Charlie Clements retweeted
Consent✅ - this is a beauty 🤓
Elite runner
Crampy, aching lateral knee pain - onset at around 20-30 mins
Seen multiple clinicians - had numerous injections including ITB plus extensive rehabilitation - refractory
Almost 'claudicant' in nature - settles quickly on cessation of exercise - spreads both proximal & distal to lateral joint line
No spinal symptoms & LSp assessment clear
No lateral compartment pathology eg meniscal tear
Had popliteus tendinopathy on US, but minimal response to my initial diagnostic injection
POCUS video -
The inferolateral genicular neurovascular bundle ('pepper pot' structure) is seen compressed under the distal ITB on active knee flexion : terminal extension
Patient localises pain in this area with probe pressure
Injection - hydrodissection (CSI, LA) - fluid seen separating plane just superficial to NV bundle
100% pain relief on extended treadmill test beyond 45 mins 👍
I wonder how many recalcitrant 'ITB' cases are actually neurovascular in aetiology? 🧐
Plan - considering angiography, MR neurography & possible distal ITB release at Gerdy's tubercle if not responsive to injection
Charlie Clements retweeted
Nine months ago I embarked on my very first taught, in person CPD course. Four years in the making. Its been tough but highly enjoyable.
Mastering Lumbar Radiculopathy.
All of my knowledge from the spinal clinic, underpinned by science with a lack of fluff.
I have now delivered five of them. Four in-person courses and a very successful six part, six week online version. I also developed a professional website and managed to complete my ACP Masters.🎓
It is maybe not the most well known CPD course but i think the content speaks for itself and I have now properly finalised all of my artwork for the vascular, hip and myelopathy sections of Day 2 💪
Thank you to those who have supported and collaborated with me in 2025.
I will soon announce a 2026 London Date 🤟
theradicularclinician.com/
@PrimaryCareMSK
@rob_chiro
@martinthomas11
@clinicalphysio
@ClementsCharl96
@physiojack @Martin_Nekkolai
@BillingMartin @Irish_Physio
Charlie Clements retweeted
For the people at the back -
1. Distance runner with ramp in load +/- REDS risk factors
2. Positive hop test
3. Positive FADDIR
4. Weak / painful on iliopsoas testing
This is 99.9% likely to be a neck of femur stress injury
IT ISN'T A TIGHT HIP FLEXOR
Charlie Clements retweeted
What is the State of Play for Degenerative Cervical Myelopathy in Australasia? 🇳🇿🇦🇺🌏
🔓Check out our latest paper published in the @GlobalSpineJ
doi.org/10.1177/219256822513…
@AOSpine
Charlie Clements retweeted
Help us make this the widest and deepest evaluation of first contact physiotherapy & help inform future practice. Please complete our survey
Survey link- forms.office.com/e/xdvCwtf1E…
@thecsp @sharonchanb @physiojack @NeilLangridge @JackAChew @RogerKerry1 @FionaMoffat18 @benedsmith
Charlie Clements retweeted
Appreciate a nod / share
Please also consider adding in any physios you know in Wales & surrounding areas 🫶
@IoannisAthanas7 @rob_chiro @theEndurancePT @ClementsCharl96 @tomgoom
@lioannis @JackAChew @physiojack @DrJN_SportsMed
📣 In just two weeks I’ll be teaching my two-day, in-person MLR course in lovely South Wales. Handful of tickets remaining 😲
📍 St Joseph Hospital
📅 11th & 12th October
🎥 Listen to the bloke below to find out more 👋
📄 Sign up using the QR code in the advert or the link below.
✨ You’ll also find two lovely 1-minute testimonials from two fantastic clinicians, Richard & Theresa, who joined my recent six-part online course 😀
theradicularclinician.com/in…
Charlie Clements retweeted
Next series out now!
Booking Link:
linktr.ee/firstcontactphysio
Charlie Clements retweeted
🎯 UK MSK physios – we need your input!
We’re running a short survey on how psychosocial factors are assessed in MSK care.
