Excellent news! Initially Dr. Stanton was going to speak at #SDPain22 virtually due to AU travel restrictions. Well, they've been lifted so @Tash_Stanton @youseelogic & @MelanieNoel will be together in one place! Talk about a powerhouse of Keynotes! https://t.co/w2Veybroza https://t.co/8OWHCQv54S
Looking to joining this event from the UK at the weekend! A great lineup! #SDPain22 https://t.co/vEayA0ZJfm
Excellent news! Initially Dr. Stanton was going to speak at #SDPain22 virtually due to AU travel restrictions. Well, they've been lifted so @Tash_Stanton @youseelogic & @MelanieNoel will be together in one place! Talk about a powerhouse of Keynotes! https://t.co/w2Veybroza https://t.co/8OWHCQv54S
It's an honor to host #CSMAfterDark at #SDPain22! Remember #PTAfterDark Where off the books conversations dig deeper into what’s ailing us. Barriers, community, embedded beliefs, power, patient perspectives…are all on the table. Well, it’s here! Details: https://t.co/gIGrindAPN
Really looking forward to Dr. VanHoose's @LisaVanHoosePT discussion session this coming up weekend!
You don't have to be in San Diego for #SDPain22, participate online (& get CEUs via @CPTAtweets): https://t.co/ZA5EAurCmQ
Registration for live stream ends 2/24 at midnight PST https://t.co/HRs8ei9YV6
#SDPain22 talk w/Dr. Bialosky @JoelBialosky "This presentation will focus on how the preferences & beliefs of the provider influence outcomes in patients w/musculoskeletal pain complaints seeking care." Don't miss out! Participate in live time from home: https://t.co/ZA5EAusaco https://t.co/pzDOxAuvKw
You don't need to feel like you're going to miss out on #SDPain22! Join us via live streaming! You can participate in Q&A's, group discussions, get CEU via @CPTAtweets, & keep the recordings! Sign up before registration closes tonite at midnight! https://t.co/im9thmXWhx
Saturday Feb. 26th we are kicking off the 9th annual #SDPain22 with Keynote Dr. Uchenna Ossa @youseelogic! https://t.co/im9thmXWhx https://t.co/sai4W4SXE2
Nice to be back planning an in person event for the 9th annual #SDPain22 San Diego Pain Summit! Haha- I hope I remember how to organize an in person conference! https://t.co/YmVd0jrCw9
And Dr. Bialosky speaking here #SDPain22 Saturday to help us learn how to identify how provider preferences & beliefs influence outcomes in patients presenting w/musculoskeletal pain complaints.
Participate here: https://t.co/ZA5EAua0Yg
Can't register after midnight tonite! https://t.co/zF42pk5QKU
Expectations of recovery seem to have quite a strong influence on recovery
The first paper I read on this was from Bialosky back in around 2015 & had a huge influence in how I started to understand those I was working with
Thread 1/
https://t.co/vboS0Cb0QZ
Super engaging #SDPain22 debate going to be🔥Register to participate in the live stream before midnight PST tonight, then you can be a part of it too! Or you can purchase access to the recordings for only $75 (which will not be on sale after Feb. 28th) https://t.co/p1Hq4KXqa7 https://t.co/CQgsKrrrwx
Prep with some background with @PainSciPod episode 28:
https://t.co/cxU1BTbi5N
#SDPain22 https://t.co/SFnakowTUh
Super engaging #SDPain22 debate going to be🔥Register to participate in the live stream before midnight PST tonight, then you can be a part of it too! Or you can purchase access to the recordings for only $75 (which will not be on sale after Feb. 28th) https://t.co/p1Hq4KXqa7 https://t.co/CQgsKrrrwx
@MegFoundation @MelanieNoel @neville_alex Follow along #SDPain22 during the weekend for up to date tweets about the talks!
@FFizzeo @SanDiegoSummit @PainSciPod I’m excited for this for all the reasons you just said. I suspect the question hangs around more because of how clinicians can get stuck defining themselves by the techniques they use (or make money from).
When underpinning evidence evolves, it can be hard to de-adopt.
#SDPain22
I have massive #respect for @youseelogic and am 🤓
#SDPain22 https://t.co/GA1ozVk1nZ
Saturday Feb. 26th we are kicking off the 9th annual #SDPain22 with Keynote Dr. Uchenna Ossa @youseelogic! https://t.co/im9thmXWhx https://t.co/sai4W4SXE2
Alright folks! Got a few upset emails that missed the #SDPain22 live stream deadline. I run this show myself so close registrations as I get busier-- but I will re-open until 7pm PST tonite! You don't have to miss out on the discussions, learning, & fun! https://t.co/1RVHU5Kb2L
Good coffee (an actual good breve latte) and an interesting paper @devrajoyPT just happened to have…
#SDPain22
🤓❤️ https://t.co/YDH8CT5qMv
Getting the conference room ready for tomorrow! Follow along #SDPain22 on Sat and Sun to read the latest in pain education and clinical practice right here on Twitter! (Or sign up for the live stream- you have until 7pm PST tonight! https://t.co/1RVHU5Kb2L https://t.co/46MBxCMbpM
I am getting ready to go to the @SanDiegoSummit Dinner Party for #SDPain22 & I wanted to ask you something, #DisabilityTwitter @national_pain & #DisabledBlackTalk
How would you complete this sentence? #MedicalTraumaIs
For me: #MedicalTraumaIs the fear of my MD not hearing me
@SandyHiltonPT @devrajoyPT thanks for your interest on my work at #SDPain22 ! Seen in the Discussion the possibile applications on pain and drug resistant conditions! 👨🏻🔬🤓👍🏻 Would be cool to share some new data at #SDPain23
@Retlouping @SanDiegoSummit So jealous @Retlouping I would love to be there in person with you all but very much looking forward to attending virtually this weekend! #SDPain22
Picked my seat out from the photo 😂 not that I’m excited or anything.
#SDPain22 https://t.co/pFo10gAl5T
Getting the conference room ready for tomorrow! Follow along #SDPain22 on Sat and Sun to read the latest in pain education and clinical practice right here on Twitter! (Or sign up for the live stream- you have until 7pm PST tonight! https://t.co/1RVHU5Kb2L https://t.co/46MBxCMbpM
@loulouscorpio @Retlouping @SanDiegoSummit Wait til David uploads the videos of him cliff jumping in La Jolla….#sdPain22
Good morning today at 9 am PST the conference will be beginning. We’ll be live tweeting from the event with the hashtag #SDPAIN22
We apologize but during the conference we won’t be directly responding to any speaker related questions on this platform #SDPAIN22
Starting soon: Live mini-blogging for #SDPAIN22 @SanDiegoSummit
We are starting with The Chronic Pain of Racism in Leadership...sure to be a meaningful presentation and conversation. #SDPain22
First in person meeting for over two years, a little bit of a different experience form presenting from my living room 😃
I can finally see the whites of everyones eyes. #SDPAIN22 https://t.co/J5SFMNlphD
#SDPAIN22
The pain nerd family reunion--Sara
Our MC @SarahHaagPT is starting with some housekeeping prior to @youseelogic ‘s opening presentation #SDPAIN22 https://t.co/40Kya6w2aC
#SDPAIN22 https://t.co/sQuSOlGTuD
The first talk “The Chronic Pain of Racism in Leadership” by @youseelogic is beginning https://t.co/aN1v0perZT
#SDPAIN22 https://t.co/KsjGvtuzqX
What is the initial injury? Systemic oppression leading to the internalized racism that creates the myth of white supremacy-@youseelogic https://t.co/TVB16oV38G
"...one group that has to think about suppressing their authenticity because it’s not good professionalism." #SDPain22
A lot of pressure to assimilate occurs and @youseelogic discusses that and the harms from it #SDPAIN22 https://t.co/J5MLY6i8hM
What about the loss of creativity [due to the trauma in the workforce]. #SDPain22
@SanDiegoSummit One of the finest speakers who brings the passion, clarity, and wisdom every time.
@youseelogic
#SDPain22
‘The proximity to whiteness = professionalism’. @youseelogic starting us off with the real talk. #sdpain22 https://t.co/968segYStI
“Will you hold us both [equally] accountable truly?!?”-@youseelogic questioning how people would respond with her venting compared to if our MC @SarahHaagPT did the same #SDPAIN22 https://t.co/EHHtS2nKml
If we don’t address the issues this creates, the inclusive workspace is just a fantasy. #SDPain22
On-going unresolved #racism leads to "hardwired, systemic sensitization," surviving vs thriving.
If we talk about #painscience, you must include social aspects. It is BPS for a reason.
#sdpain22 @youseelogic #painscience #socialpain #racisminleadership
https://t.co/5mkW9T2ZF9
Hiring a DEI officer is not a change in culture or mindset. It’s not enough. #sdpain22 @youseelogic
Inequitable accountability degrades trust, accountability…
If we don’t change this, all the DEI efforts can’t work because they aren’t doing the work to elevate EVERYONE on the team.
@youseelogic @SanDiegoSummit
#SDPain22 https://t.co/LgBnYWO89e
#SDPAIN22 https://t.co/DK1k2Sf6Hy
Paraphrasing: If we don’t address the inability to bond or bridge the gap…when you haven’t created a plan to elevate everyone on the team…you’re essentially wasting everyone’s time in terms of any DEI efforts per @youseelogic https://t.co/l6d7UWCbYs
Nothing has really changed for BIPOC leaders besides some more consulting work per @youseelogic #SDPAIN22 https://t.co/aolbNWSUky
To start, we need: 1. Visible commitment. 2. Humility #SDPain22
So how do we change this?
What is an acceptable outcome for your work space?
Gonna need to have visible commitment and humility.
@youseelogic @SanDiegoSummit
#SDPain22 https://t.co/XmrTvn7KGM
What is acceptable? What are inclusive traits? All of the traits have to be co-present for results #SDPAIN22 https://t.co/dTDUWKYqXV
Awareness of bias isn't enough. We need to be curious, allow #autonomy, & anticipate disagreements & resolve equitably. @youseelogic #sdpain22 #painscience #racisminleadership #physicaltherapy
https://t.co/vBQ05q6yrt
Remember that equity and equality are not the same. #SDPain22
A lot goes into this process of having appropriate measures to promote equitable measures and safe environment for BIPOC peers #SDPAIN22 https://t.co/Gk3OQmVKpO
There are different levels of ability to address this - nice graph!
@youseelogic @SanDiegoSummit
#SDPain22
Excellent? Have the courage to challenge the status quo at all levels, every day! https://t.co/9oC1sX2jIu
We have to have self-reflection to create progress for everyone to facilitate an inclusive environment #SDPAIN22 https://t.co/E9U3DWTzyf
What is an inclusive leader?
