MSK & Sports Physio
@PTanildaniel
Founder & Director 3RCLINIC Ltd ( 🇬🇧) http://www.3rclinic.com,@focusprodubai Physio, Shockwave Therapy Specialist, MSK US Scan - Runner too 🏃
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Imaging the Postoperative Knee Meniscus: An Evidence-Based Review doi.org/10.2214/AJR.18… This review analyzes the available evidence regarding imaging modalities used to evaluate patients with recurrent symptoms following meniscal surgery. Postoperative knee pain, swelling,…
Doing the 'battery test' with patients has been really illuminating! It often opens up good conversations about energy levels, sleep and recovery. How is your charge at the moment? 🪫
Tendon rehab is more than just calf raises and hoping for the best. Evidence suggests that tendon stiffness improves most effectively when subjected to 4.5–6.5% strain over several seconds per rep. However, the force required to hit this "sweet spot" is highly individualised. 🧵
This is a really cool study from @MaxRavnMerkel et al. of the clinical & pathological features of early/late tendinopathy. There are likely implications for rx i.e a focus of calming down the tendon (early) vs more traditional resistance training (late). advanced.onlinelibrary.wiley.com/doi/epdf/10.10…
Losing fat without losing muscle? Evidence-based guidelines show that during caloric restriction: 🍗high protein intake (~2–3 g/kg/day) 🏋️progressive resistance training 📉slow weight loss (~0.5–1%/week) 👉best preserve lean mass💪 pubmed.ncbi.nlm.nih.gov/24864135/
There is ongoing debate whether dehydration impairs athletic performance. This blogs outlines important considerations for measuring the effect of dehydration, with consideration for possible sex differences in hydration recommendations. Click here: bit.ly/49Ztqqk
Hip flexion loading is the secret sauce in proximal hamstring tendinopathy rehab🌶️ It builds tendon capacity and confidence. These are some of my favourite progressions👆 Full details in the blog post: tendinopathyrehab.com/blog/the-secre…
What you need to know about managing gout #MedED bmj.com/content/392/bm…
Exercise might be the most underused Alzheimer’s treatment we already have. What the science says 👇 1. Alzheimer’s starts decades early Brain changes happen long before symptoms, which is why prevention matters more than late stage drugs. 2. Exercise lowers Alzheimer’s risk…
Consent✅(although it's me!) Nice example of how even radiologically significant disc bulges can be clinically silent - and how they can regress / shrivel up over time L1/2 disc extrusion causing right sided nerve root compression at 2 levels - but no upper lumbar pain,…
Side planks are surprisingly challenging for the Glutes, especially when you lift the top left!! 🍑🔥
𝗥𝗲𝗰𝗼𝘃𝗲𝗿𝘆 𝗦𝘁𝗮𝗴𝗲𝘀 𝗔𝗳𝘁𝗲𝗿 𝗠𝘂𝗹𝘁𝗶𝗹𝗶𝗴𝗮𝗺𝗲𝗻𝘁 𝗞𝗻𝗲𝗲 𝗥𝗲𝗰𝗼𝗻𝘀𝘁𝗿𝘂𝗰𝘁𝗶𝗼𝗻 🦵 pubmed.ncbi.nlm.nih.gov/41390227/
Muscle activity during running 🏃🏽♀️ The quads, calf and glutes are important shock absorbers and the hamstrings work hardest during the swing phase.
“Train-the-trainers” (TTT) is one of the most common methods used to scale up improvement & change capability across organisations, yet we often fail to set it up for success. A recent article, drawing on teacher professional development & transfer-of-training research, argues…
It’s Christmas! Thinking of my dear friend Val Jones and the challenges she has faced this year. Hence rather than sending cards I will be donating again to her gofundme gofundme.com/f/val-jones-jo… - let's get Val home with her fabulous family.
gofundme.com
Donate to Val Jones’ journey to home, organized by Megan Jones
Our incredible and much loved VAL JONES (Hix), daughter, wife, mum, friend and colleague was th… Megan Jones needs your support for Val Jones’ journey to home
ABDOMINAL WALL ENDOMETRIOSIS: Lower rectus abdominis Intramuscular mass, immediately, deep to c-section scar. Young cross fitter came in to r/o muscle injury with non cyclic pain (which is a frequent presentation in spite of being ectopic endometrial tissue) #msk #ultrasound…
Does CAM morphology in hips lead to osteoarthritis? 🦴⚡️ Results from COACH consortium are in 📄✅ Analysis of 23,886 hips worldwide showed an increased odds ratio of developing OA over 6-8 years. Read the full paper in the BJSM 👉 bit.ly/4pFdkcr
I teamed up with @Liz_Bayley_Physio to create this progressive rehab programme for Plantar Heel Pain. We've called it 'LiTHE' (Liz and Tom's Heel Exercises) and it's aimed at active and sporty patients. It's not a recipe though so it's best to adapt it to suit individual needs.
Does inflammation play a role in tendinopathy? 🤔 We had moved away from it but recent research is suggesting both local and systemic inflammation may be part of the pathology. What do you think?
Running with excessive forward trunk lean can affect efficiency and increase load on the Glutes and Hamstrings. These cues can help! 🏃
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