Andrew Windass

MSK Physio

[Matt Curtis @MattCurtisXray]

@AndrewWindass and myself have just finished our 4th radiographer-physiotherapy interdisciplinary team meeting.

2 AHP teams having a chance to discuss cases (clinical examination & xrays findings) seen by FCPs and diagnosed by radiographers.

Every week is more interesting

[Andrew Windass @AndrewWindass]

@neilstewart101 @AmieCoombs2 @PhysioMACP I would say over-coverage and sclerosis bilat. with Cam on right. Also subchondral cysts on right femoral head and is there some signs of remodelling?

[Andrew Windass @AndrewWindass]

@tomgoom @DrJN_SportsMed @suzy_speirs @afranklynmiller @tobyrsmith @tommymonkeybob @SportDocBedford @BrechtConinck @angiejphysio @function2fitnes @theEndurancePT Both great suggestions, much appreciated.

[Andrew Windass @AndrewWindass]

@TaylorAlanJ Yes but find in most cases it's redundant. All require d-dimer as per NICE guidelines and I would assume in most physio settings this isn't accessible so would require onward ref to DVT services /A&E.

[Andrew Windass @AndrewWindass]

@neilstewart101 @AmieCoombs2 Thanks Neil, always good to hear your thoughts. Assuming you mean right hip as in right of image?

[Andrew Windass @AndrewWindass]

@gsingh1902 "We've booked you in with in-house physio who can spend the first 15minutes of their consultation explaining why your nerves aren't squashed"

[Andrew Windass @AndrewWindass]

@BalakumarJit @northwoods1980 Was just going to say, femurs externally rotated as no lesser trochanters visible

[Andrew Windass @AndrewWindass]

@dysplasia_hip Interesting xray. Looks very anteverted bilat. Right hip very internally rotated, left looks externally rotated. Interested to know what people's thought are on right sup. pubic rami.

[Andrew Windass @AndrewWindass]

@DrJN_SportsMed No it doesn't, like you say recipe for disaster

[Andrew Windass @AndrewWindass]

@DrJN_SportsMed Thanks for the reply. First thoughts certainly wouldn't be to inject, but I'd also read about high risk with olecranon bursitis as well and wasn't sure of mechanisms behind this. Have also overheard people talk about managing this with acupuncture needles but we won't go there!!

[Andrew Windass @AndrewWindass]

@DrJN_SportsMed Thanks for the excellent thread. Would you mind explaining why there's a high risk of infection with injecting bursitis'? Or suggest any reading on the topic.

[Andrew Windass @AndrewWindass]

@DrJN_SportsMed Did he have any risk factors other than previous stress #?