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.
Give this a read after you watch the video: https://pmc.ncbi.nlm.nih.gov/articles/PMC7689775/
Athletic Intensive Myofascial Release
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Hello community! I need some help with a case. It's for an 87 year old woman who has chronic back pain and neuropathy. She fell backwards a number of years ago and since then she's been in chronic pain. She had an ablation over the summer and the nerve pain is returning. She also feels like she has weakness in her legs, has difficulty getting up without her legs buckling. Both hips have been replaced and her glute muscles are all weak. she cannot lie on her back without being in more pain after getting up. Whenever I have attempted low back treatments on her side, including a stenosis treatment, it always makes the pain worse. I often treat her in a recliner chair sitting up, but would like to make more progress with her. Any advice?
61 year old male with various changing musculoskeletal complaints: R neck and shoulder pain, sometimes cervical tightness causes numbness and tingling in arms. Bilateral hip pain/tightness which is intermittent, compared to the shoulder pain is more constant, but none of these are severe. Scoliosis in low back, often the L low back and flank hurt more than right.
R leg longer by 1/4”. L2-L5 or S1 very curved. R pelvis juts out compared to L. R shoulder significantly lower than L.
Currently his most acute symptom is tenderness in his L inguinal crease. There was a period of bleeding in urine and semen for 2 weeks that has stopped; he went to the doctor and they ruled out UTI, STD, and hernia. On palpation the edge of the pelvic bowl is a bit tender and the most tender spot subjectively is right over the femoral pulse.
EXSTORE:
Lower extremity: Bilateral psoas, TFL, gluteus medius, gluteus minimus.
Upper extremity: Supraspinatus, serratus
It just feels like a lot and I'm ...