"Be brave enough to publicly challenge the status quo at all levels...everyday." ~ @youseelogic
#sdpain22 #racisminleadership #physicaltherapy #painscience
Follow @youseelogic our opening speaker on IG, Twitter, Facebook, or TikTok #SDPAIN22
We're having a discussion at #SDPAIN22 and we have @nolan_syreeta in our discussion group. She highlighted how difficult it is almost always dealing with healthcare clinicians being white, the fact that she has to often self-advocate, clinician ableism, & cost being a barrier
@otbayarea is discussing in our group how we need to constantly connect with patients and ask questions to make sure they're feeling that they're being treated fairly #SDPAIN22
In regards to pre-grad school shadowing @otbayarea mentions she's only accepting students who are BIPOC for these opportunities with her because those applicants have fewer opportunities and since it's an unpaid task she's choosing to make a difference in that way #SDPAIN22
If we could influence systemic change in the educational process for the PT world. #SDPain22
It's the action-orientated space that is needed to move the needle on this reality. #SDPAIN22
We return post individual group discussion (regarding what we’ve learned in the past 2 years in terms of our leadership as it relates to BIPOC colleagues) to discuss what insights we gained as a collective group from this activity #SDPAIN22 https://t.co/KyPlYmAZuS
Is the process of conflict management and promotion within your organization transparent? #SDPAIN22 https://t.co/irnjYxm6F5
Micro-aggressions minimize the bandwidth of everyone. #SDPAIN22
What are you doing every day to minimize the impact of inequities in your culture and for BIOPIC members of the organization. #SDPAIN22
@SandyHiltonPT @SanDiegoSummit @youseelogic Thoroughly enjoyed @youseelogic presentation & the breakout room discussion online, great to connect with people whilst I was cooking the tea 🤣😃 great discussion at #SDPAIN22 @SanDiegoSummit
It's Not You, It's Me...Joel Bialosky is speaking at #SDPain22
All set up for #AfterDark 🤓
@SeanHagey
@SanDiegoSummit
@Human_Collab
#SDPain22
Join in! Share your voice and ideas! https://t.co/Y3tYJziwsw
When you’re so excited for the next speaker you do all the announcements you forget to take off your face mask. 🙄😂. #sdpain22 https://t.co/Cgc2ls8kSy
Dr.Bialosky starts with introducing himself and his training background #SDPAIN22 https://t.co/g7Xs2Vhveu
What if when the keynote speaker at a clinical conference was supposed to speak, these two came out instead (see image) what would you think? Patients have expectations about clinicians and clinicians as individuals influence outcomes based on those expectations #SDPAIN22 https://t.co/chSE6SXA7y
The affect size is small, regardless of technique and therapist. Some people will respond positively, and some will get worse. Who is likely to respond? #SDPAIN22
Can we get better at classifying patients to find what they’re responsive to in order to become more efficient and effective in terms of clinical practice? #SDPAIN22 https://t.co/qeGqgjSUl4
We need to modify the approach for people with specific factors. Change what is being done to increase the chance for individuals to benefit from their PT. #SDPain22
Some attempts have been focused on looking at prognosis for example via the STarT Back Tool. Other approaches have been focused on clinical prediction rules and others looking at clinical practice guidelines with the hopes of ⬇️ variability & enhancing care generally #SDPAIN22
Expectations matter!
And it’s not one size fits all for patient expectation.
There’s variability with patients and with clinicians.
@JoelBialosky
@SanDiegoSummit
#SDPain22 https://t.co/xwnZd6EeL7
What if when the keynote speaker at a clinical conference was supposed to speak, these two came out instead (see image) what would you think? Patients have expectations about clinicians and clinicians as individuals influence outcomes based on those expectations #SDPAIN22 https://t.co/chSE6SXA7y
Not everyone is going to respond to the same things. There’s a lot of variability within each every individual therapist in terms of their practice as a result @JoelBialosky #SDPAIN22
The Canadian Contingent in the front row? The world certainly has changed. #sdpain22
@ericpurves1 & crew https://t.co/dp8Eh6vy0g
The relationship between which therapist and which client has been under-considered. Changing so that the relationship is part of the therapeutic benefit the patient receives. #SDPain22
However what if the focus is shifted a bit more on figuring out what clinician would be more likely to have a better outcome with the patient by considering the clinician as a fit and focusing on the therapeutic relationship being part of treatment? #SDPAIN22 https://t.co/KwO8Mc4eU3
Who the patient sees & who treats the patient are more likely to influece outcome of treatment more than the treatment itself.
@JoelBialosky #physicaltherapy #BPS #painscience #physiotherapy #massagetherapy #sdpain22
https://t.co/QpvBr3xoam
#SDPAIN22 https://t.co/I1QFCIPlZM
@JoelBialosky is highlighting this study in terms of studies related to studying what clinicians were effective across different domains: https://t.co/hnSBlLBnQg #. .
This study by Kraus et al. 2011 was focused on what domain therapists were most effective in #SDPAIN22
Huh… look at that. Sexual function is a critical domain…
Let’s bring back the original Oswestry with the sex question!
Are you using the real one? If not, why not?
#SexIsAnADL
#SDPain22
@JoelBialosky @SanDiegoSummit https://t.co/MXMRWbsirG
Per @JoelBialosky this study also found high performing therapist were 2x more effective than the average therapist and 3x more effective than the lowest performing therapists #SDPAIN22
Next at #SDPAIN22 @JoelBialosky briefly covered the following review on the therapist effect: https://t.co/lltiiFHo72
"Therapist domain-specific effectiveness correlated poorly across domains, suggesting that therapist competencies may be domain or disorder specific, rather than reflecting core attribute or underlying therapeutic skill construct." @JoelBialosky #sdpain22
https://t.co/2h8OgGXQ0k
In the following article a larger effect was observed for providers of more biopsychosocial oriented interventions: https://t.co/PEch54J8uZ #SDPAIN22
"...performance-based retention of therapists could improve quality of psychotherapy...by improving average response rate & decreasing probability that a patient will be treated by therapist who consistently has poor outcomes." @JoelBialosky #sdpain22
https://t.co/i3uSzAE0mT
When removing low performing therapists, there was an effect observed for patient outcomes in this study cited by @JoelBialosky which *may* result in significant clinical impact #SDPAIN22: https://t.co/tkCh8Yjhjf
The "therapist effect" (patient-therapist relationship) is consistent across studies and treatments. #SDPAIN22
Here is is @devrajoyPT 🤓
#SDPain22 https://t.co/8XFyw3jA7v
Huh… look at that. Sexual function is a critical domain…
Let’s bring back the original Oswestry with the sex question!
Are you using the real one? If not, why not?
#SexIsAnADL
#SDPain22
@JoelBialosky @SanDiegoSummit https://t.co/MXMRWbsirG
@karenlitzyNYC Thanks! A gift from our next speaker @nolan_syreeta ! #sdpain22
Contextual factors are a noticeable contributor to a patient improving. #SDPain22
Why is one therapist more effective than another? Usually despite what people think studies tend to suggest contextual factors (which are not placebo) as being more relevant in terms of success than very specific clinical expertise #SDPAIN22 https://t.co/CX7GtKjb7o
What makes a therapist more effective? Doesn’t seem that more certifications matter. It’s the contextual factors: relationship, expectations, etc. @JoelBialosky at #sdpain22 https://t.co/VGUC9WY9fz
Awareness of receiving interventions (even if the same dosage of the same intervention is provided) does seem to matter, one example cited at #SDPAIN22 by @JoelBialosky is: https://t.co/doGTStPZME
@SarahHaagPT @karenlitzyNYC I am so glad you love it, @SarahHaagPT. Pls remember in using our conference hashtag that in all lower case, a screen reader will read it as 1 word. Camel case with all acronyms in uppercase & the 1st letter of each word capitalized ensures accessibility
#SDPain22 @SanDiegoSummit
#SDPAIN22 Per @JoelBialosky non modifiable factors are important such as gender of the therapist can make a difference in the interaction and potentially influence the outcome: https://t.co/Qi6U9NcBYY
Research outcomes must be adapted when being applied to individuals who were not culturally represented in the study! #SDPain22
“The sex of the provider may have a difference on how the patient communicates and possibly the outcome.” @JoelBialosky @SanDiegoSummit
This is why we need more diversity doing #MensHealth #WomensHealth #PhysicalTherapy #PelvicHealth
People need options! #SDPain22
Cultural competence and concordant care matter as patients want people who understand and are like them #SDPAIN22: https://t.co/smrdSgbQZQ https://t.co/ljOV5mM1bF
Its highlighted by @JoelBialosky that his field of physical therapy in the United States is not truly representative of the patient population (due to the disproportionate number of white PTs relative to other groups) which may impact the outcome (negatively) #SDPAIN22
How do we make clinical practice guidelines accessible to all patient populations in all the ways they must be accessible? One size does not fit all.
@JoelBialosky @SanDiegoSummit #SDPain22 https://t.co/xg1axSDhmc
Is clinical equipoise relevant? Maybe clinician expectations matter?! #SDPAIN22 https://t.co/aOCxRpN7LC
“Dose yourself” is something I advise regularly. Some nice research to help understand why. @SanDiegoSummit @JoelBialosky #SDPain22 https://t.co/LiuINHlyNp
People that are getting something (an intervention) that the therapist believes in, that intervention will more likely to be effective #SDPAIN22 https://t.co/P7P6vyY3vS
Outcomes were said to be better for PTs that had certain personalities that were calmer and more relaxed in one study #SDPAIN22 https://t.co/4GEOBUEsGj
Improved outcomes are directly connected to the existence of a therapeutic alliance between provider and patient. #ChronicPain #SDPAIN22. As patients we definitely know this is true. Work with us to get better results.
Establishing the therapeutic alliance first seems to be more impactful in terms of outcomes #SDPAIN22 https://t.co/4Y7TSPax5t
Another study very briefly cited to further this point about therapeutic alliance #SDPAIN22 https://t.co/tNVdQ15d2S
We need to collect outcomes… or you have no idea how you’re doing as a therapist.
@JoelBialosky @SanDiegoSummit
#SDPain22
<tricky to pick the tool & if it’s measuring what you’re trying to measure>
One thing that is highlighted is collecting data on clinical outcomes for individual clinicians #SDPAIN22 https://t.co/rRaP55Gtqp
One thing @JoelBialosky mentions that both the therapeutic alliance and technical knowledge matter but having both is more effective than just being technically skilled #SDPAIN22 https://t.co/PrVgrs3sNj
Matching therapists to patients based on fit seems to have an effect #SDPAIN22 https://t.co/WmX5z0Guk4
Pain, function, and emotional distress are common patient priorities needing improvement--per the research. #SDPain22
Kudos to the SoMe person for @SanDiegoSummit 🤓
Great work with #SDPain22
Follow for links and quick reflections of presentations.
