๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength) header
๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength) profile picture

I help people build durable health and performance through evidence-based biology, psychology, and behaviour change Program link in bio ๐Ÿ‘‡

London, England
Joined August 2016
Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)Photo by ๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ (@physio_strength)
๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Healthcare professionals You do not diagnose OA from an XR thanks, from everyone not stuck in 1950
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
I disagree. Listening and good communication skills are the most important. Exercise "prescription" doesn't happen without them.
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Coffee may be doing far more than delivering caffeine. Recent research suggests even decaf can influence inflammation, mood, stress biology, and the gut microbiome. For people carrying chronic invisible load, that's a useful reminder:
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Nope. Running actually helps preserve your joints. If you donโ€™t like to run donโ€™t runโ€ฆ but donโ€™t say worthless nonsense like this.
Running has to be the worst sport out of all: > not fun at all > destroys joints > no meaningful goal > extremely stressful > makes you low T > ages you fast > gives you skinny fat physique > inefficent to lose weight
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
All these budding exercise physiologists and strength coaches. ๐Ÿคฆโ€โ™‚๏ธ๐Ÿคฆโ€โ™‚๏ธ This is made up slop. Walk all you want. None of your muscles are working hard when youโ€™re walking and your adductors are firing too. Is walking enough? No. You need strength and power training too. And no. This is not how knee OA arises. Why donโ€™t these guys keep developing apps and posting their incomes in their bio ๐Ÿคฃ
The healthiest habit in America is quietly destroying millions of knees. Walking 15,000+ steps a day builds your heart, your lungs, your endurance. It also loads the same five muscle groups in the same direction, 5.5 million repetitions per year, while the muscles responsible for keeping your knees from collapsing inward barely fire at all. Your body moves in three planes. Sagittal (forward and back), frontal (side to side), and transverse (rotation). Walking is almost entirely sagittal. Quads, hamstrings, glutes, calves: all getting hammered. Your adductors, the five muscles along your inner thigh, work in the frontal plane. They stabilize the pelvis, keep the knees tracking straight, and prevent the femur from drifting into varus alignment under load. During level walking, they activate at a fraction of their capacity. Along for the ride. Run that imbalance for a decade. The outer thigh gets progressively stronger. The inner thigh stays the same or atrophies. The knee joint, caught between two muscle groups pulling in opposite directions, starts absorbing asymmetric force with every single step. Cartilage wears unevenly. The medial compartment takes the hit first. This is how knee osteoarthritis develops. Knee OA now affects roughly 23% of the global adult population. In the US alone, surgeons perform nearly 800,000 total knee replacements per year at $30,000 to $50,000 each. That number is projected to hit 3.5 million annually by 2030. Patients with knee OA show 8 to 24% weaker hip abductor and adductor muscles compared to healthy controls. A longitudinal cohort study found that weaker hip muscles predicted faster OA progression. When the NHL gave players with weak adductors a 6-week strengthening program, injury rates dropped from 3.2 to 0.71 per 1,000 game exposures. 78% reduction from targeting one muscle group. The doctor telling this personโ€™s dad to walk less is treating the symptom. The imbalance is the disease. Copenhagen planks, lateral lunges, side-lying adductions. Fifteen minutes, twice a week. Thatโ€™s the difference between a $40,000 surgery and a body that can actually handle its own mileage.
Readers added context they thought people might want to know
This exaggerates any risk from walking, which is shown by multiple independent studies to be excellent exercise, and does not cause osteoarthritis in knees. x.com/hjluks/status/โ€ฆ
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
If your orthopaedic surgeon is arrogant enough to say to you โ€œyou donโ€™t need physiotherapy after your operationโ€, then you should run a million miles for them ๐Ÿคฌ๐Ÿ˜ก
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
MEDICINE DUJOUR: There is NO such thing as a magic pill. ALL cardiometabolic markers revert after one stops Weight Management Medications. Results appear to be robust.
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
This paper did not say or demonstrate that long term degeneration was prevented. They just said the fragment could be fixed back.
