DPN Fisioterapia

DPN Fisioterapia

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Fisioterapia Neuromusculoesquelética
Fisioterapia Basada en Evidencia
Fisioterapia en Artes Escénicas

29/05/2026



Bioplasticity refers to the irresistible force for change in all our bodily systems.

Changes in our biology are inevitable, but how we change is not. This means that there are things you can do right now to guide your change over time.

Many factors influence pain and its clinical trajectory. The trajectory can differ markedly based on an individual's understanding of pain, and whether there is a mindset of hope or one of decline or stagnation.

A person’s understanding of their pain condition plays a major role in shaping long-term pain outcomes.

Through bioplasticity, change is possible – and it is an enormous driver of a person's outcome.

PMID: 26761387

23/05/2026



💥ARTHRITIS💥

Brand new guidelines out…

👉Exercise helps
👉Sitting to much doesn’t
👉No magic protocol
👉Support is essential

Great work by and colleagues…
Go follow him for great research and advice

Photos from DPN Fisioterapia's post 15/05/2026



¿Vas a intentar resolver el malestar del día levantándose solo un poquito de la silla?1

Mucha gente lo hace...se levantan un poco de mueven y vuelven.

Pero el problema no es sólo parar, pero sí como interrumpes ese tiempo.

Un estudio reciente mostró que las pausas con ejercicio a lo largo del dia pueden ayudar a reducir el desconfort.

Pero hay un detalle importante:

👉 no cualquier pausa 🥺

Caminar suave, en varios casos, no fue suficiente.
Lo que mejor funcionó fueron actividades más intensas — como subir escaleras, estirar de forma dirigida o ativar a musculatura.

E hay más:

⏱️ com cerca de 40–50 minutos sentado, o músculo já começa a a sentir

O sea…
No esperar doler pra actuar

👉 Intereumpe antes
👉 Elije mejor el ejercicio
👉 dar intensidade suficiente

Pequeñas elecciones a lo largo del dia hacen la diferencia.

📚 Zeng J et al. Can exercise snacks alleviate musculoskeletal discomfort in prolonged sitting? BMC Public Health, 2026.

Photos from DPN Fisioterapia's post 08/05/2026



El dolor crónico no es solo "cosa de la cabeza"...

pero tampoco es solo algo que afecta al cuerpo 👀

Si vives con dolor, lo sabes:

Hay días en que todo pesa más: tu cuerpo, tu mente, tu rutina...

Pero hay buenas noticias:
la ciencia está empezando a analizar la otra cara de la moneda (no solo la física) 👇

👉 ¿Qué te ayuda a sobrellevar mejor el dolor?

Y no se trata solo de medicamentos o tratamientos 👇

✔ Creer que puedes manejar el dolor
✔ Mantenerte activo (a tu manera)
✔ Contar con personas que te apoyen
✔ Cuidar tu salud mental
✔ Dormir mejor y tener una rutina más saludable

Todo esto puede marcar una gran diferencia 💡

No se trata de ignorar el dolor…
se trata de fortalecer aquello que te sostiene incluso con él.

👊 Para quienes trabajan en este campo:

quizás el camino no se trata solo de "solucionar problemas",

sino también de desarrollar recursos y adaptarlos individualmente.

💬 Dime: ¿cuál de estas opciones te resulta más útil hoy?

📚Moore, Barry E., et al. “Protection from Chronic Musculoskeletal Pain: A Scoping Review.” European Journal of Pain, vol. 30, 2026, e70273. https://doi.org/10.1002/ejp.70273

01/05/2026



Muy buen video para educar a los pacientes sobre los mecanismos de lesión del LCA.

17/04/2026



It's a long video (for modern parameters 🙄, but very instructive).

The body always tells the truth about what the nervous system has been holding.
Luka’s hamstring didn’t give out because of his conditioning. It gave out because of everything else.

02/04/2026



Does slow and steady always win the race?

Our growing understanding of persistent pain has expanded how we think about treatment and clinical reasoning.

Causal mediation analyses suggest that improvements in pain and disability are more closely related to changes in:

Beliefs about pain
Pain catastrophising
Pain self-efficacy

This helps explain why someone can improve in objective measures like strength or range of motion, yet still experience pain.

So, what does that mean for how we prescribe exercise?

For some people, gradual, graded exposure is helpful.

For others, going too slow or too light may inadvertently reinforce the idea that they are fragile or need protecting.

In those cases, a more meaningful increase in load or engagement with the feared activity might be more helpful.

If someone is worried that lifting heavy will cause harm, then lifting something meaningfully heavy, and being okay, can provide credible evidence that challenges that belief.

Not as a rule. Not for everyone. But as an option worth considering.

How deliberate are we in using movement, exercise, and behavioural experiments to actually target these mediators?

27/03/2026



Some days it’s not the exercises that exhaust you, it’s the thinking. How many tabs have you got open today?

Often in my work it’s not always about adding to the load and getting people to do more and add more in their life, sometimes it’s about taking away.

What most people don’t always see is the cognitive work happening behind the scenes in all the mental tabs open during injury rehab.

This could be constant pain monitoring, risk assessment, decision-making about whether to push or pull back, holding professional advice in working memory, managing uncertainty, recalibrating identity, scanning for signs of progress or threat.

So if you’re feeling mentally tired even on days you haven’t “done much” physically it makes sense. Your brain is running a full-time recovery operation where it’s updating predictions about pain, relearning safety, and trying to protect what matters to you whilst holding lots of tabs open.

Photos from DPN Fisioterapia's post 06/03/2026



Para flipar 😱

Por aquí te lo he dicho varias veces. Puede que lo contemplaras ya como el amigo feo del placebo. Pero no sé si realmente eres consciente de hasta dónde puede llegar el poder de lo que decimos.

A mí personalmente estas cosas me parecen una salvajada y estos ejemplos me rompieron bastante el 🍑

La cosa se complica pues luego no todos somos igual de susceptibles a recibirlos pero mínimo merece que lo tengamos en cuenta.

Photos from DPN Fisioterapia's post 20/02/2026

with

We’ve been treating MSK pain like it’s a loose screw.

“Tight.”
“Weak.”
“Out of alignment.”

Meanwhile the nervous system and immune system are in full-blown crisis mode… and we’re still arguing about hip flexors.

Pain isn’t just biomechanics. And if that’s your entire model, you’re practising 2005 rehab in 2026 biology.

Manual therapy isn’t the villain.

But pretending it explains everything?
That’s lazy.

👇 Physios - is biomechanics enough?
👇 Patients - were you ever told your body was “out”?

If this post makes you defensive…

Good.

Now ask yourself .. are you defending evidence…
or your identity?

Let’s keep it evidence-based 👇

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