Martin Christensen
@Martin_Nekkolai
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Physio. Dad. Husband. Beer Brewer. Beer drinker. The Forefather of Failures. All opinions are probably stolen. FAIS Method
Norway
Joined February 2011
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Friday physio confession:
Sometimes when I've done a thorough consultation, done all my tests, all my screening and checked all my hypothesis. I still dont have a clue of what the hell is going on.
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Friday physio confession;
Most of the time when pts are reporting good outcomes, I dont really know what the fuck happened.
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Friday physio confession:
I still give out 3x10 when prescribing exercises.
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Friday physio confession:
Sometimes, after a consultation, I Google. Sometimes I do it during as well.
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When you yourself as a physio has got a little niggle, tendon pain or whatever... How many of you have created and then procceeded to follow through a rehab program?
I know I dont. I usually take the ignore until it goes away or just go; this is my life now..
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Things I’m terrified of in clinical practice.
A list:
1) Overlook something sinister.
2) The pt not liking me.
3) Elbows - I mean, what the hell is going on with those things!?
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Friday physio confession:
I never remember what degrees of movement we "should" have in our different joints. I just measure them up against each other 🤷♂️
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Friday physio confession:
I dont understand pain science anymore. It's just too complex.
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Friday physio confession:
From the millions of exercises out there, I really just rotate between 4 or 5 for my pts 🤷♂️
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Friday Physio Confession:
Sometimes, no shows, are the best part of my clinic day.
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Friday Physio Confession
Sometimes, when starting a session, I have absolutely no clue about what we’re going to do.
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Friday Physio Confession:
I’m really terrible at setting up long term goals. I’m a «let’s get working on that then see where we end up» type of Physio.
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I have a job. I own a house. I have a family that loves me. I have a dog. A car and a boat. Friends. I'm social. I work out 7-10 a week. I lack for nothing.
I still need antidepressants.
Dont think you cant get help because you "got it all". Trust someone. You deserve it ❤️
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Friday Physio Confession:
I very rarely set a clear diagnosis. I set 2-3 working hypothesis and let time show which one is the most likely 🤷♂️
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Friday physio confession:
Sometimes I use passive treatments as a straight out bribe to get some people moving. I do this, then you do that.
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Friday physio confession:
I'm secretly happy when pts come in with a MRi allready done even tough I think it's overused...less possibility for me to fuck up and miss something 😬
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Friday physio confession:
If it's not "tennis" or "golf" elbow... I really dont know what the hell is up with that thing 🤷♂️
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So you successfully rehabbed someone back to elite sports. Cool. But I want to hear about that dude you cant seem to handle. I dont want your highlight reel. I want the bloopers.
If we learn the most from failures. Then those are the ones I want to hear about.
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Friday Physio Confession:
Sometimes when I do the physical assessement, it’s mostly theatrics for the pt and not the need for more «answers».
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Friday physio confession:
I consider myself to be an EBP, but when reading actual papers....I understand less than 50% of it 🤷♂️
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Friday Physio Confession:
When pts mentions the diff meds they’re on, I just nod and make a mental note of googling what the hell those are after the session.
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Friday physio confession:
Sometimes after listening to the subjective history... I'm dead certain about what it is. Then during the physical exam, nothing makes sense anymore.
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Unpopular thursday opinion:
We dont matter as much as we think. Msk therapists have inflated our own ego to think we're special and needed for change. We aint.
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Friday physio confession:
Every week I need to brush up on something I thought I allready knew.
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Wake up call!
Follow up on a client with shoulder issues, treated as a rotatorcuff related pain..
Turns out it was referred pain from a blood clot in the lung.
Yesterday I failed. I learn today so I dont fail again tomorrow!
#physio
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Physio really set itself up to fail as a profession when we decided to build upon the idea of being fixers instead of mediators.
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Today I commited a cardinal sin for physios. I told someone that an operation was probably the better solution for them right now.
I will hand in my resignation within the hour. Sorry to all those I have failed.
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Friday physio confession:
I'm terrified of being asked something by a lecturer or other physios that I dont know. I just assume that they know everything and what I know is wrong and I'll make a fool of myself 😬
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Friday Physio Confession:
I’ve never done any form of needling. I dont see a reason to learn it or use it beside just giving in to pt preferance.
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How the fuck did I manage do get shoulder pain when quarantineed!?
*I ask myself during my 20th set of some push variation while worying about my 0,- income, reduced sleep, higher alc consumption, bad diet and trying not to yell at my frustrated child and wife
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Friday physio confession:
I wish with all my heart that I could just give the pt a stretch, crack, exercise or advice that would just fix the issue.
I wish it was that simple.
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Made a list of what I need to work on/learn as a physio after this week:
1) Everything
Thank god for the weekend.
