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Derek Griffin
PhD (Pain) | Specialist MSK Physiotherapist | Long Distance Runner
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Derek Griffin 4h
Replying to @SamueleMarcora
Anyone who runs (or does other endurance sport) will testify to the (very conscious) voices in your head telling you to stop.
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Derek Griffin 4h
Replying to @JimCenova
Still doesn't support a tissue-focused treatment.
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Derek Griffin 5h
Replying to @adamdobson123
TBH I don't. I am not a fan of defined subgroups because there are many variables that we haven't measured that differ b/t groups.
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Derek Griffin 5h
Replying to @adamdobson123
Approx 30% of people post TKA have ongoing pain. We must move beyond the just strengthen mantra.
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Derek Griffin 5h
Replying to @adamdobson123
In certain situations such as obvious tissue swelling, joint limitation etc. Pain must not be the sole factor.
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Derek Griffin retweeted
Physio Meets Science 5h
Factors associated with pain intensity and physical limitations after lateral ankle sprains.
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Derek Griffin 5h
Replying to @adamdobson123
My opinion is that we too readily "pathologise" in the lower limb and resort to tissue-focused treatments.
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Derek Griffin 5h
Replying to @adamdobson123
I'm also not show how accurate age-relates changes is considering we see changes in 20-30 year olds.
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Derek Griffin 6h
Replying to @adamdobson123
So when it gets sore they have OA and when the pain resolves it goes back to age related changes?
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Derek Griffin 6h
Replying to @adamdobson123
And between the pain episodes do they no longer have OA?
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Derek Griffin 6h
Exactly-so defining it by pain is flawed.
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Derek Griffin retweeted
Lorenzo Masci 18h
Are we at the start of the molecular age of tendinopathy? fascinating read by
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Derek Griffin 6h
Replying to @adamdobson123
OA is technically a radiographic diagnosis. What about ppl with recurrent symptoms? Do they have OA or not?
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Derek Griffin 6h
Replying to @adamdobson123
That is a contentious issue but I would say no. Because pain is not taking into account when deciding the severity (Kellgren Lawrence). So
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Derek Griffin 6h
30-50% of ppl with "severe" OA are asymptomatic. Why then are are Rxs so tissue-focused for those who have pain?
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Derek Griffin 6h
The central nervous system in acute LBP. We shouldn't assume acute=peripheral sensitiz & chronic=central sensitz.
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Derek Griffin 6h
Symptoms of PTSD associated with heightened pain sensitivity in response to trauma-related pain.
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Derek Griffin retweeted
Owen Gibson Aug 15
Farah's ongoing objection to legitimate scrutiny at odds with his publicity agenda (From HeraldScotland)
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Derek Griffin retweeted
Blaise Dubois 7h
Education alone enough in treating runners with patellofemoral pain?
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Derek Griffin retweeted
Ben Clarsen Aug 13
New shoulder injury study by highlights need to replicate studies & assess robustness of results:
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