Charlie Clements

First Contact Physiotherapist | Instagram 📸 THETHREADPHYSIO | Passionate about CPD 🧠

[Charlie Clements @ClementsCharl96]

@ArsenalBallots Yes pls

[Charlie Clements @ClementsCharl96]

@DrJN_SportsMed Really interesting case this, thanks for sharing ‼️

[James Noake @DrJN_SportsMed]

Consent✅ - this is a beauty 🤓

Elite runner

Crampy, aching lateral knee pain - onset at around 20-30 mins

Seen multiple clinicians - had numerous injections including ITB plus extensive rehabilitation - refractory

Almost 'claudicant' in nature - settles quickly on cessation of exercise - spreads both proximal & distal to lateral joint line

No spinal symptoms & LSp assessment clear

No lateral compartment pathology eg meniscal tear

Had popliteus tendinopathy on US, but minimal response to my initial diagnostic injection

POCUS video -

The inferolateral genicular neurovascular bundle ('pepper pot' structure) is seen compressed under the distal ITB on active knee flexion : terminal extension

Patient localises pain in this area with probe pressure

Injection - hydrodissection (CSI, LA) - fluid seen separating plane just superficial to NV bundle

100% pain relief on extended treadmill test beyond 45 mins 👍

I wonder how many recalcitrant 'ITB' cases are actually neurovascular in aetiology? 🧐

Plan - considering angiography, MR neurography & possible distal ITB release at Gerdy's tubercle if not responsive to injection

[Charlie Clements @ClementsCharl96]

@adamdobson123 Smashing it mate! All the hard work paying off 👏

[Adam Dobson @adamdobson123]

Nine months ago I embarked on my very first taught, in person CPD course. Four years in the making. Its been tough but highly enjoyable.

Mastering Lumbar Radiculopathy.
All of my knowledge from the spinal clinic, underpinned by science with a lack of fluff.

I have now delivered five of them. Four in-person courses and a very successful six part, six week online version. I also developed a professional website and managed to complete my ACP Masters.🎓

It is maybe not the most well known CPD course but i think the content speaks for itself and I have now properly finalised all of my artwork for the vascular, hip and myelopathy sections of Day 2 💪

Thank you to those who have supported and collaborated with me in 2025.

I will soon announce a 2026 London Date 🤟
https://t.co/tjPkiWsQ6Q

@PrimaryCareMSK
@rob_chiro
@martinthomas11
@clinicalphysio
@ClementsCharl96
@physiojack @Martin_Nekkolai
@BillingMartin @Irish_Physio

[James Noake @DrJN_SportsMed]

For the people at the back -

1. Distance runner with ramp in load +/- REDS risk factors
2. Positive hop test
3. Positive FADDIR
4. Weak / painful on iliopsoas testing

This is 99.9% likely to be a neck of femur stress injury

IT ISN'T A TIGHT HIP FLEXOR

[Rohil V. Chauhan @ridagunitrohil]

What is the State of Play for Degenerative Cervical Myelopathy in Australasia? 🇳🇿🇦🇺🌏
🔓Check out our latest paper published in the @GlobalSpineJ
https://t.co/j7Cw7DUmSU
@AOSpine

[FCPnow @FPnow57969]

Help us make this the widest and deepest evaluation of first contact physiotherapy & help inform future practice. Please complete our survey
Survey link- https://t.co/FVoTiqH9RX
@thecsp @sharonchanb @physiojack @NeilLangridge @JackAChew @RogerKerry1 @FionaMoffat18 @benedsmith

[Charlie Clements @ClementsCharl96]

@DrJN_SportsMed @lizbayleyphysio It’s just a shame she bullies me about the appearance of mine 😢

[Charlie Clements @ClementsCharl96]

18 months ago I could barely run 5k. Hopefully 2026 continues to be a good year of running 🏃

[Charlie Clements @ClementsCharl96]

@DrJN_SportsMed Full sleeve and a few hand tats pending I reckon 👀 HBD!

[Adam Dobson @adamdobson123]

Appreciate a nod / share
Please also consider adding in any physios you know in Wales & surrounding areas 🫶
@IoannisAthanas7 @rob_chiro @theEndurancePT @ClementsCharl96 @tomgoom
@lioannis @JackAChew @physiojack @DrJN_SportsMed

[Charlie Clements @ClementsCharl96]

@DrMarwanAl_D Almost identical scenario yday 🙃

[Charlie Clements @ClementsCharl96]

Looking forward to delivering this session on all things Stenosis & PADs. Thanks as always for the invite @martinthomas11 last few 🎟️

https://t.co/jfqBu9VLO8

[Charlie Clements @ClementsCharl96]

@DerekGriffin86 But how will she upload it to Strava? 😂

[Charlie Clements @ClementsCharl96]

@LloydDeanUK 4-0 PSG 🙏

[First Contact Physio @martinthomas11]

Next series out now!
Booking Link:
https://t.co/hDYaZC0P0Q

[Charlie Clements @ClementsCharl96]

@_lewadam @snickalous @rajkannanpt This was one I requested

[Charlie Clements @ClementsCharl96]

@DrJN_SportsMed My type of spinal rehab 😍

[Charlie Clements @ClementsCharl96]

@TDekkersPhysio The ultimate adjustment 😂