Estoy destrozado.
Pocas veces conoces en este mundo a alguien tan creativo, talentoso y buena persona.
Te lo dije en su momento y lo repito hoy: fuiste de los mejores que han existido. Hacen falta más personas como tú en este mundo.
Descansa en paz allá donde estés, Gaspi ❤️
4/
⚠️ The #1 clinical mistake with nerve pain.
Everyone jumps straight to:
→ Nerve glides
→ Manual therapy
→ Needling
→ Exercise programs
Before any of that: STOP ANNOYING THE NERVE.
Neural tissue is the most sensitive in the body.
Every time you push past threshold → 2-3 day flare → lower threshold for the next one.
Patients land in a sensitisation cycle and treatment becomes ineffective with loss of patient confidence.
Diagnosis of cervical and thoracic musculoskeletal spinal pain receptive to mechanical movement strategies: a multicenter observational study
https://t.co/HS2RtwfoAe
Neurogenic Claudication Territories in Lumbar Spinal Stenosis.
📚 Young JJ et al. Digital pain diagrams to identify common lumbar spinal stenosis pain distribution patterns: a cross-sectional latent class analysis. European Spine Journal. 2025.
https://t.co/8YI0D1E2ch
Preliminary investigation. More atypical & heterogeneous than you might think
Authors used digital pain diagrams in 2,379 patients with LSS. 6 clinically recognisable pain distribution classes rather than one classic “textbook” presentation.
📊 Pain distribution classes:
⭕️ Class 1 (11.4%) → Bilateral posterior leg pain
⭕️ Class 2 (8.7%) → Bilateral posterior + anterior leg pain
⭕️ Class 3 (26.1%) → Unilateral posterior leg pain
⭕️ Class 4 (21.0%) → Unilateral posterior leg pain + low back pain
⭕️ Class 5 (22.9%) → Unilateral anterior + posterior leg pain
⭕️ Class 6 (9.9%) → Multisite pain
Clinical take aways👇
⚠️ The “classic” bilateral posterior leg pattern was less common.
⚠️ Unilateral presentations were more common than bilateral ones.
⚠️ Anterior thigh/leg symptoms were common, challenging the idea that LSS is predominantly a posterior calf/buttock condition.
⚠️ Low back pain severity was relatively similar across groups, questioning how diagnostically useful back pain itself may be.
⚠️ Multisite pain presentations existed
So not so neat, entirely fits my biases and observations.
⚠️ Drawbacks: cross-sectional study only, preliminary data, secondary care sample, based on clinical coding rather than imaging-confirmed standards, no symptom-quality mapping or imaging correlation, several common co-morbidities/masqueraders excluded.
En mi casa hubo una gata.
Solía escucharla comer, usar su arenero, llamar a los pajaritos. La escuchaba subir al sillón, abrir puertas, arañar el rascador.
Ahora solo escucho el silencio. Nadie come, nadie usa el arenero, nadie sube al sillón.
Pero en mi casa hubo una gata.
🚨GRAVE
Neymar contraiu peste bubônica. Ancelotti descarta corte acreditando que isso pode ser uma vantagem e usará o jogador como arma biológica para infectar outros jogadores.
🗞️@CazeTVOficial
🚨 Murals of Lamine Yamal and Pep Guardiola have appeared on destroyed buildings in Gaza.
The works are a gesture of thanks for their support for Palestine, with organizers saying the murals symbolize solidarity and recognize the impact their positions have had among people.