Logan Orazem, PT, DPT

Sports and Orthopedic Doctor of Physical Therapy. NovaCare Rehabilitation - Buffalo MN

[Logan Orazem, PT, DPT @NovacareLogan]

Tell me you’re an uneducated Twitter doctor without telling me you’re an uneducated Twitter doctor.

[Vikeologist™ @Vikeologist]

Missing 12 months with an ACL? 🤣

[Logan Orazem, PT, DPT @NovacareLogan]

@hjluks [email protected]

Love this!

[Logan Orazem, PT, DPT @NovacareLogan]

This is some of the worst rehab I’ve ever seen.

[EuroFoot @eurofootcom]

🚨🇧🇷 Neymar Jr posts video showing scenes of his ACL injury recovery… 😫

"1 month of crying and a lot of pain! KEEP GOING!"

He's now walking with crutches. 🩼

[Ben Schwarz @bschwarzPT30]

A pro ⚾️ pitcher who is skeletally mature, trains all offseason, and manages his workload can throw 100 pitches in a game.

A high school/youth ⚾️ pitcher with open growth plates, plays basketball all winter, and has no concept of workload can throw 100 pitches in a game…🤔

[Tom Broback @TomBroback]

I went to college for seven years to get my doctorate in physical therapy. I lead over 2,000 in person visits last year and helped 50+ online clients get rid of their knee pain. Here are 50 lessons you can apply to your own knee rehab:

1. Squats are friends, not foes
2. Spanish squats are the best exercise you are sleeping on
3. Slant board squats are not cheating. In fact, they are tremendous in getting your knee pain to feel better
4. Rear foot elevated split squats are the hardest thing you will ever do. Do them.
5. Dumbbell split squats are better for most people than barbell back squats.
6. If your doctor tells you to stop squatting, get a new doctor.
7. If your PT doesn’t have you squat for knee pain, you might need a new PT.
8. The Mirror Tragedy: It is easier to train muscles in the front of the body compared to the back.
8b. Don’t skip deadlifts
9. I don’t understand a lot of the exercises from the Knees Over Toes movement. If they help you, great. If they don’t, stop doing them and find something else.
10. Squats are important, but they aren’t everything. Get outside the squat rack.
11. Reverse lunges are better for most people than forward lunges.
12. If you want to get stronger, lift legs more often than you are right now.
13. If you want to get out of knee pain, squats + deadlifts + lunges are a great starting point.
14. Once you turn 30, there is no exercise you have to do. Except walking. Everyone should walk.
15. Once you turn 30, you see the world different. Risk:reward changes. No need to be a hero. Your knees will thank you.
16. There is no need to ice your knee.
17. Ibuprofen isn’t the answer. Neither is Tylenol. Or Advil. Or any other medication.
18. Knee braces, sleeves, wraps and bands are all temporary solutions. Treat them as such.
19. Meniscus surgery is optional and should be treated as a last resort.
20. There are no guarantees surgery will fix your knee pain.
21. The cost, time and side effects of surgery are immense. Never rush into it.
22. If you quit on rehab after one therapist, PT didn’t fail you. Would you quit dating after your first breakup?
23. Rehab is measured in months and years, not days and weeks.
24. Any surgery can take up to 1 year to recover from.
25. You can’t prevent injuries. You can reduce the chance they happen
25b. You can also improve the odds you recover well from them.
26. With any injury, your body wasn’t ready for the environment you put it in.
27. With any injury, you need to level up past your previous self. Otherwise you are setting yourself up for failure.
28. Rehab is a 24/7 process. It is hard to do too much.
29. Rehab starts the second you get hurt.
30. Waiting 2 weeks after meniscus surgery to start rehab is the worst thing you can do.
31. There are 3 questions you need to ask about your knee pain
31a. Am I stiff?
31b. Am I weak?
31c. Am I bouncy?
32. Finding random exercise on YouTube is like throwing darts blindfolded. You are going to get a random result.
33. If your surgeon’s team doesn’t make you have rehab figured out before knee surgery, they failed you.
34. 20% of results is doing the right stuff. 80% of results is doing the right stuff over and over and over and over and over again.
35. The three most used exercises I give patients are split squats, single leg deadlifts and lateral lunges.
36. The three exercises I never give patients are backwards walking on the treadmill, bodyweight tib raises and backwards sled drags.
37. Tolerable pain is okay to exercise with (defined as 3-5/10 or less)
38. Some research is good. Some research isn’t. Know who to trust.
39. Just because it is or isn’t in a study doesn’t make it true or false.
40. How you feel matters as much as any objective measurement.
41. You can rehab 2-7 days per week. Just not one.
42. The patients who often get the best results often show up the most.
43. If you never hit your deductible, it doesn't matter if you use your insurance or not for rehab.
44. There are half a million PTs in the US. Do you really think all of them know the same amount about knee pain?
45. You will spend infinite more time with your PT than your doctor. Choose both wisely.
46. You can’t unsee your MRI.
47. An MRI can’t fix your knee pain.
48. Most MRI’s don’t help the problem.
49. Just because you have a meniscus tear, doesn’t mean you should have knee pain.
50. The best time to start rehab was the day you got hurt. The next best time is now.

