Alex Karagiannidis

Musculoskeletal physiotherapist specialising in the management of spinal pain, as well as shoulder, hip and knee pain and dysfunction.

[Andréas Remis, DPT @AndreasRemis]

Our interdisciplinary team recently published a Masterclass on Spine-Related Leg Pain in Musculoskeletal Science and Practice.

We aimed to enhance clinical pattern recognition, targeted management, and interdisciplinary communication.

https://t.co/jFUbvz2he4

[Running-Physio @tomgoom]

Lack of sleep can impair performance & increase injury risk 😴

It’s important to ask patients about sleep duration & quality. The Hooper Index can also be valuable for assessing fatigue, stress & sleep.

See Hatia et al. (2024) for more info: DOI 10.7759/cureus.76635

[Physio Meets Science @PhysioMeScience]

Just published 🔥

Conservative treatments for chronic non-specific low back pain: time course network meta-analysis

Congrats to all authors 👏

https://t.co/2w0OWMup0l

[Running-Physio @tomgoom]

My go to exercise for foot and ankle rehab! 🦶

Recent research shows that adding a forward lean or load to foot exercises increases intrinsic and extrinsic muscle activation.

This makes the forward lean calf raise a valuable exercise option with a host of benefits!

Reference:
Osborne JWA, Menz HB, Landorf KB, Whittaker GA, Cotchett M, Kelly LA. The influence of body posture and added mass on intrinsic and extrinsic foot muscle activation and force output during common foot strengthening exercises. J Sport Health Sci. 2025 Dec 16:101110. doi: 10.1016/j.jshs.2025.101110. Epub ahead of print. PMID: 41412495.

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

Treating musculoskeletal conditions with a bit of exercise and manual therapy: are you kidding me? It’s time for us to evolve again https://t.co/MkIDyTIKzb

[Professor Jeremy Lewis PhD FCSP @JeremyLewisPT]

📢📢New paper: JUST PUBLISHED

Treating musculoskeletal conditions with a bit of exercise and manual therapy: are you kidding me? It’s time for us to evolve again
https://t.co/scCQvo8YAN
🔓

[Benoy Mathew @function2fitnes]

She limps to the bathroom every morning.

10 steps in, it eases off. By the time she's brushed her teeth, it's gone.

So she ignores it.

But that lateral hip ache? It's been whispering for months.

Gluteal tendinopathy has a predictable 24-hour symptom cycle.

Once you know it, you can't unsee it.

Here's what to listen for:

-Night pain — up to 90% of patients report it. Lying on the affected side compresses the tendon. Lying on the unaffected side stretches it. Either way, sleep suffers.

-Morning stiffness — the classic "warms up" start. Stiff or limping for the first few minutes of walking, then it settles. This is one of the most under-recognised features.

-Load-dependent aggravation — stairs, single-leg stance, crossing legs, low chairs. Anything that drives high adduction or high abductor demand reproduces pain consistently.

-Latent pain — the delayed flare-up. Activity on Day 1, pain peaks the following morning. This is the one that confuses patients and clinicians alike.

Pain character — persistent aching or burning over the lateral hip. Rarely sharp unless there's an acute tear or flare-up.

The pattern matters.

Night pain. Morning stiffness. Load-dependent aggravation. Latent flare-ups.

When a patient describes this cycle, you're already halfway to your clinical reasoning before you've even examined them.

Understanding the symptom profile changes the conversation

[Physio Meets Science @PhysioMeScience]

𝗛𝗼𝘄 𝗺𝘂𝗰𝗵 𝗮𝗲𝗿𝗼𝗯𝗶𝗰 𝗲𝘅𝗲𝗿𝗰𝗶𝘀𝗲 𝗶𝘀 𝗻𝗲𝗲𝗱𝗲𝗱 𝘁𝗼 𝗿𝗲𝗱𝘂𝗰𝗲 𝗺𝗶𝗴𝗿𝗮𝗶𝗻𝗲?

👇👇👇

https://t.co/XqsEXFszm8

[Alex Karagiannidis @alexphysio71]

@Retlouping The Discovery of America 😂😂😂

[Mo Imam @MoAImam]

Causes of sciatica

[Mo Imam @MoAImam]

Pain referral patterns for the shoulder and examination to differentiate shoulder/neck pathology

#shoulder #neck #pain

https://t.co/RNFHbyCSZ4

[Physio Meets Science @PhysioMeScience]

Just published 🔥

Best practice guide for patellofemoral pain based on
synthesis of a systematic review, the patient voice
and expert clinical reasoning

https://t.co/veUN5ymsLa

[Peter O'Sullivan @PeteOSullivanPT]

Unraveling the pain - disability relationship in people with disabling back pain undergoing CFT.
Great work leading this @KasperUssing and Prof Anne Smith for the stats and more.

[Conor Harris @Conor_Harris_]

98% of people think ankle mobility is just how far you can shove the knee over the toe.

But that’s not the full picture.

You can get significantly better results improving ankle mobility with just a few simple steps

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

Load progression criteria in exercise programmes in lower limb tendinopathy: a systematic review https://t.co/8JwMo0pRS6

“There is a predominant use of pain-based criteria, but the utilisation of these criteria is not supported by strong evidence”

[James Noake @DrJN_SportsMed]

I get asked about the utility of hip & groin tests all the time

The short answer is there's a big overlap across clinical tests & key pain drivers - no test is particularly specific; some are sensitive

This is my take based on clinical experience - opinions welcome

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

Therapeutic Alliance as Active Inference: The Role of Therapeutic Touch and Biobehavioural Synchrony
in Musculoskeletal Care

https://t.co/orDx2J6UC0

[. @JoP_Editor]

#Mediationanalysis estimates the proportion of an intervention's effect that can be attributed to an indirect mediating variable.
Read to understand the method: https://t.co/uokQUwnTaZ
Read this example: https://t.co/X99rDofuZq
@AidanCashin
@Pain_NeuRa
@adrian_traeger
@hopinlee

[𝙉𝙖𝙩𝙝𝙖𝙣 𝙃𝙪𝙩𝙩𝙞𝙣𝙜 @NathanHutting]

Patient-centered care in musculoskeletal practice: Key elements to support clinicians to focus on the person

Open acces @MSKPhysioJnl: https://t.co/ytdllxmjTb

Short video: https://t.co/WfoUTfRhlA

@jpcaneiro @MaxiMiciak @LPhysioprof @OngwenMartin

[Behnam Liaghat, PhD @behnam_liaghat]

What can clinical tests tell us about the ‘hypermobile shoulder’?

New open access paper by Kjærbæk et al.

https://t.co/AOBGw9oKgE
@FOF_research @SyddanskUni @SDUIOB @sportsfys