IRSBAnother loss for NSAIDS, support for increasing mobility through resistance training, and much more coming at you in this edition of Hump Day Hustling! Enjoy, and if you want to dive deeper with ICE Physio we’ve got over 200 courses slated for 2023, check out our Upcoming Dates and Locations to reserve your spot!
Exercise vs NSAIDS
Which provides better pain relief?
Imagine if there was an alternative to NSAIDS for pain management that allowed you to avoid the risk and negative side effects from those meds and instead had a side effect of increased fitness? Well 152 RCTs for a combined N of 17,431 suggest you have exactly that in exercise . Hot off the BMJ press comes this meta-analysis conclusion: “For pain relief, there was no difference between exercise and oral NSAIDs and paracetamol at or nearest to 4, 8, and 24 weeks” 🤯
It’s time for all health care providers to push exercise as the first line of defense against pain. Why would we ever choose an option with a risk of myocardial infarction, gastrointestinal bleeding, and stroke when another equally effective option has a singular side effect of improving health???
Check Yourself
Does weight bias effect how we treat patients?
It sure seems that way. This recent open access publication on weight bias and health care utilization is troubling. “This scoping review first identified perceived weight bias in primary health care evidenced by health care providers’ contemptuous, patronizing, and disrespectful treatment, lack of training, ambivalence, attribution and assumptions about patients’ weight and health.”
These individuals need us the most, let’s show up for them in a way that encourages, not discourages, their engagement with providers who can come alongside them on their journey to better health.
Strengthen to Lengthen
Gotta love a double dip
The genie has been out of the bottle for quite some time on this concept of using eccentric loading to improve ROM, but love to see it showing up in this open access systematic review from this month’s Sports Medicine. It was particularly cool to see the higher magnitude of ROM changes experienced by “untrained and sedentary” folks compared to “trained or active people”. These big changes early can be a great source of buy-in for individuals who haven’t yet developed a regular exercise habit.
Breathwork
All are good, but one may be best
Looking to improve mood and positive affect? Meditation and breath work are wonderful ways to do so. However, this recent study tracked a number of outcomes for 30 days (including physiologics with Whoop!) and found 5 min of daily cyclic physiological sigh seems to outperform box breathing, cyclic hyperventilation, and mindfulness mediation. Again, all of these practices are massively beneficial, just cool to see research starting to compare them side by side!
A Word From Our Sponsor
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PTonICE Rewind
Did you miss any of our ICE Physio podcasts last week? Well here you go!
Monday: “Boss versus consultant” (Alexis Morgan)
Tuesday: “Stress relaxation” (Mark Gallant)
Wednesday: “Real life reserve: Hip fracture case study” (Jeff Musgraves)
Thursday: “Why you want your competition to crush it” (Jeff Moore)
Friday: “Is the CrossFit level 1 an appropriate barrier to entry” (Alan Fredendall)
Thank You! – ICE Faculty
Upcoming In-Person Courses
- January 21-22: Pregnancy & Postpartum LIVE (Chicago, IL)
- January 21-22: Total Spine Thrust (Columbus, OH)
- January 21-22: Extremity Management (Marysville, OH)
- January 21-22: Older Adult LIVE (Santa Rosa, CA)
- January 21-22: Older Adult LIVE (Greenville, SC)
- January 28-29: Extremity Management (St. Augustine, FL)
- January 28-29: Lumbar Spine (Memphis, TN)
- February 4-5: Fitness Athlete LIVE (Doral, FL)
- February 4-5: Lumbar Spine (Boulder, CO)
- February 4-5: Older Adult LIVE (Beaverton, OR)
- February 4-5: Older Adult LIVE (Choctaw, OK)
- February 11-12: Dry Needling: Lower Quadrant (Richmond, VA)
- February 11-12: Cervical Spine (Parker, CO)
Upcoming Online Courses
- February 22nd: Older Adult: Essential Foundations
- February 27th: Fitness Athlete: Advanced Concepts
- March 6th: Fitness Athlete: Essential Foundations
- March 6th: Fitness Athlete: Pregnancy and Postpartum
- March 14th: Rehab of the Injured Runner
- March 27th: Persistent Pain Management
- March 27th: Primary Care PT
- May 4th: Older Adult: Advanced Concepts
📢 On Virtual ICE next week we’ll be chatting “Getting Gymnasty: Part II” with ICE faculty Kelly Benfey! Not in our virtual mentorship program? Find out how to enroll and learn more HERE
