Martin Billing @BillingMartin Twitter profile

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@Nana77998

Martin Billing

@BillingMartin

8 years

Everyone in uk should be watching @BBCTwo #hospital #NHSCrisis

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Martin Billing

@BillingMartin

1 year

With 5% increase from @thecsp and a 20% rise from @The_HCPC we are now looking at £45pcm to come to work. Its a struggle to see the current value of either in the real world, and no where near a deal that is a fair and equitable pay rise/conditions for NHS staff. Untenable #nhs

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Martin Billing

@BillingMartin

3 years

Msk physios……..

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Martin Billing

@BillingMartin

7 months

Frozen shoulder seems to confuse some. Or is it pain confuses us all? 🤔 Anyway, one of the the most comprehensive papers ive seen in a long time 👇👇 Balanced, informative, clinically relevant and no snake oil or fluff 😎

Frozen shoulder

Nature Reviews Disease Primers - Frozen shoulder is a fibroproliferative disorder of the shoulder characterized by pain and progressive loss of shoulder mobility. In this Primer, Millar et al....

www.nature.com

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Martin Billing

@BillingMartin

2 years

So I now tell people “I’m a manager in the nhs” instead of “I’m a physio” when asked Not because I’m not proud, but because it shuts down convo and no one asks for a fucking massage or to have a look at their back etc Win win

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Martin Billing

@BillingMartin

1 year

A patient presents with a knee Whats the diagnosis

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Martin Billing

@BillingMartin

2 years

I think if you don’t want to be an FCP, or ACP, or do a Msc and you want to be a really good physio. We absolutely need that and I’m with you all the way Workforce planning isn’t about everyone being “advanced” (whatever that means)

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Martin Billing

@BillingMartin

4 years

If this was Heathrow yesterday, I’m angry, astounded and I’ve just had enough. Lives are being lost, businesses collapsing and people lives turned upside down. Yet this is allowed!? #Government get this under control before we lose another 80k of lives #Covid19UK

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Martin Billing

@BillingMartin

2 years

Who remembers PNF

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Martin Billing

@BillingMartin

3 years

Manual therapists that “release” things I lifted 200kgs the other day and held it for 5 secs. My arms didn’t get longer. That is all

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Martin Billing

@BillingMartin

2 years

Osteoarthritis is not a radiological diagnosis That is all

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Martin Billing

@BillingMartin

1 year

Just to say, physiotherapy is mostly supported self management. There are huge parts to play within that, but thats all it is really. No unicorns, magic bullets or healing hands

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Martin Billing

@BillingMartin

4 years

Is running the single most boring exercise ever Discuss The answer is yes btw

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Martin Billing

@BillingMartin

2 years

Decided to copy and paste information regarding @thecsp and @The_HCPC information and fees that I have gathered for our staff, physios and HCPs to ensure they are informed with options available to them, A Thread 1/ #CostOfLivingCrisis

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Martin Billing

@BillingMartin

3 years

Found H and looks like he’s been out of action for a while #LineofDutyFinale

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Martin Billing

@BillingMartin

6 months

Physios renewing HCPC and hoping the audit section isn’t red

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Martin Billing

@BillingMartin

3 years

So if someone has a “frozen shoulder” And they have a steroid injection. And it resolves their problem (pain,ROM,function) It’s fair to say, they didn’t have a frozen shoulder

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Martin Billing

@BillingMartin

2 years

FCP is eroding services designed to provide rehab. It’s not sustainable. They won’t have anywhere to refer to soon

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Martin Billing

@BillingMartin

6 years

Two pts asking for a massage, two asking for acupuncture, two telling me I’m only a physio what do I know and my doctor told them what’s wrong and I need to do what the doctor said . All in all a great positive morning #wednesdaysshit #MSK #wateroffaducksarse #oneofthosedays

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Martin Billing

@BillingMartin

1 year

No human can release another humans tissue, in terms of manual therapy. Ever, Even if you’re aDvANceD

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Martin Billing

@BillingMartin

3 years

We can fly a helicopter on Mars but we can’t let go of acupuncture

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Martin Billing

@BillingMartin

7 months

TENDONS (And sore ones) Want to know about tendons ? Some papers to consider (IMHO) and please add more to the thread if you have others 😎 This for me was a stand out piece of work 1/

Tendinopathy

Nature Reviews Disease Primers - Tendinopathy is a multifaceted pathology of the tendon, characterized by pain and reduced function. This Primer summarizes the epidemiology, pathophysiology,...

www.nature.com

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Martin Billing

@BillingMartin

2 years

Physios: take us seriously as a progressive evidence based healthcare profession Also physio: still doing auricular acupuncture 🤦🏻‍♂️