🕐 ~10 mins
🔒 Anonymous
📍Open to UK-based, patient-facing physios
👉 uwe.eu.qualtrics.com/jfe/for…
Thank you!
Charlie Clements retweeted
👩⚕️🧠 Been a while since you had a proper red flags refresher?
You're not alone.
In MSK & primary care, it’s easy to default to safety netting or over-investigating! But the confidence to recognise serious pathology early can change everything!!
That’s why we teamed up with @ClementsCharl96 again for his Recognising Red Flags CPD course:
✔️ Half-day, live + interactive
✔️ Real-world cases (no textbook waffle)
✔️ Covers CES, malignancy, fractures, myelopathy + more
✔️ Designed for busy MSK clinicians + FCPs
✔️ CPD certificate and recording access
✔️ Affordable, practical, confidence-boosting
🗓️ Saturday 7th June
🕘 9am–1pm | 💻 Online
🎟️ Reply "discount" to this post and we'll send you a cheeky discount code!
📩 Tickets: eventbrite.co.uk/e/135252333…
Whether you're a new FCP or 10 years in, a solid red flag refresher isn’t just helpful - it’s essential.
#PrimarycareMSK #MSK #FCP #redflags #physio
Charlie Clements retweeted
🚨New paper out! What is the role of non-surgical clinicians in Degenerative Cervical Myelopathy?
💡We synthesise emerging evidence with perspectives from the @AOSpine RECODE-DCM Peri-Operative Rehabilitation Incubator and highlight key knowledge gaps.
🔓doi.org/10.1016/j.bas.2025.1…
Charlie Clements retweeted
A BIG personal update – my Radicular Clinician 2.0 website is now officially live! 😍
It’s taken the best part of six months and is now 99% finished. I’ve taken the best bits from my early self-built version and brought them into something far more refined.
The site is now the home of my Instruction Manual Collection, properly showcases my Mastering Lumbar Radiculopathy course , extra content, and serves as my main point of contact outside of social media.
I’d be really grateful if you took a moment to check it out, say some nice things😆
👉 theradicularclinician.com
Huge thanks to Tedy and the team at T&B Media, Megan Geddis & MHG Photography @PhotographyMhg Jerome Fryer and @dynamicdisc and most importantly, my father Mark Dobson, who has become the face of this wider project over the last three years.
It might not be a big thing by most people’s standards, but to me, it’s high-class and a milestone in my Radicular Clinician journey 😊
Charlie Clements retweeted

Physio Network@PhysioNetwork17 Apr 2025
🇵🇭
PhilippinesConnected via WebAccount-level information, not a live location or per-post device.
👉🏻 We have just launched a new episode of Case Studies Breaking down sciatica @clementscharl96
😎 In this episode, Charlie takes us through an extremely interesting case of a patient who presented to the clinic with sciatica.
📲 Listen now:
🔗 physio.network/sciaticapodca…
Charlie Clements retweeted
🚨 Final Call: Last Few Tickets + 10% Off! 🚨
⏳ Tomorrow’s the day! If you’ve been thinking about joining our Recognising Red Flags in MSK Care course, this is your last chance – and we’ve got an exclusive discount for you.
🎟 Use code: PCMSK10 for 10% off!
Every MSK clinician faces those cases where something just doesn’t feel right. Is it just mechanical pain, or is there a serious red flag hiding in plain sight?
This half-day online course with Charlie Clements @ClementsCharl96 will help you:
✅ Recognise critical MSK red flags like cauda equina, spinal malignancy & vertebral fractures.
✅ Strengthen your clinical reasoning with real-world case studies.
✅ Know when to investigate, refer, or act fast – no hesitation, just clarity.
🎓 Can’t make it live? No worries – you’ll get 30-day access to the full recording!
📅 22nd February 2025 | Online
🎟 Use code: PCMSK10 for 10% off!
🔗 Grab your last-minute ticket now! eventbrite.co.uk/e/113039255…
Let’s make sure we’re all spotting red flags with confidence. See you there!
