Lorna thornton

[Howard Luks MD @hjluks]

Knee Osteoarthritis Thread 4: Metabolic Health and the Knee.
Your metabolic health will directly impact how your knee feels more than you can imagine. Your metabolic health directly influences how quickly your arthritis progresses and how your cartilage responds to the stress it's under.
This is the part of the knee OA conversation that most patients never hear.

[Lorna thornton @Dizzyinthestars]

@ddc_dentist thank you so so much to Dr Sara Rooney and Natalie for being the best and being there in my melt down on Christmas Eve with my 🦷. Many many thanks from the bottom of my ♥️

[Lorna thornton @Dizzyinthestars]

@TPExpressTrains just wanted to say thank you. I needed to get back home for an emergency dental appointment and you ran from Filey to Darlington and back on time and promptly. Thank you so much merry Christmas xx

[Martin Billing @BillingMartin]

https://t.co/bjfrL14kDt

Osteoarthritis is more often than not described as wear and tear and based on imaging

It’s really neither of those things

It’s a little more complex

[Jack Chew @JackAChew]

URGENT APPEAL!

The incredible Val Jones has been in an accident.

Her family are fundraising to get her ventilation at home. Her GoFundMe page is here: https://t.co/6J9dLYAxgb

If you aren’t yet aware of Val’s amazing work then here’s the ‘Val Jones Upper Limb CPD Bundle’ containing everything we have ever made with her and more: https://t.co/0sme2Jo2Lt

9 webinars
2 podcasts
1 MSKMag

Access provided 01/09/2025 and will NOT expire. All donations to Val’s care.

[Scott Lear, PhD @DrScottLear]

The older you get, the more important strength training becomes.

Great infographic published @BJSM_BMJ
#exercise #fitness

[Dr Amar Puttanna 🎸 @AmarPut]

Lancet commission on new Definition and diagnostic criteria of clinical obesity

Split into pre-clinical and clinical obesity - nice infographics below 👇

https://t.co/JrJrlHVXiV

@GoggleDocs @kamleshkhunti @EASOobesity @UK_ASO

[Knee Surgery, Sports Traumatology, Arthroscopy @KSSTA]

What is the optimal patellar fixation technique for MPFL reconstruction. This question is addressed by this new clinical study.

#knee #patellofemoral #MPFL #reconstruction #KSSTA

Read here: https://t.co/fUQPZk6rf4

[Jonathan Bell @bellkneesurgeon]

I now spend more time with OA knee patients talking about metabolic health than painkillers.

[Benoy Mathew @function2fitnes]

Vitamin D - A Key Player in Tendon Health
A recent review published in the Journal of Basic Clinical Physiology and Pharmacology reveals the crucial role of vitamin D in tendon health and healing.

🔋 Mechanism of Action:
-Regulates collagen synthesis
-Reduces inflammation
-Supports tendon-to-bone healing
-Promotes tenocyte proliferation

⚕️ Clinical Implications:
Vitamin D deficiency correlates with:
-Increased risk of tendon disorders
-Higher post-surgical complications
-Delayed healing response

Consider vitamin D assessment as part of your standard screening protocol for:
-Chronic tendinopathies
-Pre-operative assessment
-Post-surgical rehabilitation

Early identification and appropriate supplementation could be key to better patient outcomes.
Ref: https://t.co/mxUDXXjeE1

[Chartered Society of Physiotherapy (CSP) @thecsp]

'In effect, women in the NHS worked the whole of January for free'

'Women need pay justice now.'

Julia Prince, a member of the CSP's Employment Committee, calls for the closing of the gender pay gap at TUC Congress: https://t.co/knSnMMJGST

#TUC24 #TUC2024

[Running-Physio @tomgoom]

Why are some fifth metatarsal stress fractures considered 'high risk'? (See graphic for details)

[Dr Alison Grimaldi @alisongrimaldi]

Did you know that abductor dysfunction after #THR may contribute to the development of ischiofemoral impingement #IFI due to dynamic reductions in ischiofemoral space? Read more about the factors involved: https://t.co/holz8mYrej

[Running-Physio @tomgoom]

Anterior knee pain differential diagnosis
(Note pain location is approximate and may vary!)

[ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 @Retlouping]

Is there a causal link between knee loading and knee osteoarthritis progression? A systematic review and meta-analysis of cohort studies and randomised trials https://t.co/f1KKD5GGUy

[Dr Alison Grimaldi @alisongrimaldi]

While iliopsoas impingement may occur after #THA, it is possible to have fibrosis without impingement and without the need for surgical release of the iliopsoas. Start with some good rehab to improve local soft tissue health. #anteriorhippain #iliopsoas #hiprehab

[Alessio Bricca @a_bricca]

The more clinicians I talk to, the more they confirm that the belief that exercise 'wears down the knee cartilage' exists.

Well, it seems it DOES NOT harm knee cartilage.

Still a long way to go to debunk this myth!

Be part of the change ✅

#arthritis

https://t.co/GUjeomSqJP

[Howard Luks MD @hjluks]

The final product :-).

[Adam Dobson @adamdobson123]

A common head scratcher in the radicular space is pain without neuropathic involvement, particularly when it does not coincide with IASPs neuropathic schema here.
https://t.co/5yT14xLC1p

Part of the answer is neuro inflammation & and its influence on the epineurium. The epineurium (not to be confused with the nerve root sleeve) is a connective tissue that forms the wrapping of nerve root fascicles. It's a soft tissue with an innervation (nervi nervorum).

In an inflammatory state, it can result in noxious stimulation of the nervi nervorum, as observed in basic animal studies. https://t.co/0pMXykXAMA

The main implication here lies in symptom interpretation. Radicular pain should not be dismissed solely based on a patient's report. Those typical 'nervey' descriptors as below.

Equally, not all leg pain is radicular (or even low back related).

[Lorna thornton @Dizzyinthestars]

@HMRCcustomers Thanks for this but back around I go! That’s how I started 🙈🙈🙈🙈