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Friday physio confession:
I have on occasion forgotten to write the report after a consultation and then when the pt comes back it's a game of extreme catch up, while seeming like you're all set 😬
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Friday Physio Confession:
Even after 10yrs doing this, I still get really nervous when doing a consultation/examination while another physio observes.
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Watching "This is going to hurt"..
It said it's unprofessional to go to a former pt funeral.
I've been to 2.
Professionalism is respect. Understanding. Listening. Working together. Honesty and laughter. Sorrow and joy.
Not what you wear or tattoos. Not distance, but empathy.
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The stupidest thing I ever believed was that to be a good Physio I had to know everything.
Now, I’ll rather make you feel safe and listened to than the answer to every question and challenge.
Still a shit Physio tho. Well, maybe next week or month or year. I’ll be better.
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Entering my last two months as a Physio.
Looking back to all the things I’ve learnt, nothing has been more important than the fact that I’m not right for every pt I see. For some Imve been great, for others terrible.
You cant be the best bet for everyone you see.
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There is no shame in wanting a quick fix. There is however, shame in lying to people about there being one.
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Friday Physio Confession:
I often need to watch YouTube videos of how to perform different tests and sometimes….I do it in front of the pt…😬
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Friday physio confession;
Sometimes when I do a clinical test, I think: why the fuck did I do that test for... what the fuck did I test now?
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Friday physio confession:
The length of my written reports have gradually become shorter and less detailed each year I've been in practice.
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Friday physio confession:
Sometimes when pts come back when having a flare up. I really dont know what to do or say.
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Friday physio confession:
I dont really understand specificity and sensitivity. All I think when I do a clinical test is; smoosh this and pull that.
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Friday physio confession:
When a pt mentions depression or other heavy psycho-social issues.
I feel lost as a physio.
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Friday physio confession;
I still use k-tape. With some it's like magic, but most of the time, nothing 😬 Looks fancy though🤷♂️
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First friday physio confession of 2022:
Sometimes I do manual therapy.
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Friday physio confession:
I dont know how to read/interpret scans, it be us, xrays or MRis. It might as well be alien... So, I'll just take your word for it 😬
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Friday physio confession:
I used to believe in tps, dry needling, taping and that a skilled clinician could "feel" more. I used to believe I could fix issues and posture and that a certain technique was better than the other.
I used to believe in Santa as well 🎅
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Friday physio confession:
Sometimes when I ask if the pts have anymore questions, I really hope they dont because I've allready shared my debth of knowledge in that particular area 😬
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Friday Physio Confession:
Thank god I dont practice in the UK and have to deal with the HCPC.
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Imagine a physioworld where people didnt get butthurt when told all movement helps.
Like, fucking do yoga. Pilates. CrossFit. Dance. Jumping. Or even archery if you like.
It’s just that. There’s no winner. Just move.
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Friday Physio Confession:
Sometimes, I’ll do some random tests just to give me time to figure out what the heck I’m actually doing.
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Unpopular thursday opinion:
There is skill in manual therapy, just not in the way we used to think. How you touch is probably more important then where and with which tecnique.
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Reason I became a physio:
I thought I would be cool (that backfired)
Reason I still am a physio:
I'm even worse at everything else.
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Last Friday physio confession in 2021:
Sometimes I find myself really regretting going into physio and not another branch within healthcare. Sometimes I regret going into HC at all, but holy moly it's great at times!
Here is for a better 2022! Happy new year!
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Friday physio confession:
I still give out home exercises with yellow therabands.
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"Dad, put on the skirt. We're gonna dance. It's princess day today"
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Unpopular thursday opinion:
A good talk can do more than a good rub, manip, mob or even a good training session.
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Friday Physio Confession:
Sometimes I’ll be a little slow in taking in my next pt and act like I’m super busy…but I really just needed those extra mins of breathing space by myself.
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Friday Physio Confession:
Sometimes when taking a subjective all I can think is «please dont tell me something funky, I have no clue what’s going on allready».
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Having just read the allegations against
@AdamMeakins
I just have to say….
What the actual fuck!? Is this the standard we set to allow ourselves to fucking prosecute a fellow hcp!? This pile of horseshit has «personal vendetta» written all over.
I’m rooting for you Meaks!!
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Friday physio confession:
When writing reports, I spend most of the time trying to remember the name of the tests I've performed.
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Friday physio confession:
My sister is a chiropractor. Sometimes I agree more with her than some of my physio friends 😬
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Friday Physio Confession:
I still use and distribute yellow therabands.
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Friday physio confession:
I have favourite patients.
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I think we screwed the pouch when we got too interested in being "evidence based" rather than understanding what the evidence was telling us.
