DPN Fisioterapia

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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.

  Clinical physical therapist and pain expert Dr Ben Boyd explores a groundbreaking approach to patient communication in...
10/10/2025



Clinical physical therapist and pain expert Dr Ben Boyd explores a groundbreaking approach to patient communication in Episode 1 of his Clinical Confidence Coaching series. ⁠

Through years of clinical experience and research, Ben shares why shifting from brain-focused to body-focused language can transform your therapeutic outcomes.⁠

Discover how this subtle yet powerful change in communication can help patients better understand their pain experience and create pathways to recovery. Learn why 85% of protective responses happen behind the scenes and how to work with both conscious and non-conscious systems effectively.

CopyRetryClaude does not have internet access. Links provided may not be accurate or up to date.

    What an interesting paper ! It shows that 70-80% all manual therapy’s effects on pain are due to contextual effects ...
26/09/2025



What an interesting paper !

It shows that 70-80% all manual therapy’s effects on pain are due to contextual effects (PCE) and not the actual treatment itself!

Contextual effects are things like the therapist explanations, narratives, and positive patient priming, as well as the patients beliefs, expectations, previous experiences etc

It also shows that exercise rehab treatments rely on nearly 50% of these contextual effects as well!

Key point is a lot of treatment effects are not due to WHAT is used, but HOW it is explained!

Join us this month where we talk all about manual therapy!

Link in stories.

    Hoy ha tocado hablar un poco de este estudio tan interesante sobre AINES y consolidación de fracturas óseas. Al fina...
19/09/2025



Hoy ha tocado hablar un poco de este estudio tan interesante sobre AINES y consolidación de fracturas óseas. Al final es un poco más de lo mismo que llevamos viendo tiempo, hay que tener precaución a la hora de demonizar la inflamación porque no deja de ser un proceso más en la curación.

   🚨Hot off the press🚨 A new paper has just been published in Frontiers by Moseley and colleagues regarding the history,...
17/07/2025



🚨Hot off the press🚨

A new paper has just been published in Frontiers by Moseley and colleagues regarding the history, current state, and future of Pain Science Education.

Individuals who self-identify as ‘improved’ or ‘recovered’ highlight the value of reconceptualising pain in their journey. However, the implementation presents real-world challenges, including barriers for clinicians and patients.

A growing body of evidence has demonstrated the value of Pain Science Education in the treatment and facilitation of sense-making. However…

🗣 “The content of Pain Science Education has not escaped criticism. Those criticisms can be grouped into “its content is wrong” and “its delivery is invalidating or dangerous”. These criticisms are rare, but those who hold them are very vocal, primarily through social media channels, or via letters of concern sent to our dissemination and outreach partners, our employers, research funders or the learned societies of which we are members. Respectful and constructive criticism is critical in science, particularly in a field such as ours in which substantial knowledge and translational gaps, inconsistent terminology and field-specific jargon, exist. We take the opportunity here to discuss these criticisms.”

This paper engages seriously with those issues — through data, patient perspectives, and reflection on decades of research.

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