Kyle Killian
@kylekilliandpt
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Doctor of Physical Therapy Student and Aspiring Musculoskeletal Sonographer
Joined June 2023
Full Thickness v Partial Thickness RTC Tears: Something some (too many) clinicians, most students, and almost ALL patients don’t really understand. And the narratives around them often shape preconceptions that dramatically impact prognosis. Quick 🧵:
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90% of being a doctor is learning how to convey uncertainty
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Diagnostic Ultrasound Developing Competency | Episode 1 - 50 SHADES OF GREY CAN WE MASTER DIAGNOSTIC ULTRASOUND IN JUST 1 YEAR?? The Physio Matters Team are following 6 guinea pig clinicians and @JackAChew to find out if they can develop Diagnostic Ultrasound competency in just
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Such a fantastic case. If you are in Ortho or MSK care and don't follow James, you are missing out on interacting with one of the top diagnosticians of our time.
Consent✅ - this is a beauty 🤓 Elite runner Crampy, aching lateral knee pain - onset at around 20-30 mins Seen multiple clinicians - had numerous injections including ITB plus extensive rehabilitation - refractory Almost 'claudicant' in nature - settles quickly on cessation
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Not every session needs the same structure. But every session needs a structure. Achilles flare-up: • 20 min discussing what happened • 20 min calming things down • 5 min modified home program PFP progressing well: • 5 min check-in • 35 min loading exercises • 5 min next
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The ideal number of exercises to give a patient, so they actually do them and get better, is show in the research to be..... 2. Simplify it.
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How To Treat Non-Traumatic Knee Pain 1. Assess range of motion limitations. It's more common for patients to complain of knee flexion tightness than extension. Tricky to figure out if it is chronic or not, but compare to other side. See if they feel a stretch (softer end feel)
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If trigger points were real, why hasn’t any reputable ultrasound technician ever claimed to have found one? 🦄 @DrMarwanAl_D
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I have no idea when all this started but I laugh every time I read one. Also, it probably means the market needs to humble me
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Some people dislike those who question things because it exposes their comfort zones. But progress in healthcare needs curiosity, not compliance — asking hard questions is accountability, not aggression. Caring means questioning what works, not clinging to what feels comfortable.
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The anons are out in force tonight, so let’s clear it up for them. Physiotherapists are a regulated profession trained to assess, diagnose, and treat conditions affecting the musculoskeletal, neurological, cardiovascular and respiratory systems. They work within clearly
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The uncomfortable and often unspoken truth about physio is that most of our rehab plans and protocols often don’t outperform simple advice, graded activity and time!
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Comparing Ultrasonography With Plain Radiography in the Diagnosis of Long Bone Fractures https://t.co/Y5zYkXO8J9 This study compared the diagnostic accuracy of sonography and radiography in detecting long bone fractures in an emergency department. It was a cross-sectional study
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Phone consults: - Guy with Patellofemoral Pain - Guy who flared his quad tendon - Guy who is rehabbing third quad tendon repair - Guy who twisted ankle, now has Midportion Achilles - Guy who had PRP done to patellar tendon and flared it for weeks - Guy who injured left leg
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“Are you throwing the baby out with the bathwater?” I cringe when I get that phrase thrown at me. It is a regular comment I deal with. I understand it. When someone threatened my comfort zone in the clinic I would respond the same way. My answer is..... YES! Only if the
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The Utilization of Diagnostic Musculoskeletal Ultrasound in the Evaluation of Gluteus Medius Tendon Pathology: A Perspective for Rehabilitation Providers https://t.co/EaYVHFxsf8
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“therapeutic exercise” in PT school emphasized “being creative.” IMO it’s for the PT, not the patient. I still advocate for effective over creative or entertaining. Strawpeople👇 -what if they like creative? -what is effective? -what if they don’t like traditional exercises?
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