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.
Athletic Intensive Myofascial Release
Location: Shokunin CrossFit, Mesa, AZ
Pre-requisite: EXSTORE
Register here:
https://aseseminars.com/event/athletic-intensive-myofascial-seminar/
This is why I stopped automatically giving a set % discount to whatever group/type of patient.
15 weeks. Should I avoid altogether? CC: ankle pain - recovering from surgery repairing broken tibula and fibula.
CC: Groin Pain?
Patient complains of pain not in the groin but next to it. No burning, no sharp pain, pain increased with walking or rotation of the knee internally and externally. There was a big tear near the groin but it is healed.
Hip Flexion slows as getting above 90 degrees but stays straight with lifting and does not rotate to the lateral side with lift. Patient winces once the angle of tension is above 90 degrees.
What i have done so far:
- Needling towards pelvic bowl to release hip flexion and extend range to 120 degrees easily
- TFL and Adductors showed tension with Rotation of Knee and range was below 45 degrees rotation with internal/external rotation so we released it.
Pain is improved and range is improved but there is still tension in the areas of GB27/28 area that leads down to the L/ side crease outside of the genitals.
He has had this issue in the past and it resolved for a while. I am unsure what is actually happening here or how I could assess this further.
I ...
