Chris Avdalis

Musculoskeletal Physiotherapist @NthSydHealth and @apaphysio with interests in shoulder pain and knee osteoarthritis, and football fan(atic). Views my own.

[DrKevHo 👨‍⚕️🎮 @DrKevHo]

Upcoming Continuing Education Lecture (CEL)! 🎮🕹️👾🖥️🖱

FREE for @apaphysio Students and Musculoskeletal National Group members

Register here: https://t.co/5kEQvpYoCy

[Chris Avdalis @ChrisAvdalis]

Last chance to register! 2 sleep to go: https://t.co/FOJ51KQhZJ @apaphysio

[Chris Avdalis @ChrisAvdalis]

I'll be talking about common mistakes in the management of shoulder conditions along with Tara Lambert for the NSW Musculoskeletal Group and the NSW Orthopaedic Group of @apaphysio on 19 October at 7pm at North Ryde. Come along & register here: https://t.co/FOJ51KQhZJ

[Chris Avdalis @ChrisAvdalis]

@AdamMeakins @ADLynchPT Yep, roughly just divide the N/kg value by 10 and that's your percentage. So in Edd's example we have 0.218, which is 21.8% of body mass. Quick math. 😂

[Chris Avdalis @ChrisAvdalis]

8 days to go! For Sydney based physios, there's still time to register: https://t.co/FOJ51KQhZJ

@apaphysio

[Chris Avdalis @ChrisAvdalis]

I'll be talking about common mistakes in the management of shoulder conditions along with Tara Lambert for the NSW Musculoskeletal Group and the NSW Orthopaedic Group of @apaphysio on 19 October at 7pm at North Ryde. Come along & register here: https://t.co/FOJ51KQhZJ

[Journal of Physiotherapy @JPhysiother]

Physiotherapist @ChrisAvdalis presents an innovative, triage-based model of care that reduced wait times for people with shoulder pain referred to a Sydney orthopaedic clinic

Great work Chris 👏

@apaphysio #ignite23

[Chris Avdalis @ChrisAvdalis]

@TheoKapa67 @JPhysiother @apaphysio We transferred care to the surgeons if there was an indication for surgery, but also if the patient requested it. I think there are a number of pathologies that warrant surgical opinion, but may not necessarily proceed to surgery. We only had a small sample though!!

[Chris Avdalis @ChrisAvdalis]

@TheoKapa67 @JPhysiother @apaphysio It's a little counter intuitive, but the higher this metric is in the triage setting usually means that the patients that surgeons are seeing are the ones that actually need surgery. Better allocation of resources...

[Chris Avdalis @ChrisAvdalis]

@TheoKapa67 @JPhysiother @apaphysio All shoulder pain presentations, but this conversion to surgery stat is only for patients who were specifically referred to surgeons after initial triage and assessment by a physiotherapist.

[Chris Avdalis @ChrisAvdalis]

I'll be talking about common mistakes in the management of shoulder conditions along with Tara Lambert for the NSW Musculoskeletal Group and the NSW Orthopaedic Group of @apaphysio on 19 October at 7pm at North Ryde. Come along & register here: https://t.co/FOJ51KQhZJ

[Chris Avdalis @ChrisAvdalis]

ONE WEEK TO GO! Ray Jongs is an absolute master of upper limb neuroanatomy and will be talking about common sites of peripheral nerve entrapment @apaphysio NSW Branch at Ryde next Tuesday. Come and join, free for MPA members and students!

[Chris Avdalis @ChrisAvdalis]

July PD event! Ray Jongs will be talking about the anatomy behind upper limb nerve entrapments at the @apaphysio NSW Musculoskeletal Group lecture on 25 July at 7pm at NSW Branch. Ray is an absolutely amazing clinician and researcher. Register here: https://t.co/Z7NJQ5JU7q

[Chris Avdalis @ChrisAvdalis]

@adamdobson123 @thomaskffmn Doing a bit more reading about Oxford scale, always against examiner resistance. Technically, I think I need to change my answer to grade 5 😂. But MMT would not be adequate to pick up mild weakness of S1/ankle PF though. 5/5 ≠ full power...most wouldn't read it this way though?

[Chris Avdalis @ChrisAvdalis]

@adamdobson123 @thomaskffmn But in terms of documentation, I totally understand the flaw you're pointing out here!

[Chris Avdalis @ChrisAvdalis]

@adamdobson123 @thomaskffmn Clinically, I wouldn't be worried about it in a 60yo with that issue bilaterally...well within normal IMO. If one side could perform SLHR and clinical symptoms of S1 radiculopathy on weak side however, I'd take the SL heel rise as a more appropriate indicator of power loss.

[Chris Avdalis @ChrisAvdalis]

@adamdobson123 @thomaskffmn Just read a bit more of your thread/replies...I see your point about Oxford being against examiner resistance and trying to fit a functional test within that. I suspect Oxford definition of "full rom against gravity with maximal resistance" stumping so many.

[Chris Avdalis @ChrisAvdalis]

@adamdobson123 @thomaskffmn I was going to ask age and bodyweight as well! Contralateral side performance would also help me grade, esp if I'm only expecting unilateral problem. But I can't see how you could give 5 in the above scenario

[Chris Avdalis @ChrisAvdalis]

@DrJN_SportsMed @xlgriffin Really curious about LA in hips. Would you always expect positive anaesthetic response in symptomatic hip OA? If structure like subchondral bone was nociceptive source would LA have an effect? Have seen patient before with negative LA/CSI response but great THR outcome.

[Chris Avdalis @ChrisAvdalis]

July PD event! Ray Jongs will be talking about the anatomy behind upper limb nerve entrapments at the @apaphysio NSW Musculoskeletal Group lecture on 25 July at 7pm at NSW Branch. Ray is an absolutely amazing clinician and researcher. Register here: https://t.co/Z7NJQ5JU7q

[Chris Avdalis @ChrisAvdalis]

Amazing discovery research going on @SydneyMSK by @littlecb5001 and colleagues... "Bad joints lead to broken hearts" - interesting work showing links between OA and the development of cardiovascular disease may be causal, not just due to shared risk factors! #osteoarthritis

[Osteoarthritis Clinical Research Group @OAClinicalRes]

The importance of discovery research in finding a cure for #osteoarthritis 🔬@littlecb5001 @SydneyMSK

[Chris Avdalis @ChrisAvdalis]

Looking forward to another cracker of a program for the UQ Master's Conference. Good luck to all the presenters! Remember being in this position 3 years ago now!! @Bill_Vicenzino #UQ_physio

[Chris Avdalis @ChrisAvdalis]

Just a reminder to reach out to the @apaphysio Musculoskeletal NSW committee if you have any ideas for PD, evening lectures, or any other advocacy issues. We had a wide ranging meeting last night discussing all things MSK physio in NSW! #physiotherapy https://t.co/D2ckc2RPl1