⏰ Happening NOW in the Wildrose Ballroom: Rising Tides: Collaborative Learning, Care Planning and Treatment Lifts Us All with @maleablemind at #PainAB2024.

Meet our extraordinary speakers at the 18th Annual Conference! 🎤✨ ⁠⁠Secure your spot at painab.ca/annualconference. ⁠⁠#PainAB2024 #PainSocietyofAlberta @maleablemind @suesobeyfawcett @JasonWBusse @MargieMcNeely @Linda_E_Carlson @ElenaLopatin @drivonnehernan @DrAlbino

Orthopedic Truths: Part 3 Labral "tears" of the shoulder are incredibly common. Especially superior or SLAP tears. If you're over 40-50, odds are that you have one. It's rarely the cause of pain. They're not even tears per se. The easiest way to find an excuse to operate on a shoulder in adults is to get an MRI. Labral tears in adults are usually just age-appropriate changes. Do not assume it is the cause of your pain. Labral tears in kids are different animals. Adults are not kids... even though they may act like them ;-). There are different types of labral tears. All the above assumes no recent dislocation due to trauma. Adults can still get traumatic anterior or posterior labral tears that result in instability- or dislocations. There is a good reason to fix those tears if the shoulder remains unstable. Superior or SLAP "tears" do not cause gross instability in adults. I don't even like the phrase tears here. "Tearing" implies trauma or injury. Age-appropriate changes are just that. A few SLAP tears now and then in adults might, repeat, might hurt... An adult might occasionally want surgery for a superior labral tear, but this should be a very rare event. The vast majority of the time, it is not the cause of your pain. When fixing a rotator cuff tear in an adult, we often find superior labral "tears" and ignore them—aside from removing loose, frayed tissue. There's a reason why we ignore them. Actually repairing SLAP tears in adults is not recommended. We have alternatives if need be. Why? The tissue is of poor quality. It can lead to significant stiffness. Despite having a superior labral tear, you can continue to lift weights and play tennis or pickleball, etc. Determining the cause of pain in a shoulder can be challenging. The decision-making that goes into how to treat the many issues we see in a typical adult MRI can also be challenging. It can be challenging for you to forget or unsee your MRI result. As usual... these topics are far more complicated than they appear at face value...

In most of our previous episodes, we have had experts talk about chronic pain in adults, but what about chronic pain in children? There is a high number of children suffering from pain, but what resources are available for children? One organization is @KidsInPain (SKIP).

Had to put it here for y’all to see n’ hear. HIND’S HALL #FreePalestine 🇵🇸 #HandsOffRafah

A tip for Physios from a folk singer

Are you attending the Pacific Pain Forum 2024 Conference? If not, it's time to secure your ticket - pacificpainforum.ca/register…

Amazing paper by @FadelZeidan colleagues reporting that mindfulness REDUCES CHRONIC PAIN via non-opioidergic neurological processes🧠 TL/DR: Mindfulness can be an EFFECTIVE INTERVENTION for chronic pain (not pseudoscience). 👏😃🔥 nature.com/articles/s41386-0… #MedTwitter #MedEd

Knee joint distraction results in MRI cartilage thickness increase up to 10 yrs after treatment ncbi.nlm.nih.gov/pmc/article… in these young end-stage knee OA patients,KJD treatment results in significant short-term cartilage regeneration in the MAC, effects still be seen after 10yrs

First Movement Optimism Podcast just dropped this morning with guest Bret Contreras (@bretcontreras ). Get it where you get your podcasts!

Glad to see our public broadcaster presenting evidence based info on persistent pain. The Current with Matt Galloway - Jan. 17, 2024: How reframing chronic back pain could bring relief cbc.ca/listen/live-radio/1-6…

Happy New Year! We are excited to announce the 2024 Pacific Pain Forum - Integrating Pain Care. Incredible speakers you don't want to miss - Register today for in person or virtual attendance! See you there @PJMatrasCNSPain @VarshneyMD @Providence_Hlth @PainBC @keith_meldrum

Every knee arthritis patient needs to hear... - pain does not always imply harm -it's ok to run/walk/weight train -yes, PT can be helpful. -steroids are not typically helpful and might harm u -it's helpful to remain active -ignore the x-ray and focus on remaining active. -don't try stem cells They shouldn't hear. - you have bone on bone -you have the knee of a 90 year old - you should stop exercising -rest, or you'll need a TKR - come back every 3 months for an injection

Join us in January.

3 commonly used clinical tests for an ACL deficient knee demonstration beautifully here during examination under anaesthesia 🔥🔥🔥 1. The Pivot Shift Test 2. The Lachmans Test 3. The Anterior Drawer Test

Time to revisit a 40-yr-old theory on brain reorganization We longitudinally scanned patients with planned hand amputations and see highly stable hand and face cortical representations before and after arm amputation @plasticity_lab @Chris_I_Baker 🧵1/13 biorxiv.org/cgi/content/shor…

Power stays w/white cis het men,because other men only value their voices & use their power to further their own power Notice how many cis white het men in physios R now expert in the 'soft skills' they ridiculed 5 years earlier? Who is excluded? Stop inviting the same 11 men.

🚨New publication! We assessed the comparators in all 424 RCTs that inform the NICE LBP guidelines and evaluated the potential for comparator bias impacting the recommendations. Amazing mentorship from co-authors @zadro_josh @Bcsiernik @giovanni_ef sciencedirect.com/science/ar…