#Respect https://t.co/FdvZ8KP41E
Very excited for Syreeta Nolan’s #SDPS22 #SDPain22 talk: “My Intersection of Chronic Pain, Medical Trauma, and Blackness” https://t.co/DBWd6Cvabo
In current culture being proud of being disabled--as being a person who lives in this situation--isn't accepted. #SDPain22
Next we have @nolan_syreeta speaking about her intersection of Chronic Pain, Medical Trauma, and Blackness. #SDPAIN22 https://t.co/zh5IOE1F0k
"Sometimes the thing that seems like it's trying to kill us is the medical system that is supposed to be helping us." #SDPain22
Intersectionality is about fighting discrimination within discrimination -@nolan_syreeta #SDPAIN22 https://t.co/Ex0VxR11ob
“I can be proud of being Black. I can be proud of being bisexual. I can be proud of being indigenous. I can be proud of being a woman. But being disabled is not something people are OK with me being proud of.” Syreeta
Nolan
DEI convo doesn’t often include disability #SDPain22 https://t.co/WurM2zial9
Does your DEI training include disability? If not, you’re missing out. @nolan_syreeta is challenging the medical model of disability with the social model. #SDPain22 https://t.co/4XLstbBbg8
Disability isn't something that can be put down. It's inherent to who a person is. #SDPain22 #ableism
For those who are disabled a social model is more beneficial than a medical model of viewing disability, as the social model acknowledges disability as part of the person’s identity rather than a negative #SDPAIN22 https://t.co/U6nQ1mOlNQ
Racial background, low income, and mental illness/trauma are barriers in terms of seeking/receiving care for @nolan_syreeta and are often ignored by others #SDPAIN22 https://t.co/0amNNxXpFa
Medical trauma has shapes patients interact with the providers and system. #SDPain22
Medical trauma (including diagnosis denial/redaction by clinicians and being raped twice at healthcare facilities) shapes how Syreeta interacts with the healthcare system #SDPAIN22 https://t.co/RceSVCYBlb
“Any moment something hurts to a different degree” and the pain scales don’t capture that.
There are STILL people who are made to prove their pain is real.
Medically harmed… medical trauma…
<It’s our job to not make people worse in our duty to help.>
#SDPain22 https://t.co/e8miVgJxBk
‘We have accommodations in higher ed, but there are no accommodations for medicine’. @nolan_syreeta We need to do better with healthcare and as healthcare providers. #SDPain22
The “you’re resilient” label is often viewed by those who are disabled as condescending and exhausting #SDPAIN22 https://t.co/ZIJft7GZzp
There’s a grieving process from an acquired disability that many don’t publicly or openly acknowledge #SDPAIN22 https://t.co/4ounnoXp4c
All of this.
Grief… see @refugeingrief which has helped me a lot with my own.
#SDPain22
Fabulous presentation by @nolan_syreeta https://t.co/doHImpiltx
Think of this image highlighting a marginalized party in the American medical system, for example a disabled person and what they get vs what they would need for appropriate justice #SDPAIN22 https://t.co/JKdPCkDH5p
Supporting disability pronouns as much as gender pronouns in the clinic. #SDPain22
Wheelchair user vs. wheelchair bound. Let's update our language! #SDPain22
We need to acknowledge the inherent ableism in our systems and properly address that by hiring disability experts to address these concerns and educate clinicians #SDPAIN22 https://t.co/yG2IPW30AF
Where do we go from here?-@nolan_syreeta poses the question and provides some answers #SDPAIN22 https://t.co/2Pc42FXfTD
A sheet on site participants of the #SDPAIN22 conference received regarding Medical Trauma https://t.co/hqrRXKvTlC
Paraphrasing @nolan_syreeta : we should protect clinicians who are disabled from potentially losing their license due to their disability so they could be open about their disability in order to better help patients with similar/same disabilities #SDPAIN22
Allow us to live with our body-mind as human. Why is being human--humans have, acquire disability--not allowed? #SDPain22
“Hiding it is going to hurt more in the end” @nolan_syreeta
Oh, yes.
We push through, and toughen up, and are told to have thicker skin so that we can absorb and continue despite abuse, crappy situations…
Adapting is not always adaptive.
#SDPain22
Being disabled & incapable of performing a skill as a clinician may actually be > beneficial for those who are disabled as abled parties may make disabled patients feel < comfortable. Quit placing ableist barriers for everyone, because it can harm patients ultimately #SDPAIN22
@SanDiegoSummit @nolan_syreeta Fantastic that @nolan_syreeta dropped into the Zoom to speak to those of us attending #SDPain22 virtually! 👍
@loulouscorpio @SanDiegoSummit It was my honor to drop into the Zoom, @loulouscorpio 😁
#SDPain22
I’m looking forward to David Poulter’s #SDPS22 #SDPain22 talk: "Patient Centered Care and Developing the Therapeutic Alliance. Have We Lost Focus?" https://t.co/EPFxM8lm1H
@Retlouping getting the afternoon session at #SDPAIN22 - what a man of mystery. https://t.co/XqvakO6pxT
Now with David Poulter PT #SDPAIN22
Try pinching your #wenis, that loose flap of skin at or near your elbow (olecron) process. Does it hurt? Why not?
#sdpain22 #painscience
Working with people rather than patients. #SDPAIN22
What is the meaning of 8760? That long silence to determine the answer is the same type of silence that can be uncomfortable for people (including people who are patients) when asked difficult questions #SDPAIN22 @Retlouping https://t.co/TflxVs6sRh
A lot of groups are named for the event or organization but they don’t really mention people @Retlouping #SDPAIN22 https://t.co/cLBGiJvr0l
Next we shift to a discussion about person centered care #SDPAIN22 @Retlouping https://t.co/qMyunmqqBu
Center means focus, centered means focused. The image below is not patient centered, it's patient in the middle of a circle-@Retlouping #SDPAIN22 https://t.co/OX76XbSYKi
Person-centered: person focused, rather than surrounding the person. #SDPAIN22
@Retlouping sharing a lot. A lot about shifting what we think we’re doing to actually practicing in a patient focused manner. #SDPain22 https://t.co/RBe0tqv9Ig
Absolutely agree with @Retlouping at #SDPAIN22 “don’t TAKE a history” listen!! https://t.co/hwBsZnGV52
A rule was falsely attributed by some to @Retlouping but still very useful #SDPAIN22 https://t.co/nl25Aai06v
Study cited by @Retlouping at #SDPAIN22 that was authored by @MaxiMiciak et Al. 2018: https://t.co/23LsznpiaZ https://t.co/jxGMR9xb7y
Empathy improves pain 2 points on the scale on its own. Context matters. The provider is always part of context. #SDPain22
Manual therapy assessments often make people miss the focus, as in the person they're trying to treat, and often come too close to notice some things about the person @Retlouping #SDPAIN22 https://t.co/IAVvew4JdJ
"Moving from caring for people to caring about people."#SDPain22
Are clinicians looking at patients too closely? Are they just focusing on one “issue” rather than looking at the bigger picture of the person?
#sdpain22 https://t.co/QPOJyBNmg3
So @Retlouping cites he's not trying to tell people what words to use but rather reflect about the person being seen by you #SDPAIN22 https://t.co/lfSG7Y0it7
"They're not soft skills, they're hard earned skills"-David Poulter @Retlouping #SDPAIN22
Next up: "A Physical Therapist's Lived Experience With Long Covid" by Daria Oller. #SDPS22 #SDPain22 https://t.co/iuKeH0E6bw
Our next speaker being introduced is @OnTapPhysio (co-founder of @LongCOVIDPhysio ) #SDPAIN22 https://t.co/NvpewQJGbz
Living with Long Covid is our next topic. #LongCovid #SDPAIN22 @LongCOVIDPhysio
Two papers cited by @OnTapPhysio at #SDPAIN22 1)https://t.co/P2RDkaytyl, 2)https://t.co/ulxFHo8nXx https://t.co/661re4APG1
U09.9 is the ICD-10 code for #LongCovid #SDPAIN22
@OnTapPhysio talking about needing to bring a published paper in to ‘prove’ long covid issues are real. What is it so hard to believe patients about how they feel? #SDPAIN22
@OnTapPhysio follows that with the following definition and article: https://t.co/z926GJE9N3 #SDPAIN22 https://t.co/y26EIfNXDF
There's now an ICD-10 code for Long COVID cited here by @OnTapPhysio #SDPAIN22 https://t.co/GimPaI5lsO
We all need to understand the burden of #LongCovid it is a disabling event.
More people will be unable to work.
There is not enough space or knowledge in Long COVID clinics.
It’s still so new and there are multiple presentations.
@OnTapPhysio @SanDiegoSummit
#SDPAIN22 https://t.co/ypI7O3PzNo
Long COVID is a mass disabling event @OnTapPhysio #SDPAIN22 : https://t.co/fuuranbVJo. https://t.co/dd7a9iZKW8
Long COVID can have over 200 symptoms per Davis et al 2021: https://t.co/evFexUk5us -@OnTapPhysio #SDPAIN22 https://t.co/Ufa5zyFdZF
Exertion of the person in any aspect can worsen the symptoms. #LongCovid #SDPain22
Maybe considering not just the physical but all forms of exertion for rating of perceived exertion @OnTapPhysio #SDPAIN22 https://t.co/wtoMI0YEAv
All of these resources cited below are open source per @OnTapPhysio #SDPAIN22 https://t.co/LERNNbG0FT
On Post Exertional Symptom Exacerbation: https://t.co/5WWqktrKrm #SDPAIN22
Often humans with Long COVID are being told a number of things that are unfair and inappropriate not just from clinicians but everyone around them @OnTapPhysio #SDPAIN22 https://t.co/yaSiFcJaoT
Adding further to the difficulty is gaslighting, inappropriate clinical recommendations, being dismissed/downplayed, and ultimately having to navigate a system that is designed to oppress (@OnTapPhysio quotes @youseelogic for that last quote) #SDPAIN22 https://t.co/gsYctvoLtc
A reminder to meet up online tonight for #AfterDark
Or in person if you’re here at #SDPAIN22 https://t.co/3TxVebezmJ
Remember CSM After Dark?
It was THE place for open discussion of equity, power, and justice in our profession.
Well, it is NOW #PTafterdark - join in Saturday, Feb. 26, 7:30pm PST - at #SDPS22 or online!
