Joe O Donnell

Clinical Specialist Physiotherapist MSK Triage @HSE and @Donegalgaa Senior Footballers

[James Byrne 🎯 @jamesbyrne_180]

A customer dropped in a few old VCR tapes to me two weeks ago and l was delighted to find on one was the 1992 "The Sunday Game" for the final that I haven't seen online before, I've that on my YouTube channel but I did an edit in memory of James and Noreen from the show. 🙏

[Maurice Brosnan @m_brosnan]

I've referenced this clip so many times in print/podcasts over the last few weeks. Last November, Mayo organised workshops just for local coaches. Andy Moran took the attacking session. This is him in his essence.

[𝐖𝐚𝐲𝐳𝐞 @wayze187]

Michael Jackson’s drummer, Jonathan Moffett, performs “Smooth Criminal,”

MJ once said: “My bass player makes a mistake, my guitar player makes a mistake, I make mistakes sometimes, but Sugarfoot never makes a mistake.”

[Pittsburgh Steelers @steelers]

Officially open 🙌 @ussteelcf

[St. Eunan's GAA Club @StEunansGAA]

O’Donnell Park was looking absolutely superb this morning, captured brilliantly on video by Eugene Dowling.

There’s a real buzz building around the club as we count down to our first Ulster Championship game in 75 years.
@officialdonegal
@UlsterGAA

[Joe O Donnell @Joeod86]

@RickySacks @LastWordOnSpurs MCL and possibly meniscus takes 6+ weeks. He's lucky not more. Tough break.

[Joe O Donnell @Joeod86]

@hotspurreports @Madders10 Good man @Madders10 💪

[Joe O Donnell @Joeod86]

@nick_davison10 @SpursOfficial This will be like when Shearer tried to keep Newcastle up

[Joe O Donnell @Joeod86]

@GaryRWard @RickySacks @LastWordOnSpurs Those 1st few months under Ange was the most together the fan base/team/club had been for years and we haven't got close since. The atmosphere at the ground is toxic. Back then it was banging and we were playing teams off the pitch. Ange needs to be let cook make a squad.

[Joe O Donnell @Joeod86]

@GaryRWard @RickySacks @LastWordOnSpurs Gotta be Ange for me. Knows the players and achieved more than any manager we've had the last 20 years. Done it after Kane was sold and Son's legs were finished as well. I don't like the Poch move he's not torn it up anywhere afterwards. Ange wasn't backed and sacked hastily.

[Joe O Donnell @Joeod86]

@GaryRWard @RickySacks @LastWordOnSpurs The club massively underestimated the impact of selling the best striker on the planet. Still managed 5th the first year somehow but the club didn't give him the players to make a proper run the following season and league fell apart due to injuries - injuries no better now.

[James Noake @DrJN_SportsMed]

Consent✅

Gaelic football

Longstanding posterior pain - epicentre is principally inferomedial Achilles

Several pain 'culprits' on clinical assessment, MRI and ultrasound -

Plantaris compressive tendinopathy (inserts very low medially in this athlete)
Insertional intrasubstance Achilles tendon tear
Posterior ankle impingement - signs on MRI including os trigonum and posterior recess fluid

Process is critical if covering all bases in one session

(see POCUS video reel)-

1. US guided diagnostic LA injection, out-of-plane approach, to posterior ankle recess (before regional anaesthesia block which would 'cloud' the diagnostic assessment) - can just make out needle tip at the deep joint line

No change in pain on calf raise and hop - therefore its not the ankle joint

2. Then tibial and sural nerve block to give good regional anaesthesia around mid and distal Achilles but to avoid motor blockade (would happen if did popliteal block more proximally)

3. Once patient completely comfortable and insensate, high volume stripping of the plantaris tendon (LS)

4. Post injection TS video shows plantaris separated from main Achilles tendon body

5. Further mini scraping procedure of the plantaris- Achilles interface with wider bore needle bevel

6. Process finished with PRP injection to intrasubstance insertional Achilles tear - can see injectate passing quite a distance proximally

(these occult defects are common, including in other tendons eg lateral elbow, patella tendon & plantar fascia)

Post procedure -

Keep area clean & dressed (multiple needle passes)

Aircast boot, small heel raise

Gradual wean and re-loading of Achilles under supervision of experienced lower limb physiotherapist

A lot done in 45 minutes!

[Joe O Donnell @Joeod86]

@TelegraphDucker Never a stamp. His weight barely came off his back leg and you can see he put no pressure down through his right foot intentionally. He only lost his balance for a second before he recovered it. He took a poorly judged swing at the ball and missed. Dorgu thought the same.

[James Noake @DrJN_SportsMed]

To be clear - & I do diagnostic injections around myriad structures day in day out, & probably more than anyone else in the SEM MSK sphere (all 'peripheral' technically - I don't do spinal interventions except SIJ occasionally)
The issues are (and I could go on forever) -

1. Injecting a joint is more reliable diagnostically - binary / black & white coz injecting into a defined space (capsule) - but even then, if pain subchondrally driven, then the LA may not modulate the pain

2. Injecting around tendon is more hit & miss - there is spread regionally & hard to be certain have blocked the specific region of tendinopathy (even more relevant in gluteal tendinopathy where the soft tissues wrap as a cuff around a wide surface area) So if a positive response - that's v helpful - if negative - pretty unhelpful

3. In the groin - my specific interest - you need to be aware of cross over innervation - eg if you block the inguinal canal, you may also block the IIN & IHN which variably innervate the pubis

4. Sometimes you have to inject in logical anatomical sequence - good eg being shoulder - if you inject the ACJ before the subacromial structures, then you run the risk of a false positive (the injectate can communicate / pass into the SA space from the ACJ

5. Any injection done without US guidance is utterly pointless.
Even with a positive response symptomatically, if you haven't visualised the direct passage of the injectate accurately into the target tissue, then you have zero diagnostic confidence
This is a big part of why I champion US guided vs land mark guided injections - it's not just about therapeutic impact - I want reliable diagnostic information, so I can at least move the pt forward happy in the knowledge a surgeon is focusing their attention on the key pathology

[Joe O Donnell @Joeod86]

@Wrestling80s90s Vader

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

GREAT ARTICLE

Use of a comprehensive systemic ultrasound evaluation in the diagnosis and analysis of acute lateral region ankle sprain

FREE PDF

https://t.co/EHx7PwRjU1

[Rising Stars XI @RisingStarXI]

Skye Stout. 16 years-old.

She was announced as a new Kilmanorck player and received a lot of insults because of her skin condition. The club deleted the post.

She scored this 𝐆𝐎𝐋𝐀𝐙𝐎 on her 1st game 💙

[Joe O Donnell @Joeod86]

#algarve

[Joe O Donnell @Joeod86]

https://t.co/KRIFww4USZ

Please share and help find my friend Mark. The nicest lad you could meet. Hasn't been seen in 24 hrs. 🙏 #Portugal #Albufeira #Algrave #Missing #Donegal

[Joe O Donnell @Joeod86]

https://t.co/KRIFww4USZ

Please share and help find my friend Mark. The nicest lad you could meet. Hasn't been seen in 24 hrs. 🙏 #Portugal #Albufeira #Algrave #Missing #Donegal