File under “as you think so it shall be:” Clinicians who think scapular dyskinesis is important are more likely to identify it in healthy individuals journals.sagepub.com/doi/10.1177/...

Latest blog The Learner’s Responsibility: Why Unlearning Is Hard and How We Can Do Better in Clinical Education retlouping331888347.wordpress.com/2026/02/23/t...

Learning on a course and after isn’t just about the teacher, it’s equally if not more about you , “the participant learner A micro blog ”https://retlouping331888347.wordpress.com/2025/06/05/being-a-good-course-participant/

A ponderance Education is not about how much the teacher or presenter knows and their ability to remember facts, paper, author names etc. Education is about allowing understanding and knowledge translation to another individual. Person focused learning is about the learner.

Another 26 year old thought updated. Principles v practice

Generated from an article I wrote 26 years ago. “Nothing new under the sun”

I wrote this 26 years ago “Shared decision making”

After all the studies tendons need tension load, muscles need to contract, brains and nervous system need stimulating , joints need moving. And most of all people need listening to, empathy and understanding.

Simple as that….

Cross Bracing Protocol for Anterior Cruciate Ligament (ACL) Rupture Has Unacceptably High Failure Rate Relative to Surgical Stabilization: A 2-year Controlled Cohort Study pubmed.ncbi.nlm.nih.gov/41622530/

Nothing new under the sun NARAC www.oarsijournal.com/action/showP...

I have long proposed the term NARAC (Normal Age (Activity) Related Adaptive Changes) for asymptomatic findings on scans and imaging. Incidental Rotator Cuff Abnormalities on Magnetic Resonance Imaging jamanetwork.com/journals/jam...

Assessing the relationship between the level of pain control and patient satisfaction pmc.ncbi.nlm.nih.gov/articles/PMC.... This study found no association between pain intensity score and patient satisfaction with overall pain management

My latest blog: Patient-Focused Care, Not Just Patient-Centered: Rethinking the Therapeutic Alliance and Clinician–Patient Synergy retlouping331888347.wordpress.com/2026/02/13/p...

My 1999 published thoughts as a video. youtu.be/ZyL8mFyvYqw?...

“HISTORY” = HIS (Her) (Their)-Story , it should have always been so. No one « takes » a history, the person gives us their STORY. Learn to listen without judgement.

Understanding Differences in Physiotherapy (Physical Therapy) Around the World: Why Context Matters on Social Media retlouping331888347.wordpress.com/2026/02/12/u...

How is your KFC? www.frontiersin.org/journals/psy...

Nociception may not be as simple as you imagine. Tissues may be sensitive to some stimuli but not other, our “Wenis” is the perfect example. I believe the intestines are another, no pain when cut, but pain when you expand with gas. Nothing necessarily as we believe.

"It’s a rare book that both expands an issue into a dizzyingly complex problem and offers to solve it. In Tell Me Where It Hurts, pain psychologist and scientist Rachel Zoffness pulls off both." Thank you @sciencenews.bsky.social for this incredible book review 🙏🏼🙏🏼 #MedSky #Neurosky 🧪

Psychological Readiness for Return to Sport After Shoulder Stabilization Surgery: A Review of Current Evidence and the Role of The Shoulder Instability Return to Sport After Injury (SIRSI) Scale pmc.ncbi.nlm.nih.gov/articles/PMC...

Why is fibromyalgia predominantly a diagnosis in females? Fibromyalgia Syndrome Pain in Men and Women: A Scoping Review pmc.ncbi.nlm.nih.gov/articles/PMC....

Which exercise is most beneficial for treating women with fibromyalgia? A systematic review and network meta-analysis. www.mskscienceandpractice.com/article/S246... Pilates,Aquatic Exercise,& Resistance Exercise ranked highest in the short term,while Dance & Mixed Exercise, highest in the long term.

Do “Myths” of low back pain exist among young Indian college-going adults with a history of low back pain? A cross-sectional study link.springer.com/article/10.1...

Formal physical therapy may be unnecessary following total knee arthroplasty: A prospective randomized study pubmed.ncbi.nlm.nih.gov/40051642/

Did You Know: Formal Physical Therapy is Not Always Necessary After Total Joint Arthroplasty www.sciencedirect.com/science/arti...

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.”

Don’t be a nocebo! Why healthcare organizations should value patients’ expectations. www.frontiersin.org/journals/psy...

Contextual effects in musculoskeletal pain: are we overlooking essential factors? www.frontiersin.org/journals/psy...

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?...

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...

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/...

Updated infographic for my 1999 article “Empower the patient” www.jospt.org/doi/pdf/10.2...

The silent skill

A Person-Focused Approach to Manual Therapy www.jospt.org/doi/10.2519/...

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.

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.

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….

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

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...

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. 😃

Allostatic load and pain: instability of a bio-social ecosystem journals.lww.com/pain/fulltex...

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?