I am going to Wembley to watch Coventry vs Man u with @JackAChew
SO...
If Coventry SCORE I will give away an EBook to everyone who retweets this post
If Coventry WIN I will also giveaway access to my online course to a random selection of people who retweet!
I went to college for seven years to get my doctorate in physical therapy. I lead over 2,000 in person visits last year and helped 50+ online clients get rid of their knee pain. Here are 50 lessons you can apply to your own knee rehab:
1. Squats are friends, not foes
2. Spanish squats are the best exercise you are sleeping on
3. Slant board squats are not cheating. In fact, they are tremendous in getting your knee pain to feel better
4. Rear foot elevated split squats are the hardest thing you will ever do. Do them.
5. Dumbbell split squats are better for most people than barbell back squats.
6. If your doctor tells you to stop squatting, get a new doctor.
7. If your PT doesn’t have you squat for knee pain, you might need a new PT.
8. The Mirror Tragedy: It is easier to train muscles in the front of the body compared to the back.
8b. Don’t skip deadlifts
9. I don’t understand a lot of the exercises from the Knees Over Toes movement. If they help you, great. If they don’t, stop doing them and find something else.
10. Squats are important, but they aren’t everything. Get outside the squat rack.
11. Reverse lunges are better for most people than forward lunges.
12. If you want to get stronger, lift legs more often than you are right now.
13. If you want to get out of knee pain, squats + deadlifts + lunges are a great starting point.
14. Once you turn 30, there is no exercise you have to do. Except walking. Everyone should walk.
15. Once you turn 30, you see the world different. Risk:reward changes. No need to be a hero. Your knees will thank you.
16. There is no need to ice your knee.
17. Ibuprofen isn’t the answer. Neither is Tylenol. Or Advil. Or any other medication.
18. Knee braces, sleeves, wraps and bands are all temporary solutions. Treat them as such.
19. Meniscus surgery is optional and should be treated as a last resort.
20. There are no guarantees surgery will fix your knee pain.
21. The cost, time and side effects of surgery are immense. Never rush into it.
22. If you quit on rehab after one therapist, PT didn’t fail you. Would you quit dating after your first breakup?
23. Rehab is measured in months and years, not days and weeks.
24. Any surgery can take up to 1 year to recover from.
25. You can’t prevent injuries. You can reduce the chance they happen
25b. You can also improve the odds you recover well from them.
26. With any injury, your body wasn’t ready for the environment you put it in.
27. With any injury, you need to level up past your previous self. Otherwise you are setting yourself up for failure.
28. Rehab is a 24/7 process. It is hard to do too much.
29. Rehab starts the second you get hurt.
30. Waiting 2 weeks after meniscus surgery to start rehab is the worst thing you can do.
31. There are 3 questions you need to ask about your knee pain
31a. Am I stiff?
31b. Am I weak?
31c. Am I bouncy?
32. Finding random exercise on YouTube is like throwing darts blindfolded. You are going to get a random result.
33. If your surgeon’s team doesn’t make you have rehab figured out before knee surgery, they failed you.
34. 20% of results is doing the right stuff. 80% of results is doing the right stuff over and over and over and over and over again.
35. The three most used exercises I give patients are split squats, single leg deadlifts and lateral lunges.
36. The three exercises I never give patients are backwards walking on the treadmill, bodyweight tib raises and backwards sled drags.
37. Tolerable pain is okay to exercise with (defined as 3-5/10 or less)
38. Some research is good. Some research isn’t. Know who to trust.
39. Just because it is or isn’t in a study doesn’t make it true or false.
40. How you feel matters as much as any objective measurement.
41. You can rehab 2-7 days per week. Just not one.
42. The patients who often get the best results often show up the most.
43. If you never hit your deductible, it doesn't matter if you use your insurance or not for rehab.
44. There are half a million PTs in the US. Do you really think all of them know the same amount about knee pain?
45. You will spend infinite more time with your PT than your doctor. Choose both wisely.
46. You can’t unsee your MRI.
47. An MRI can’t fix your knee pain.
48. Most MRI’s don’t help the problem.
49. Just because you have a meniscus tear, doesn’t mean you should have knee pain.
50. The best time to start rehab was the day you got hurt. The next best time is now.
If you enjoyed this post, like it so other people can learn about their knee pain. Remember, an MRI won’t fix your knee.
But rehab can.
“My last patient was so difficult. They just want a fix”
“…they are fixed on finding a physical explanation for their pain.”
A common clinical complaint. And something I have grappled with in the past. A short thread on why I have come to realise this isn’t fair…
To all the #TherapyLive speakers who have spent hours…
📚Researching
⌨️Creating slides
⌚️Procrastinating
😬Fighting imposter syndrome
You nailed it, well done 🎉
#TherapyLive#TL23
Well, fingers-crossed that made sense! 🤣 Thanks to those who tuned-in to my presentation for #TherapyLive this morning. Really enjoyed sharing some information about why, when and how to write GP letters from a physiotherapists perspective! @TPMPodcast@physiojack@JackAChew
Looking forward to presenting tomorrow morning at Therapy Live - catch me on the Introducing Stage at 10.45 to gain an understanding of how we as physiotherapists can go about communicating with GP's and other clinicians @TPMPodcast@JackAChew@physiojack#consideryourscope
Physiotherapist will know this…
✍️There will be times where we send a letter back to primary care clinicians for further investigations, additional referral etc…
⛏️What’s the best way to go about this?
Join @JRMason90 in his introducing stage presentation at Therapy Live to find out more!
Tickets: https://t.co/PkrWkqbfWZ
Back in October I got an email from @Milly_Physio, a Neuro-Physiotherapists working at @GSTTnhs explaining to me the benefits of high intensity exercise for people living with Parkinson’s disease.
In the message she said...
Had a few minutes to spare, so thought I'd give it a go for a bit of nostalgia...
I scored 11, can you beat me? https://t.co/5WjEB9UiJj #bbcfootball via @bbcsport
Another Therapy Live #TL23 announcement 😎
In the Advanced MSK practice streak we have a huge range of topics presented from injections to RED-S. Don’t miss out!!
🎫Tickets: https://t.co/we0szcjwBY
@FirstNorwich Hi FirstNorwich- can you confirm whether the early Number 13 bus (6.44 bus from Shrub Close, Attleborough) will be running tomorrow? It seems to have disappeared on the app! Thanks.