If you enjoyed this post, like it so other people can learn about their knee pain. Remember, an MRI won’t fix your knee.

But rehab can.

[Fake Physical Therapy Statistics @FakePTStats]

96% of DPTs and chiros who go by Dr. "First Name" wear a polo shirt at least 2 sizes too small.

[Mehmet Gem | The Hip Physio @TheHipPhysio]

So much for ‘releasing the psoas’ 😅🙄

[NoBullshitPhysio @AlexisMLeveille]

PTs went from “Your hip flexors don’t feel off because they’re tight so stop stretching them” because there was no evidence & then chose to pivot to “Your hip flexors aren’t tight, but weak, so strengthen them” for which there’s no evidence either. Why do we jump from fad to fad?

[Fake Physical Therapy Statistics @FakePTStats]

You can't stretch the IT band, but the Kansas City Royals just won 3 in a row so I guess anything is possible.

[Jared Powell @JaredPowell12]

Pop physiotherapy is not real physiotherapy:

•We don’t realign joints with our hands or gadgets
•We don’t break up adhesions in soft tissue
•We’re not all sports physios
•We don’t all dry needle and use Ktape
•We’re confused by pain too
•We don’t all love yellow theraband

[Fake Physical Therapy Statistics @FakePTStats]

PTs should only perform special tests with a sensitivity higher than their productivity requirement.

[Seth Peterson @DrSethPT]

Many PTs want to be doing the newest thing. I get that. The problem is that the newest thing is very often BS.

My advice is to get as good as possible at the basics before you start reaching for unusual things. And then, be skeptical.

[Fake Physical Therapy Statistics @FakePTStats]

#WorstPTMarchMadness is here! What does worst mean? I don't know. Yes, there are no such things as bad interventions, & this study says this...etc. These are interventions that some joke about, that have gone out of style, or that I just find annoying. Voting starts tomorrow!

[Dr. Glaucomflecken @DGlaucomflecken]

Non-compete clauses

[James Noake @DrJN_SportsMed]

This MRI report has made my day

My work is done 😂😂

#INTHF

[The Sp⚽️rts Physio @AdamMeakins]

I used to think being a good physio was knowing where to push and how hard and for how long!

I then thought it was knowing the best exercises to use!

However, I’ve realised what makes a good physio is how they interact and support people in pain and distress that matters more!

[Logan Orazem, PT, DPT @NovacareLogan]

Nelson Agholor is better at managing concussions than the @MiamiDolphins medical staff.

[Joe Pompliano @JoePompliano]

Shoutout to Nelson Agholor. It looked like he noticed DeVante Parker was concussed and tried to get the play stopped. Great teammate.

[Dr. Glaucomflecken @DGlaucomflecken]

Oh wow, a holiday message from the United Healthcare CEO