Chris Metcalfe

MSK Physiotherapist | Sport & Exercise background | Passionate about promoting EBP and all things exercise

[THE B🥊XING PHYSIO (allabouttheupperlimb🖐️🤛💪) @iangattphysio]

Did you know? 🤔

🧵⤵️

When a surgeon goes “keep the sling on for 6 weeks”…

…& this is actually what the athlete is doing at 6 weeks! 🤩

[Leeds Rhinos @leedsrhinos]

Maika Sivo makes it 9 tries in 3 games as the Rhinos keep up their winning ways
FULL TIME
Rhinos 22 - 4 Tigers

[Jaime Isern Kebschull @IsernKebschull]

📄 New publication in Seminars in Musculoskeletal Radiology

A practical 7-step checklist for reporting Sports Muscle Injuries with MRI and ultrasound, highlighting “the injury-to-imaging interval” as a key concept to differentiate acute damage from healing changes.

Thanks to Alvaro Bartolomé Solanas & Marrero Agustin for their hard work! Hope you enjoy it!

https://t.co/2FsUigfoQj

#MSKRadiology #SportsImaging #StructuredReporting #MuscleInjury

[The Lancet @TheLancet]

Can small changes in physical activity make a major difference?

On the cover, a meta-analysis suggests that 5 extra minutes of moderate physical activity a day is associated with a reduction of up to 6% of all deaths in the least active adults.

Read this & more 👉 https://t.co/CjW7g8x8JG

[The Lancet @TheLancet]

Can small changes in physical activity make a major difference?

A new meta-analysis suggests that just five extra minutes of moderate physical activity a day is associated with a 10% reduction in all deaths in the majority of adults.

Find out more 👉 https://t.co/zU7GkRSIYL

[Clement Lee, MD, MSc @ClementLeeMD]

90% of being a doctor is learning how to convey uncertainty

[Thomas Dekkers | Spinal Specialist Physiotherapist @TDekkersPhysio]

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

A 🧵.....

[Uzo Ehiogu @consultantPT]

Not every MSK problem is “fixable” with physio! ⛑️Our job is management, not miracles.🙏🏿

Junior physios: ⚔️protecting your energy starts with being honest about what’s modifiable… and what isn’t.

Be honest. Be kind. Be clear.

#physio #physiotherapist #msk #chronicpain

[James Noake @DrJN_SportsMed]

Consent ✅

A recurrent theme & common pattern

Medial knee joint line pain - medial meniscal tear & extrusion

Pillow sign - needs it to sleep

Comma sign - meniscal fragment in medial gutter

Capsulitis & point joint line tenderness

US guided injection to meniscocapsulitis zone - proximal then advance distal

Often hugely effective & obviates need for IA injection

[PeterMalliaras @DrPeteMalliaras]

Our new BJSM publication 🆕 🦶

We achieved consensus for the key diagnostic domains and conditions you should consider when assessing Achilles tendinopathy.

https://t.co/Iz5XUsFDjf

Figure 1 summarises the recommended diagnostic process

A huge thank you to all 50+ authors 👏

[Physio Meets Science @PhysioMeScience]

Low back pain management

👇👇👇
https://t.co/d5RaLU1h1t

[PeterMalliaras @DrPeteMalliaras]

Hi folks, here's my tendon adaptation framework 👍 🦶

The goal is to guide choice of tendon adaptation exercise during tendinopathy rehab (example here is for Achilles)

More details here:
https://t.co/ZmKY14r02i

#tendonadaptation
#TendinopathyRehab

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

After a bit of prodding, here by special request is a thread 🧵 on the dreaded “shoulder impingement”, a brief look at the history, the evidence against, the current suggestions and the difficulty clinics have adapting to change. Off we go, enjoy the ride.

[The BMJ @bmj_latest]

A panel of international experts give a strong recommendation that spine injections should not be given to adults with chronic back pain because they provide little or no pain relief compared with sham injections
https://t.co/6F9z0iJgXK
Includes a #BMJInfographic

[Howard Luks MD @hjluks]

There were far too many runners in the office this week with arthritis-related questions... or some who have been told to stop running elsewhere... so... this.

[James Noake @DrJN_SportsMed]

Consent ✅

“Arthritis?? I was dreading you were going to tell me that. My mum has got it and she can’t do anything these days. That’s me done too I suppose”

Not an uncommon chat in MSK and orthopaedic clinic

But actually it’s amazing what some (motivated) people can do even with severe deforming OA

This 80 yo old lady has a better squat than me and walks her dog everyday

She does the exercises her osteopath gave her (who also refused to do any manipulative work and said there was little point her coming back for recurrent appts - I love this osteo already🤣)

As an aside, interesting to see that the lateral compartment looks different on Rosenberg xray view vs standard AP, even in end stage OA

[Professor Jeremy Lewis PhD FCSP @JeremyLewisPT]

MWMs & exercise improves pain, ROM and function > sham MWMs and exercise for people with #RCRSP
@rbaeske @DrTobyHall Rafael Rodrigues Dall'Olmo, Marcelo Faria Silva

https://t.co/CdIuicUxCF

@AAOMPT @KeyClinSkills

[Joey Burton @JoeyBurton]

The mental toughness of Novak Djokovic is incredible.

This is a must watch.

[Timmy Crowe @timmy400h]

If you have a few moments to listen to this interview as a parent with your child.
Possible one of the best post race interviews I have ever watched #PlayOn

[British Journal of Sports Medicine (BJSM) @BJSM_BMJ]

🚨 Strength in collaboration 🤝 - the collaborative power of physiotherapy and strength coaching 💪

PART 4 of this #BJSMBlog series ✅

This final part focuses on the "monitoring and reviewing phase" of rehabilitation

READ ➡️ https://t.co/j3E6Os7txk