Sam Mellor

26 / Private MSK Physiotherapist

[Sam Mellor @SamMellor9]

Pt struggling with ABduction - closed shoulder abd. - bent arm and use of wall to offload rotator cuff, theraband around lateral wrist to assist rotator cuff activity throughout movement with additional scapular facilitation. End of the session - full pain-free abduction 👊🏼

[Football Medicine & Performance Practitioners @FMPA_Official]

FMPA EDUCATION:

💉 BEYOND CORTICOSTEROIDS: The role of hyaluronic acid in player joint health
✏️ Nick Worth (MSK & Sports Physio, 20+ yrs elite experience)

Read more: https://t.co/6BRNT8ZtVX

#FootballMedicine #SportsMedicine #FMPA

[Liz Bayley @lizbayleyphysio]

STAGE 1 FOOT STRENGTH 🦶🏼🏋🏼‍♀️
NEW video to share with patients:

https://t.co/9pYe5lVIzR

1.Hallux abduction
2.Piano toes
3.Banded big toe
4.Toe extension press
5.Toe extended heel raises
6.Pronation/supination
7.Single leg balance

Intrinsics ✅
Extrinsics ✅
Calf ✅

[Howard Luks MD @hjluks]

I have probably written more about tendons in the past year than most surgeons have written in their careers. I do this because tendon disorders are among the most common issues I see in the office.
You will need to know this stuff at some point.
Also... Don't think that because of severe pain, something is torn. Let's do this...

[Howard Luks MD @hjluks]

The Frozen Shoulder... a thread.
A frozen shoulder is one of the most misunderstood conditions in orthopedics. It is not purely a mechanical problem. It is a metabolic one. The shoulder capsule becomes a target of systemic inflammation, hormonal disruption, and glycemic dysfunction. Most people, and some surgeons, still treat it as if something is stuck and just needs to be loosened... Properly managing this and the contributors is essential to resolving it.

[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.

[Howard Luks MD @hjluks]

Viruses and Joint and Tendon Pain
You had a cold two weeks ago. Nothing serious. But now your knee hurts more than it has in months. Your achilles is flaring. Your easy run felt like a half-marathon. You didn't do anything wrong. Here's what's actually happening...

[Adam Stenman @AdamStenman]

Great table on RTP times for different BSI's.

Treatment wise I have found something akin to what they recommend, but I don't have access to MRI without ortho referral (usually slow process). So for suspected low risk BSI's I just unload as little as possible for pain-free ambulation, train around the injury and re-assess in 2-4 weeks. For suspected high-risk BSI I get a plain X-ray asap but treat as high risk BSI with appropriate unloading strategy for 2-4 weeks then new X-ray to see if there's signs of bone injury. If not -> faster return and/or work differential diagnosis. If there is -> keep unloading for appropriate time, monitor pain response, and see if patient needs to see GP for ruling out any disorder or sports dietician to work on RED-s.

[Thomas Dekkers | Spinal Specialist Physiotherapist @TDekkersPhysio]

The 4️⃣ Regions of Lumbar Disc Herniation and why Location Matters.

A 🧵.....

[Mario Pompermayer MD, RhMSUS @pompermarioMD]

It’s an honor to promote free education in Musculoskeletal Ultrasound (#MSUS) and Rheumatology.

We are happy to share the MSUS Database: over 1,000 images and videos of sonoanatomy and pathology, accessible with a single click from anywhere in the world 🌍 🌎 , even where there’s no textbook, mentor, or ultrasound machine, so students, residents, and practicing physicians can learn and compare cases in real time.

In the MSUS Database you will find:

1️⃣Shoulder Anatomy and Pathology
2️⃣Elbow Anatomy and Pathology
3️⃣Hand Anatomy and Pathology
4️⃣Hip Anatomy and Pathology
5️⃣Knee Anatomy and Pathology
6️⃣Foot Anatomy and Pathology
7️⃣Spine
8️⃣Soft Tissue
9️⃣Nerves
🔟Muscle
1️⃣1️⃣Interventional
1️⃣2️⃣Hyaluronic Acid
1️⃣3️⃣PRP
1️⃣4️⃣Doppler
1️⃣5️⃣Elastography
1️⃣6️⃣Trauma
1️⃣7️⃣Rheumatoid Arthritis
1️⃣8️⃣CPPD
1️⃣9️⃣And more…

📸 🎥 We’re expanding this library every week to its improvement! 🤝🌍

Special thanks to Giorgio Tamborrini of UZR Ultrasound Center (@rheumatology) for conceiving and leading this project and inviting me to contribute. It’s also a privilege to collaborate with MSUS experts such as:
🔹Dr. Jörg Dünkel of @SportklinikBern
🔹Dr. Alberto Schek @aschek3582

🔗 Explore & share: https://t.co/QYhHBlw5dz

❗️To find specific images or videos, go to the Photostream and use the 🔎 (magnifying glass) icon just below 👇 the “secondary menu”, or explore each album individually in its dedicated folder 📂

#MSUSDatabase #GlobalUltrasound #POCUS #FreeEducation #Rheumatology #MSUS #OpenEducation #FOAMed #USguidedInjections #PRP #SportsMed

[Sam Mellor @SamMellor9]

@AdamMeakins I’m so sorry to read this! As a lover of pets, I understand your pain. A beautiful post for a cat that clearly meant a lot to you!

