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with We’ve been treating MSK pain like it’s a loose screw.“Tight.”“Weak.”“Out of alignment.”Meanwhile the nervous sy...
20/02/2026

with

We’ve been treating MSK pain like it’s a loose screw.

“Tight.”
“Weak.”
“Out of alignment.”

Meanwhile the nervous system and immune system are in full-blown crisis mode… and we’re still arguing about hip flexors.

Pain isn’t just biomechanics. And if that’s your entire model, you’re practising 2005 rehab in 2026 biology.

Manual therapy isn’t the villain.

But pretending it explains everything?
That’s lazy.

👇 Physios - is biomechanics enough?
👇 Patients - were you ever told your body was “out”?

If this post makes you defensive…

Good.

Now ask yourself .. are you defending evidence…
or your identity?

Let’s keep it evidence-based 👇

13/02/2026



One appointment… unlimited expectations.
healthcare

💡 Multimodal strategies that combine manual therapy with exercise and patient education appear to be the most effec...
06/02/2026



💡 Multimodal strategies that combine manual therapy with exercise and patient education appear to be the most effective in managing LBP and preventing recurrence.⁠
⁠
👉🏻 This is from the new paper "Comparison of Kaltenborn-Evjenth, McKenzie, and HVLA Manipulation Techniques in the Treatment of Lumbar Spine Pain: A Review of the Literature" by Grzegorczyk et al 2025⁠
⁠
Disclaimer: Sharing a study is NOT an endorsement. You should read the original research yourself and be critical.

30/01/2026



- We’ve never known more about pain—yet our toughest patients are still the toughest. This clip unpacks the Pain Education Paradox and why knowing pain science doesn’t automatically translate to better outcomes. Modern pain care isn’t about certainty—it’s about judgment in uncertainty.

19/12/2025

Feeling "nervy" pain in the leg? Those could help. BUT, this is not a easy fix and I definitely advise you to look for a competent professional to help you understand and guide your recovery process before trying those.

I made this to a patient I treat and is tailored to her. The purpose is to show what kind of home exercises we can use, putting different techniques together without overcomplicating it.

Message if you need help!

.ramsey.nijem ⚖️ Think balancing on foam pads improves ankle proprioception? Think again! 🚫 Unstable surfaces actually...
12/12/2025

.ramsey.nijem
⚖️ Think balancing on foam pads improves ankle proprioception? Think again!

🚫 Unstable surfaces actually shift balance control AWAY from the ankle.

⏩ Swipe to learn more.

05/12/2025



Personalmente creo que el vídeo tiene su gracia, pero hay elementos que no son del todo verdaderis (por lo menos según la ciencia).

Así que, lo subo como manera de hacer gracia y llamar la atención a que por lo menos un porcentaje de las hernias son reabsorbidas naturalmente (cuanto más extraídas mayor la probabilidad).

El dolor de causa neuropatíca es de difícil tratamiento por las características específicas de las alteraciones sufridas, pero hay solución.

Recientemente tuve un paciente que decidió optar por la cirugía después de hacer un par de sesiones y no notar diferencias en el cuadro. Las expectativas deben ser realistas. La cirugía debería ser el ultimo escalón en el camino terapéutico. Pero por cuestiones personales o el sufrimiento asociado a ese tipo de dolor, muchos pacientes (y cirujanos) deciden anticipar la decisión.

Los fisio y profesionales de salud tenemos que respetar y acompañar la decisión del paciente, pero siempre mantenerle informado sobre su cuadro y las opciones de tratamiento.

Muchas veces me veo más como una especie de consultor para decisiones terapéuticas que apenas fisioterapeuta.

3 Myths of Knee OA 🦵 physiotherapist physicaltherapy knee kneepain arthritis kneephysio*Intended for educational ...
23/11/2025



3 Myths of Knee OA 🦵

physiotherapist physicaltherapy knee kneepain arthritis kneephysio

*Intended for educational purposes only, always consult a health professional*

with🏃‍♂️💥How much running is too much?A large-scale 18-month cohort study of over 5,200 adult runners using Garmin da...
14/11/2025

with
🏃‍♂️💥How much running is too much?

A large-scale 18-month cohort study of over 5,200 adult runners using Garmin data compared single-session and weekly distance spikes—categorized as small (>10–30%), moderate (>30–100%), or large (>100%) increases—to the risk of self-reported overuse injuries.

🔎 What did they find?

➡️ Running >10% farther than your longest run in the past 30 days significantly increased the risk of overuse injury.
📈 Small spike (10–30%): 1.6x higher risk
📈 Moderate spike (30–100%): 1.5x higher risk
📈 Large spike (>100%): 2.3x higher risk

🔑 Key Takeaway:
Gradual progress > sudden jumps. Coaches and healthcare professionals, including primary care physicians, allied health services and orthopaedic specialists may consider using a session-specific cut-off below 10% to ensure the health and safety of runners and patients.

👏 to all contributing authors!

31/10/2025



Sobre expectativas y dolor.

A book for everyone: ‘Pain and Perception A closer look at why we hurt’ by Dr Daniel Harvie and Professor Lorimer Moseley. These two leading pain researchers invite a modern way to think about pain - as an experience that has multi-factorial and multi-sensory underpinnings. In their book, they walk us through this science by interacting with illusions that challenge our assumptions on how perception actually works.

Pain and Perception A closer look at why we hurt, by Harvie & Moseley - a visually stunning, fun and accessible read to help anyone better understand and respond to pain.

Parte do que posto neste perfil são materiais de estudos que quando necessários são reaproveitados para aulas e curso...
18/10/2025



Parte do que posto neste perfil são materiais de estudos que quando necessários são reaproveitados para aulas e cursos.

A informação é livre, e acredito fortemente que o conhecimento não deve ter fronteiras. Estou nas redes sociais, compartilhando informações, experiências e vivências clínicas há mais de 10 anos e faço isso com imenso prazer.

Dito isso, espero daqueles que apreciam e prestigiam nosso trabalho, que uma vez decidido propagar as informações obtidas neste perfil, no mínimo, deem crédito ao autor, porque é dispensável dizer que há todo um processo de labor por trás de cada material compartilhado. O intuito é praticar a valorização do trabalho do outro.

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