Hosted by @SanDiegoSummit & @Human_Collab!
https://t.co/OnW7m6h3x4 🐈
We still don't know who will deal with persistent symptoms or why Long COVID symptoms persist @OnTapPhysio #SDPAIN22 https://t.co/T3FmGQIcwj
#SDPAIN22
Living through episodic illness #LongCovid is full of misunderstanding or gaslighting “but you went to work”
Yes… and you don’t know how much it took to get to work! (And to work then go home)
@OnTapPhysio @SanDiegoSummit
#SDPain22
@OnTapPhysio states that @LongCOVIDPhysio was the result of a twitter interaction #SDPAIN22 https://t.co/OX81xJxiOE
Patients with ME were predicting the complications involved with Long COVID citing @MEActNet @Dysautonomia @PTOT4MECFS as groups that were there to help early on #SDPAIN22 https://t.co/sBdxiYD6SR
There's so much involved with Long COVID and so much to consider that @OnTapPhysio is mentioning #SDPAIN22 https://t.co/uhwyp3HL6W
Ableism is a huge concern for those with Long COVID and with all the attention comes ableist critique @OnTapPhysio #SDPAIN22 https://t.co/dZAlFEEQmM
@OnTapPhysio cites @PutrinoLab 's commentary on how exercise can actually be harmful in some cases such as people with Long COVID #SDPAIN22 https://t.co/YepGQ8l8TS
There is no checkbox approach that will work for humans with Long COVID-@OnTapPhysio #SDPAIN22 https://t.co/s1Q9632haD
#SDPAIN22
Now we're discovering Long COVID can impact numerous systems including the tissues @OnTapPhysio #SDPAIN22 https://t.co/MLeXd2DFSx
Some (but not even all of the things) @OnTapPhysio does to manage her Long COVID symptoms #SDPAIN22 https://t.co/rUGFPZ4fJN
@grainne_daniels @SanDiegoSummit Hope to see you in one of the breakout rooms @grainne_daniels 😃 #SDPAIN22
Humans with Long COVID consider and compare what they used to be capable of to what they can do now @OnTapPhysio #SDPAIN22 https://t.co/1vZduAN6mS
Everything hurts. Everything is affected. #LongCovid #SDPAIN22
Todd Davenport coming up next. #SDPAIN22
@OnTapPhysio is closing with a cited example of an ally for humans with Long COVID, specifically @sunsopeningband #SDPAIN22 https://t.co/rO4cGHyuAl
Awesome 😂
#BeLikeTodd
A fabulous talk on the current status of what is known with #LongCovid by @OnTapPhysio 🤓
#SDPain22
@sunsopeningband https://t.co/3s35op8aBs
I love this raw honesty @OnTapPhysio as you speak at @SanDiegoSummit for #SDPain22
I think we need to think about how we think about #LongCovid going forward in this pandemic.
Thank you for re-iterating the importance of masks.
@CDCgov seems to have moved on quickly https://t.co/dQaNlalh1E
Great information on #longcovid from @OnTapPhysio at #SDPAIN22. Check out https://t.co/MHyo1iz3YP for more resources!
@SanDiegoSummit @LongCOVIDPhysio @OnTapPhysio Thanks @OnTapPhysio for attempting to answer my question, & for sharing your personal & professional experience with us at #SDPAIN22 https://t.co/7DHa6qGkQW
@SarahHaagPT publicly thanks @Jerry_DurhamPT on behalf of everyone for sponsoring masks and at home rapid COVID test kits for the conference attendees #SDPain22 https://t.co/yBfKnZSA6p
What to do When working out isn't working out: insights from the physiology of post-exertional symptom exacerbation/post-exertional malaise @sunsopeningband #SDPAIN22
Time for Todd Davenport’s #SDPS22 #SDPain22 talk: "What To Do When ‘Working Out’ Isn't Working Out: Insights from the Physiology of Post-Exertional Symptom Exacerbation" https://t.co/V5neAcWHxD
Live from Northern CA, we have @sunsopeningband here and a camera where he can see us too!
Fun use of tech for accessibility @SanDiegoSummit
#SDPain22 https://t.co/hZTkdlLR53
@sunsopeningband 's presentation is starting #SDPain22 https://t.co/XWO3zOD7SJ
#PESE or PEM--not just fatigue, many other symptoms come along and they can seem unbelievable: breathing problem, cognitive changes, headaches, feeling light-headed, muscle pain, nausea #SDPAIN22
Shown are the results from a test of exertional testing: riding a bike until exhaustion via maximum effort (not standard biking by any means). As you can see people with CFS have far more symptoms and far greater difficulty recovering #SDPain22 https://t.co/QDmVLuWc4X
Some of the symptoms actually increase over time for humans with CFS! @sunsopeningband #SDPain22
#MECFS show symptoms getting worse over time after physical exertion. This is an usual response. #SDPAIN22
I fear I shall hence forth be known as crazy bag on head with weird accent guy?
😂 #SDPAIN22
A list of the symptoms for those experiencing post-exertional malaise #SDPain22 cited by @sunsopeningband , article: https://t.co/DtYtA4dBOp https://t.co/AdxZHzmfFc
There is definitely variability in how long symptoms last per Chu et al. 2018 (article link provided in previous tweet) #SDPain22 https://t.co/BR8jbRZ4Vb
This is a LOT of symptoms. The variability of presentation is 😳
We will see more people identified with #LongCovid believe them, help them.
@sunsopeningband @SanDiegoSummit
#SDPain22 https://t.co/CQVzWoRZFU
A list of the symptoms for those experiencing post-exertional malaise #SDPain22 cited by @sunsopeningband , article: https://t.co/DtYtA4dBOp https://t.co/AdxZHzmfFc
A list of descriptions of those experiencing PEM symptoms. Article cited (@sunsopeningband was one of the co-authors): https://t.co/UiS2K1yalv #SDPain22 https://t.co/KrIyMbzKK4
Again Davis et al is cited and a great example of that a lot of this work is patient led as a lot of clinicians are not listening #SDPain22 https://t.co/nXk6scWViD
Long COVID is most prevalent in seemingly mild cases involving people that didn't go to the hospital/ICU (as highlighted by Davis et al) #SDPain22 https://t.co/xrzzZrun8B
Stevens Protocol cited (1st test and then a 2nd test 24 hours later) #SDPain22 [people have to actually choose to be symptomatic to allow research testing to be done] https://t.co/hT0uwGiZeR
Criteria to achieve a maximal test (there's no faking any of this) , article cited: https://t.co/KQav1QBQLT #SDPain22 https://t.co/jQEcew4E7J
People with ME/CFS are literally the exception to the rule which makes it hard for a lot of clinicians to recognize #SDPain22 https://t.co/sFh9bUQDK5
People with #PESE #PEM re-write the physiology textbooks. Or their responses to tests re-write what we know.
#SDPAIN22
Article cited and co-authored by @sunsopeningband : https://t.co/5kRzQb99gz #SDPain22
Now lets compare to what happens to people with PEM during this testing #SDPain22 https://t.co/2YaUAAXZBm
Deeper Dive into VO2 and workload, article cited: https://t.co/x90nC8uhGb #SDPain22 https://t.co/iRYMuIBb28
Analogy: ME/CFS is like being a hybrid car with an unreliable gas engine. This impacts the ability to sustain motion over time or generate power for more exertion. #SDPAIN22
4 questions that effectively help for recognition of PEM #SDPain22 (link mentioned in image) https://t.co/5PCWThUNbi
There's definitely some overlap in case definitions of ME/CFS and Fibromyalgia #SDPain22 https://t.co/BDVVCgm7OV
Sometimes less gets you more (maybe you can't just "load it") #SDPain22 Article cited: https://t.co/VBud0wJoM4 https://t.co/OaPlgEe7j8
Chairs and fire pits ready for #AfterDark #PTAfterDark #SDPain22 starts at 7:30! https://t.co/8nmz7Cc2wq
Exercise needs to be restorative--if it takes away from the rest of life it's not restorative. #SDPAIN22
@sunsopeningband dropping knowledge on the why and the how in adapting lifestyle to #longcovid. #SDPain22 https://t.co/9d02YCQsiK
#SDPain22 https://t.co/lAUsmktYMY
Ooooh.
Fire pit and s’mores and fabulous conversation!
#SDPain #AfterDark #PTAfterDark https://t.co/J613yeImP7
When the person with PEM is ready for exercise (which would require a tolerance to physical activity), it shouldn't be at the cost of their daily routine #SDPain22 https://t.co/7EP9ZwKgBV
PEM is not the same as being deconditioned. PEM often involves an energy system that isn't working appropriately @sunsopeningband #SDPain22
One thing that some clinical need to be reminded of is that even in the case of athletes when overtrained they aren't supposed to do more exercise, they're supposed to rest. So maybe we shouldn't be so quick to push exercise for people with PEM @sunsopeningband #SDPain22
You know you’re in a room of clever folk when the talks are awesome AND the questions afterwards are impressive.
@LisaVanHoosePT and @Retlouping bringing the cellular biology & metabolic pathways questions to @sunsopeningband
Glad there is video for later!
#SDPain22
Thanks for live-tweeting my talk! I had an awesome time with such clearly engaged attendees, even at the end of a long day, even though I was remote, and even with my relentless monotone. I appreciate you all. #SDPain22 @SanDiegoSummit https://t.co/GEQ87k3M6l
@sunsopeningband 's presentation is starting #SDPain22 https://t.co/XWO3zOD7SJ
Our closer for day 1 was our keynote speaker from SDPain2020, @MelanieNoel #SDPain22 https://t.co/S1P4K3e1fZ
Dr.@MelanieNoel discusses her enthusiasm for the conference and training background #SDPain22 https://t.co/x7ug9nUxXd
So excited for Melanie Noel’s "Diagnostic Uncertainty In Chronic Pain" talk at #SDPS22 #SDPain22 https://t.co/0V2uMSVt2q
This is about Idiopathic Primary Chronic Pain. #SDPAIN22
Dr.@MelanieNoel highlights how 60% of children with chronic pain end up having chronic pain when they become adults #SDPain22 https://t.co/W0bjnpY3mW
She is articulating her experience as a parent of a child who had a health condition that couldn't simply be tested via imaging or some blood work. It was like a form of torture. In her son's case he was able to recover from his health condition #SDPain22 https://t.co/HzEz45bVsw
“What torture is this, when you have a condition that you can’t prove what the cause is?” @MelanieNoel
Talking of the torture of not knowing… and wondering what is happening and not being able to find answers.
#DiagnosticUncertainty
#SDPAIN22 https://t.co/2rf7eaNILz
Article cited by @MelanieNoel which involves an unrelenting search for an explanation of a person's low back pain [#SDPain22]: https://t.co/zFNqy4162e #SDPain22
"Lack of a clear diagnosis is associated w/ distress, further treatment seeking & uncertainty...having visible evidence & a clear diagnosis gave patients' pain more social credibility. @MelanieNoel #sdpain22
https://t.co/FpSyMvbny0
@MelanieNoel talks about ‘chasing the ghost’ of unexplained pain. It can be scarier than something like cancer. 💔🥲 #SDPAIN22 https://t.co/tf54LMenfQ
We have our own narratives that come with us into the providers' space. This needs to be included. #ChronicPain #SDPAIN22
Article 1 (Characterizing the Pain Narratives of Parents of Youth with Chronic Pain):https://t.co/qei37NRmz9, Article 2( https://t.co/PDB1qi8eKW ) #SDPain22 https://t.co/S6tb1SrVWP
Diagnostic Orientation
What does the person with pain think about their diagnosis, do they believe it is right? Accurate? Or are they still searching for an explanation?
Do we ask?
