Diane Jacobs

retired physiotherapist~writer~workshop instructor ~ book: DermoNeuroModulating

[Diane Jacobs @dfjpt]

Brand new Dermoneuromodulating (DNM) on-demand course, recorded in studio, replaces the one that had significant audio issues. Free access to anyone who purchased the old course @JoinEmbodia. https://t.co/wb8hPycCPF

[Diane Jacobs @dfjpt]

@amanbasssi I took a few ortho classes, wasn't attracted to any of the premises, dropped out. Avoided wasting much time trying to learn a treatment model that relied on palpation. Poking into a person with a few extra pounds on them to try to feel JOINT movement is futile AND uncomfortable.

[Diane Jacobs @dfjpt]

I see the fort is still standing against reason.

[The Sp⚽️rts Physio @AdamMeakins]

IFOMPT Issues!!!

A brand new blog that’s gonna ruffle a few @IFOMPT feathers https://t.co/QvT5uBQdCz

[Diane Jacobs @dfjpt]

@amanbasssi I lived in Vancouver during the 80's when OMPT came along, went to the 1984 IFOMPT conference where it all felt pretty authoritarian. After that physio seemed to become obsessed with the skeletal system and trying to palpate it, as if that reasonably led to treatment models.

[Diane Jacobs @dfjpt]

@amanbasssi And yes, who's teaching the course probably matters the most of all. Not so much the nouns of it all, but which nouns they choose to emphasize and frame, and how they think about said nouns. Why they think the ones they chose are important to teach.

[Diane Jacobs @dfjpt]

Ectodermalism, a principled approach. The nervous system spans the entire distance between skin cell and sense of self. Be kind. Don't be narrow in your framing of manual care for people.

[Mark Kargela @MKargelaDPT]

In pain care, we have a habit of swinging the pendulum too far.

Some clinicians lean heavily on bottom up strategies: local tissue treatments and biomedical interventions while overlooking the top down drivers that can amplify and sustain pain experiences.

Others leap straight into psychologically informed approaches, missing the fact that an unresolved nociceptive process is still fueling the system.

Both extremes can fail our patients.

The best clinicians hold space for both:
•Bottom up skills: recognizing and treating tissue driven nociceptive contributors.
•Top down skills: addressing the psychological, behavioral, and contextual factors that shape pain.

Neither alone is enough. The art of pain care lies in knowing when each matters most and how they interact.

This is not about bottom up or top down. It is about bottom up and top down, brought together in a way that truly meets the person in front of you.

[Greg Lehman @GregLehman]

I don't understand publishing papers in journals that aren't open access. Who do you want reading the paper? Just other academics?

As a consumer, most of us have already funded this research through taxation which goes to the University.

It feels like a broken system

[Diane Jacobs @dfjpt]

@GregLehman It certainly does seem to contribute to both mind silos and mind ghettos or maybe those are the same thing.

[Peter O'Sullivan @PeteOSullivanPT]

HOT OFF THE PRESS:
OPEN ACCESS 50 DAYS
CFT is the first treatment for chronic disabling low back pain with good evidence of large, long-term (>12 months) effects on disability.
@MarkHancockPT Peter Kent Anne Smith @jpcaneiro @RobSchutze @kieranosull @janhartvigsen and team

[@PT Yiga Robert @yigarobert3]

DNM practitioners in Uganda looking for dycem reels @RolianPhysio has got you covered @mutiibwallan @dfjpt @Ugphysiotherapy

[Dr John Vervaeke @DrJohnVervaeke]

Whenever you're solving a problem—you have to solve these two meta problems in order to be adaptive:

• Anticipation: You need to anticipate the world. The farther out you can anticipate the world the more intelligence people will attribute to you. It's way better to avoid the tiger than to fight it

• Relevance Realization: There's way too much information to pay attention to—and you're intelligent by ignoring most of the information (and zero in on the relevant information)

But it’s not a cold calculation—you care about this information rather than that information

Machines don't care about the information they're processing—you do

[Diane Jacobs @dfjpt]

@RabsoTibesigwa @yigarobert3 @RolianPhysio @dr_katumwa @EnockArts @mutiibwallan @Ugphysiotherapy @rkalyes1 Potential red flags are always good to know about.

[Diane Jacobs @dfjpt]

I could not agree more.

[Kabir Dhaliwal @kabirphysio]

@dfjpt @GregLehman Starting to think manual therapy doesn’t need to be biomechanically precise but maybe nerve-specific enough. Finding areas of peripheral sensitization changes kinda shifts the game. A nod to Diane’s work… less about what’s tight, more about what’s talking loud.

[@PT Yiga Robert @yigarobert3]

👍

[Diane Jacobs @dfjpt]

@kabirphysio I'd like to bring attention to the posterior branch of saphenous n. Treating that branch completely relieved a cranky knee problem I had lived with for a few months. Tunnel syndromes can happen to any branch of any cutaneous nerve and really mess up biomechanics.

[The Sp⚽️rts Physio @AdamMeakins]

Everyone on social media is self promoting, me and you included… but some are worse than others!

[RAJON PHYSIOTHERAPY @RabsoTibesigwa]

@dfjpt @yigarobert3 @RolianPhysio @EnockArts @dr_katumwa @Ugphysiotherapy @rkalyes1 @AAgather @mutiibwallan DNM is truly something. I thank you for coming up with the idea Diane and Allan for introducing me to it. It has really changed my approach to manual therapy, less hustle, better results

[Anne Applebaum @anneapplebaum]

Surprise! The Russians, after repeatedly saying they don't want a ceasefire, have once again said they don't want a ceasefire.

[@PT Yiga Robert @yigarobert3]

Just my hands causing a change in the life of my Clients. Thanks to Dermoneuromodulation @RolianPhysio

[Diane Jacobs @dfjpt]

@yigarobert3 @RolianPhysio @EnockArts @dr_katumwa @Ugphysiotherapy @rkalyes1 @AAgather @RabsoTibesigwa @mutiibwallan If the human brain is the most complex object in the known universe, and its occupant has a pain problem, then another equally complex human brain with hands attached and an interactive (not an operative) attitude, has the best chance of being able to help.