James Goodwin

Head of Sport Science for @SwissRowing | MSK Physiotherapist

[James Goodwin @Goody_10]

My life in a podcast episode! Embrace the James Goodwin Experience

[World of Sports Performance @W_O_S_P]

Great having @Goody_10 on the podcast this week to talk all things rowing and life in Switzerland 🚣‍♂️🇨🇭

Give it a listen on Apple, Spotify, and Google podcasts!

[James Goodwin @Goody_10]

@versatancore

[Howard Luks MD @hjluks]

I’ve been an orthopedic surgeon for nearly 30 years, and a few patterns have become impossible to ignore. One is that many musculoskeletal problems in adults aren’t sudden injuries. They’re the moment when declining capacity and awful metabolic health finally reveals itself.

Over the decades your strength fades, muscle mass declines, as your aerobic capacity tanks. Tendons and connective tissues lose substance, stiffness, and resilience. For years the body compensated... quietly. Then one day a knee hurts during a run to get the train, or shoulder aches reaching overhead, or a back tightens lifting something simple.

At that point the story usually becomes more about structural damage. An MRI gets ordered. Welcome to high-tech, low-medicine. And the MRI almost always finds something. A meniscus tear. A rotator cuff tear. A disc bulge. Why? Because by midlife these findings are extremely common — even in people with no pain at all. If you have a tear in one shoulder, image the other shoulder... you probably have the same tear there. But I digress.

Once the scan appears, the narrative changes. The image becomes the diagnosis. Now the patient believes something is broken, and the focus often shifts to fixing what the MRI shows.

What often gets lost in this is the reason the symptoms appeared in the first place. Many so-called “atraumatic” orthopedic complaints are not purely mechanical failures. They are the moment when reduced strength, declining tissue capacity, and sometimes broader metabolic health issues finally reach a tipping point. Our tissues change over the decades... get over it.

In other words, the MRI didn’t create the problem. Well... it sort of did in this scenario. But all the MRI showed was something that was already there.... because of your age, lifestyle, health and so on.

The real driver of symptoms is often loss of physiologic reserve. Less muscle. Less tendon or aerobic resilience. Less tolerance for load, etc.

Once the MRI enters the picture, the risk becomes overtreatment. This is probably the number one reason people have surgery. When in many cases the most powerful intervention was never the scan or the procedure.

It was rebuilding capacity.

Strong muscles stabilize joints. Aerobic fitness improves metabolic health and tissue perfusion. Gradual loading restores tolerance.

But people often don't take PT seriously prior to surgery. They often take PT very seriously afterwards. Therefore, PT is probably the reason you feel better, despite the surgery.

The irony is that the treatment many people ultimately need is the same thing that might have prevented the problem in the first place.

Staying strong. Staying active. Maintaining the reserve that protects our joints/tendons/muscles/abilities as we age.

[James Goodwin @Goody_10]

@DrJN_SportsMed Surely compartment syndrome?

[Science of Rowing @ScienceofRowing]

James Goodwin shares his thoughts on Alex Wolf’s article in our Science of Rowing Podcast:
“Same Power, Different Speed: What Elite Rowers Teach Us About Efficiency on the Water.” 🚣‍♀️⚡
ㅤ
#ScienceOfRowing #JamesGoodwin #AlexWolf #RowingPodcast #RowingEfficiency #RowingTechnique

[Science of Rowing @ScienceofRowing]

In this issue, James Goodwin breaks down “Diagnosing and Managing Rib Stress Injuries in Rowers.” 💥🚣‍♂️
ㅤ
Catch it in Science of Rowing – Volume 6, Issue 11.
🔗 Link in Bio to Learn More
https://t.co/w89sjbBIV2
ㅤ
#ScienceOfRowing #RowingInjuries #RibStressInjury #Rowing

[Science of Rowing @ScienceofRowing]

James gives an overview of his latest article:
“Diagnosing and Managing Rib Stress Injuries in Rowers.” 💥🚣‍♂️
ㅤ
👉 explore the full article with a Science of Rowing membership.
https://t.co/w89sjbBIV2
ㅤ
#ScienceOfRowing #James #RibStressInjury #RowingPerformance #SportsMedicine

[Science of Rowing @ScienceofRowing]

Alex Wolf shares his thoughts on James Goodwin’s article in our Science of Rowing Podcast:
“Diagnosing and Managing Rib Stress Injuries in Rowers.” 💥🚣‍♂️
ㅤ
#ScienceOfRowing #AlexWolf #JamesGoodwin #RowingPodcast #RibStressInjury #CoachingInsights #Volume6Issue11 #SportsScience

[James Goodwin @Goody_10]

@DrJN_SportsMed Rib stress injuries are a speciality in rowers (rehabbed a lot of them 🙃) Often missed on X-ray as poor sensitivity like other stressies. Our sports med has been using POCUS to pick them up a bit quicker. I guess in this case now no need for MRI as fracture like is clear on US?

[James Goodwin @Goody_10]

Any danger @FlySWISS

[James Goodwin @Goody_10]

@FlySWISS hi I’m trying to use miles and more points to pay for flight bookings but the website won’t let me. I’ve tried changing the currency to CHF and tried inverting the flight bookings that the original flight departs from Zurich but it still doesn’t work!

[James Goodwin @Goody_10]

@DrJN_SportsMed James do you tend to go for CSI or do you also do hydrodilitation? Or does it depend at what stage it’s been caught at?

[James Goodwin @Goody_10]

@DrJN_SportsMed Seems like a fair decision then as advanced OA changes would have been present longer than the few weeks with BPPV.

[James Goodwin @Goody_10]

@astephj1 @DrJN_SportsMed Good plan! Needs lots of posterior chain conditioning without deep hip flexion. Have to be careful with throwing all the rowing sessions towards cross training o the bike as from experience this can agg symptoms too.

[James Goodwin @Goody_10]

@MehdiKordi @INEOSGrenadiers Good luck mate. Biggest transfer since Neymar went to PSG!!

[Science of Rowing @ScienceofRowing]

🚣‍♀️ Ready to test your VO2 max? 🧬 In Kurt Jensen's latest research, guest author James Goodwin explains a maximal rowing ergometer protocol designed specifically for female rowers to predict maximal oxygen uptake.

[Science of Rowing @ScienceofRowing]

🚣‍♀️ Ready to test your VO2 max? 🧬 In Kurt Jensen's latest research, guest author James Goodwin explains a maximal rowing ergometer protocol designed specifically for female rowers to predict maximal oxygen uptake.

[James Goodwin @Goody_10]

@JDeLeo @_NeilC_ @Wod_Society @alicesweeting @MeghanMHall Joe I found this really helpful. https://t.co/NYVADyTBga also chat GPT is very helpful for writing code 🙈

[James Goodwin @Goody_10]

@felipe_mattioni @exphyslab @AWS Deservedly so, it’s a platform I love using!