A whole person approach to musculoskeletal health and healthy aging.
Ontario, Canada
Joined October 2011
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- Following205
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Massage therapy can improve quality of life for individuals with a variety of conditions. Acknowledging the multidimensional nature of massage therapy paves the way for an evidence-based understanding of how massage therapy works.
Richard Lebert retweeted
The role of inference in musculoskeletal pain: an (En)Active Inference Masterclass for clinical reasoning, communication and person-centred care
sciencedirect.com/science/ar… @dibbygibby @chadcookpt @CorKinetic @GiacomoRoss86 @CerritelliF, Dave Newell, Alvisa Palese and Karl Friston
Richard Lebert retweeted
Great to see this finally published. Great working with a super team @dibbygibby @Tash_Stanton @Pain_NeuRa @drniamhmoloney @LSchneiderPT Thorvaldur Skuli Palsson, William Gibson and Ben Wand
authors.elsevier.com/sd/arti…
Richard Lebert retweeted
Our @BMJMedicine network meta-analysis (151 trials) found no moderate or high-certainty evidence that any drug provides important benefits for fibromyalgia.
Some drugs may help some patients - evidence is low certainty and benefits are typically small:bmjmedicine.bmj.com/content/…
Richard Lebert retweeted
We don't get people more active with slogans like "exercise is medicine". We get people more active by removing environmental barriers and building our towns & cities to promote active lifestyles.
Richard Lebert retweeted
Explaining pain & its psychosocial influences is challenging. Mixed mechanisms is the norm, not the exception. My clinical focus is not to get lost in the neuroimmunology but instead identify modifiable targets (while acknowledging non-modifiable influences) of care.
🤖 Made with AI
Richard Lebert retweeted
Osteoarthritis pain masterclass: Moving beyond structure to mechanism-based clinical reasoning
mskscienceandpractice.com/ar…
Richard Lebert retweeted
🚨 Efficacy and evidence certainty of traditional Chinese exercises for musculoskeletal disorders 💪
New #FREE umbrella review of meta-analyses 📄
Link ➡️ bit.ly/4hHYktv
Richard Lebert retweeted
Those who are relatively inactive start losing muscle mass as early as in their 30's. Resistance training is the most effective intervention to reverse this loss and restore functionality
Full episode at: youtube.com/watch?v=FDwVoJ8-…
Richard Lebert retweeted
Which type of exercise is better for improving cardiometabolic health: aerobic training or resistance training?
The answer: They are complementary.
Our new meta-analysis indicates that aerobic and resistance training provide distinct benefits that work together to produce a synergistic effect on cardiometabolic health.
Bottom line: It doesn't have to be an either-or decision. Do both.
Kudos to @alexbatrakoulis for spearheading the paper 💪
jssm.org/jssm-25-637.xml-Ful…
Richard Lebert retweeted
Would you recommend HIGH-impact exercise for patients with hip or knee OA? 🤔⚡️
The latest evidence shows that high-impact may be just as beneficial (or more so!) as low-impact exercise for the prevention of joint replacement
Read the full study here 👉 bit.ly/4aM7r8e
Richard Lebert retweeted
Just published 🔥
𝗧𝗵𝗲 𝗲𝗳𝗳𝗲𝗰𝘁 𝗼𝗳 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗼𝗻 𝗰𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗽𝗮𝗶𝗻: 𝗮 𝘀𝘆𝘀𝘁𝗲𝗺𝗮𝘁𝗶𝗰 𝘂𝗺𝗯𝗿𝗲𝗹𝗹𝗮 𝗿𝗲𝘃𝗶𝗲𝘄 𝗮𝗻𝗱 𝗺𝗲𝘁𝗮-𝗺𝗲𝘁𝗮-𝗮𝗻𝗮𝗹𝘆𝘀𝗶𝘀
pubmed.ncbi.nlm.nih.gov/4241…
Richard Lebert retweeted
Exercise Training in High-Risk Populations: A Scientific Statement From the American Heart Association
ahajournals.org/doi/10.1161/…
Richard Lebert retweeted
For the first time, scientists have linked Chronic Fatigue Syndrome directly to the brain's clearing system.
sciencealert.com/scientists-…
Richard Lebert retweeted
Physical activity and exercise for the management of chronic low back pain as a component of multimorbidity: from problem to practice
rbf-bjpt.org.br/en-physical-…
Richard Lebert retweeted
The takeaway for health policy from our paper in @BMJMedicine : for chronic #backpain we need to pivot our focus toward long-term self-management, and sustainable lifestyle/behavioral modifications.
🔗 doi.org/10.1136/bmjmed-2025-…
👇 90s video summary
Richard Lebert retweeted
Your knee is a living, biologically active organ. Cartilage is maintained by cells that respond to their chemical environment, and the primary driver of OA progression is not mechanical grinding.
It is chronic, low-grade inflammation that poisons the environment in which those cells are living.
So we need to stop thinking mechanically and start thinking more biologically. Our cartilage responds favorably to the same stimuli that improve our overall health and wellness.
This is precisely why high intensity exercise in moderate OA (grade 3 of 4) decreases pain and actually increases cartilage thickness.
Richard Lebert retweeted
Your brain is not shaped by a single decision. It is shaped by thousands of exposures accumulating across decades.
Every night of poor sleep.
Every chronic stress cycle.
Every city you lived in.
Every relationship.
Every hormone fluctuation.
Every period of cognitive overload.
Neuroscience now refers to this as the exposome.
The total environmental and biological load acting on your brain across your lifespan.
What most people experience as “intuition” or “mental sharpness” is often the visible output of invisible exposures interacting with neural architecture for decades before the moment arrives.
Your cognitive performance did not emerge in isolation.
It was built.
Richard Lebert retweeted
The artificial divide we have drawn between mental and physical health is the largest mistake in medicine.
Maintaining this divide creates stigma and worse care for all.
Richard Lebert retweeted
This is the 2025 update of the European Alliance of Associations for Rheumatology (EULAR) recommendations for physical activity in people with inflammatory arthritis and osteoarthritis.
Richard Lebert retweeted
Arthroscopic Partial Meniscectomy for Degenerative Tear — 10-Year Outcomes | New England Journal of Medicine nejm.org/doi/full/10.1056/NE…
In 2002, I watched hundreds of surgeons jump out of their seats to blast a speaker.
They called his study "unethical" and "impossible."
@NEJM
