Broad-thinking in pain is harder to operationalise and market than narrow-thinking.

Readiness for change is more than a desire to change how you are presently feeling (though this is reasonable). It's a readiness to embark on a process of change, with many ups and downs, toward better overall feelings of wellbeing.

So far this has been a really useful read. Simple strategies to introduce good habits into your life. Finding some links to physio too I believe..

For anyone having a rough day, here’s my dog Albert snoozing in the sun 🌞 🐕

Lee Schneider Agree agree agree agreeeeeeee 🙌🏼🙌🏼 There are so many things PTs do that I cannot do, and vice versa… which is why the real magic is in the COLLABORATION 🌟

I forget to promote my books, which is weird, because I have (Vancouver) rent to pay. Let me tell you a few things about my books… 🧵 📘 I have written TEN books now. They are an odd mix —which I am a bit neurotic about—but all guides to common chronically painful conditions.

Starting a new job tomorrow in public health. Getting out of the private game and into the world of "excessively complicated administrative procedures"!

Today I referred a pt on to a collegue because they wanted DN and I dont provide that. We had the talk about why I dont provide it and a talk about why they wanted it. Crazy times. It’s almost like I dont have to use every «tool» to respect all the pillars of EBP. Who knew.

Perk 1 of working in public health. Your primary focus is trying to make the person well enough so that they don’t need you. I recognize that this is a guiding principle of many private clinicians, though many feel financial pressures which may lead to over treatment.

So the arthritis in my fingers and hands has been playing up, so thought I better get the guitar out and practice some chords etc. Worked wonders 😃 #MeaningfullMovement & #SelfmgtLIVING-Works

We learn more when we are breathing in versus out 😳 Some of our oldest systems phylogenetically are our olfactory. Breathing in meant sensing the world. And now, it’s domain general (as far as we know). Can it help with sticky internal models? Pain? osf.io/38bpw/download…

Interesting conversation on how meditation can influence mechanisms of predictive processing and pain. Only 20 (ish) mins long..Similar to the daily minimum effective dose for meditation 😎👌 open.spotify.com/episode/0iZCwK…

The worst advice I ever received: “Don’t run, it’s bad for your knees.”

Perk 2 of public health (at least for me and where I'm working). Multidisciplinary team, all located on the same ward, all vying for the same outcome.

Great clinicians do not care about loading the toolbox They are masters of the patient relationship Then add: -Mastery of the basics - Ability to identify red flags - Understand complexity of pain - Solid clinical reasoning Losing toolbox mindset = path to clinical mastery

A secret: Laying on the couch is just as effective as those fancy recovery tools. And much cheaper.

Calling all rheumatology physios! Considering this as a specialty area as I’ve been seeing a number of patients in outpatient musc with dx AS and other rheum conditions. Find it very interesting. What are some challenges/perks of working in this space that you’ve found?

Monday bias challenge: Shear force at the joint could be the ticket to osteoarthritis development and global contributors (smoking, weight etc) more likely impact repair mechanisms. podcasts.apple.com/au/podcast/the…

Does the SI joint move? If it does, is this movement clinically meaningful? My understanding was no to these questions though it has been challenged recently. Peter O'Sullivan Nic Saraceni Greg Lehman Recommended papers to read in this space?