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Michael Hudack
@mhudack001
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Joined April 2013
@themskarchive Osteochondral lesion of the superior pole of the patella near the lateral border? Perhaps secondary to patellar dislocation?
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@DrJN_SportsMed @marklaslett_NZ When you say progressed a lot since April, I assume you mean symptomatic change and Modic changes. What about changes in mid sag MRI sequestration? Worsening or new onset of hip flexor weakness?
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@hjluks @Retlouping @DickyShoulder @DrJN_SportsMed @ShoulderGeek1 @ShoulderDocUK Seems like could be subcoracoid impingement (MRI plus site of pain , plus painful horizontal adduction in deep anterior shoulder). Any anterior shoulder instability/ apprehension?
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@DerekGriffin86 I don't really get this study. They're saying there is a strong association between sciatica (def as pain in lower extremity) and multisite pain (defined as pain (other than LB) in lower extremity (or elsewhere but not specified))
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@catgyoung Place a diagonal line through each square creating a diamond shape. Shade in the four corner triangles. What's left is an unshaded square in the center.
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@DrSethPT I believe part of the problem is when the (generic) interventions offered are not related to a specific diagnosis/ presentation, a diagnosis is not crucial to those individuals providing those interventions. (Less than optimal outcomes)
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@Robptatcscs JSES Reviews › ... Thumb to spinous process is a false metric for glenohumeral internal rotation
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@DerekGriffin86 I am confused by your post. Particularly the last sentence along with the attached Cochrane reference. Are you suggesting that the review included studies that were not Acute LBP (i.e. < 6 wks) , but likely included acute flares of CLBP?
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@NoosaPainClinic @PhysioMeScience Seems to be plenty of examples in the literature of trials : A vs A+B in which the addition of B adds no additional benefit. Even in cases where A = exercise.
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@DrSethPT Good point. How many times have you read an operative report that stated the patient had failed all conservative measures and consented then to surgery only to find when asking patient "Did you have PT prior to surgery?" "No"
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@jessdoe2000 @DrJN_SportsMed On the job training might give some information on the how (albeit necessarily not complete), however, it is nearly completely lacking in the why. (i.e. fundamental principles)
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@GregLehman 2/2 also seems to have limb length difference gait short on R perhaps due to INC R genu varum. What was the reflex presentation and full LE weakness pattern?
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@GregLehman 2/2 Also appears to have a limb length difference (short R perhaps due to INC R genu varum). What was reflex presentation and LE full pattern of weakness?
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@GregLehman 1/2 Chronic condition (distal LEs) that was just more recently noticed by patient? Slow progressive worsening? R ACLR? Gait (proximally) to me seems characteristic of hip OA with attempts to reduce loading and or mild ABD weakness which commonly accompanies hip OA.
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Congratulations! Tremendous accomplishment.👏
PhDone 👍👊😃 Can't thank my supervisors enough @PerHolmich @KThorborg I am a better clinician, researcher, etc. because of you both. What an incredible growth experience. Thanks also to my informal supervisors @chadcookpt Adam Goode & @Duke_DPT #standingontheshouldersofgiants
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@PTMensah @tarawestphysio @PeteOSullivanPT Agree about the term "danger detector" likely being more anxiety-inducing. We should check with patients (i.e. RCT) before advocating for or against certain words.
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@Pain_NeuRa @hopinlee Important piece of the puzzle. Helps to provide improved perspective and more balanced approach. Education may (?) be helpful in reducing pathway to chronic pain, but is not a stand alone intervention.
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