Kabir Dhaliwal

New Grad Physio 🧠🧐 | Instagram: @kabir.physio |

[Kabir Dhaliwal @kabirphysio]

@Mattjones0203 I know there’s overlap between strength&conditioning and NMT but curious if any of the papers looked at strength training alone, or was it mostly NMT programs with strength components mixed in?

[Kabir Dhaliwal @kabirphysio]

It can change treatment. Thinking more holistically might help guide options for someone like a mechanic who isn’t ready for eccentrics and can’t ease off work. Maybe a walking program helps desensitize the nervous system. Sounds wild but staying open to possibilities matters.

[Kabir Dhaliwal @kabirphysio]

We make patients hop to diagnose Achilles tendinopathy—no hesitation.
But for rotator cuff, lateral elbow, or IT band issues, we might just stretch or resist.

Why don’t we load the shoulder with push-ups or test the elbow with repetitive activities to provoke pain?

See more⬇️

[Kabir Dhaliwal @kabirphysio]

Could peripheral nerve sensitization or irritation be one of the missing pieces in some pain presentations? It might not be the primary cause, but it could be a contributing factor -> one that’s worth considering, especially when things don’t add up. #ClinicallyCurious

[Kabir Dhaliwal @kabirphysio]

@thomaskffmn @DearS_o_n You missed out on some good threads on my last post, you might enjoy the read 🫡

[Kabir Dhaliwal @kabirphysio]

@DerekGriffin86 Interesting that early physio may delay recovery in whiplash? A newer study shows WAD 2 often involves nerve pathology. Could it be that a sensitized system is being re-sensitized by manual therapy or poorly dosed exercise?

https://t.co/H928Le3kmm

[Kabir Dhaliwal @kabirphysio]

Looping you back in as this touches on some of our other convos 😅 @CorKinetic

[Kabir Dhaliwal @kabirphysio]

We often think of double crush in the upper limb (like cervical radic + carpal tunnel/ulnar nerve entrapment), but what about the knee or shoulder? Could PFPS (even early OA) be related to saphenous nerve entrapment? Just exploring here

https://t.co/5CXtsIQyrS

[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.

[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.

[Kabir Dhaliwal @kabirphysio]

@hjluks Interesting if nerve blocks aren’t all that effective pre-TKA, do you think their response could still offer diagnostic value? Maybe help identify peripheral sensitization or flag patients at risk for persistent pain? Curious if there’s more to learn there.

[Kabir Dhaliwal @kabirphysio]

Some of these tension tests use shoulder positions similar to Hawkins-Kennedy. Given the shift away from structural impingement models, maybe the pain provoked is more about peripheral nerve sensitization or altered nociceptive processing. Worth exploring?

[Kabir Dhaliwal @kabirphysio]

Big respect for your work, @JaredPowell12 . Curious on your thoughts on nerve tension tests (suprascapular, axillary) in chronic shoulder pain. Not much out there yet but could positive responses to these provocation tests actually give us meaningful clinical data?

[Kabir Dhaliwal @kabirphysio]

@GregLehman @CorKinetic @dfjpt Sorry if I’m spamming, Greg, just really appreciate your insights. Re: Hawkins-Kennedy: we were taught it has low clinical utility, but I’ve noticed it cause lots of pain in chronic shoulder cases. Could suprascapular nerve tension be a factor? Curious about the mechanisms again

[Kabir Dhaliwal @kabirphysio]

@GregLehman @CorKinetic Absolutely this builds on @dfjpt nervous system approach. We’re seeing how it can apply to cases like tendinopathy, chronic shoulder pain, and more. Interesting to also see emerging evidence of small fiber neuropathy in fibromyalgia. Just connecting some dots!