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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Under fuelling can impair performance and increase injury risk. Carbs are a vital source of energy for athletes. Eating 3 meals per day and building a routine of fuelling before, during and after training can help ensure energy needs are met. Speak to a Sports Nutritionist for…
For sure. I'd say plenty of MSK issues are local manifestations of systemic issues. @DerekGriffin86 talks a lot about this. Two papers below which I think Derek has shared before nature.com/articles/s4141… nature.com/articles/s4158…
This study bjsm.bmj.com/content/early/… is interesting because ⬆️knee strength in young very active population is associated with higher knee OA risk, whereas ⬇️knee strength in adults are associated with higher knee OA risk. Certainly, seem to suggest it is not causal….
Excited to be travelling back to Helsingborg at the end of February -if you fancy joining us there are still a couple of slots left -details here: hd-pn.com/the-shoulder-s…
🏋️Building muscle and strength is driven less by advanced programs, perfect exercise selection, or fancy splits—and more by high effort. 👉Training close to failure and progressing over time explains most gains💪 pubmed.ncbi.nlm.nih.gov/38970765/
Consent✅ Runner, HIIT Deep left buttock pain Occasionally travels down posterior thigh with intermittent parasthesia & numbness lower leg & foot Brought on with pigeon stretching, yoga, as well 4 point kneeling core hip extension / adduction work 🤷♂️ Sitting main aggravating…
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…
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