The placebo effect holds a crucial yet often overlooked role in clinical care, representing intrinsic and potentially powerful components of any therapeutic intervention. Decades of predominantly expe...

Clinical reasoning in healthcare involves three main, interconnected types—deductive, inductive, and abductive—used to diagnose and treat patients effectively. Abductive reasoning identifies t…

A whimsical look at placebo, sham and contextual effects. 🅿🅻🅰🅲🅴🅱🅾 Nothing. 👇 🅿🅻🅰🅲🅴🅱🅾 + priming Look at this beautiful slide of a polar bear in a snow storm against an icy background. Stare at the b…

In his original text Mechanical Diagnosis and Therapy, The Lumbar spine, McKenzie wrote the following. “For scarring to take place, and as scarring increases the concentration of chemical irritants…

By David Poulter (@Retlouping)Originally posted as a Twitter thread on March 24, 2022, with ongoing updates through 2025. Transposed into this readable blog format while preserving all original tex…

Hopefully you won’t think I’ve gone mad. This was a challenge to show how we can spin anything even “useless treatment” using evidence and of course AI. Thanks for the suggestion Matt. Discovering …

A brief AI review to begin this blog. This text explores the developmental anatomy and clinical management of torticollis, focusing specifically on the role of the unc…

🎵 You think that I don’t even meanA single word I sayIt’s only words and words are all I haveTo take your heart awayIt’s only words and words are all I haveTo take your heart away…

by David Poulter (@Retlouping)Originally posted on X (formerly Twitter) – 29 January 2021 This blog post transforms the original X thread into a clean, readable long-form article while preserving t…

A comprehensive long-form exploration based on the insightful thread by David Poulter (@Retlouping), a clinician with 40+ years of hands-on experience in spinal care. This blog post compiles and ex…

By David Poulter (originally shared as a Twitter/X thread in 2022)Adapted into blog format with all original images and intent preserved. This is a light-hearted but powerful analogy for clinicians…

Screenshot This article was generated by Grok AI based on my question and concern about the paradox of MSK clinicians pushing the Biopsychosocial model yet also promoting the use of diagnosis ultra…

David Poulter (@Retlouping) is a physiotherapist with decades of hands-on experience in spinal conditions. In April 2020 he posted a detailed “dinosaur twittertorial” (his words) explaining stenosi…

A thoughtful exploration by David Poulter (@Retlouping) – Physiotherapist, McKenzie Method advocate, and lifelong learner in evidence-based practice. Originally posted as a Twitter/X thread on 6 Oc…

By David Poulter (@Retlouping)Adapted and formatted from the original X thread (updated September 23, 2022) Introduction In the “old man screaming at clouds” series, today’s topic is Poulter’s Para…

Adapted and compiled from the original 2021 X thread by clinician David Poulter (@Retlouping), with later updates and supporting references included for full context. This distinction is especially…

Below is a thread I wrote and has beed transposed for me by Grok AI so that it is now a blog post and transferable to other apps. I have often been critical of how the McKenzie system is used and a…

By David Retlouping (@Retlouping) – Originally shared as an X thread, March 2024 Have you ever slept on your arm and woken up with a completely “dead” arm, or crossed your legs only to have your fo…

Adapted and compiled from a classic X thread by David Poulter (@Retlouping), a clinician and educator. Originally posted in June 2020 and re-shared in May 2024 after reflecting on teaching experien…

(Time to move from patient centeredness to person focused) A few years back, after a long rainy walk to clear my head, I found myself frustrated with the way we talk about “patient-centered care.” …

YouTube video by David Poulter