David Poulter
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retlouping.bsky.social
David Poulter
@retlouping.bsky.social
Dislikes evidence based Ostriches
(An evidence based ostrich ignores evidence against whilst waiting for evidence of support.)
Work in progress

Person presenting with.....

Person living with.....

Person suffering from......

Differentiating between possible causes of this persons problem.......

Not patient, not frozen shoulder, not sore hip, not NSLBP, not knee OA....

PERSON focused

One ecosystem
November 9, 2025 at 4:59 PM
Scientists no Longer Find Twitter Professionally Useful, and have Switched to Bluesky

academic.oup.com/icb/article-...
November 1, 2025 at 12:04 PM
Happy SI joint Halloween
October 31, 2025 at 12:36 PM
Stop patient blaming
October 29, 2025 at 11:51 AM
Our paper is free open access. Please read share, and enjoy , thank you 🙏

Contextual effects in musculoskeletal pain: are we overlooking essential factors?

www.frontiersin.org/journals/psy...
October 29, 2025 at 11:17 AM
“Listen to learn about the person in pain, as much as the pain in the person”
October 6, 2025 at 5:29 AM
Our paper is free open access. Please read share, and enjoy , thank you 🙏

Contextual effects in musculoskeletal pain: are we overlooking essential factors? www.frontiersin.org/journals/psy...
October 4, 2025 at 7:25 AM
Invent a problem, invent a test, invent a treatment, fix your test, voila! The state of health care across apps.

“Your wangle dangle is out & twisted. A few sessions of my TM wangle dangle therapy and your pain will be gone.”

Patient in future
“ I have wangle dangle syndrome”
October 3, 2025 at 7:16 AM
Satire, it the old “it works for me and my patients.”
September 30, 2025 at 6:34 PM
The Broken Wing Sign: A New Clinical Test to Detect Gluteus Medius Pathology with and without Fatty Infiltration www.jbjs.org/reader.php?r...
September 28, 2025 at 1:23 PM
A friendly reminder that sitting on the loo searching on google is not “research” it “a search”

RESEARCH is hard and requires scientific rigour, discipline, time and dedication, unlike searching on google.
September 27, 2025 at 9:20 PM
This article contains most of the research evidence on Modic 1 changes and infection association, from 2001 through 2024

www.necksolutions.com/modic-changes/
September 26, 2025 at 7:43 PM
Don't be a nocebo! Why healthcare organizations should value patients' expectations’

www.frontiersin.org/journals/psy...
September 25, 2025 at 5:22 PM
Thanks to everyone who has downloaded or read our paper.

Contextual effects in musculoskeletal pain: are we overlooking essential factors?

www.frontiersin.org/journals/psy...
September 25, 2025 at 5:10 PM
Our paper is free open access. Please read share, and enjoy , thank you 🙏

Contextual effects in musculoskeletal pain: are we overlooking essential factors?

www.frontiersin.org/journals/psy...
September 24, 2025 at 12:54 PM
File under “your scan is not necessarily your destiny”

pmc.ncbi.nlm.nih.gov/articles/PMC...

The associations between magnetic resonance imaging findings and low back pain: A 10-year longitudinal analysis
September 23, 2025 at 1:00 PM
Neurological examination for cervical radiculopathy: a scoping review

bmcmusculoskeletdisord.biomedcentral.com/articles/10....

Components of the neurological examination for cervical radiculopathy have high specificity but low sensitivity.
September 22, 2025 at 1:29 PM
🅽🅾🅽-🅴🆀🆄🅸🅿🅾🅸🆂🅴

A big reason noneffective and effective treatment have a bigger effect than expected.

Clinician belief affects outcome.

I wrote about it here www.tandfonline.com/doi/full/10....

And here: www.frontiersin.org/journals/psy...
September 20, 2025 at 7:33 PM
An anteverted pelvis isn’t all that it’s cracked up to be.

kwnsfk27.r.eu-west-1.awstrack.me/L0/https:%2F...
September 18, 2025 at 4:22 PM
How do we even measure central sensitisation in the clinic?

Bizarre SR and MA

Efficacy of manual therapy on central sensitization in subjects with chronic low back pain: A systematic review and meta-analysis

www.bodyworkmovementtherapies.com/article/S136...
September 17, 2025 at 12:27 PM
I think this is still one of the best things I have written. 26 years on and we are still ignoring the message.

Empower the patient. www.jospt.org/doi/pdf/10.2...
September 16, 2025 at 11:11 PM
Updated blog retlouping331888347.wordpress.com/2025/06/12/t...

My letter is now in print, was it worth it?
September 15, 2025 at 1:37 PM
My letter to the editor regarding this

The simple etiology of scoliosis, low back pain, and herniated lumbar disks www.sciencedirect.com/science/arti...
An anteverted pelvis isn’t all that it’s cracked up to be. A letter to the editor
Free 50 day access link www.sciencedirect.com/science/arti...
September 15, 2025 at 12:44 PM
Nice to see our work cited in

Recent highlights and uncertainties in exercise management of knee osteoarthritis www.sciencedirect.com/science/arti...
September 14, 2025 at 1:49 PM
What is the best exercise for low back pain?

The answer is simple, it is based on the three “Dos”

Can do

Will do

Do do
September 5, 2025 at 7:02 AM