DPN Fisioterapia

DPN Fisioterapia Fisioterapia Neuromusculoesquelética
Fisioterapia Basada en Evidencia
Fisioterapia en Artes Escénicas

01/05/2026



Muy buen video para educar a los pacientes sobre los mecanismos de lesión del LCA.

17/04/2026



It's a long video (for modern parameters 🙄, but very instructive).

The body always tells the truth about what the nervous system has been holding.
Luka’s hamstring didn’t give out because of his conditioning. It gave out because of everything else.

02/04/2026



Does slow and steady always win the race?

Our growing understanding of persistent pain has expanded how we think about treatment and clinical reasoning.

Causal mediation analyses suggest that improvements in pain and disability are more closely related to changes in:

Beliefs about pain
Pain catastrophising
Pain self-efficacy

This helps explain why someone can improve in objective measures like strength or range of motion, yet still experience pain.

So, what does that mean for how we prescribe exercise?

For some people, gradual, graded exposure is helpful.

For others, going too slow or too light may inadvertently reinforce the idea that they are fragile or need protecting.

In those cases, a more meaningful increase in load or engagement with the feared activity might be more helpful.

If someone is worried that lifting heavy will cause harm, then lifting something meaningfully heavy, and being okay, can provide credible evidence that challenges that belief.

Not as a rule. Not for everyone. But as an option worth considering.

How deliberate are we in using movement, exercise, and behavioural experiments to actually target these mediators?

Some days it’s not the exercises that exhaust you, it’s the thinking. How many tabs have you got open today?Often in ...
27/03/2026



Some days it’s not the exercises that exhaust you, it’s the thinking. How many tabs have you got open today?

Often in my work it’s not always about adding to the load and getting people to do more and add more in their life, sometimes it’s about taking away.

What most people don’t always see is the cognitive work happening behind the scenes in all the mental tabs open during injury rehab.

This could be constant pain monitoring, risk assessment, decision-making about whether to push or pull back, holding professional advice in working memory, managing uncertainty, recalibrating identity, scanning for signs of progress or threat.

So if you’re feeling mentally tired even on days you haven’t “done much” physically it makes sense. Your brain is running a full-time recovery operation where it’s updating predictions about pain, relearning safety, and trying to protect what matters to you whilst holding lots of tabs open.

Para flipar 😱Por aquí te lo he dicho varias veces. Puede que lo contemplaras ya como el amigo feo del placebo. Pero...
06/03/2026



Para flipar 😱

Por aquí te lo he dicho varias veces. Puede que lo contemplaras ya como el amigo feo del placebo. Pero no sé si realmente eres consciente de hasta dónde puede llegar el poder de lo que decimos.

A mí personalmente estas cosas me parecen una salvajada y estos ejemplos me rompieron bastante el 🍑

La cosa se complica pues luego no todos somos igual de susceptibles a recibirlos pero mínimo merece que lo tengamos en cuenta.

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.

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