msk-pain.bsky.social
Rob Goldsmith, 2Y Care Neurosurgery AP Physio, Injection Practitioner, MMACP.
The spouting of random thoughts are my own tho..
467 posts
282 followers
152 following
Regular Contributor
Active Commenter
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My issue isnt really with the authors, but with the lack of any effective peer review process. It is really not at all hard to spot the flaws with this paper. In my view, it should never have been published. Web of Science have also raised concerns more widely. retractionwatch.com/2024/09/30/w...
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It referenced an paper I wrote with colleagues...and so I was interested enough to read it. There were obvious issues with referencing, writing and also concerns over authorship. One of the references for a supposed qualitative study was actually for a cochrane guideline....which rang alarm bells.
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One wonders about the 3-day initial peer review process before acceptance, the six-month delay in investigating this and where this leaves academic publishing....
...Why is it down to us readers to spot this and do the investigating?
These concerns should have been easily spotted at peer review.
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www.bmj.com/content/388/...
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Love that idea. Reverse engineer the whole thing!
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#painresearch #chronicpain
#physiotherapy #spinepain
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#SevernSpine24
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Huge thank you to Patrick Shaughnessy and the Severn Spinal Network team for a geat event 👏👏
severnspine.nhs.uk
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If you want to walk further.....you have to walk more
...Regardless of if you choose to have surgery or not for leg pain or weakness.
(My interpretation of this data)
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Degree of spondylolisthesis or severity of stenosis did not predict post op walking distance.
The more you walk before sugery predicts the more you will walk after surgery.
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Although decompression for stenosis can improve symptoms, people may not walk further distances after surgery. Its not clear why. #SevernSpine24
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The numbers of MRIs were increasing before GRIFT CES guidance.
(Sorry to whomever has their folicals on display...im enormously jealous!)
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Reviewing data from SNOMED codes for Lumbar MRI requests....
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Fair
We have stats on ABx use. We dont for US / TENS.
Wrong to extrapolate from a few FB posts to a whole profession...across the whole world.
We react to what we see & hear. I can only report my experiences from UK NHS care across Wales and England.
I can't speak for the whole of the UK
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Interesting and disappointing.
To be honest, I havent seen either of those machines in a physio dept Ive actually been in over 10-20 years.
As a physio student I had a clinical educator who was obsessed with US. Tried to get me to use I with *every* patient I saw....cue alkward conversations..
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Bit of a risk of conformation bias with that gold standard...e.g. positive empty can (similar movement) + XR with a little AC joint OA = 'shoulder pain'.
Would be nice to have seen more detail on the gold standard. How many went for MRI or EMG? Did any get both shoulder and cervical MRI?
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Looks like a scarf test? Just performed actively rather than passively 🤷🏻♂️
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Pffft..absolute 'nothing burger' of a petition 🍔😭
This one was much more important! ⚽️
petition.parliament.uk/archived/pet...
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Tweetsmash worked for me. Download to google sheets.
Tweetsmash.com
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Yep. You will see younger patients again after any spinal surgery
Sand castles in the waves...
Matching a patient to a treatment is still an art rather than an algorithm...and i think it should stay that way.
A classic example of 'your seen population' isn't the whole population.
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Sorry. Replied below other post.
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This review doesn't chime with my annecdotal experience.
Seen loads of DRs that have gone badly. Usually at same level. Usually in a lot of pain.
To be fair...also seen a good nunber of ACDFs with ASD considering extension of fusion.
The DRs seemed to be in a lot more trouble tho.
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I have an interest in radicular pain.
As an exercise in awareness I recently joined a bunch of 'sciatica' FB pages.
So much suffering, misinformation, false hope and desperation. 😣
We do have a long way to go to reach and change this narrative.
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Im with you on that message.
I (and my NHS colleagues) are facing the difficult task of challenging that narative.
I may have been overly sensitve to the 'most PTs' phrase. My bad.
If its posted on FB....fire away!
Its a hot bed of misinformation and confirmation bias that needs challenging.
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Nice thread David, thank you
What are your thoughts about adjacent segments deteriorating after fusion? Im esp interested in ACDF and those who chose to intervene earlier
Its no longer a 'normal' spine
Im not sure the data from non surgical populations are valid
What about congenital fusion?
😊
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Hard agee. Until we have a safe and effective treatment option this should not be discussed with patients.
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Im cautiously optimistic about this. I see a lot that seem to match painful presentations.
A totally different question is if we have a safe and effective treatment for those with this finding.
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Paul I love your work.
If you will let me, I'd like to advocate for the (mostly) silent (majority?) of UK PTs who are doing their best in difficult circumstances.
My perception is that awareness has changed amongst most UK physios....(cant speak for US/CAN)
...the system needs work++ tho
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journals.physiology.org/doi/full/10....
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Great to see this. I dont work in or with athletes often, but have been concered by the harm of osteopenia caused to elite cyclits for a while. Restricted intake, w/kh plus hitting the deck at 60kph is a potentially harmful mix!
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Work of the first order! Such creative impulse. Hope you ran-vier it by your boss tho? Such potential!