1.
Stop taking x-ray to diagnose OA knee- it is
just silly- well-read theory of when to use diagnostic test
2. We now know – there is no correlation between cartilage damage and pain and disability. – so stop looking at the x-ray as though it is giving you some insight into your patients3. Stop telling your patients not to sit on the floor or walk less – please understand the patient accesses health care to become less disabled not made more disabled by us.
4. Remember it is exercise therapy- it means exercise is given to reduce pain and disability – so please tell them exercise should be done when they come to you- not at the end of 10 days or when the pain is gone.
5. Exercise –works and one the few conditions we have high quality evidence to prove it
6. Waxing and waning are part of diseases like these- educate your patient about it not knee anatomy and x-ray finding- these can help them in not catastrophsing about the condition.
7. Remember we are a quasi-mechanical system, even though we cannot run away from physics the biology adapts- so don’t make clinical decision based on mechanics- they are always inadequate- well see what has happened to manual therapy
8. Don’t use nocebo terms – collect the term which harm them in your vernacular and try to use alternates for that
9. If you get a chance to write in vernacular don’t – please don’t write – the joint has worn off (or in Tamil thengupochu)- the joint is not a cycle tyre
10. I believe just like- how we are calling back pain as – nonspecific back pain we should call OA as non-specific knee pain
Love
Hariohm
2. We now know – there is no correlation between cartilage damage and pain and disability. – so stop looking at the x-ray as though it is giving you some insight into your patients3. Stop telling your patients not to sit on the floor or walk less – please understand the patient accesses health care to become less disabled not made more disabled by us.
4. Remember it is exercise therapy- it means exercise is given to reduce pain and disability – so please tell them exercise should be done when they come to you- not at the end of 10 days or when the pain is gone.
5. Exercise –works and one the few conditions we have high quality evidence to prove it
6. Waxing and waning are part of diseases like these- educate your patient about it not knee anatomy and x-ray finding- these can help them in not catastrophsing about the condition.
7. Remember we are a quasi-mechanical system, even though we cannot run away from physics the biology adapts- so don’t make clinical decision based on mechanics- they are always inadequate- well see what has happened to manual therapy
8. Don’t use nocebo terms – collect the term which harm them in your vernacular and try to use alternates for that
9. If you get a chance to write in vernacular don’t – please don’t write – the joint has worn off (or in Tamil thengupochu)- the joint is not a cycle tyre
10. I believe just like- how we are calling back pain as – nonspecific back pain we should call OA as non-specific knee pain
Love
Hariohm
