Finally released!
It was a real labour of love completely re-writing and updating the ‘Buttock Pain’ chapter (a special interest of mine) for the latest edition of ‘Clinical Sports Medicine’
I’m really proud of what @TheHipPhysio , @SteffanGriffin and myself have achieved
80% of back pain patients have at least 1 red flag.
That doesn't mean 80% need an MRI.
Here's the take home points from a recent GP seminar I spoke on 🧵
Hello, I have a fantastic Saturday morning read for you. In fact, you'll be engrossed in this the whole day.
As promised, we have published our disruptive project - the unique public-health project funded by @paraschopra to analyze common/well-known protein supplements sold in India.
Citizens protein project: A self-funded, transparent, and concerning report on analysis of popular protein supplements sold in the Indian market @theliverdoc@paraschopra@arifhussaintm
Full paper: https://t.co/EVUCPbzCh5
Popular 36 brands in all.
Here is an interesting fact: You will see that we have published the paper in a general medicine open access journal instead of a high impact nutrition/ sports journal. Well, we did submit this paper to multiple sports/ nutrition journals and not surprisingly, it was rejected from all of those - I wondered why and then found the answer. Many members of the editorial board, including editot-in-chief of those journals were "advisors," "consultants," or "promoters" of certain protein/supplement brands! Lot of conflict of interests for them to peer-review and publish our paper which openly took names and provided transparent analyses. Peer-review publishing is really broken in a sense. But then journals like Lippincott's Medicine provided a neutral ground for us to publish and also we could afford the additional open access fee indepedent of the full funding.
The total cost of funding this project is
INR 700,000 ($8400, by Paras)+INR 192,000 ($2300, by Liver Doc Team)=892,000 ($10700)
Please see the abstract section. Lot of information snippets are provided there. Also please read the whole study, our detailed finding and its implications. Focus on the supplementary files (which can be downloaded) and given at the end of the manuscript online.
Full paper: https://t.co/EVUCPbzCh5
Here is a short summary for protein users:
➡️Best whey - One Science & Ultimate Nutrition
➡️Best medium range whey- Nutrabox
➡️Best vegan protein- Origin
➡️Worst whey brand- Big Muscles
➡️Worst plant-based- Amway
➡️Worst brands advertised as best - Protinex/Ensure/B-protin
➡️Worst protein content- B-Protin, Ensure Plus, Bakson's Protein & Vegan by Big Muscles
➡️Brands that need extreme caution- Protein by Elements/Nutrilite by Amway [fungal toxins]
➡️Herbal blended proteins have more contaminants/pesticides than non-herbal
**If anyone (or a group) would like to indepedently fund [The Citizens Project] testing on other untested but popular brands, please do contact my group at : abbyphilips[at]theliverinst[dot]in**
For a full summary and brands and their coding in the manuscript, you can check this thread:
https://t.co/Ym1xPvqp1l
Knee Osteoarthritis: Thread Number 3
The most powerful intervention for knee osteoarthritis is not a pill, not an injection, and not a surgery. It's not PRP and certainly not stem cells.
It is the muscle above and below the joint.
If you have knee OA and you are not doing targeted strength training, you are leaving the most effective treatment on the table. 🧵
💪 Shoulders - love them or loathe them, you likely see a lot of them.
Want a better way to assess them?
This blog contains 3 tips from consultant shoulder physio @AnjuJaggi
📖 Read it now and level up your shoulder game!
https://t.co/198MMtugfb
This was the textbook I truly needed when I learned cervical laminoplasty!
Great great surgeon teachers! Thank you! From🇯🇵: Nakamura, Toyama, Hoshino (Editors). If you have a look to the contributors you will find the vast majority of the authors are from orthopaedic centers. Interesting! But yes: It's predominantly bone surgery if you see laminoplasty as a "lamina osteotomy". Tons of tips. Best chapters as always the first ones with the basics!
Another @timescolonist reader came to see us. She must wear a heavy knee brace as her knee snaps back. Nerve blocks worked. 15 minute Cryoneurolysis gave back what her stroke took away. She tried toxin injection. No change & felt weak. It’s a contracture.
Shame is a powerful emotion rooted in secrecy, often making us feel damaged and unworthy. Its impact spans psychological, neurocognitive, sociocultural and institutional domains. At @TheBJPsych editorial (https://t.co/NJtl8sqlcm), we reframe harmful shame as a health target requiring specific interventions. @ProfLawlor@SandraBez9@nanosanta
🌿🔬 Exciting breakthrough in #migraine research! A new study in @PhenomicsJ reveals how #acupuncture relieves #migraine by enhancing anaerobic #glycolysis and regulating #mitochondrial citrate levels.
Read more: https://t.co/qNDUAW7nAR
🦵 AO Surgery Reference update: Compartment syndrome in the thigh
Compartment syndrome is a true surgical emergency. If not treated, tissue necrosis with permanent loss of function may occur. This new AO Surgery Reference module covers the full spectrum of diagnosis, treatment, and aftercare for this serious lower limb complication.
🔍 What’s covered:
✅ Definition
✅ Diagnosis – symptoms and signs
✅ Principles
✅ Compartmental anatomy
✅ Fasciotomies
✅ Aftercare
Access the full module now:
🔗 https://t.co/RCW3nlAq9u
#AOSurgeryReference #CompartmentSyndrome