@MelanieNoel @SanDiegoSummit
#SDPain22
"...we propose that diagnostic uncertainty be defined as a 'subjective perception of an inability to provide an accurate explanation of the patient's health problem.'" @MelanieNoel #sdpain22 #chronicpain
https://t.co/yBsm16Ccyf
The buy-in regarding diagnosis and treatment is on barrier to successful progress. #ChronicPain #SDPAIN22
People are not going to buy into treatment methods if they're still being pushed to search for new answers for explaining their pain @MelanieNoel #SDPain22
Where did it all start? Where are you now in your journey? Where do you see this going? What do you remember about getting the diagnosis & what do you make of that? #SDPAIN22
A fascinating question: where did it all start?
Whatever you got going on, what if I asked you ‘where did it all start?’ and ‘where are you now on your journey’
@MelanieNoel @SanDiegoSummit
#SDPAIN22 https://t.co/92ucCAAPZn
“They said ‘#chronicregionalpainsyndrome.’ Mm, a whole bunch of words that really tells us nothing.”
@MelanieNoel #sdpain22 #chronicpain https://t.co/Tvf4Tercrp
What is the explanation of the diagnosis? #SDPAIN22
This is important.
Certainly something I hear. The frustration of not understanding WHY it’s happening.
I’m thinking of #HardFlaccid
#SDPAIN22 https://t.co/wTBIBWtj8J
There's a lot of guilt and how every clinical encounter a person has matter and influence their outlook #SDPain22 https://t.co/e0R7uK5BVt
“Every encounter a patient has, even the ones they can’t remember, every one of those matter. Do we ask them?”
@MelanieNoel @SanDiegoSummit
#SDPain22
Insight from the perspective of Julia, age 16, who deals with chronic headaches #SDPain22 https://t.co/cGbHvJIs6Q
Sometimes parents will go to such lengths that they'll even agree to inappropriate treatment #SDPain22 https://t.co/hQb5m93tMN
Surgery as the final validation, even if it's unlikely to help. #SDPAIN22
Article from Neville et al highlighting the uncertainty provided by clinicians to patients: https://t.co/Cr0LpB66zy #SDPain22 https://t.co/oR2cyWnNuN
If so many children (and parents) were not given any explanation of why they have #chronicpain, how can clinicians improve this? @MelanieNoel #sdpain22 #pediatricpain https://t.co/2SfYAxTse8
The team asked clinicians how do they deal with these situations: https://t.co/f9oDyL3HRS #SDPain22 https://t.co/d2qHrOgBu4
@unravelled_self @MelanieNoel @SanDiegoSummit We have a long way to go.
These talks help move us forward, even though it’s too slow.
#SDPain22
"Could you be uncertain but also honest about it and focus on function? I don't know" [that's for the clinicians to figure out to some extent] #SDPain22 https://t.co/sCBPEWwgJG
The clinical encounter is actually a social phenomenon! #SDPAIN22 #ChronicPain
Contradictory messaging that comes from the diagnostic uncertainty of clinicians is potentially harmful and create some significant fear #SDPain22 https://t.co/7S920CGz47
"Where did it all start? That elicits a person's origin story"-@MelanieNoel #SDPain22 https://t.co/FLO5XiWgcE
Everyone has their own origin story and so you can't just use a one size fits all algorithm with everyone @MelanieNoel #SDPain22
Everyone has their own origin story, clinical spiels that don’t change to meet the needs of the individual can’t work.
It can’t be a protocol.
@MelanieNoel @SanDiegoSummit
#SDPain22
When her son is doing well @MelanieNoel buys into the diagnosis of a lung disease, but when he's not she starts to doubt and question the diagnosis #SDPain22 https://t.co/vdh3UrZaJF
Diagnostic Certainty is precarious and isn’t easy to maintain.
If there is a relapse, the uncertainty gets worse again.
@MelanieNoel @SanDiegoSummit
#SDPain22
Relapse, reoccurrence of pain creates the human response of disregarding the diagnosis. #ChronicPain #SDPAIN22 #chronicillness
We end the lecture with a sad closing point from @MelanieNoel and the most devastating consequence of this all is abandonment by the system. Stella in this case had 17 spinal taps before going to the pain clinic #SDPain22 https://t.co/Gf08ZQkznW
really important thread following my friend @nolan_syreeta’s #SDPAIN22 presentation. read it and follow her! https://t.co/Ml6UU6EN8P
Next we have @nolan_syreeta speaking about her intersection of Chronic Pain, Medical Trauma, and Blackness. #SDPAIN22 https://t.co/zh5IOE1F0k
#SDPain22 Hi everybody, please say hello to Oliver for me. He's the first member of the next gen of SDPain attendees. 🥰 All the best!
Ready for the fire to be lit!
#SDPAIN22
@devrajoyPT @youseelogic @MelanieNoel @Tash_Stanton @SanDiegoSummit @MassageFitMag @OnTapPhysio @Retlouping
@MikeMakher please share! https://t.co/xo0srR1Nrn
Thanks for the shout out. Wishing I was at the #SDPAIN22 The speakers, presentations, venue, attendees and ☀️ look amazing. https://t.co/RzpOHWJvin
Another study very briefly cited to further this point about therapeutic alliance #SDPAIN22 https://t.co/tNVdQ15d2S
#SDPain22 What you're doing is awesome - never forget that.
“Barriers, community, imbedded beliefs, power, patient perspectives…a safe space for clinicians to discuss and brainstorm solutions addressing the enormous, untold suffering in our communities due to these inequities.”@SanDiegoSummit @CBarnesPT #PTAfterDark #SDPain22 #DisruptOT https://t.co/AevMd3PniV
#LongCovid #MECFS #PEM #exercise
An excellent thread of @sunsopeningband Todd Davenport's presentation at #SDPAIN22 summit https://t.co/uNpljZQeZB
PEM is not the same as being deconditioned. PEM often involves an energy system that isn't working appropriately @sunsopeningband #SDPain22
This is an amazing deal.
Catch up on the latest in bringing pain research into clinical practice.
#SDPain22
@SanDiegoSummit https://t.co/LGvjP6sa3j
If you've been following along we've had some AMAZING talks already! They are being recorded and you can watch them on March 3rd! Limited time only for $75 you can get access as a single product after Feb. 28th, you can only get it on Pain Summit Online. https://t.co/P1fatGYi8D
Slept 4.5 hours my brain doesn’t do well at in person conferences after 2 years presenting from my living room.
So much visual,verbal, mental stimulation & sensory overload.
Plus high quality presenters, & meeting so many people from SoMe in person + getting to chat.
#SDPAIN22
Looking forward for an exciting session on Zentangle today for @SanDiegoSummit
#SDPAIN22 #sdpain #zentime #art #corporateartsession #arttime https://t.co/RQ8Y5pTnTz
55 minutes into my morning workout not a single soul in the gym with me.
I am pondering if this has any correlation with me not drinking?
😂 #SDPain22
Paper referenced in my talk yesterday @SanDiegoSummit #SDPain22 https://t.co/pwm2ihdo0p
@JDChelettePT The work of the brilliant @MaxiMiciak may be of use in this journey.
The necessary conditions of engagement for the therapeutic relationship in physiotherapy: an interpretive description study
https://t.co/tmKIfICelv https://t.co/yYB7dfJaWj
Breakfast before Day 2 of #sdpain22. @SandyHiltonPT @SanDiegoSummit @devrajoyPT @SarahHaagPT @OnTapPhysio @Retlouping @Tash_Stanton @drjarodhalldpt @MKargelaDPT https://t.co/pRBNDBRuH9
We will begin the conference in approximately 2 minutes. We will be starting the Zentangle group activity soon. #SDPain22 https://t.co/uqaDqgUuD9
#SDPS22 #SDPain22 starts with @Zentangle to get our creative minds working. https://t.co/9i15PSyw5Y https://t.co/z0ZTmCZf3k
@dfjpt isn’t sitting behind me this year, but someone famous is. @SandyHiltonPT #sdpain22 https://t.co/qywLJOkmxo
There's something cathartic about making art that cannot be explained but onlyl experienced and shared.
#zentangle w/ @HimalankaCzt #sdpain22 @SandyHiltonPT @MikeMakher @devrajoyPT @LisaVanHoosePT https://t.co/S40LYMRUjk
#SDPAIN22 So lovely to start the day with relaxing Zentangle with @Himascreations
Thank you to @HimalankaCzt 🙏Conference attendees enjoyed this mindful art oriented activity! #SDPain22 https://t.co/f84T02V0Dl
Finished product #SDPain22 https://t.co/i01YO4ylpG https://t.co/tl4UtGdP8T
Starting day 2 at @SanDiegoSummit with art. 🥰 https://t.co/6VIihG7AZg
We had a variety of wonderful work from our attendees #SDPain22 #Zentangle #MindfulArt @LisaVanHoosePT @Retlouping @HeidiSueRoth1 https://t.co/dk5IcjC6Nz
Zentangles with @HimalankaCzt @SanDiegoSummit virtual was a relaxing way to start the day. Another potential way to ground at the start of a session and all that was needed was pen, paper, a pencil, and a smudging tool/q tip. #SDPain22 #OT365 https://t.co/Pc6CwKxBxy
Continuing to drink from a firehose at #SDPS22 #SDPain22. Up next: "Coming To Terms With Complexity: Navigating The Terrain Between Research And Practice" by Matthew Low https://t.co/Sao2HDoDRq
Now we're with Matt Low who works in the NHS. Coming to terms with complexity: navigating the terrain between Research & Practice #SDPAIN22 #ChronicPain
@MattLowPT Up next “Coming to terms with complexity. Navigating the terrain between research and practice.” #SDPain22 https://t.co/8RH11VIg18
Matt is starting off with a discussion of his background coming from the UK and working through cited organizations #SDPain22 https://t.co/L6ZKNThlmp
The world is becoming more complex: aging population, social determinants of health, and other factors. #SDPAIN22
Complexity includes causation & context. @MattLowPT #SDPAIN22
We need patient representation in the healthcare system and healthcare research #SDPain22 https://t.co/x4f0NYRBOx
An individual person is a complex system. We can't control for complexity, it is inherent [in regards to healthcare] and it is not linear #SDPain22 https://t.co/20SqQIRreU
Healthcare is becoming more complex, considering #research, politics, social issues. @MattLowPT kicks off w/ understanding & acknowledging that making sense of research to practice is no straight line. #sdpain22 #patientnarrative https://t.co/7feLP1CgSu
Patient narratives offer context that cannot be identified in other ways. We need to consider and manage other ways to engage. #SDPAIN22 @MattLowPT
@JohnLauner talks about complexity in three different areas related to healthcare #SDPain22 https://t.co/uptqhavH74
@MattLowPT Complexity in healthcare: nonlinear and complex. While we don’t understand everything, can we not teach future physios/healthcare practitioners that uncertainty is a thing? We don’t know it all. And yet we can still do much to help. #SDPain22
The story and the person ARE important! The clinical encounter is an emerging process, showing that the whole is more than the sum of its parts. #SDPAIN22 #ChronicPain
We got an Encanto reference from @MattLowPT , that each member of the family comes together to make more than the sum of their parts, same principle applies to @JohnLauner 's whole is more than the sum of parts" rule in regards to clinical interactions #SDPain22 https://t.co/0CN2oQskNf
@SarahHaagPT @MattLowPT Indeed and we must avoid swapping one dogma, perhaps an old cliched dogma, for a new dogma- perhaps a revolutionary dogma #SDPAIN22
Sometimes I get tired of working so hard to take care of myself. @OnTapPhysio #SDPAIN22
@KfizzSimon @MattLowPT Agreed. The amazing thing about #SDPAIN22 are the discussions and lack of dogma. As well as the heathy dose of common sense and honesty from both clinicians and patients. And the humility and desire for more understanding.