๐ŸŽฅ VJSM Patellofemoral Special Issue: Surgical management of osteochondral fractures following first-time patellar dislocation. Early fixation restores articular congruity and prevents long-term degeneration. ow.ly/VA7k50XkBGP #VJSM #Patellofemoral
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
I have just done a Grok AI review of a question regarding the false positive rate for US imaging of painful tendinopathy. In general it is between 10 and 40%. This is an issue, but the real problem is the lack of a credible reference or criterion standard against which to estimate diagnostic accuracy of tests (including imaging). In general, the main criterion standards are surgical opinion & findings, and MRI. The real clinical question is not whether imaging (US included) or surgical findings reveal pathology, but whether, the pathology revealed is actually *symptomatic*. Pathology DOES NOT equal the cause of pain in MSK conditions. It is fallacious circular reasoning to claim that US imaging has a certain diagnostic accuracy when the reference standard against which it is measured, is another imaging modality for example. Surgica finding are just another form of imaging btw. Research and a different approach is required. I am looking into that.
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
A true honour & a very proud moment. Letโ€™s go reds โค๏ธ
The moment @grace_fisk98 was announced as our new skipper ๐Ÿ’ช
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Please consider donating to help @Valjones2305Val a good friend and colleague of mine, and one of the kindest, cleverest and wittiest physios I know! Val suffered a horrific accident recently that has left her paralysed just after recently kicking breast cancers head in! More details with this link here gofundme.com/f/val-jones-jouโ€ฆ
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
NEW PAPER: Infections can trigger dormant cancer cells. Cancer survivors are advised to consider vaccinations. @Nature
Hidden in the lungs of some breast cancer survivors are tumor cells that can remain dormant for decades โ€” until they one day trigger a relapse. Now, a study shows these rogue cells can be roused from their slumber by viruses such as COVID-19 or the flu. nature.com/articles/d41586-0โ€ฆ
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Yet again another trial shows high intensity strengthening exercise AND low intensity home based exercise helps reduce sub acromial shoulder painโ€ฆ However, only one is gonna turn you into a yoked out beast with boulders for shoulders! ๐Ÿ˜ #ChooseStrength bmcmusculoskeletdisord.biomeโ€ฆ
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Replying to @AdamMeakins
True, but pain management is only a speck of dust in the overall exercise picture. We also want to improve health, strength, conditioning, bone density, neural drive, and many other things that are optimized with higher intensity.
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
The average caloric intake in the USA is 3540 kcal/day (FAO Data) The average physical activity in the USA is less than 20 minutes per day The average person is overweight/obese But you think seed oils explain the health crisis? You need to get your head examined
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Nope, you donโ€™t know the best six exercise to fix XYZ. Nope you havenโ€™t found the best way to release fascia and negative emotions. Nope your stupid exercise isnโ€™t essential for โ€œopening my hips. You are spouting bull ๐Ÿ’ฉ for clicks and likes. Now go away off my time line.
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Replying to @exfatloss @BioLayne
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
This will be great for millions of people in chronic pain if @hubermanlab and @PeteOSullivanPT do get to talk! ๐Ÿ”ฅ
A lot of respect for this ๐Ÿ‘‡๐Ÿ‘‡๐Ÿ‘‡@hubermanlab
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Trying to inform patients about the lack of effectiveness and risks of many non-evidence-based โ€˜feel goodโ€™ treatments is often difficult, awkward, time consuming, and not well rewarded! Many patients donโ€™t care and in some cases make complaints or write negative reviews about how you didnt โ€˜treatโ€™ them! Its incredibly hard to be an evidence based physio whilst also trying to develop a good reputation and earn a reasonable living. My utmost respect and support to all of you still trying! ๐Ÿซก
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๐—ฆ๐—ฐโšฝ๏ธ๐˜๐˜- ๐—ฃ๐—ต๐˜†๐˜€๐—ถ๐—ผ ๐—ฆ๐˜๐—ฟ๐—ฒ๐—ป๐—ด๐˜๐—ต ๐—–๐—น๐˜‚๐—ฏ retweeted
Eye-opening revelations from an MD who says โ€œliesโ€ taught in med school are impacting our health.
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