Be nice. Listen. Try to understand. Find common ground. Dont tell people they're fucked. Dont be "the healer". Just help. Be you.
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Martin’s friday confession:
I’m leaving the profession. By october I’m not working as a physio anymore.
It’s been a ride. I hope I left it better than I found it.
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Friday Physio Confession:
My most important treatment tool is smalltalk.
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Best/worst thing about my clinic. We share entrance with the place they keep the bodies of people that has passed.
So now and again a new pt will walk in when a coffin is being carried out. My line is always: "well, lets hope it goes better for you. Please follow me"
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Friday physio confession:
Aprox 50% of the time I use to write reports, is just me googling the name of the different tests I've done.
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Friday Physio Confession:
Sometimes, I dont tell people to exercise more. Sometimes, I just tell them to keep on trucking with whatever they’re doing.
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Friday physio confession:
I dont "explain pain" anymore.
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Why do I preach honesty so loudly? Why do I share failures and confessions?
Because I needed to hear it 10y ago...but no one told me then.
We all wing it, google and have favourites.
In reality, we're all just people prefering to poop at home.
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Post about how sitting is the new smoking, bulletproofing your knees or scraping with a funky looking spoon gets 26k likes.
Post about the adaptability of the human body, movement optimism and gradual exposure supported by evidence. 3 likes, one of which is from a bot.
#SoMe
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Friday physio confession:
Sometimes I dont give pts exercises. Home or otherwise 😬
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Hello. Im a physio and its been 2months since my last confession.
I still dont understand whats going on.
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"So this spot is really painfull when I press it?"
"ouch! Yes yes!"
"Okay, so for treatment I'm just gonna press it a lot harder okay?"
"wait, what?"
"yes, it's going to feel like hell"
"wait wait wai.... Aaiiaiaiai ooooouuu"
"There. All fixed"
What are we doing people!??
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Friday Physio Confession:
I know I’m not suppose to, but I accept gifts from my pts. I thinks its rude to decline.
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Am I a bad physio if I listen to music instead of podcasts when I lift things up and put them down again?
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There’s nothing wrong with Physio. Except physios.
Damn physios. Ruined Physio.
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Just overheard at my gym.
«The Physio said I need to train my core for at least 4 weeks before I do any form of weight training»
Are we still here? Really?
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Unpopular thursday opinion:
It probably dont matter if you go high load, low load, intensity or not...or even how much doodly daddly MT you put in. Your success has probably more to do with how you sold it rather than what you did.
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Friday physio confession:
Sometimes when I say this is nothing to worry about, I really hope I'm right.
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Things we should agree on in health care, but still dont.
The body is robust and adaptable through our whole life.
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«You’re so lucky getting to work with people, meeting new people and helping them!!»
«Yeah, but you also get empathy fatigued, a constant feeling of not being good enough, not knowing enough and constantly thinking you got it wrong»
«Yeah, but it’s fun right!»
«So much fun»
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Did I grow as a physio this year.
No.
But did I grow as a human being?
Also no.
But did I reach my fitness goals for the year!??
Fuck no.
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Today I was a ok physio, but tonight. I held a small beer tasting for 3 of my buddies from the local nursing home...and that, I nailed. Somewhere in there, a story about a lass in Hull got told.....
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One mistake I did as a new clinician was thinking I had to be right.
Now, I'm happy if I just dont get it horribly wrong.
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Today I cancelled further "follow ups" with a person that wasnt motivated for anything besides passiv interventions.
It feels great.
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Would it be so bad if society finally realised that there’s actual humans that work in health care?
Like, sorry, but I’m fuckin trying my best here with the info I’m given. I cant do magic. Let’s team up this fucker and see where we land instead of fighting!
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It fucking baffles me that there is still spine "specialists" that send pts back with the "weak core" explanation for LBP.
At least pt got back with the go for "active > passive" intervention, but seriously? Wtf?
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Friday Physio Confession:
It’s been 1234 days since I last did a full gait analyze. I very rarely see the point of them. Unless it’s all freaky deaky 🤷♂️
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Friday Physio Confession:
Sometimes, I’m really surprised with how much stuff I can remember and know about certain things. But most often, I’m really shocked by how little I know at all.
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Friday Physio Confession:
I still dont understand what the heck pain really is.
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Just heard on norwegian radio.
"It's important to breath when you wake up in the morning, to activate the body"
I'm done.
Done.
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Would you listen if I started talking with different clinicians about failure, honesty and clinical life as they experience it…and perhaps recorded that?
#fridayconfessionsafterlife
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Friday Physio Confession:
A lot of the time, I completely forget to do re-testing along the rehab process 🤦♂️
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Thanks for the tshirt
@DrJN_SportsMed
, but it didnt work....and
@JackAChew
... This is how you do it...
#itsneverthehipflexor
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