Causation is a relational thing: the process of lighting a match may or may not work despite the action being consistent each time it's taken. #SDPAIN22 @MattLowPT
On Evidence, one challenge is we often have internalized results in research that are non-generalizable in the real world #SDPain22 https://t.co/5E567X4ftX
@KfizzSimon @MattLowPT Book your spot for 2023! Feb 14-19. Stay tuned for announcements for keynotes and workshops later today! #SDPAIN22 #SDPain23
There's an inferential gap between research and application in the real world. The context of the research has a connection to the effectiveness of the data to individual patients. #SDPAIN22 @MattLowPT #ChronicPain
This is the must watch video I talked about in my presentation yesterday at the San Diego Pain Summit #SDPAIN22 #personfocused @SanDiegoSummit https://t.co/D1PIMl29km https://t.co/Rn87kevPtC
A must watch video for ever clinician. Watched this again on my presentation yesterday, sums up “person focused” better than I ever could. https://t.co/0AEJOJgyu6
Humbled by Dr Kieran Sweeney
“Being cared for and not being cared about”
“Inadvertently heaping small humiliations” https://t.co/F1dPoTAekO
We're going to spend 5 minutes discussing about the following topic #SDPain22 https://t.co/j0A29WBpn4
Oops.
#SDPAIN22 @SanDiegoSummit @MattLowPT @LisaVanHoosePT https://t.co/1qaUKOf8Tj
“People are ecosystems” @LisaVanHoosePT
Lisa clarifying my “this is a trick question” frustration and pointing to the glorious variability and wonderful complexity of a person.
#SDPain
Every person's experience is different. So, you have to take their narrative seriously. Intersubjectivity are what actually happens in a clinical/therapeutic relationship. #SDPAIN22 #CnronicPain
Both the patient and the clinician have to come to a mutual judgement to create some form of messy coherence in the context of the encounter which leads to co-constructing the narrative and collaborating to move forward #SDPain22 https://t.co/Mbz6H06X02
#SDPain22 https://t.co/7xWrFhZRLf
“People are ecosystems” @LisaVanHoosePT
Lisa clarifying my “this is a trick question” frustration and pointing to the glorious variability and wonderful complexity of a person.
#SDPain
"In the context of [clinical] practice it is intersubjective evidence ... being able to co-construct the narrative" - @MattLowPT #SDPAIN22
There is a relationship between philosophy, science, and the arts to create that intersubjectivity for the word. #SDPAIN22 @MattLowPT https://t.co/Vdx4xyEg80
Listening to @MattLowPT and reminded of this blog #SDPAIN22 https://t.co/phK59VvKId
New blog post by @Retlouping on genuine complexity and the biopsychosocial model!
What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem”
https://t.co/8F3MFJep3A
Knowledge requires humility for proper use. #SDPAIN22 @MattLowPT
Research is the map and the patient's narrative is the terrain. #SDPAIN22 @MattLowPT
The thread that supports my presentation at the San Diego Pain Summit yesterday @SanDiegoSummit #SDPAIN22 highlights person focused and antagonistic synergy. https://t.co/PWvSqgLsN0
Nice long walk in the rain to clear my head and came up with yes another bloody thread.
“Old man shouting at Patient (person) Centred (focused) Care, The Therapeutic Alliance, Shared Decision Making and Therapist Patient Synergy”
Enjoy the journey with me. (Therapeutic ramblings) https://t.co/Wt8IafYliK
We might need something like a compass to guide us through the clinical journey #SDPain22 https://t.co/OuUoUcsFC4
Knowledge isn’t static. It’s crafted, updated, revised—going back to Plato’s Theaetetus.
Don’t get stuck in one way of thinking. Keep updating & question what you know.
@MattLowPT #sdpain22 https://t.co/Me6vP3CqOi
Matt cites the work of David Snowden and others in regards to the Cynifin Framework #SDPain22 [possibly relevant video: https://t.co/awXSiIY1gt] https://t.co/if3bSAGfan
A clear encounter with a HCP means cause and effect can be ID'ed, there's agreement on problem and solution. #SDPAIN22
When you have a complex medical situation cause and effect aren't clear, boundaries of the problem are fuzzy. #SDPAIN22
Related to the Complex component: Causation can be associated with strength and direction, but not provide definitive understanding of what happened in that moment at that time [in regards to healthcare] #SDPain22 https://t.co/FyODBevXn7
Sometimes you have to be a self-organizing system in the midst of chaos and this can shape how you make clinical decisions #SDPain22 https://t.co/u46rYlEz3B
Clear also means you can understand & measure all the data. The information makes sense, it can be categorized and shows the need for a defined response. #SDPAIN22
Clinicians (& researchers) often mistaken one factor to "cause" an effect.
But #complexity has no linear relationship or dichotomy btwn cause & effect.
Yet many are still looking for a "one-cause" factor which leads to "one solution." Think "fascia" & "TPs."
@MattLowPT #sdpain22
Sometimes we [as in clinicians] fashion different approaches in variable "chaotic" situations #SDPain22 https://t.co/8xQOWN9egA
Complex situations have fewer constraints so it's more difficult to create a response. #SDPAIN22
@SandyHiltonPT @SanDiegoSummit @MattLowPT @LisaVanHoosePT There’s a blog for that 😊 #SDPAIN22 https://t.co/phK59VvKId
New blog post by @Retlouping on genuine complexity and the biopsychosocial model!
What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem”
https://t.co/8F3MFJep3A
Matt asks if the Cynifin framework may be useful for the attendees #SDPain22 https://t.co/qbMsZDeqop
Being able to work fluidly in different ways depending on the way the context presents - we need to understand the context as best we can first. Looking forward to googling the Cynefin framework after this @MattLowPT @SanDiegoSummit #SDPAIN22
#SDPain22
@MattLowPT wrote this paper on some of the material he covered today at the San Diego Pain Summit @SanDiegoSummit
#SDPain22
https://t.co/nxNne7BD7C https://t.co/I3ComnX7NX
Information is often considered asocial or nonrelational when health care is a social, relational activity. @MattLowPT #SDPain22
I think it may be inherent within human nature to be uncomfortable with uncertainty but within the clinical encounters, it may be the clinicians who are more uncomfortable with it. #SDPAIN22
Matt says if we think in the psychological context this is very much relational which contrasts from the biomedical framework. It's extremely difficult as a clinician to use BPS when these philosophical concepts contrast so much #SDPain22 https://t.co/TP348MlvLn
We appreciate this relevant post in regards to the lecture from @MattLowPT today during #SDPain22 https://t.co/BErzCmhF0O
@MattLowPT wrote this paper on some of the material he covered today at the San Diego Pain Summit @SanDiegoSummit
#SDPain22
https://t.co/nxNne7BD7C https://t.co/I3ComnX7NX
Yes! Social determinants of health are a critical part of every client’s narrative! I’m so excited for Lisa VanHoose’s #SDPS22 #SDPain22 talk: "Your Pain Evaluation Is Incomplete Without A Zipcode Assessment" https://t.co/OGy5fNX2CO
@TravoliRavioli @MSmith_DPT @nakedphysio @DerekGriffin86 @painphysio Found this “dispositional ontology accommodates holism, complexity, heterogeneity, individual propensities, or causal mecha- nisms to create a person‐centred approach that favours uniqueness.” Which doesn’t seem to reject causality outright-
https://t.co/bNXymn5rrX #SDPain22
We're going to discuss how zip code/location data needs to be used in healthcare assessment #SDPain22 https://t.co/agd4JFuOGU
"Your bias makes you think you know more than you think." @LisaVanHoosePT #sdpain22
Zip code and county help you get some measure of context. This needs to be validated with the person in front of you. @LisaVanHoosePT #SDPain22
We need to 1)think we are wrong about some things, 2)consider the person's location & easy ways to do that while recognizing the person may still not be average relative to their location, & 3)you're still likely using the biomedical model despite your assertions of BPS #SDPain22 https://t.co/qUBnulHThN
Speak at a 6th or 7th grade level because you never know who's in the room. @LisaVanHoosePT #SDPain22
I love @LisaVanHoosePT delivering serious messages whilst making me laugh out loud 😂 #SDPain22 https://t.co/0or63eDwbh
Dr.VanHoose 's background and disclaimers #SDPain22 https://t.co/J2OgbsYsLP
Love this--I get to be a guide for others living with #ChronicPain #SDPain22
The sliver in the slide represents there's a gap between the intentions and doing the right thing for the patient #SDPain22 https://t.co/AzqAFycALy
There's a gap between intentions and the reality of being guides. HCP tend to be white and caring for a very diverse population. #SDPain22
My entire soul needed to hear @LisaVanHoosePT today…
Ok, I’m a fan. She has clarity and humor and challenges me in the most lovely way.
<growing… daily>
#SDPain22 https://t.co/3UJGdCkqi5
"There's a huge difference between who needs care & who provides the care."
Are you using zip code, local, county, or state data intentionally in your practice?