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Martin Billing

@BillingMartin

2 years

A reminder. Save your back #msk #manualhandling #safetyfirst

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Martin Billing

@BillingMartin

5 years

Age is not a barrier

Sergio Ferrero

@calotonterias

5 years

Johanna Quaas, 91 AÑOS. Aún a riesgo de resultar cansino, añado la frase de siempre: ➡️ No dejamos de movernos porque envejecemos, envejecemos porque dejamos de movernos

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Martin Billing

@BillingMartin

1 year

To all healthcare folk Including physios There is no such things as a “course of physio” Thanks

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Martin Billing

@BillingMartin

8 months

Physios: Physiotherapy is a profession not an intervention Also Physios: We must do hands on otherwise it reduces my identity and is less caring and doesn't give patients what they want and isnt good hEaLThCAre oh dear

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Martin Billing

@BillingMartin

2 years

NHS proposes new AHP uniform for England - have your say | The Chartered Society of Physiotherapy Operationally, this is so low on my list of priorities I’m not even adding it to my to do list. Waste of time and money. Focus elsewhere might be an idea

NHS proposes new AHP uniform for England - have your say

NHS Supply Chain, which provides all NHS uniforms in England, has launched a consultation on the introduction of a new AHP uniform in England.

www.csp.org.uk

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Martin Billing

@BillingMartin

4 years

Referral. Today. It’s 2021 btw

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Martin Billing

@BillingMartin

1 year

Me when @LFC don’t sign anyone but say having Stefan Bajcetic back and Trent in midfield and Fab find form are like new signings

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Martin Billing

@BillingMartin

1 year

I for one think this is a pretty comprehensive guide. Don’t see any reason at all to deviate from it #bmj @bmj_latest

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Martin Billing

@BillingMartin

2 years

Ortho referral “Patella maltracking please work on vmo +++!”

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Martin Billing

@BillingMartin

3 years

“Every single patient of mine gets better. Within 1-3 sessions” No they don’t. You’re delusional or promoting your business.

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Martin Billing

@BillingMartin

1 year

On all msk electro therapy machines #letsgo

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Martin Billing

@BillingMartin

1 year

Physiotherapists We do not own, or have a monopoly on MT, exercise prescription or any particular aspect of healthcare. They also do not define you. Please, embrace change and lets move the profession forward sensibly, with respect for each other and for our patients

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Martin Billing

@BillingMartin

2 years

This isn’t new info but largely forgotten when it comes to shoulders. Keep it simple and expand where needed 👏🏻

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Martin Billing

@BillingMartin

1 year

From rocking in the 70s, nice shades pops 🤘🏻to being my google. You can sleep well dad. You were and will always be, my hero RIP ❤️

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Martin Billing

@BillingMartin

2 years

How can anyone say that pain, is hugely complex, involving a myriad of complex interactions with human, societal and environmental factors, but then argue we can specify a structure in the back to treat or fix. Have a look at yourself for goodness sake

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Martin Billing

@BillingMartin

3 years

We really do make physio much more complicated than it need to be you know

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Martin Billing

@BillingMartin

3 years

Referral of the week Ortho consultant wants US, and acupuncture on a TKR with persistent pain for 3 yrs

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Martin Billing

@BillingMartin

4 years

We all need more @Schwarzenegger in our lives

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Martin Billing

@BillingMartin

3 years

If you don’t want lockdowns, or passports, or want to follow any guidance, or a vaccine, or to wear a mask Then tell me, what is your plan? Solve the crisis and illness and death and drain on finite resources, stop telling me you won’t do it and tell me what should be done

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Martin Billing

@BillingMartin

3 years

“Needs core exercises to strengthen posture” No they don’t

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Martin Billing

@BillingMartin

3 years

Anyone still got one of these 👀 #90sphysio

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Martin Billing

@BillingMartin

6 months

4 months ago, I couldn’t do this with the bar. Now can maintain form at 60kg. No THR in site either. #consistency Test your limits and don’t be afraid to. The body is a wonderful thing #liftingat50

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Martin Billing

@BillingMartin

1 year

Just wanted to say OA isn’t diagnosed with an XR. Cause folk keep forgetting.

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Martin Billing

@BillingMartin

1 year

Great article 🔥👇🏻👇🏻👇🏻👇🏻

Having ‘good’ posture doesn’t prevent back pain, and ‘bad’ posture doesn’t cause it

We’ve all been told our whole lives we need ‘good’ posture: sit up straight, stand straight with shoulders back, and lift by bending the knees. It turns out there’s really no evidence for that advice.

theconversation.com

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Martin Billing

@BillingMartin

4 months

A course of physio You need a bit of physio Proper physio Aggressive physio All terms I've seen or heard in the last 3 weeks alone. These are not helpful, they are reductionist and archaic. In terms of MSK physiotherapy 1/

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Martin Billing

@BillingMartin

2 years

This is 30yrs old. Msk care better is it? Yeah ok.

