To aspirate or not?
If u don't, then this is the risk.
Big interaponeurotic fibrous scar tissue. Pain with calf streching, limited and painful calf raise, pain walking.
@carlespedret
PhysioOVER9000 retweeted
New research shows that high-load (8–12RM) and low-load (20–30RM) training performed to failure produced similar increases in biceps tendon thickness. These findings challenge the common belief that heavy loads are necessary for tendon adaptation and instead support the idea that intensity of effort—not load magnitude—may be the key stimulus for tendon remodeling. Nice work from the lab of @jploenneke
pubmed.ncbi.nlm.nih.gov/4231…
PhysioOVER9000 retweeted
Nope. Running actually helps preserve your joints.
If you don’t like to run don’t run… but don’t say worthless nonsense like this.
PhysioOVER9000 retweeted
🚨NEW PUBLICATION!🚨
We reviewed virtually every major claim behind the seed oil hysteria, and the evidence doesn’t support the fear. The controversy is largely social media-driven, built on ecological correlations, mechanistic speculation, and flawed trials...
How lucky are we!
@DrJN_SportsMed and @lizbayleyphysio presenting on running related injuries!
PhysioOVER9000 retweeted
After 17 years, the ACSM just updated their resistance training guidelines.
So, what's changed?
I'm interested in seeing how many scans other clinicians log weekly and which body part they scan the most. Definitely the knee for me 🤚
@DrJN_SportsMed @lizbayleyphysio (guess I have to add u now), @StewartKerrPT @SportklinikBern @MSKUS_PT_KSA
PhysioOVER9000 retweeted
This graph sums up my thought process on rehab progression for soleus aponeurosis injuries (could be any muscle injury) and how we can be blindsided by re-injury risk.
This is a simplified framework, and timelines are broad to accommodate higher-grade injury classifications.
🧵
PhysioOVER9000 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
PhysioOVER9000 retweeted
📢 Immediate physical therapy is beneficial for adolescent athletes with active lumbar spondylolysis 💪
NEW #OpenAccess paper on this multicentre randomised trial 📄
See👇 the changes in pain and function over time
Paper ➡️ bit.ly/3MFXRKS
PhysioOVER9000 retweeted
Immediate physical therapy is beneficial for adolescent athletes with active lumbar spondylolysis: a multicentre randomised trial
👇👇👇
bjsm.bmj.com/content/early/2…
PhysioOVER9000 retweeted
🚨 NEW: One of the largest COVID-19 vaccine studies ever (28 MILLION people in France) just dropped.
Results?
• 74% lower risk of death from severe COVID-19
• 25% lower risk of all-cause mortality
• No increase in 4-year mortality
• Vaccinated people had lower risk of death from any cause.
In short: mRNA vaccines weren’t just safe — they were protective across the board. 🔥📉
Osteochondral fragment has displaced to the anterolateral joint line following patella luxation.
Non-active female, will initially be managed conservatively. Surgical intervention is indicated if mechanical symptoms such as locking develops.
🚨🚨🚨🚨🚨🚨WARNING🚨🚨🚨🚨🚨
The paper "Ten myths of back pain in older adults that can lead to ineffective and harmful care" that has gone "viral" has A LOT of problems with it!
Most references (35/56) have problems or DO NOT EXIST!
See docs 👇👇
docs.google.com/spreadsheets…
PhysioOVER9000 retweeted
Replying to @ChiroManTher
@ChiroManTher
I think you may have a problem on your hands. This paper is probably written by AI
No drugs, more sex? And Rock’n Roll: effective non-operative treatments and practical management strategies for older adults with lumbar spinal stenosis
pmc.ncbi.nlm.nih.gov/article…
PhysioOVER9000 retweeted
Beware this article has some serious issues in the references and appears to have been produced by AI. There are references that cannot be found, misattribution and AI hallucination type references.
Still waiting from a reply to my emails from the publisher, Journal and author?
Ten myths of back pain in older adults that can lead to ineffective and harmful care
chiromt.biomedcentral.com/ar…
#ChiroTM @ChiroAustralia @ECUchiropractic @royalcolchiro @kiroviden
PhysioOVER9000 retweeted
Pleased to see the first study from my PhD published this week. @ChrisLittlew00d @mmoffatt408 journals.plos.org/plosone/ar…
If you see NHS patients prior to knee replacement - we'd be very grateful if you would consider completing the linked survey of practice forms.office.com/Pages/Respo…




