@LisaVanHoosePT #sdpain22 #physicaltherapy https://t.co/j7jqHEg3Qa
The conversation of big data and health care is already happening. If zip code, local, county, isn't being used, the benefit of big data isn't providing any benefit. #SDPain22 @LisaVanHoosePT
References cited: 1)https://t.co/X8yqP3r4CC, 2)https://t.co/F4dy2EmcVh, 3)https://t.co/XoqA0cSikI, 4)https://t.co/9YuKHTiVo9 #SDPain22 https://t.co/RqOxuKxagd
Every @SanDiegoSummit since 2015 always left me wondering: Why aren't there more #manualtherapists learning this, esp. in #massagetherapy where they have more time & flexibility w/ their clients/patients than PTs & MDs? #sdpain22 https://t.co/53vOkl11ht
Article cited for case study featuring @ptjedimaster & @CarolACourtney1 : https://t.co/VkHZxVSBrK #SDPain22 https://t.co/ofupopo33Q
We're considering the patient's report in relation to the pain diagram from the case study by @ptjedimaster & @CarolACourtney1 #SDPain22 https://t.co/G7g1UaxcX7
Really enjoying @LisaVanHoosePT presentation at @SanDiegoSummit - love the learning and all the interactivity to facilitate learning #SDPAIN22
Coming back to this model, knowing the information available what else will you do in regards to this case study? #SDPain22 https://t.co/TDmFkNHmqr
Should you call yourself a "biopsychosocial" practitioner if you DO NOT apply & acknowledge the "social" part in your actions? #sdpain22 #painscience #barrierstohealthcare
How do you describe the definition of biopsychosocial [including in the context of this case study]? #SDPain22 https://t.co/XE2iic6tH5
If you look at the case study it looks like they were very thorough... #SDPain22 https://t.co/tAjLiORZbx
Normally the party who makes the judgement and decisions in a clinical encounter is the clinician (despite best intentions) even in the context of clinicians trying to utilize EBP. Often clinicians use themselves as the standard to compare to which involves bias #SDPain22 https://t.co/WoRLdt0ISH
You've got to have a system in place to check one's implicit bias. Zip Code data can help with completing this check. #SDPain22 @LisaVanHoosePT
Where could implicit bias be involved in this case study?[attendee answers] [bias will be present during every clinical encounter] #SDPain22 https://t.co/Yyy4zObaPq
"I see '-isms' all the time is like 'I see dead people'." ~ @LisaVanHoosePT #sdpain22
There was potential implicit bias involved in every step of the process #SDPain22 https://t.co/HCjqINhhMy
We know that there's a disproportionate burden on those with chronic pain #SDPain22 https://t.co/IbqC3Db4D1
Neighborhood characteristics matter for the risk of #ChronicPain. #SDPAIN22
We’re looking at each of our own respective zip code data via https://t.co/O7JTiRidos #SDPain22 https://t.co/4VlXsq5f12
We have access to some data [shown below] but Deloitte [which requires payment for their location based data] can actually determine who has chronic low back pain based on their credit card purchases #SDPain22 https://t.co/O3sStNJC0E
"Every person is an ecosystem"-Dr.VanHoose, don't just consider their reporting but also consider contextual factors including their zip code #SDPain22 https://t.co/aPGPpY4XeD
What ultimately happened in the case study is shown in the slide. Maybe if they would have considered the person's zip code they could have shortened the duration of care #SDPain22 https://t.co/lo6pqqhcc3
Are you ready to rumble?! #SDPS22 #SDPain22: "Does Manual Therapy Suck?: A Debate For The Ages" (Moderated by Marcos Lopez, DPT) https://t.co/QiYfBcJFeb
We’re about to start the satirical style “The Manual Therapy Debate” featuring @MKargelaDPT and @drjarodhalldpt #SDPain22 https://t.co/K0A4X6rtrx
“A satire debate”
??
Let’s see how this goes… it’s sounding like the hot mess they do at the APTA national conference.
Mean and looking for the easy jokes.
🤢
#SDPain22
Fingers crossed I’m wrong.
There is so much that we need to talk about regarding what is happening with our hands.
Cheap exaggeration avoids the challenging questions.
And… humor can get a point across.
Me … suspending judgment 🤨 and skeptical
#SDPain22
For anyone at #SDPain22 interested in actual views on the benefits of manual therapy without the mocking…
https://t.co/tb2haRG9ud
@PainSciPod
I am not the most hip person in the room, and I'm always down for a discussion. I think I'm missing the point of this debate, and I just hope that the students in the room know this is meant to be comedy. Please do not use this as your only source of info. #SDPain22
The satirical portion has been abandoned for discussion about the nuances involved in manual therapy #SDPain22 https://t.co/JkrVotiU40
Article 1): https://t.co/JPMzq5kLOh , Article 2: https://t.co/xi1lrKhDth #SDPain22 https://t.co/hezCrwHrsn
What is manual therapy doing? Article cited:https://t.co/99ygwSkSJy #SDPain22 https://t.co/GTB6tBZ7tF
It’s time for Jason Silvernail’s #SDPS22 #SDPain22 talk: "Conflict and Safety in Clinical Spaces" https://t.co/EUpq2BJ3JI
Whoot! Whoot! @jasonsilvernail is now speaking at #SDPAIN22. "Conflict & Safety in Clinical Spaces."
If you work in an established space with other people, you need conflict management skills. @jasonsilvernail #SDPain22
This is learning basic First Aid course for conflict. #SDPain22
Most of what we need to do to protect ourselves isn't physical. @jasonsilvernail #SDPain22
The physical aspect of self-defense is often emphasized but represents a very small part of self-defense #SDPain22 https://t.co/0IeTDZUFqV
Recognition, De-escalation, Action. Self-defense is RDA. @jasonsilvernail #SDPain22
Instead of ABCs like how people were formerly taught first aid we're going to learn RDA #SDPain22 https://t.co/Jt77vREhBZ
It’s not just physical aggression that needs to be recognized and stopped.
#SDPain22
@jasonsilvernail https://t.co/raP6fT2AQe
#SDPain22 https://t.co/729OseYOCw
This is how you do it.
@jasonsilvernail mocking HIMSELF to make a point. Not someone else.
#SDPain22 https://t.co/yN3wD7ypLF
Head forward, weight back on one foot, body angled back: important warning signals of potential violence. #SDPain22
Don't ever tell a person what to do [especially don't tell them to calm down or relax] if they're upset and you want to de-escalate #SDPain22 https://t.co/mqgcwDWu9F
#SDPain22 Look at space and body position in this image (potential for imminent violence) https://t.co/Fy3BSVabNp
STAMP. Research around behavioral indicators for patient violence in ERs. #SDPain22
De-Escalation: moving to a slower, quieter pace. The goal is to solve the problem. #SDPain22
@jasonsilvernail Great presentation 👍 #SDPain22
If you can make them talk, you're much less likely to get to violence #SDPain22 https://t.co/vo3o5aGiJ6
Violence happens when someone runs out of options. Not just true for interpersonal conflict. #SDPain22
You want to avoid this is a much as possible but if plan A fails, then you might have to use plan B #SDPain22 https://t.co/WXu2QtHTWx
Think about the Fuel (people are trying to take something away from you) for Plan B #SDPain22 https://t.co/5orgZTvlmR
Even if you're not trained in physical self-defense you can actually win #SDPain22 https://t.co/uHba0JyNXG
Obviously it's been a while since I've been in the twitterverse 😅😅 using wrong hashtags for things I don't know anything about! #SDPAIN22
Giving someone a nudge for personal reflection is a critical tool in de-escalation. Love this approach
@jasonsilvernail
#SDPAIN22
I can’t believe it’s already time for the last session! Tasha Stanton’s "Rethinking Osteoarthritis - Is It More Than Just The Joint?" seems fitting to wrap up #SDPS22 #SDPain22 https://t.co/QVGvKbVGLH
We're going to explore if we have to re-think about osteoarthritis #SDPain22 https://t.co/pWL5XLGxST
One of the most fabulous researchers and thinkers… @Tash_Stanton
#SDPain22 finishing up STRONG!
@SanDiegoSummit https://t.co/3Tbv1FbVBN
I love this woman she makes so much sense & as a person who lives with #Osteoarthritis myself she has totally altered the way I think about it! @Tash_Stanton #SDPain22 https://t.co/YUaojiiTii
"The greatest trick the medical community ever pulled was convincing the world that we had osteoarthritis sorted." @Tash_Stanton #SDPain22
#SDPain22 https://t.co/nuA9BSG4Sk
Do we really know this about osteoarthritis needing surgery?! https://t.co/PkjPgU4zOn
We may not know as much as we thought we knew…
#SDPain22 @Tash_Stanton @SanDiegoSummit https://t.co/cS9GYzgf3K
Diagnosis for knee pain is not as straightforward as one would think #SDPain22 Article cited: https://t.co/PPnttOJkTT https://t.co/LxB67LQrMj
Knee replacement: patient reports of outcomes are not as favourable as those reported by surgeons. #SDPain22
If the idea of "wear and tear" is real, this leads to treating the joint as vulnerable, avoiding activities leading to surgery as the only perceived result. #SDPain22
This is a great statement. The beliefs that people hold make sense until…
@Tash_Stanton getting to the myth busting…
#SDPain22 https://t.co/0BK45b2TmL
The inflammatory response is showing itself to be key to osteoarthritis. #SDPain22
Did you know that cartilage thins in the joints of astronauts? Returning to gravity results in rebuilding the tissue. #SDPain22
#SDPain22 https://t.co/irjuFDH4rn
Is it time for NARAC?
https://t.co/yFmIb6WsUN https://t.co/ji0B45m4h6
Articles cited: 1) https://t.co/X4xy6V88vj, 2)Aspden: https://t.co/q8uzOBTMnh , 3)Sellam: https://t.co/usWYj4VQFk #SDPain22 https://t.co/mfuMuWvX5l
Dr.Stanton notes she struggles with the term over protective but hasn't found a better term yet #SDPain22
When things are off in the gut, often times there is potentially an increased amount of body wide inflammation #SDPain22 https://t.co/KeGXaRnCXg
Painful OA has less breaking and more acceleration to the pain experience. #SDPain22
#SDPain22 You've got a system that is irritated but the breaks aren't working https://t.co/4T1irpRi7B
Scanning… and impressions of what is adding to or decreasing sense of safety.
@Tash_Stanton @SanDiegoSummit
#SDPain22 https://t.co/QuW24FzKg9
The bias of the human organism is that when the environment is more dangerous than safe, feeling more pain is an important response. #SDPain22
Essentially Dr.Stanton suggests a reasonable perspective is that we have a dynamic protective system that tries to warn us about danger #SDPain22 https://t.co/5MbnoDJKHB
@Tash_Stanton referencig the great work of @BenD_NZ
@SanDiegoSummit #SDPain22
Words have power to heal or harm, use them carefully and with intent. https://t.co/qDRAU4w3Ss
https://t.co/8qz8WMjPWw
The Enduring Impact of What Clinicians Say to People With Low Back Pain
Great 2 days talking about communication. https://t.co/8ZFHG3EZwi
Our words matter - and it’s on us to be consistent with our language.
@Tash_Stanton
catastrophic phrasing is anti-helpful (me).
#SDPain22 @SanDiegoSummit
Is your language around OA creating "maladaptive prognostic certainty?" Great terms from Tasha Stanton #SDPain22
In these cases maladaptive prognostic certainty is being provided creating unnecessary perspectives of tissue vulnerability leading to functional limitations #SDPain22 https://t.co/tIA6ntmfGa
The narrative from most HCPs related to OA is "it's going to get worse, be careful what you do..." #SDPain22
“What we have here (with osteoarthritis) is “maladaptive prognostic certainty”
And we could shape the course in a better way. @Tash_Stanton
@SanDiegoSummit
#SDPain22 https://t.co/djfaYh19fU
What clinicians say matters and influences outcome and your course of pain related disability. #SDPain22 https://t.co/bJQvXxhFV9
@jaysonsipress I think it speaks to the language we use with patients. Maybe food for thought.