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Martin Billing

@BillingMartin

2 months

@Y2SHAF

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Martin Billing

@BillingMartin

23 days

If GPs are telling us they need more GPs in Primary Care, & other roles not having the impact meant to be having, for lots of reasons NONE of which being that indiv cant do a job, or are not capable (irrelevant to the wider point btw) I really, really think we need to listen.

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Martin Billing

@BillingMartin

2 years

My lad has nailed his GCSE results What a proud dad I am #GCSEResultsDay 💫

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Martin Billing

@BillingMartin

3 years

Admittedly my knowledge of research is limited. But the more I seem to learn, the more I realise most is , well, pointless. Why is the majority of research relating to clinical issues not clinically applicable or relatable?

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Martin Billing

@BillingMartin

3 years

@AdamMeakins @PaulBliton No “Diagnosis” per se No “Imaging” needed Despite intense pain and radicular symptoms Return to function in expected timeframes. Perfect example. Nice work 👏🏻👏🏻

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Martin Billing

@BillingMartin

9 months

Msk care, made simple. Rule out RFs, diff Dx and alternative mment pathway signposting Education, lifestyle advice, load modification Pain mment where appropriate Address functional issues with rehab There are many things we could do. But these are the things we should do.

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Martin Billing

@BillingMartin

3 years

“Steroid injection no help so we are going to try another one”

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Martin Billing

@BillingMartin

2 years

So it’s not 1990, yet motor control, trigger points, overly complex treatments, and “specific” tests and “specific” treatments are discussed on here more than the human being struggling to cope in front of you. Honestly people.

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Martin Billing

@BillingMartin

5 years

@Y2SHAF See previous answer

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Martin Billing

@BillingMartin

2 years

Intra-articular corticosteroid injections are associated with a dose-dependent risk of total knee arthroplasty at 5 years - PubMed. 😳interesting

Intra-articular corticosteroid injections are associated with a dose-dependent risk of total knee...

Intra-articular corticosteroid injections in patients without knee osteoarthritis at the time of injection are associated with a dose-dependent risk of TKA at 5 years. CSI may not be as benign of a...

pubmed.ncbi.nlm.nih.gov

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Martin Billing

@BillingMartin

1 year

@AdamMeakins This is a witch hunt pure and simple and is absolutely horrendous. Maybe time to name names and see what people think. I know what I think already, and you @AdamMeakins have dealt with all those with dignity.

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Martin Billing

@BillingMartin

2 years

Referral: “For full aggressive rehab”

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Martin Billing

@BillingMartin

4 years

How about this!

Coach JP Guidry/ More Distance and Less Pain ⛳

@Guidry_golf_fit

4 years

505 x 2 over a year post total knee replacement But lets keep babying our patients

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Martin Billing

@BillingMartin

3 years

Quadratus lumborum is the cause of all unilateral back pain folks. It’s where I’ve been going wrong

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Martin Billing

@BillingMartin

2 years

@joe_crowley @ITVTonight Hi Joe. If you’d like to contact me, with the support of @thecsp we could chat about the huge inaccuracies shown in this. I’m afraid what was shown and what you were told was quite frankly, terrible information.

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Martin Billing

@BillingMartin

2 years

If I see bad practice or physios saying a pts SI is out, or ktaping people, or needling, or tell folk their backs are crumbling etc etc (this happens a lot folks hate to burst your physio bubble) and I say that’s shit, I’m NOT SAYING PHYSIO IS SHIT #getagrip

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Martin Billing

@BillingMartin

1 year

The world of physio a very strange place. The drive to elitism continues wrapped in so called advancement. It’s just a baffling, and potentially scary place for new staff and under grads. I think we can do better without the need to “validate” everything with a title

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Martin Billing

@BillingMartin

3 years

All my clinical time now…..

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Martin Billing

@BillingMartin

2 years

You do your best to work collaboratively then get referrals from ortho demanding specific, outdated and inappropriate treatments. Fun times

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Martin Billing

@BillingMartin

3 years

I’ve had back pain for >15yrs Surgery 13yrs ago Persistent right leg symptoms I train x6 a week When it flares I do rehab religiously, on the money. 3-6weeks it settles Why aren’t patients “compliant”? Understanding? Education? Wanting to be pain free? Or all?

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Martin Billing

@BillingMartin

2 years

If a patient “needs” another csi after 4 weeks. And you state “good result from previous csi proceed with another” I’d kinda suggest that’s not a good result and not to proceed with another

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Martin Billing

@BillingMartin

2 years

This is an extraordinary piece of work @JeremyLewisPT @HandspringLtd

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Martin Billing

@BillingMartin

2 years

Recent information suggests only calling 999 or attending A&E in life threatening or emergency situations. Erm. Isn’t that meant to be the only time we use these EMERGENCY services? #nhscrisis

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Martin Billing

@BillingMartin

2 years

Looking for expert cupping and electro acupuncture physio in the Narnia area. Anyone know anyone?

