Chris C

NHS FCP & MSK Interface. Exercise advocate. Non Medical Prescriber. Cautious Injector. Exercise Induced Leg Pain clinical interest

[Chris C @ChrisCow80]

@keithgraham @DrJN_SportsMed @bellkneesurgeon @clairepatella 😳

[Chris C @ChrisCow80]

@keithgraham @GatesPhysio Private ortho opinion / imaging does not preclude being able to access official ortho NHS pathway in Bristol. As you say potentially saves contacts so long as it’s consented to be shared & quality of imaging acceptable. Probs worth feeding back to GP directly?

[Chris C @ChrisCow80]

@snickalous If suspicion of septic joint I’m defo sending to A&E with explanatory cover letter

[Chris C @ChrisCow80]

@physiojack @DrJN_SportsMed AKA steps

[Charlie Clements @ClementsCharl96]

1) Back with some useful articles related to all things spine & leg pain 🧠

[Chris C @ChrisCow80]

@CombatSportPhys In Bristol we expect triage to MSKI / MCATS service. I’d anticipate the patient heading to Physio for some formal rehab after this but it’s a specialist opinion (although not named consultant) so this may be a good middle ground. It’s always complex & nuanced as you say

[Chris C @ChrisCow80]

@GatesPhysio @keithgraham @suzy_speirs Also available on the NHS (with acknowledged long waiting times 🧐)

[Jo Gibson @ShoulderGeek1]

⁦@Bill_Vicenzino⁩ CSI negates any effect of physio in lateral tendinopathy 🙈- reinforcing the message #shoulderstudyday2023

[Charlie Clements @ClementsCharl96]

1) An overview of Deep Vein Thrombosis

[Journal of Brown Hospital Medicine @BrownJHM]

Pharmacology drug classes @medics_AbuSaif #Medtwitter #MedEd

[Chris C @ChrisCow80]

@DrJN_SportsMed Interested in what the plan is?

[Christopher Eccleston @Chris_Eccleston]

Today I feel the need to send this again @wellcometrust :
If you read nothing else in this important series from
@PAINTheJournal
read this commentary from
@raebe
& #EijaKalso: https://t.co/nEQPlIfPbs
#PainEvidence #PainPatientsDeserveBetter

[Chris C @ChrisCow80]

@DrJN_SportsMed 🤦🏼‍♂️🤨

[Charlie Clements @ClementsCharl96]

An infographic with a brief look at PADS 💡

[Chris C @ChrisCow80]

@AdvPhySolutions None In Bristol

[The BMJ @bmj_latest]

"While clinicians must respect patients’ preferences, they must also offer treatment when evidence shows the potential for substantial benefits."

We now have much better evidence to approach these conversations on statins, say @safinmc and Neal S Kleiman
https://t.co/D3NkFhL1NP

[Chris C @ChrisCow80]

@keithgraham @SportDocBedford @DrMarwanAl_D @TendonImaging @JohnLeddyUK Thoughts on ACJ anatomically guided injection? most large joints feel reasonable to me eg your knee convo above (I’ve anatomically injected for ten years but don’t do USGI) but ACJ or small hand / foot joints feel harder with reasoning if poor outcome (as you say @keithgraham ).

[Chris C @ChrisCow80]

@BillingMartin Nuanced & pt dependent as u say but in Bristol we have no formal rule on max in a lifetime (but limit number per year). I wld expect any clinician injecting the same structure more than x2 wld refer on for specialist opinion or sense check with colleague as a minimum

[Shoulder Doctor @ShoulderDocUK]

Are steroid injections for Musculoskeletal conditions risky for COVID-19 ? Great paper ⁦@dan_lethbridge⁩ https://t.co/HuOh7sLMLg

[Chris C @ChrisCow80]

@Sport_Ex_Dr Interesting - how acute is it? What’s the proposed action now?