David Poulter
@retlouping.bsky.social
Dislikes evidence based Ostriches
(An evidence based ostrich ignores evidence against whilst waiting for evidence of support.)
(An evidence based ostrich ignores evidence against whilst waiting for evidence of support.)
Pinned
David Poulter
@retlouping.bsky.social
· Nov 21
After all the studies tendons need tension load, muscles need to contract, brains and nervous system need stimulating , joints need loading and moving 👍
Update and people want to be listened to and understood.
Update and people want to be listened to and understood.
Radiographic and Symptomatic Knee Osteoarthritis 32 to 37 Years After Acute Anterior Cruciate Ligament Rupture
pmc.ncbi.nlm.nih.gov/articles/PMC...
“The prevalences of symptomatic OA, radiographic patellofemoral OA, and knee symptoms were similar irrespective of ACL treatment.”
pmc.ncbi.nlm.nih.gov/articles/PMC...
“The prevalences of symptomatic OA, radiographic patellofemoral OA, and knee symptoms were similar irrespective of ACL treatment.”
February 6, 2026 at 4:29 PM
Radiographic and Symptomatic Knee Osteoarthritis 32 to 37 Years After Acute Anterior Cruciate Ligament Rupture
pmc.ncbi.nlm.nih.gov/articles/PMC...
“The prevalences of symptomatic OA, radiographic patellofemoral OA, and knee symptoms were similar irrespective of ACL treatment.”
pmc.ncbi.nlm.nih.gov/articles/PMC...
“The prevalences of symptomatic OA, radiographic patellofemoral OA, and knee symptoms were similar irrespective of ACL treatment.”
February 6, 2026 at 3:32 AM
Don’t be a nocebo! Why healthcare organizations should
value patients’ expectations.
www.frontiersin.org/journals/psy...
value patients’ expectations.
www.frontiersin.org/journals/psy...
February 5, 2026 at 9:16 PM
Don’t be a nocebo! Why healthcare organizations should
value patients’ expectations.
www.frontiersin.org/journals/psy...
value patients’ expectations.
www.frontiersin.org/journals/psy...
Contextual effects in musculoskeletal pain: are we overlooking essential factors?
www.frontiersin.org/journals/psy...
www.frontiersin.org/journals/psy...
February 5, 2026 at 5:27 PM
Contextual effects in musculoskeletal pain: are we overlooking essential factors?
www.frontiersin.org/journals/psy...
www.frontiersin.org/journals/psy...
This post is from 2018 I ponder on where “experts” get their ideas from?
February 5, 2026 at 3:10 PM
This post is from 2018 I ponder on where “experts” get their ideas from?
Behind the curtain of good pain education: values, vulnerabilities, strengths and constraints
youtu.be/LkfB7appFtg?...
youtu.be/LkfB7appFtg?...
Behind the curtain of good pain education: values, vulnerabilities, strengths and constraints
YouTube video by Noigroup Clinical Discussions
youtu.be
February 5, 2026 at 2:57 PM
Behind the curtain of good pain education: values, vulnerabilities, strengths and constraints
youtu.be/LkfB7appFtg?...
youtu.be/LkfB7appFtg?...
It’s Olympics time, also time for BS therapy exposure 😔
February 5, 2026 at 1:51 PM
It’s Olympics time, also time for BS therapy exposure 😔
Dry cupping therapy has no effect on pain, function, or quality of life in women with knee osteoarthritis: Randomized placebo-controlled trial
www.rbf-bjpt.org.br/en-dry-cuppi...
www.rbf-bjpt.org.br/en-dry-cuppi...
February 5, 2026 at 1:12 PM
Dry cupping therapy has no effect on pain, function, or quality of life in women with knee osteoarthritis: Randomized placebo-controlled trial
www.rbf-bjpt.org.br/en-dry-cuppi...
www.rbf-bjpt.org.br/en-dry-cuppi...
Sucking literally sucks.
The Efficacy of Dry Cupping Compared to Placebo Cupping for People With Musculoskeletal Complaints: A Systematic Review With Meta-Analysis
www.jospt.org/doi/10.2519/...
The Efficacy of Dry Cupping Compared to Placebo Cupping for People With Musculoskeletal Complaints: A Systematic Review With Meta-Analysis
www.jospt.org/doi/10.2519/...
February 5, 2026 at 1:06 PM
Sucking literally sucks.
The Efficacy of Dry Cupping Compared to Placebo Cupping for People With Musculoskeletal Complaints: A Systematic Review With Meta-Analysis
www.jospt.org/doi/10.2519/...
The Efficacy of Dry Cupping Compared to Placebo Cupping for People With Musculoskeletal Complaints: A Systematic Review With Meta-Analysis
www.jospt.org/doi/10.2519/...
Updated infographic for my 1999 article “Empower the patient” www.jospt.org/doi/pdf/10.2...
February 5, 2026 at 12:53 PM
Updated infographic for my 1999 article “Empower the patient” www.jospt.org/doi/pdf/10.2...
February 4, 2026 at 6:36 PM
If you are looking for a pain generator the answers is simple, look in the mirror. Nociception doesn’t equal pain.
February 3, 2026 at 10:13 PM
If you are looking for a pain generator the answers is simple, look in the mirror. Nociception doesn’t equal pain.
