@jointdocShields As a PT, chronic large tears or failed repairs of the abductors are very difficult to treat and are debilitating for the pts. Thankfully they are rare, but I appreciate seeing pts with repair of large tears. Otherwise they are destined to walk with a cane and Trendelenburg
@afdlc@northwoods1980 Providers that don't know any better that consult an "algorithm" or care plan online and follow.....or patients that are insisting and the provider just gives up so they keep a good patient satisfaction score
@northwoods1980@AdamMeakins@adamdobson123 Agreed! Thing that I struggle with is how general public and HS kids follow these high profile athletes' injuries and treatments and come in to the office thinking that's the standard of care. Hard to fight that!
@northwoods1980@AdamMeakins@adamdobson123 Pro athletes battle one thing.Time! They take the treatment that offers quicker return to competition. Many would have =/> long term outcomes with non-op care, but likely would take longer in short term to reach results surgery offers. Psych benefits of being "fixed" helps too.
@hjluks Agreed! So many pitfalls here. Clinicians become lazy and pressed for time, rely on the image and skip many steps in the evaluation. More detrimental to success is the patient hearing whats wrong from a clinician not trained in msk. Patients can't unhear or under the "results"
@DrJN_SportsMed The amount of faulty reasoning in MSK that has been perpetuated because the patient's pain changed temporarily following a technique/procedure is quite staggering. Thanks for sharing your story, hope it helps others examine rationale of treatments
@northwoods1980 So frustrating...."patient with positive response to diagnostic troch bursa injection, refer to therapy for ITB stretching.". ๐คฆ๐คฆ. Add this to rhomboid strain in 68 yr old with CSp radic and the infamous SI dysfunction with LSp radic
Charlie Kirk's death is tragic. If you celebrated, please seek help for your own mental health crisis. He was famous for inviting those he disagreed with to the table of debate. Please reach out to those with different views with honest curiosity to understand, come together.
@AdamStenman The PTs may be skeptical of the new intervention that promises the world and fails to deliver. Patients with persistent pain following advanced procedures end up in a PTs office with pain, kinesiophobia, sense of despair when the promise of pain free living didn't materialize
@bpick33@northwoods1980 Curious to hear, in your region, what would you say the PT dx aligns with yours, both pre-imaging? And what would a course of PT look like without the plan you send? Lastly how do your PCPs align with your dx/plan. Thanks
@RobinLarssonRPT@MicahWong_DPT I hope you don't hit a lung trying to inject a GHJ or SA space.๐ฌMy point was if docs are using US to increase accuracy of CS injections, it seems a bit arrogant and irresponsible for PTs to blindly DN anything near sensitive structures, especially give the efficacy of DN.
@paintoolkit2 Does it matter? Honest question. Some Ortho surgeons do hips and knees, others, shoulders and elbows. Patients select the ones that meet their needs. If the basics are met, I don't think it really matters much. We waste too much energy arguing over it
MSHSL STATE TRACK & FIELD CHAMPIONS!!!!
JWP Girls Track & Field Team earned 1st place by a score of 41 points, 8 points ahead of second place!!!
Westphal: 800m CHAMPION
Girls 4x100: 2nd
Boys 4x100: 8th
Girls 4x200: 4th
Girls 4x400: 2nd
Girls 4x800: 22nd