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.
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 😂)
January 12, 2026 at 12:24 PM
How Do Patients Believe Manual Therapy Works? An Exploratory Qualitative Study www.jospt.org/doi/10.2519/...
January 12, 2026 at 12:16 PM
How Do Patients Believe Manual Therapy Works? An Exploratory Qualitative Study www.jospt.org/doi/10.2519/...
Form follows function-Lisbon
January 12, 2026 at 12:10 PM
Form follows function-Lisbon
Nociceptors—Noxious Stimulus Detectors www.sciencedirect.com/science/arti...
January 10, 2026 at 12:51 PM
Nociceptors—Noxious Stimulus Detectors www.sciencedirect.com/science/arti...
Transient and Long-Term Risks of Common Physical Activities in People With Low Back Pain jamanetwork.com/journals/jam...
January 10, 2026 at 12:45 PM
Transient and Long-Term Risks of Common Physical Activities in People With Low Back Pain jamanetwork.com/journals/jam...
Effects of an experimental arthritis on the sensory properties of fine articular afferent units pubmed.ncbi.nlm.nih.gov/4078610/
January 9, 2026 at 5:27 PM
Effects of an experimental arthritis on the sensory properties of fine articular afferent units pubmed.ncbi.nlm.nih.gov/4078610/
Nociceptors—Noxious Stimulus Detectors www.sciencedirect.com/science/arti...
January 9, 2026 at 4:59 PM
Nociceptors—Noxious Stimulus Detectors www.sciencedirect.com/science/arti...
Are we confusing education with learning, especially in Pain Neuroscience Education (PNE)? retlouping331888347.wordpress.com/2023/07/30/a...
Are we confusing education with learning, especially in Pain Neuroscience Education (PNE)?
Are we confusing education with learning? There are a plethora of studies in the literature on providing education to patients to help reduce their pain, decrease kinesiophobia and increase self ef…
retlouping331888347.wordpress.com
January 9, 2026 at 4:07 PM
Are we confusing education with learning, especially in Pain Neuroscience Education (PNE)? retlouping331888347.wordpress.com/2023/07/30/a...
January 9, 2026 at 3:14 PM
The Effect of Diagnostic Labels on Treatment Preferences and Beliefs in People With Musculoskeletal Pain. A Systematic Review of Randomized Trials www.jospt.org/doi/full/10....
January 9, 2026 at 1:38 PM
The Effect of Diagnostic Labels on Treatment Preferences and Beliefs in People With Musculoskeletal Pain. A Systematic Review of Randomized Trials www.jospt.org/doi/full/10....
Latest mini blog retlouping331888347.wordpress.com/2026/01/08/h...
How we measure pain, is just a pain.
If you have been around as a clinician long enough or have been interested in studies on treating pain, you will have come to notice that measuring pain “intensity” on a 0-10 scale is a standard ou…
retlouping331888347.wordpress.com
January 8, 2026 at 5:22 PM
Latest mini blog retlouping331888347.wordpress.com/2026/01/08/h...
Ponderance
Maybe there isn’t just one mechanism of disc causing symptoms.
Deforming
Cracking
Ripping
Bulging
“Ejaculating” (extruding, sequestration”)
Symptoms depend on rate of load application & tissue stress x time.
Rule of Toos and boiling frogs 🐸
Maybe there isn’t just one mechanism of disc causing symptoms.
Deforming
Cracking
Ripping
Bulging
“Ejaculating” (extruding, sequestration”)
Symptoms depend on rate of load application & tissue stress x time.
Rule of Toos and boiling frogs 🐸
January 7, 2026 at 10:46 PM
Ponderance
Maybe there isn’t just one mechanism of disc causing symptoms.
Deforming
Cracking
Ripping
Bulging
“Ejaculating” (extruding, sequestration”)
Symptoms depend on rate of load application & tissue stress x time.
Rule of Toos and boiling frogs 🐸
Maybe there isn’t just one mechanism of disc causing symptoms.
Deforming
Cracking
Ripping
Bulging
“Ejaculating” (extruding, sequestration”)
Symptoms depend on rate of load application & tissue stress x time.
Rule of Toos and boiling frogs 🐸