#MSK #CPD #PrimaryCare #RedFlags #Physiotherapy #FCP
Charlie Clements retweeted
🚩 Are you confident in recognising red flags in MSK care? 🚩
In the fast-paced primary care setting, we’re expected to identify serious conditions, manage complex cases, and provide clear, effective advice within a 20-minute appointment. It’s nuts!
However, let’s be honest:
❓ How confident are you in identifying early signs of cauda equina syndrome and how to navigate the complexity and variability of this condition?
❓Would you feel prepared to manage a patient with suspected spinal cancer?
❓ Could you differentiate between a vertebral insufficiency fracture and mechanical back pain?
The stakes are high, and the pressure is real.
Missing a red flag can have life-altering consequences for patients, and it’s something we all want to avoid!
That’s why we’re hosting “Recognizing Red Flags,” with the brilliant @ClementsCharl96 ! A half-day course designed to equip you with:
- Clear strategies to identify and respond to critical red flags.
- Confidence in managing serious conditions using evidence-based tools.
- Case studies that enhance your clinical reasoning and decision-making skills.
📅 Mark your calendars: Saturday, February 22nd, from 9:00 AM to 1:00 PM.
📍 Join us online (from anywhere in the world!)
🎥 Recording available
🎟️ Tickets are available, but I should let you know that spaces are limited. Click below to secure your spot:
eventbrite.co.uk/e/113039255…
💡 What’s the most challenging red flag you’ve encountered in MSK care? Let me know below! 👇
Charlie Clements retweeted

Physio Network@PhysioNetwork2 Dec 2024
🇵🇭
PhilippinesConnected via WebAccount-level information, not a live location or per-post device.
🦵 Posterior leg pain can be way more than just sciatica!
🤓 Want to learn more?
🍿 Watch our Masterclass: “Spine Related Leg Pain” with @ClementsCharl96
🚀 You can watch this Masterclass right now with our 7 day FREE trial:
🔗 physio.network/spinerelatedl…
Charlie Clements retweeted
🚨 Big news! Are you ready to sharpen your clinical skills in 2025? 🚨
As a clinician, you've likely faced those cases that make you pause. Is it serious? Is it a red flag? What’s the next step?
Join @ClementsCharl96, FCP and Specialist Physiotherapist, for an exclusive course designed to help you:
✅ Recognise and manage serious pathologies with confidence.
✅ Strengthen your clinical reasoning through real-world case studies.
✅ Understand investigations and management strategies for critical conditions.
🔗 Waitlist now open! And with limited spaces available, sign up here for your chance of joining us 👉🏾
primarycaremsk.co.uk/recogni…
Don’t let critical cases leave you second-guessing. Be prepared, be confident, and deliver better outcomes for your patients!
hashtag#Primarycaremsk hashtag#MSK hashtag#FCP hashtag#ClinicalExcellence hashtag#CPD
Charlie Clements retweeted
Join @ClementsCharl96 for a dive into the world of serious pathology!
Only next week, last spots
cor-kinetic.co.uk/Recognisin…
This one is starting to get busy.
Come and join @ClementsCharl96 as he takes you through what you need to know about 🚩🚩 & serious pathology!
Only one day! cor-kinetic.co.uk/Recognisin…
Charlie Clements retweeted
This one is starting to get busy.
Come and join @ClementsCharl96 as he takes you through what you need to know about 🚩🚩 & serious pathology!
Only one day! cor-kinetic.co.uk/Recognisin…
Charlie Clements retweeted
Been asked a number of times re groin patterns recently by DM and i’m teaching sessions so thought i’d re post this.
Charlie Clements retweeted
My course title has had a little upgrade 😍
MASTERING LUMBAR RADICULOPATHY
Are you North or are you South (of Nottingham).
This November, I'll be running one of my first-ever 2-day courses. The early bird for the November course ends on the 1st of October. In December, I'll be hosted by the wonderful @CorKinetic down in Twickenham.
Book up below or use the QR code in the image👇👇
theradicularclinician.com/in…
Thanks to the following for your support @CorKinetic @BWhybrowPhysio @ClementsCharl96 @FirstContactEdu Thomas Jesson































