Advanced MSK and First Contact Practitioner NHS. University of Liverpool Athletic Union. Former Academy Physio at Blackburn Rovers ⚽️Views are my own.

Liverpool, England
Joined August 2011
UK advanced MSK physiotherapists - participants are needed for my @LiverpoolHopeUK MSc study comparing clinician triage decisions with AI using 49 simulated GP referrals. Full details and survey: app.onlinesurveys.jisc.ac.uk… Your help is much appreciated!
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Providing HOPE for people with chronic back pain - separating fact from myths. I have had so many thankful people contact me about this podcast. Please share it with your networks. youtube.com/watch?v=U4RO8UjI…
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Patellar Tendon Loading based on a great paper by @scattonesilva et al.
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Biceps Femoris Activation during Hamstring Strength Exercises: A Systematic Review Luis Llurda-Almuzara et al 2021
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Max Sedgwick retweeted
After this mornings #tendinopathy presentation #ISCPConf23 some were asking for a copy of my assessment form which I've been using. Please feel free to use/share and would love to hear if its useful. SCREENDEM and think of the ABCs to build
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Great work 👍👍👍 ‘Good’ posture doesn’t prevent back pain, and ‘bad’ posture doesn’t cause it | Peter O'Sullivan, Leon Straker and Nic Saraceni for The Conversation theguardian.com/lifeandstyle…
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Stress fractures - a detailed thread 🦴🦴🦴 I thought I'd put together an overview & some clinical nuggets from the 'coal-face' First up, I prefer to call them 'bone stress injuries' - majority don't have a # line on imaging & the language can be scary / nocebic for some
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🧵 Did you know? 🤔 In sports, rupture of the distal biceps 💪 needs ⏱️ management otherwise can = long term impact on optimal return to performance! Now…there are various ‘special tests’ you could consider with various interpretations 🧐 ncbi.nlm.nih.gov/pmc/article… However…
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Physio/NHS friends...come and join our lovely team or share this link 💙 8a Advanced Musculoskeletal Practitioner/FCP B7 physio/ FCP B6 physio 🦴💪🏼🩻🦵🏼 beta.jobs.nhs.uk/candidate/j… @sephton_ruth @MichelleCunnee3 @LauraKeogh84 @SibUllah @pmdids @sarah_mak
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🚨Ever done Babinksi testing and found the patient is very ticklish and has a withdrawal response making it difficult to assess for a true Babinski sign?🤔😭 👇Well read on, in this thread I will go through Babinski and some variations that can be utilised to aid your assessment
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🚨 What is Nociception? 💥 Simply put, it is the biological detection of noxious stimuli. The sensory experience associated with nociception is pain 😣 But!! Pain is far more complex than nociception - they are not synonymous… #MedEd #MedTwitter – at Brisbane, Queensland
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Consent ✅ Proximal femur stress #s happen to normal weight male runners as well! ⬆️ in load for London M L groin & thigh pain - 'hip flexor' signs but +ive Hop & FADDIR MRI - medial femoral stress which is involving iliopsoas tendon at its insertion lesser trochanter #INTHF
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"Routine MRI reports produce a negative perception and poor functional outcomes in LBP". link.springer.com/article/10…
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🤕🤦‍♂️Headache Thread🤦‍♀️🤕 I will try to cover common DDx in 1ry & 2ry Headache, Red Flag/screening Qs, resources/links etc I may add to it over time so consider bookmarking / sharing if useful. Aimed towards MSK clinicians, FCP/ACPs, Primary Care non-medics for now
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Consent ✅ PTTD Thread 🧵 Posterior Tibialis Tendon Dysfunction 75 yr old M. Keen golfer and very fit. 3-4 months of left medial foot pain. Agg: Barefoot. Ease: Rest/insoles. History of standing on broken bottle in river age 13 - lacerated plantar aspect of left foot 🦶🏼 1/7
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Thread alert 🚨🚨🚨 - Medial knee pain! What else should we be considering beyond OA & MCL sprains? Here are some differentials to consider & their clinical presentation 🧐
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Max Sedgwick retweeted
WE'RE ON OUR WAY TO THE CHAMPIONSHIP.
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New FREE paper in which we compare #hamstring fascicle behavior and muscle forces between the Nordic hamstring exercise, Roman chair and deadlift onlinelibrary.wiley.com/doi/… More info, images & videos in thread ⬇️ @kenneth_meijer @BeBiomech @SamVanRossom @NMS_UM @HumanMoveSci_UM
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