The Enduring Impact of What Clinicians Say to People With Low Back Pain
https://t.co/8qz8WMBrl6 https://t.co/z1Zn2Tq06r
"There are those clinical moments where we can shape the course towards the certainty of decline or shape the course towards possibility in the future [with our words and language]" - @Tash_Stanton @SanDiegoSummit #SDPain22
The words and language we choose can either contain the capacity to heal or have the potential to cause dev- astating and lasting harm. Let’s strive to be better. #SDPAIN22 https://t.co/bJgRqW1XTN
These type of scan findings in relation to Osteoarthritis highlight how typical findings are and they don't determine what one is capable of #SDPain22 https://t.co/BZ8ZDi1iGw
“Prognostic Certainty of Decline”
Give instead a message of robustness of hope with osteoarthritis… which is what the evidence shows!
@Tash_Stanton @SanDiegoSummit
#SDPain22 https://t.co/FIxjtfcUXD
“What we have here (with osteoarthritis) is “maladaptive prognostic certainty”
And we could shape the course in a better way. @Tash_Stanton
@SanDiegoSummit
#SDPain22 https://t.co/djfaYh19fU
Bioplasticity is possible though out life.
Humans are adaptable and will adapt give the opportunity & right environment and physical stressors.
#SDPain22
“Cartilage is a magnificent beast” Quote @Tash_Stanton
#SDPain22
@SandyHiltonPT “oatmeal, water, and sand”
@Tash_Stanton “flour, water, and yeast”
#SDPain22
@SanDiegoSummit
@devrajoyPT @Tash_Stanton @SanDiegoSummit Eh.. I was wrong 😂
And maybe don’t let me make bread…
#SDPain22
@Tash_Stanton continuing to talk to my bias on finding the sweet zone. #SDPain22 https://t.co/t4taedtfUZ
Some of the sources listed: https://t.co/9zj0mlaq13 , https://t.co/7T8CbUahDX #SDPain22
Sources: https://t.co/rLGFVpUfnP, source 2:https://t.co/uFslXW3i0G, source 3:https://t.co/i4UaEh49PJ #SDPain22
Source 1)https://t.co/ezhguj5Lzy, 2)https://t.co/Mqn4GN1BTH #SDPain22
One of the things I love most about updated pain info is that every single day I get to tell people that they and their bodies are enough, not fragile, and pretty darn amazing. I think embodying this excitement helps the person in front of me with their paradigm shift
#SDpain22
X-rays and findings #SDPain22 https://t.co/atv5zQTtgq
An X-ray without a good patient history and examination is as useful as a profile picture on E-Harmony before your first date https://t.co/1QLJwISsLs
Had a great time at #SDPAIN22 they were very welcoming to us SPTs. Hope to see you all next year.
Thank you @Tash_Stanton for joining our virtual discussion groups - it was great to meet with you and thanks for the bonus discussion Q on conversations re: living well with pain, conversations re: weight, & messages we convey in language we use @SanDiegoSummit #SDPain22
Thank you @SanDiegoSummit for a fantastic conference! As a student it was incredibly inspiring to hear from pioneers in the field. Even virtually the atmosphere was amazing. Looking forward to attending again as I progress in my career! #SDPain22
A perfect end to @SanDiegoSummit with @AndrewHammondPT and Pedro Sun 🤓❤️
#SDPain22 https://t.co/O28cBubRYx
Dr.@jasonsilvernail ‘s lecture on Conflict and Safety in clinical spaces #SDPain22 https://t.co/r8KDy2B3nr
Next up is Dr.Jason Silvernail #SDPain22 https://t.co/KRDV0Y8jP6
Thread for @MattLowPT ‘s lecture at #SDPain22 https://t.co/oKVIp5vmVL
#SDPain22 https://t.co/ijyGvUUgnE
Thread🧵 on Dr.@sunsopeningband ‘s lecture regarding post exertional malaise #SDPain22 https://t.co/gKNF5QI6SK
@sunsopeningband 's presentation is starting #SDPain22 https://t.co/XWO3zOD7SJ
Thread 🧵 on Diagnostic Uncertainty in Chronic Pain based entirely on Dr.@MelanieNoel ‘s lecture at #SDPain22 https://t.co/gJjFnVIn9m
Dr.@MelanieNoel discusses her enthusiasm for the conference and training background #SDPain22 https://t.co/x7ug9nUxXd
Thread 🧵 on @Retlouping ‘s talk about what is patient centered care at #SDPain22 https://t.co/K477OzQwKw
Next up at #SDPAIN22 is David Poulter @Retlouping https://t.co/lkqSUqGMxD
Thread from @nolan_syreeta ‘s lecture about her experience with chronic pain, medical trauma, and Blackness #SDPain22 https://t.co/pD5kbZB6if
Next we have @nolan_syreeta speaking about her intersection of Chronic Pain, Medical Trauma, and Blackness. #SDPAIN22 https://t.co/zh5IOE1F0k
@cvpolitte @MikeMakher @SanDiegoSummit It was so great to meet you, @cvpolitte, virtually at #SDPain22
@DrKeatsPT At #SDPain22 everyone (except the person on stage speaking) was masked during the event and had to show proof of vaccination + booster (most with N95s). Don’t lose hope, there will be some who are more careful
Well said! I hope to be there next year too! #SDPS22 #SDPain22 https://t.co/Jci4lfBZHG
The @SanDiegoSummit was an incredible experience. Thank you so much for putting together such an awesome event. The speakers and attendees dropped knowledge 💣s all weekend. As Arnold would say: https://t.co/Qcnm6yHd1W
Ride coming in less than 6 hours and I am 😳 with thoughts and ideas from the weekend.
Overall a Very Good Thing!
@SanDiegoSummit #SDPain22
Up late thinking about why I love @SanDiegoSummit & want everyone to support this fabulous summit.
It’s little w time to hear & learn from everyone.
It’s interdisciplinary. Including people who are dealing w pain. There is wisdoms everywhere & we need to hear it. #SDPain22
To all the University of St. Augustine for Health Sciences Physical Therapy student who attended this weekends San Diego Pain Summit, nice to meet and interact with you all.
Good luck in this weeks exams #SDPain22 @SanDiegoSummit
This isn’t surprising after a weekend of talks discussing social determinants of health and Lisa VanHoose’s talk about big data and implications of its use in healthcare. How would this data be impacted by inclusion of all those without credit? #SDPain22 https://t.co/17MuHkKICx
On the plane and reflecting on #SDPain22 🤓
It remains my favorite conference.
I’ve a lot to think about this year:
* check zip code data of patients & ask better questions.
* a ton of papers to read, thanks @SanDiegoSummit for the tweet references!
* build + community
Practice evolves not as much from more “tools” as it does from the reconsideration and reflection of practice and approach. @SanDiegoSummit presentations are the conversations that spur that change. #SDPain22 https://t.co/JP2m86TBfC
If you've been following along we've had some AMAZING talks already! They are being recorded and you can watch them on March 3rd! Limited time only for $75 you can get access as a single product after Feb. 28th, you can only get it on Pain Summit Online. https://t.co/P1fatGYi8D
@SteveOsovsky Here was how our cat companion spent an hour with me after I got home from #SDPain22. He usually wants care and grooming any time I travel. https://t.co/BuwmXcfq66
For those who attended #SDPain22, this series on an Anti-racism framework for pain research is a great (and necessary!) follow-up.
#Antiracism #PainResearch #Equity https://t.co/DnbzmWpUfm
⭐️Confronting Racism in Pain Research⭐️Now available OPEN ACCESS in the Journal of Pain: A Call to Action (https://t.co/h5TydYVDsZ), Reframing Study Designs (https://t.co/oBQ9TZdusV), and A Shared Commitment for Engagement, Diversity, and Dissemination (https://t.co/C0xpFekpJi)
@agordon55 This #SDPain22 presentation by @MattLowPT would be a really phenomenal to help explore this. @SanDiegoSummit https://t.co/Di0ivblc1Z
We're about to start with our second speaker @MattLowPT #SDPain22 https://t.co/sNuHWb1BT7
@otbayarea @SanDiegoSummit It was such a pleasure to meet you and I thoroughly enjoyed our talks. This image is my brain post-#SDPS22, so much to investigate in my personal journey toward being a little less wrong every day. #SDPain22 #Weenus https://t.co/zlcyo6A8XO
Why yes @EffinBirds yes it is!
@SanDiegoSummit 😂 thank you for a fabulous weekend!
#SDPain22 https://t.co/guajL5JqhY
@OnTapPhysio @SanDiegoSummit @ATSNJ @LongCOVIDPhysio Keep preaching, Daria! Thank you for what you’re doing! #PickThyBrain #sdpain22
#SDPain22 recordings, incl speaker biographies, citations, downloadable slides (if speaker allowed sharing), & downloadable handouts (if any). Get access for $75! Sale ends 2/28 11:59 pm PST. After which they will only be available on Pain Summit Online. https://t.co/P1fatGYi8D
Forgot to mention earlier in my thank you thread but I also want to thank ALL participants at #SDPain22 for abiding the mask wearing policy. Not once did I see anyone wear mask improperly/throw a fuss. It was nice to see a lg room full of folks who care about their communities!
This is an incredible deal.
Do it!
#Pain #SDOH #Community
#SDPain22 https://t.co/DJT5dPDmiz
#SDPain22 recordings, incl speaker biographies, citations, downloadable slides (if speaker allowed sharing), & downloadable handouts (if any). Get access for $75! Sale ends 2/28 11:59 pm PST. After which they will only be available on Pain Summit Online. https://t.co/P1fatGYi8D
@FutureDrDukes @SanDiegoSummit @BlkDisHigherEd @AlexisSMobley Thank you so much, I really did go so well. It was an honor to be invited to share my patient perspective. I was so nervous excited the whole time. I loved visiting with the #SDPain22 virtual attendees before their Zoom breakout rooms.
Empathy is analgesic 👇 #SDPain22 https://t.co/KHiUXWhHPX
@staks5th A little bit of Empathy may be as effective even more effective on pain levels than most so called “active interventions” maybe combine the two? 😊 https://t.co/RFJjp8tqN7 1-2 point improvement in pain on a 0-10 scale is a fair reduction for just learning to listen? https://t.co/CnuaJaGXoB
Post San Diego Pain Summit COVID PRC test booked for today.
Thanks to everyone for such vigilant indoor mask wearing during the weekend.
#SDPain22
@SanDiegoSummit
#massagetherapy treatment & education are still heavily based on the idea #pain stems from injury to tissues, #poorposture, & pre-scientific ideas.
Evidence since 1800s finds that our pain experience is much more complex than a "root cause." #sdpain22
https://t.co/67XXGRiZLM
Great summary of #SDPain22! https://t.co/N5b6iQsBBP
On the plane and reflecting on #SDPain22 🤓
It remains my favorite conference.
I’ve a lot to think about this year:
* check zip code data of patients & ask better questions.
* a ton of papers to read, thanks @SanDiegoSummit for the tweet references!
* build + community
#SDPain22 UPDATE the Wenis is insensitive to mechanical stimulus, but not thermal ( I touched mine to a boiling kettle for research purposes, it hurt like 💩) our body adapts, we weight bear through our Wenis, maybe this is why it’s insensitive to mechanical stim. but not heat? https://t.co/E4HlqYGuFA