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Martin Billing

@BillingMartin

4 years

Hull. Tesco’s this morning 😫

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Martin Billing

@BillingMartin

11 months

@HenryJackson87 I would imagine that 8 yr contract cushions the blow some what

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Martin Billing

@BillingMartin

9 months

Six months go today I lost my dad. The world is just less colourful and that’s not got any easier, miss you pops ❤️

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Martin Billing

@BillingMartin

3 years

Physiotherapy is not a treatment technique - 👏🏻

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Martin Billing

@BillingMartin

9 months

Exclusive footage of me triaging a referral asking for trigger point therapy for symptom relief It’s 2023 btw

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Martin Billing

@BillingMartin

2 years

Thought was worth another showing

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Martin Billing

@BillingMartin

2 years

Please stop doing CSIs as first line And without trying anything else Please

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Martin Billing

@BillingMartin

2 years

@Med_Gooner PFP pain please assess and provide rehab/mment plan

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Martin Billing

@BillingMartin

2 years

It’s becoming apparent that if people simply disagree with something now, they make a complaint It’s untenable and outrageous Feels very vulnerable to be an nhs worker these days

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Martin Billing

@BillingMartin

1 year

MSK services have been decimated,rehab spaces removed, staff redeployed, rising demand, complexity, staff retention and vacancies issues. So if someone doesnt get 12 sessions of "rehab" for a benign, not affecting ADLs/sleep msk issue, maybe thats ok. #finiteresources

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Martin Billing

@BillingMartin

1 year

@physiojack It is an extraordinary situation that not only shouldn’t have even started, but has spiralled into an abyss, and not a single mention of patients. Yet folk release frozen shoulders with plungers. And inject tennis elbows 10 times. And tell folk their pelvis is out. Okaaay

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Martin Billing

@BillingMartin

4 years

Just seen advert on here for a physio “Essential skills needed - Acupuncture, massage, manual therapy, looking at a patient holistically.” Really!? REALLY?

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Martin Billing

@BillingMartin

2 years

If you don’t look after the best interests of staff in the #nhs , you can forget the best interests of patients

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Martin Billing

@BillingMartin

1 year

“Urgent” referral for nerve glides Yeah. Ok.

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Martin Billing

@BillingMartin

3 months

im not suggesting we stop looking for the "cause" of say, low back pain but if it was so simple, so structurally driven. We wouldve sorted it by now. It wouldn't be causing more issues than ever. Would it. or am i missing something?

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Martin Billing

@BillingMartin

3 years

Patients in pain is a complex issue. Just a little

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Martin Billing

@BillingMartin

3 years

@lizbayleyphysio @adamdobson123 @AdamMeakins @rob_chiro This is not physiotherapy. It’s “alternative medicine” that should not be in the domain of our profession. In fact, isn’t it not included in the CSP scope?

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Martin Billing

@BillingMartin

1 year

I am continually AMAZED at the amount of XRs that are done for non traumatic, non sinister msk issues without any implementation of care beforehand.

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Martin Billing

@BillingMartin

2 years

Thank you @CHCPHull @AhpsChcp and my msk team. Inspirational Leader award. Humbled and grateful. #msk #lead

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Martin Billing

@BillingMartin

2 years

It is not within the scope on an msk physio to test BP in routine/community msk services Potentially within FCP, or ACP setting relative to role Id wager we need to stop adding complexity to clinicians inappropriately

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Martin Billing

@BillingMartin

2 years

If you sell a course, by promoting outdated, unsubstantiated claims of treatments specifically designed to treat things you can only identify by attending said course YOU ARE NOT HELPING And stop labelling it under physiotherapy or healthcare. FFS

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Martin Billing

@BillingMartin

2 years

Do people really brace their core when lifting things in the gym? Pretty sure mine is fairly active on its own tbh

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Martin Billing

@BillingMartin

2 years

I’ve said it before but I’ll say it again If you are doing CSI as stand alone, first line “treatment” for oa knee You need to stop. Just stop

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Martin Billing

@BillingMartin

3 years

@TPMPodcast @AdamMeakins @JackAChew @MRWPhysio @DerekGriffin86 Refraining from joking (even tho that would be easy) this is negligent, corrupt, inappropriate, dangerous, fraud, and nothing short of pseudo racketeering Feel hugely for the patient at the end of that. Disgraceful

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Martin Billing

@BillingMartin

4 years

A patient following trauma having seen a private therapist for 6 months of massage hasn’t had, in anyway, “physio”

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Martin Billing

@BillingMartin

3 years