt) no risk factors for BSI (I guess I coulda screened REDs better) but not an endurance athlete.

[IsAaC LaPiDeS @I_Lapides20]

@thomas_jesson @DrJN_SportsMed @Retlouping atypical case that’s making me uneasy. Happy to give more details but the question is: Differential dx for Lumbar related unilateral leg fatigue in 28 y.o athletic male (Negative reflex, motor, pulse exam). No PCP to bounce ideas off of.

[IsAaC LaPiDeS @I_Lapides20]

@DrJN_SportsMed @thomas_jesson @Retlouping But I felt more steady it was mechanical with hx of TP fx. Didn’t love I couldn’t help him but such is life as a PT. Can’t help everyone

[IsAaC LaPiDeS @I_Lapides20]

@DrJN_SportsMed @thomas_jesson @Retlouping Weightlifting: lunges / leg extension. he was too strong to test strength with my HHD but he said he would be 95% on leg extension. Also long drives as irritant (no change w/ lumbar positioning changes). Hx lumbar transverse process fx @ 18 not reported. Lost him d/t no changes

[IsAaC LaPiDeS @I_Lapides20]

@DrJN_SportsMed @thomas_jesson @Retlouping Also now have in line strength test setup @NickHoopes_ thank you!

[IsAaC LaPiDeS @I_Lapides20]

@DrJN_SportsMed @thomas_jesson @Retlouping Oof 1 year ago… I remember distal pulses were normal. I’d have to find the notes but I think it mimicked L4 dermatome roughly but not past shin. Pain was VERY minor and often not there, fatigue with weightlifting was his concern.

[IsAaC LaPiDeS @I_Lapides20]

@keithgraham @DrJN_SportsMed @BucksHandExpert @DickyShoulder https://t.co/RWvCA3kcET Paul H, Dpt is GB climbing physio,

https://t.co/yBJIk6TuQx

https://t.co/ipDZBG31d7

Some of the many reputable rehab professionals specializing in it.

[IsAaC LaPiDeS @I_Lapides20]

@keithgraham @BucksHandExpert @DickyShoulder A lot of good research coming out now with better answers to this question. https://t.co/GxgCBh2TAi haven’t worked with any complete ruptures. Had a partial one myself.

[IsAaC LaPiDeS @I_Lapides20]

@GSERRANOB_MSK Was there a clear mechanism of injury? And if so what was it?