The best exercise for XYZ?
The one you do and stick with.
The one you do and stick with.
February 3, 2026 at 1:49 PM
The best exercise for XYZ?
The one you do and stick with.
The one you do and stick with.
Still a work in progress “autoalgia”
I am proposing chronic pain may be similar to autoimmune, and allergy responses, but occurring in the nociceptive system.
I am proposing chronic pain may be similar to autoimmune, and allergy responses, but occurring in the nociceptive system.
February 2, 2026 at 4:22 PM
Still a work in progress “autoalgia”
I am proposing chronic pain may be similar to autoimmune, and allergy responses, but occurring in the nociceptive system.
I am proposing chronic pain may be similar to autoimmune, and allergy responses, but occurring in the nociceptive system.
Sticks and Stones: Bias and Readability Assessment in Large Language Model–Generated Patient Education for Anterior Cruciate Injury
www.jospt.org/doi/10.2519/...
The difficult reading level may limit generalizability. Crucial information was lacking from PEMs and the negative tone….
www.jospt.org/doi/10.2519/...
The difficult reading level may limit generalizability. Crucial information was lacking from PEMs and the negative tone….
February 2, 2026 at 1:55 PM
Sticks and Stones: Bias and Readability Assessment in Large Language Model–Generated Patient Education for Anterior Cruciate Injury
www.jospt.org/doi/10.2519/...
The difficult reading level may limit generalizability. Crucial information was lacking from PEMs and the negative tone….
www.jospt.org/doi/10.2519/...
The difficult reading level may limit generalizability. Crucial information was lacking from PEMs and the negative tone….
People don’t know what they don’t know.
Even clinicians use technical words in lay terms.
Formal tissue healing is well defined, yet clinicians use the term “healing” loosely to mean resolution of a condition even in the absence or presence of formal tissue healing
It matters
Even clinicians use technical words in lay terms.
Formal tissue healing is well defined, yet clinicians use the term “healing” loosely to mean resolution of a condition even in the absence or presence of formal tissue healing
It matters
January 30, 2026 at 3:33 PM
People don’t know what they don’t know.
Even clinicians use technical words in lay terms.
Formal tissue healing is well defined, yet clinicians use the term “healing” loosely to mean resolution of a condition even in the absence or presence of formal tissue healing
It matters
Even clinicians use technical words in lay terms.
Formal tissue healing is well defined, yet clinicians use the term “healing” loosely to mean resolution of a condition even in the absence or presence of formal tissue healing
It matters
Latest mini blog
To develop a true person focused care paradigm, you must stop “taking” and start “receiving”
retlouping331888347.wordpress.com/2026/01/29/t...
To develop a true person focused care paradigm, you must stop “taking” and start “receiving”
retlouping331888347.wordpress.com/2026/01/29/t...
January 30, 2026 at 3:04 PM
Latest mini blog
To develop a true person focused care paradigm, you must stop “taking” and start “receiving”
retlouping331888347.wordpress.com/2026/01/29/t...
To develop a true person focused care paradigm, you must stop “taking” and start “receiving”
retlouping331888347.wordpress.com/2026/01/29/t...
A privilege to listen to Will Steger this morning and his experience in Antartica afterantarctica.com such an inspiration. He is 81 years young and about to do another solo trek. Check out his web site www.stegercenter.org/bio
A positive Minnesota story. 😃
A positive Minnesota story. 😃
January 27, 2026 at 2:59 PM
A privilege to listen to Will Steger this morning and his experience in Antartica afterantarctica.com such an inspiration. He is 81 years young and about to do another solo trek. Check out his web site www.stegercenter.org/bio
A positive Minnesota story. 😃
A positive Minnesota story. 😃
January 26, 2026 at 12:10 PM
How much evidence would it take for you to change your practice? Are we all evidence based ostriches? retlouping331888347.wordpress.com/2025/04/09/h...
How much evidence would it take for you to change your practice? Are we all evidence based ostriches?
We often talk about evidence based clinicians using evidence informed practice. But, how much evidence would it take for you to change your current practice? Change is hard, clinicians become comfo…
retlouping331888347.wordpress.com
January 25, 2026 at 1:01 PM
How much evidence would it take for you to change your practice? Are we all evidence based ostriches? retlouping331888347.wordpress.com/2025/04/09/h...
If you teach courses, what data do you have that YOUR courses have any effect on the participants and that this effect translates to a better clinical effect?
January 25, 2026 at 12:52 PM
If you teach courses, what data do you have that YOUR courses have any effect on the participants and that this effect translates to a better clinical effect?
Lots of talk about neuro- immune crosstalk being a possible cause of chronic pain. In 2018 I hypothesized “autoalgia” similar to autoimmune but of the nociceptive system.
Maybe I’m not a numpty after all? ( no I am 😂)
Maybe I’m not a numpty after all? ( no I am 😂)
January 13, 2026 at 1:49 PM
Lots of talk about neuro- immune crosstalk being a possible cause of chronic pain. In 2018 I hypothesized “autoalgia” similar to autoimmune but of the nociceptive system.
Maybe I’m not a numpty after all? ( no I am 😂)
Maybe I’m not a numpty after all? ( no I am 😂)