[Aspetar سبيتار @Aspetar]

Calf Muscle Injuries In The Athlete

✍️Written by: Carles Pedret, Stefano Palermi, Sandra Mechó, Gulraiz Ahmad, and Justin C. Lee.

Calf injuries are among the most common musculoskeletal issues in sports, particularly affecting amateur athletes due to frequent engagement in activities requiring explosive lower-limb movements.
These injuries often involve the triceps surae complex, a key functional unit comprising the medial and lateral gastrocnemius, the soleus, and their distal extension into the Achilles tendon. Understanding the anatomy and interplay of these structures is critical for accurate diagnosis, effective management, and minimizing return-to-play (RTP) time.

Accurate and early diagnosis is fundamental to optimizing outcomes. While ultrasound (US) is a widely used and accessible first-line imaging modality, especially effective for identifying injuries to the medial gastrocnemius and the plantaris, it has limitations in evaluating deeper structures such as the soleus. In such cases, magnetic resonance imaging (MRI) is considered the gold standard.

Despite advancements in imaging techniques, a standardized approach to prognosis and management particularly for soleus injuries, remains elusive due to the complex anatomy and variability in injury patterns.
This article provides a comprehensive, evidence-based overview of calf injuries, emphasizing anatomical variability, clinical presentation, imaging techniques, and management strategies. By integrating clinical and imaging insights, it aims to equip clinicians with practical tools to improve diagnosis, streamline treatment, and facilitate a safe return to sport.

🔗Read Full Article ➡️ https://t.co/DiLmgQKZ9b

[Roger Kerry @RogerKerry1]

We are very pleased to announce news of our forthcoming book “The Head & Neck: Theory & Practice”. This is the next in the Theory & Practice series after @JeremyLewisPT ’s hugely successful “The Shoulder”.

Out October 2025
@BarbaraCagnie @HandspringBooks

[Sam Mellor @SamMellor9]

@RogerKerry1 @JeremyLewisPT @BarbaraCagnie @HandspringBooks This looks amazing! Can’t wait to read it!

[Professor Jeremy Lewis PhD FCSP @JeremyLewisPT]

📢📢New paper:
An international consensus on the etiology, risk factors, diagnosis and Management for individuals with Frozen Shoulder: a Delphi study
https://t.co/HNNITTZ5d7

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

The ASA Finger Anatomy Fact Sheet
FREE PDF
https://t.co/5DWzR87sMj

[Running-Physio @tomgoom]

Cross-training options to consider for injured runners.
‼️Remember symptom response will vary so it’s best to test these options on an individual basis

[Sᴡɪss Uʟᴛʀᴀsᴏᴜɴᴅ Cᴇɴᴛᴇʀ - UZR @Rheumatology]

Wᴇ ɴᴏᴡ ʜᴀᴠᴇ ᴏᴠᴇʀ 14 ʜᴏᴜʀs ᴀɴᴅ ᴜᴘ ᴛᴏ 1000 Vɪᴅᴇᴏs ᴏғ ɪɴsᴛʀᴜᴄᴛɪᴏɴᴀʟ ᴠɪᴅᴇᴏs ᴏɴ ᴍᴜsᴄᴜʟᴏsᴋᴇʟᴇᴛᴀʟ sᴏɴᴏɢʀᴀᴘʜʏ ᴏɴ ᴏᴜʀ ɴᴇᴡʟʏ ᴜᴘᴅᴀᴛᴇᴅ ᴠɪᴅᴇᴏ ᴄʜᴀɴɴᴇʟ, ᴀᴠᴀɪʟᴀʙʟᴇ ᴛᴏ ʀᴇɴᴛ ᴏʀ ʙᴜʏ

https://t.co/WKqhWUWVBj

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Muscle cramps👇

▶️painful, sudden, involuntary muscle contractions
▶️often part of the spectrum of normal physiology
▶️exercise induced, idiopathic or symptomatic
▶️generally self-limiting
▶️can be associated with a wide range of causes👇

https://t.co/YEbd0fT0kK

[The Football Physio @TheFootballPhys]

🏋️📊Patellar tendon load progression during rehabilitation exercises

[Prof Omid Khaiyat M.D., PhD @Omid_HopeUni]

Ulnar nerve sensory and motor distributions in the hand

https://t.co/45LnJ2aSmg