❄️FROZEN SHOULDER❄️
Just published narrative review…
😲Watchful waiting = Physio
💊Low dose steroid = high dose
🔍Ultrasound CSI guided NOT superior to landmark
💥Hydrodistension promising…
Full text: https://t.co/IBP3hhpoW5
More injection CPD here: https://t.co/6D81EaZXAi
8/20 (40%) of overhead athletes have a partial/full thickness tear of their cuff on MRI 👉 none developed pain over the next five years!
https://t.co/4xQGRpy1a8
First contact (MSK) practitioners, or FCPs, have it tough, in my opinion.
There are great expectations about what they can do in primary care, and for some, their function has become distorted. This distortion is partly due to pathway limitations, partly because of clinician aspirations, and partly due to the perception of their role as simply 'doing physio.' Often, this results in dissatisfactory outcomes. FCP consultations are short, e.g., 10-20 minutes. For this reason, I don’t think they should attempt to be all things to all people.
Here are some Do's and Don'ts as someone working in MSK and as someone who receives referrals from FCPs.
@julia_tabrah and I have developed a London Spinal Fracture Pathway. Feedback from the five London Spine networks have been incorporated and it is now ready to launch. It is designed to be adapted to your local service, alongside your key stakeholders. Please DM for PDF version.
Systemic lupus erythematosus is a severe multisystem autoimmune disease that can cause injury in almost every body system.
This State of The Art Review provides a comprehensive current summary of the disease #MedEd
https://t.co/8rVpmcf3Kh
Following consultation @NHSGIRFT CES interactive tool is now live. NSN are proud contribution partners.
The easy-to-navigate, web-based tool is designed for use by clinicians at every stage of the patient pathway!!
Link below to share, discuss & use!!
https://t.co/ogcWEt4A4l
"Strong association of depression and anxiety with the presence of back pain while impact of spinal imaging findings is limited".
https://t.co/ptxjwV0oU2
Avascular Necrosis of the Femoral Head (AVNFH) is a disease of the proximal femur and, if untreated, 80% of cases progress to femoral head collapse and secondary arthritis.
Early diagnosis is essential and relies on clinicians maintaining a high level of suspicion of the disease in patients with unexplained hip pain, especially in young and active individuals.
MRI is the GOLD standard for diagnosis.
When it comes to the treatment of early or ‘pre-collapse’ AVNFH, there remains no firm consensus.
There is a distinct lack of large, randomized controlled trials, and no level 1 evidence.
Full Link
https://t.co/Ad45lR544T
@GatesPhysio @thomas_jesson @DerekGriffin86 nice resource here with some great embedded resources and extensive references on natural history of various body parts and MSK conditions https://t.co/6hlAiwVxMt
Well this is fascinating!!
Occupational physical activity raises markers of inflammation, while leisure-based physical activity has the opposite effect.
Really nicely-written paper, discussing the confounding variables as well as direct results. 👇👇
What's the BEST exercise for BACK PAIN?
Well it seems everyone has an opinion, but what does the evidence actually say?
Let's take a dive into the data!
Here is a thread 🧵