When you look at someone with a torn meniscus and some osteoarthritis, can you tell who would benefit from arthroscopy and who wouldn’t? What about whether or not they would benefit from rehab? Would...
What is evidence without interpretation? For that matter, what exactly is evidence? Or interpretation? Can you make an evidence-based statement without a robust evidence base? Evidence vs Consensus in Clinical Practice Guidelines. Djulbegovic B,...
A study shows that those with FAI who get surgery earlier do better than those who get surgery later. Does that mean patients should rush to surgery? Or is the reality more nuanced? Early...
“How do you feel now compared to how you felt before surgery?” is a common question asked of patients? But how well do they remember? Are they accurate or do they overestimate or do...
This episode is less about exercise programs after total hip arthroplasty and more about meticulous study design prior to data collection. We look at essentially having the paper written before the study begins –...
Patient reported outcome measures (PROM) are commonly used to assess function in patients. But is that what they are actually measuring? Can we alter those scores in a meaningful way just through practicing the...
What do patients believe about knee osteoarthritis and nonsurgical interventions? Where do they get these beliefs? Can we change these beliefs? Even if we do will that make a difference? Misconceptions and the Acceptance...
Exercise works for pain..but why? Probably not for the reasons that we think. Does it matter? What a silly question… Musculoskeletal pain and exercise-challenging existing paradigms and introducing new.Smith BE, Hendrick P, Bateman M,...
Following an algorithm in medicine (and other high consequence professions) is shown to result in better outcomes. But isn’t that just like following a cookbook? Or is it more about making sure that we...
Doing a manipulation on the thoracic spine may help people with cervical radiculopathy but there are a lot of questions to answer here. This paper has an odd presentation of the data and generates...