Why crowdsourcing treatment advice almost never works
It’s exhausting when you don’t have a system to work within. When every patient that comes in is like starting over and not knowing what to do. Every treatment is guesswork and not knowing if something will work, or why it did one time and not another. Or worse yet, why what you’ve used before flared up this new patient.
Too often practitioners work on assumptions or guessing. They base treatment on what worked for a past patient, or because a colleague said it worked on their patient.
And much of these recommendations come from Crowdsourcing for treatment advice on social media. I started a group that has over 7500 members. But I had to get away from it.
The issue is, absent using a working system, crowdsourcing is ineffectual at best, and reckless at worse. It was the same thing over and over. Tons of people hopping in offering random suggestions absent any real case history, and it was all piecemeal. It was unhelpful and only confused the practitioner who posted the original question even more. The practitioner wasn’t taught how to fish. They were just fed temporarily. But even worse, the fish wasn’t even edible. (Ok enough analogies)
Can you imagine if your patient knew you were trying some random technique because another practitioner offered advice on Facebook?! When you think about it that way it’s pretty crazy.
But asking for advice CAN be helpful when it’s done in a certain way. Asking questions on a forum is much more valuable when it’s within a system and we’re speaking the same language. You can build within a system. You can make sense of the patient when you have a base of knowledge to work from. When someone posts a history of the patient, better advice can be offered. This also helps practitioners grow and not just have a crutch. I want practitioners to ask questions and learn more than just “here try this”. It’s much better to know the why and empower them to be more self sufficient…to grow into getting the answers themselves and knowing how to find them. Offering treatment advice is much more profound in this way.
A forum works much better this way and it works extremely well on our Locals community, where EXSTORE is the system that everyone works under. Its just a more responsible - and very effective - way of running a forum.
Size doesn’t matter. Having a smaller more effective community is better. The community continues to grow, but not just for the sake of growth.
Patient: 45 year old female
CC: Right side ASIS pain.
Symptoms: 7/10 throbbing pain at its worst, sometimes gone. Location is exactly at ASIS. Does disturb sleep. No other hip or LB injuries. Came on suddenly about 10 months ago. Does not recall what doing when first noticed.
Mechanical Triggers: standing, pressing on it, walking sometimes. Getting out of car always aggravates.
Other: patient is very active. Pilates, strength training, can do all daily activities. Did have imaging done (I have not see report) and all findings negative. Tried massage and PT with dry needling - no positive changes.
Reports diastases rectus, youngest child 5 years old, scheduled to have "mommy make-over" surgery in October.
Lower Body Extore:
Failed: right side TFL and Glut Med.
Other: I had her do a figure 4 to check if Satorius was in play and there was restriction on right side but no pain.
Treatment:
PSOAS pecking right (I did not note she failed that but maybe did not chart)
PP: Rt TLF, Glut Med and...
1) Anthony mentioned metrics that he tracks every week to determine how the clinic is performing. I have metrics but would like to compare them to yours. Can you share this?
2) There were 100-140 questions list he mentioned. I used to have this but could I get it again?
The ASE Directory website is now fixed!
FOR THOSE WHO ATTENDED EXSTORE™ IN-PERSON: Make sure to add your free listing
How to create your listing:
Go to asedirectory.com and set up an account.
-Log in
-An option appears in the menu - Add Your Free Listing
-Click Add Your Free Listing and create your listing.
-It then sends me an email to review it. I make sure all the important parts are there, then I publish it and send you an email.
If you have any questions, please email me.
*I’ve spent hours on this website so for the love of god create your listing asap. Take advantage of this!
Again, you must have taken EXSTORE™ in-person to be eligible for a listing.