Patrick Miller, DPT, OCS

Board-certified orthopedic physical therapist | I help people get started running and improve their well-being in a sustainable way

[Tom Hughes 💙 @DrTEHughes]

Just over 10 years ago I was told my hip arthritis (due to cam type FAI) was so bad I should stop running.

Last week I ran my 1st real marathon in 2:34 with no hip joint pain.

Don’t believe everything you are told….

[Baltimore Ravens @Ravens]

Pretty good day for Baltimore, huh @Orioles?

[Patrick Miller, DPT, OCS @PatMillerDPT]

@drmoniquecaruth @rachelbotkinPT That's insane!!!

[Patrick Miller, DPT, OCS @PatMillerDPT]

@masnRoch Incredible

[Patrick Miller, DPT, OCS @PatMillerDPT]

@brooksrunning 🥵❤️‍🔥💦

[Patrick Miller, DPT, OCS @PatMillerDPT]

@DeCostaLacie One is 2 games from 1st place and the other is in last so 🤷‍♂️

[Patrick Miller, DPT, OCS @PatMillerDPT]

Again, the best exercise is the one that gets done

I don't care if you run, lift weights, play tennis, or just more routinely take the stairs at work.

Even a small amount of structured and leisure time physical activity can make a difference

[Patrick Miller, DPT, OCS @PatMillerDPT]

@rcpointdujour What's the other app?

[Patrick Miller, DPT, OCS @PatMillerDPT]

@BooBoojojo For patellofemoral pain, yes, with modification, and likely addition of a few others

[Patrick Miller, DPT, OCS @PatMillerDPT]

Today's workout perfectly suitable for runners:

Bulgarian split squat
Leg press
Knee extension machine
Single leg heel raises

Short, simple, effective

[Patrick Miller, DPT, OCS @PatMillerDPT]

@jwehrerDPT Looks so cool but too cliff-edgy for me to actually do it myself

Bet it was an awesome experience

[Caitlin Jones @Caitlin_Jones_]

📢Out today in @Lancet: major @msk_health led trial finds #opioids NOT effective for people with acute back and/or neck pain.

This is the largest placebo controlled trial of its kind.

https://t.co/F78sOPf4OW

#OPALtrial #backpain #neckpain

[Patrick Miller, DPT, OCS @PatMillerDPT]

@AshleyGWinter I call them medical disadvantage plans

[Patrick Miller, DPT, OCS @PatMillerDPT]

@GregLehman Thanks Greg! Looking forward to it. Do you know if CEU approval in Maryland is possible? (Certainly let me know if I should ask this somewhere else)

[Patrick Miller, DPT, OCS @PatMillerDPT]

@sarah_cruser That's all you need sometimes!

Bummer with today's productivity standards the clinician often gets dinged for this

[Patrick Miller, DPT, OCS @PatMillerDPT]

Lowered the weights today...

More depth
Slower speed

Always humbling

[Patrick Miller, DPT, OCS @PatMillerDPT]

@rcpointdujour Then the basics: start slow, set reasonable mileage, time, and reasonable weekly goals. Don't be afraid or too stubborn to walk at times. Durations as limited as 10 minutes or less even can be helpful

Listen to some good music or podcasts 👌

[Patrick Miller, DPT, OCS @PatMillerDPT]

I did 2 runs this weekend. 4 miles Saturday and 3 miles today

I went slower for me, I enjoyed the scenery, I enjoyed getting outdoors, I enjoyed getting a workout

I didn't care about pace, what zone I'm in, who passed me, etc

It doesn't need to be complicated!

[Patrick Miller, DPT, OCS @PatMillerDPT]

@rcpointdujour Free community runs near you are a great way be social, enjoy it more than focusing on the slog of just getting it done. Check out sites like meetup

Flat nature trails for those who like outdoors. Etc

Gives you something to focus on other than the exercise itself

[Patrick Miller, DPT, OCS @PatMillerDPT]

I love this approach. Great way to approach people

Too often we do the opposite- assume the worst

[Jimmy Turner, MD @TPP_MD]

The Doctrine of Charity asks us to assume virtuous intent. To assume the best of others.

When someone says something, what is the best they could have meant (instead of assuming the worst)?

When someone is failing to deliver is there something else going on?

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