@Retlouping

All my opinions are my own. Dislikes evidence based ostriches ( An evidence based ostrich ignores evidence against, whilst waiting for evidence to support)

 Coon Rapids MN, USA
youtu.be/u3BwXOkbWCo
Joined June 2015
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After all the studies tendons need tension load, muscles need to contract, brains and nervous system need stimulating , joints need moving 👍 – at Coon Rapids, MN
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Are we confusing people?
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 retweeted
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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Bloody AI, apparently I have a “mechanical derailment” 🚆 😰 share.google/aimode/J0PNtLTr…
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CauseHealth@Cause_Health11 Jan 2021
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” causehealthblog.wordpress.co…

What’s in a word? It’s all Biopsychosocial, and a part of the complex human “ecosystem”

by David Poulter There is still a lot of confusion regarding the word “biopsychosocial”. Yes it’s a compound word made up of three other words Biological (physical), Psychological (of the mind) and…

causehealthblog.org
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Remember “compliance” is a mute issue in a PERSON FOCUSED paradigm. “We are responsible to our patients not for them.” Let them be responsible. A thread 🧵
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping27 May 2023
I am not a fan of the term “patient compliance” In a person focused care paradigm compliance is a mute issue as are adherence and concordance. As an informed active participant “I choose to, or not to”. Our role as HCP is to provide information and guidance. A brief 🧵
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A thread worth your time
🤖 Made with AI
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping8 Oct 2022
A patient edumacation 🧵 (basically so I have all these things in one place 😂 Telling isn’t teaching. People want and need different forms of delivery of the same information. F2F allows understanding in both directions, written words don’t Enjoy the 🧵
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Still this 👇
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping12 Nov 2025
My latest blog written by AI (Grok) in 20 seconds. A timely warning of AI use and abuse. Preferred Directional Loading Strategy: A Proposed Refinement Over the Concept of Directional Preference in Musculoskeletal Pain Management retlouping331888347.wordpres…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 retweeted
Prosper Egie@OfficialEgie18h
Replying to @LastbabyBC
xitter.cf/Retlouping/status/2114… I found this very helpful 👌
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 24
My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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Food for thought share.google/aimode/M2xq7rzT…
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My current life struggle 😂
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Are we there yet?
🤖 Made with AI
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping24 Jun 2025
I think this is still one of the best things I have written. 26 years on and we are still ignoring the message. Empower the patient. jospt.org/doi/pdf/10.2519/jo…
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 retweeted
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping24 Jun 2025
I think this is still one of the best things I have written. 26 years on and we are still ignoring the message. Empower the patient. jospt.org/doi/pdf/10.2519/jo…
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My latest blog retlouping331888347.wordpres…
🤖 Made with AI
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My latest blog Second visit (re)assessment “Day Two” and every subsequent visit is day two. retlouping331888347.wordpres…

Second visit (re)assessment “Day Two” and every subsequent visit is day two.

Many clinicians have a structured initial evaluation format. Some clinicians utilise a form for documentation to aid recording and their clinical reasoning process. I have written about my day one …

retlouping331888347.wordpress.com
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 retweeted
ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@Retlouping15 Jun 2025
Reflection & metacognition are two great clinical reasoning tools.🧵 I often advise clinicians to choose one patient a day to reflect on. Think about the interaction you had, the flow, the discussion, the treatment, the assessment, the education, the closure and forward plan.
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Remember “Regression toward the mean is a characteristic of that data set. Natural history is a characteristic of the disease.”
🤖 Made with AI
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Grok agrees
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 retweeted
Hsieh-Hsing Wu@TaiwanOzPhysioOct 24
A new perspective on modic type 1 changes in degenerative disc disease pubmed.ncbi.nlm.nih.gov/4277… cc. @Retlouping @TDekkersPhysio @marklaslett_NZ

A new perspective on modic type 1 changes in degenerative disc disease: a systematic evidence-based...

MC1 should be interpreted as a potentially meaningful but non-specific imaging biomarker of active disc-endplate degeneration and possible vertebrogenic pain, rather than as an isolated or universa...

pubmed.ncbi.nlm.nih.gov
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I have already voted in the Midterms, there should be a button so we can opt out of all the nasty political ads on TV. My recycling bin is full of bloody flyers too. November 3rd can’t come quick enough. Please VOTE,
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My latest thread pondering on PAIN
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ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧@RetloupingOct 23
Diarrhoea, vomiting, nausea, palpitations, feeling like you are gonna pass out can all occur from psychological stress. No one says that these physical manifestations are “all in your head” Yet there seems to be this stigma around PAIN. I think it’s because PAIN is invisible.
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I understand the PAIN is generated by the SELF proposals In the end I think that we are belly button gazing and literally adding confusion to the “ what is PAIN” discussion. I just know that I experience PAIN an a daily basis, I don’t fear it, I understand which PAIN matters.
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I understand which pain to listen to and which pains can be ignored, unless they change. I really don’t give much thought to nociception or my brain or self generating the pains. Why should our patients?
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