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.
@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
@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
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 ✅
@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)
@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
@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."
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
@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
@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)
@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?