Dr Nathan Johns

Rehabilitation Medicine Physician & PhD Evidence-based digital pain rehabilitation Persistent pain after knee replacement & spinal surgery

[Dr Nathan Johns @drnjohns]

You can sign up here for Rehabilitation Medicine Gold. No ads. No spam. No fluff.

A new topic, delivered to your email inbox, every Saturday.

Issue #1 - The real role of the rehabilitation doctor

https://t.co/9Qub4RK6TZ

[Dr Nathan Johns @drnjohns]

You can sign up here for Rehabilitation Medicine Gold. No ads. No spam. No fluff.

A new topic, delivered to your email inbox, every Saturday.

Issue #1 - The real role of the rehabilitation doctor

https://t.co/9Qub4RK6TZ

[Dr Nathan Johns @drnjohns]

What is the role of the inpatient rehabilitation doctor?

And how do you explain that role to new residents and registrars stepping onto a rehabilitation ward for the first time?
I explore this in the first issue of a free weekly email for rehabilitation residents and registrars

[Dr Nathan Johns @drnjohns]

@BJSM_BMJ An important study - also highlights the significance for adequate nutrition for in-hospital rehabilitation

[Dr Nathan Johns @drnjohns]

@tramanchita7 @ChristophBurch Many medications try to mimic exercise - slowing heart rate, reducing blood clotting, reducing blood pressure, reducing cholesterol, sensitizing muscle to insulin - the only benefit of supplements is if you run to the shop to get them :)

[NEJM @NEJM]

Original Article: Aspirin in Patients with Chronic Coronary Syndrome Receiving Oral Anticoagulation (AQUATIC trial) https://t.co/vHYyFalktf

#Cardiology

[Institute for Musculoskeletal Health @msk_health]

Have a moderate-to-severe traumatic brain injury?

We're looking for people aged 10+ to take a short survey (15-20 mins) on what physical activity you enjoy - sports, walking, classes, etc.

Your input helps us advocate for better community options 🙌

https://t.co/OOFXdiTukN

[Dr Nathan Johns @drnjohns]

📢 New study alert!
Our pilot RCT tested Kneed, an online self-management program for people with persistent pain after knee replacement.
✅ Feasible recruitment & high usability
✅ 50% of Kneed participants reported important pain reductions
Read more 👉 https://t.co/Wd6NKqDSet

[Dr Nathan Johns @drnjohns]

@ClevelandClinic 🤷🏻‍♂️Pain is not always a sign that something is wrong in your body. Pain is not always associated with illness, injury or surgery. Best you read the IASP definition.

[Chronic Pain Australia @ChronicPainAust]

Watch Pain Takes A Nation: A State of Pain Facebook Live Event sponsored by Haleon.

Chronic Pain Australia launches the 2025 National Pain Report — the most extensive snapshot of chronic pain lived experience in Australia.

Watch it here: https://t.co/7Ei8eeZExT

Join us for more events here: https://t.co/kocJ6bEuEM

#NPW25 #PainTakes

[Clinical Rehab @ClinicalRehab]

DW. Practice improves function; this is a central tenet of rehabilitation. A recent trial demonstrates that a protocol to increase walking practice after stroke is effective. We must help patients to practice without professionals. https://t.co/MiTp9N33ZH

[Adrian Traeger @adrian_traeger]

Hello! 🔥NEW PAPER out today in @JAMANetworkOpen . RCT in 1080 people seeking care for #BackPain. Should we give advice, or give options?

Bravo @longtinchris & Jeremy R Chang
Thanks @pain_neura @msk_health and stellar team

[Dr Nathan Johns @drnjohns]

@DerekGriffin86 Yes! Amongst multiple other risk factors for OA pain, surgery induced inflammation and the post-surgical experience.

[Dr Nathan Johns @drnjohns]

@BJSM_BMJ Staying under a 10% weekly increase in load seems sensible (although can be hard to do). I recommend less than 10% increases in exercise/ activity loading to people experiencing persistent pain too .
This % was seen in elite soccer players too https://t.co/72Og6bmXcN

[Dr Nathan Johns @drnjohns]

Results showing non-clinically meaningful differences in disability at 1 year between surgery and physician/physio intervention

[NEJM Evidence @NEJMEvidence]

2 RCTs of surgical versus nonsurgical treatment for cervical radiculopathy found a difference in the neck disability index at 1yr in favor of surgery for radiculopathy due to disc herniation, but no difference for radiculopathy due to spondylosis. https://t.co/Uyf2j1Jizo

[Dr Nathan Johns @drnjohns]

@AdamStenman Provide reassurance that 1/2 his knee is ok, that it might not get worse, that it is safe to exercise, avoid surgery, don’t inject or ablate, avoid opioids (even tramadol) use diclofenac cream, see physical therapist for an exercise program to improve strength, balance, gait

[Dr Nathan Johns @drnjohns]

Interesting concept & study

[PACO MADRUGA @paco_madruga]

Among non-exercising women, small amounts of VILPA were associated with a substantially lower risk of all MACE, myocardial infarction and heart failure.
https://t.co/fkLNKl55Tr

[Michael Ferraro @mcferraro_]

What are the benefits and harms of antidepressants for low back pain and spine‐related leg pain?

Find out in our Cochrane review, published today: https://t.co/gWlh4Cindw

[Australian & New Zealand Hip Fracture Registry @ANZHFR]

🎉The ANZHFR is thrilled to announce the Australian finalists for the 2024 Golden Hip Award in the category:
⭐️𝗠𝗼𝘀𝘁 𝗜𝗺𝗽𝗿𝗼𝘃𝗲𝗱 ⭐️

Congratulations to all our finalists!

The winner will be announced at Hip Fest on Thursday 14th November! 🏆

Register for HipFest: https://t.co/n8bFZePJfR

@MurrumbidgeeLHD @PeninsulaHealth @SWSLHD @SaferCareVic @nswaci