Simon Ruse

Sports Physiotherapist. Practice principal of Fluid Physiotherapy, Yamba and Altitude Physiotherapy, Thredbo and Falls Creek.

[Simon Ruse @Simon_Ruse]

@northwoods1980 100 per cent agree with you. Risk asymmetry. Love this post. Care is reducing worry, that is worth something.

[Simon Ruse @Simon_Ruse]

@hjluks Rower?

[Simon Ruse @Simon_Ruse]

@hjluks STIR may be important on MRI for stress reactions. Oblique XR and SPECT my vote too.

[Simon Ruse @Simon_Ruse]

@northwoods1980 It’s unlikely that surgery is the best option in this case, IMO.

[Christian Barton @DrChrisBarton]

If I went to my GP for support with any chronic condition, I would get the following subsidised by Medicare:
- Surgery
- Imaging
- Opioids
- Injections

You know what Medicare would not subsidise?
- An effective group education and exercise program

Pls fix this @Mark_Butler_MP

[Simon Ruse @Simon_Ruse]

@thebricksession @DrJN_SportsMed Consider @tendonpain too.

[Simon Ruse @Simon_Ruse]

@northwoods1980 You can help a back pain patient without them. It is one of many options to teach movement control and awareness; decrease fear of, and experience movement and load the spine and ab muscles in a relatively safe way. They are legitimately good exercises, at risk of being oversold.

[Simon Ruse @Simon_Ruse]

@northwoods1980 Interesting case. I wonder if the remaining fibres can adapt to a level better than or comparative to ‘cut and repair’. Needs a quality re-loading program. Likely better non-operatively managed with optimal loading IMO.

[Simon Ruse @Simon_Ruse]

@GregLehman @DrJN_SportsMed @northwoods1980 @bretcontreras Train wreck of personal attacks on Greg…

[Simon Ruse @Simon_Ruse]

@DrChrisBarton @LaTrobeSEM @GLAD_Australia @HSkouteris Would love to chat you about this @DrChrisBarton if you’d like to. I have an impression we (our clinic) can (and is) doing this. It’s within a complex multi-variate scenario. Funding model is a barrier.

[Simon Ruse @Simon_Ruse]

@RodWhiteley Bring the funk.

[Nassim Nicholas Taleb @nntaleb]

LOCALISM
"At Fed level, libertarian; state, Republican; local, Democrat; family/friends, socialist."
@ggraham citing broth. Vincent.

[Simon Ruse @Simon_Ruse]

@PalingClaire 👏👏😁

[Simon Ruse @Simon_Ruse]

@AdamMeakins IMO, if: 1. seeding the thought that exercise won’t necessarily make pain worse, and 2. improved frontal plane mechanics and sagittal plane power are more important that specifically loading glutes. Sham exercise may appear as good! The treatment hierarchy for GTPS differs to AT

[Simon Ruse @Simon_Ruse]

@AdamMeakins Not true. Although some would posture to want it that way.

[Simon Ruse @Simon_Ruse]

@DrJohnOrchard Potentially afraid of rorting of the simple solution? Could effective bureaucratic oversight be welcomed by genuine businesses wishing to provide such care? Tip: pay the expert practitioners and business owners more than bureaucrats! Measure service growth not outcome initially.

[Simon Ruse @Simon_Ruse]

@JohannesK97 @AdamMeakins Dear patient, I’m glad you don’t need surgery because we don’t do that anymore. You’ll still be in pain for a bit. But, don’t worry, it’s better than what we used to do! Not amazingly reassuring... ‘here’s the best path for you to regain full functionality and minimise your pain’

[Simon Ruse @Simon_Ruse]

@hjluks @Brad_Beer @tomgoom Hey @hjluks how did you go with this one? How long after she stops running does the ache continue. Any chance it’s PAES?

[Tim Noakes @ProfTimNoakes]

Associational study - physical activity clearly marker of good health and perhaps good health practices. People who exercise regularly amore likely to make better choices in other aspects of healthy living. Doesn't exclude possibility of direct effect of exercise on brain health

[Professor Jeremy Lewis PhD FCSP @JeremyLewisPT]

INJECTIONS💉for Rotator Cuff Related Shoulder Pain
If you are considering one, recommending one, about to do one have a read of:
https://t.co/IN3AOq74y1
https://t.co/LVZZNsXfcC
In @timcook80's review, one study demonstrated good results at 26 weeks with lidocaine and saline🤔