Brendan McCann, DC

Primary Spine Practitioner at Cape Integrative Health. Certified spine geek. Also runner, singer, writer, perpetual motion machine. Special interest #hEDS.

[Brendan McCann, DC @bhmccann]

We can accept where things are at right now, and also work towards improving things in the future. We use this every day in rehabilitation, and it applies to issues in the broader world, too.

[Brendan McCann, DC @bhmccann]

@karenlubell These observations certainly fit my own limited experience

[Brendan McCann, DC @bhmccann]

@MicahWong_DPT You'd like the first couple chapters of Don Murphy's _Clinical Reasoning in Spine Pain_ books- it changed the way I view my own success and identity in regards to patient outcomes

[Brendan McCann, DC @bhmccann]

@jeubanksMD @Nature A perfect complement while on the topic of tunnel syndromes. Good considerations if your patients are hypermobile and sublux shoulders regularly. https://t.co/z8Fg2kW9kG

[Brendan McCann, DC @bhmccann]

@Retlouping Going to have to increase the load

[Alessio Bricca @a_bricca]

Combining aerobic and strength training doesn’t compromise muscle hypertrophy or maximal strength development.

🍀 Once again, what seems to be logic is not proved correct ✅

[Brendan McCann, DC @bhmccann]

@karenlubell @I_need_a_razor There is definitely good evidence out there that normal mechanical stresses can be noxious in the presence of inflammation (Bove et al mouse models)

[Brendan McCann, DC @bhmccann]

@karenlubell have you seen CSF leak, tethering, and UCI, and do you see clearly different presentations, esp. in context of ME/CFS? I have suspected tethering in two recent MECFS pts but haven't yet proven any of them yet

[Brendan McCann, DC @bhmccann]

@BillingMartin @PhysioTodd "Great, I'm sure that's helped you get this far, considering what you've experienced. Going forward, make sure you keep me updated on what you're feeling, as noticing those feelings will give us useful information."

[Brendan McCann, DC @bhmccann]

Every year I have a few nurses come for evaluations to rule out MS. They follow this same pattern.

[S Blitshteyn MD, FAAN, FANA, Dysautonomia Clinic @dysclinic]

Did you know how I ended up specializing in #Dysautonomia? 🤣🧠🫀 I was first recruited to work as a neurologist at a large clinic specializing in #MS where a sizable subset of patients with MS diagnosis in their charts didn't actually have MS: they had #Dysautonomia and/or small fiber neuropathy. After I corrected their misdiagnosis and put them on the right treatment for dysautonomia, many patients improved. Clinically, many patients with #Dysautonomia and #MECFS looked a lot like like patients with true #MS in terms of their symptom burden and functional impairment.

#MSAwarenessMonth #NeuroTwitter

[Brendan McCann, DC @bhmccann]

@physiojack Yeah, but Jack, I want to know now

[Brendan McCann, DC @bhmccann]

@adamdobson123 @MicahWong_DPT @northwoods1980 @Retlouping I was taught to use C/S XR obliques for bony foraminal encroachment, but I don't know that I've ever really needed it - more info than needed for most rehab, not enough info for interventional med

[Brendan McCann, DC @bhmccann]

EDS benefit: Having had like a million common injuries and disorders makes it easy to relate to lots of different patients.

[Brendan McCann, DC @bhmccann]

@DocZing The real reason we went and got our degrees ;)

[Brendan McCann, DC @bhmccann]

@kinesionerd @hjluks Solid take, definitely going to explore this

[Brendan McCann, DC @bhmccann]

@BluesteinLinda @Invitae @knidac @MayoClinic Totally forgot about the rundown from that episode! Perfect, thanks for the guidance

[Brendan McCann, DC @bhmccann]

@NoShoutStandOut @BluesteinLinda Thanks Christine! I'll keep this as an option

[Brendan McCann, DC @bhmccann]

@BluesteinLinda Do you order genetics labs for your patients? I've got someone who clearly meets the textbook cEDS criteria, and I would love to take a shot at it if I can (huge wait for referral here in Maine)

[Brendan McCann, DC @bhmccann]

@BluesteinLinda @RogerSeheult And does CNS histamine affect circadian patterns throughout the rest of the day?

[Brendan McCann, DC @bhmccann]

@BluesteinLinda @RogerSeheult Oh! I see this has been asked already. Ok, so a step further, are there high priority histamine sources that can provide a big improvement in sleep (and other symptoms) when well managed?