Dan Bos

Sports Physio who treats concussion / neck & hip / groin injuries in athletes. Physio for Yale & MEI hockey Academy's. Consultant Physio for WHL / AHL / NHL

[Updates in Medicine @medic_updates]

Retatrutide: The first-in-class investigational triple receptor agonist redefining Type 2 diabetes therapy.

[Dan Bos @DanBosPhysio]

@ladyspinedoc Thoracic out let compression with arm overhead? 1st rib dysfunction. Scalene tightness. Space occupying lesion in the TOS area? Thanks for sharing. #medx #physio #spinedoc #medicine #nerve #pain #sportsmedicine

[Betsy Grunch, MD | Ladyspinedoc⚡️ @ladyspinedoc]

Case 237: Arm up = completely dead. Arm down = totally fine.

29F swimmer. 8 months of numbness down to her pinky. Can’t blow dry her hair. Normal neck. Wild X-ray. 👀

What’s your diagnosis? ⬇️ Answer tomorrow.

#SundayCaseStudy #Neurosurgery #ladyspinedoc #casestudy237

[Dan Bos @DanBosPhysio]

@tomgoom Thanks for sharing. I use shockwave a lot in our clinic for tendon injuries, but never in isolation. Usually combined with proper tendon loading, red light therapy, spinal accessory therapy, and biomechanics correction. Thoughts? Love your posts! #Medx #physio #therapy

[Running-Physio @tomgoom]

Can shockwave immediately reduce tendon pain?

Research from Alsulaimani et al. (2026) would suggest not! Overall reduction in movement evoked pain was small and failed to reach the minimal clinically important difference of 1.5 points. Radial shockwave appears no more effective than sham for immediate changes in pain.

Reference:
Alsulaimani B, Perraton L, Bourke J, Powers T, Malliaras P. Does radial shockwave therapy lead to immediate improvements in pain in people with insertional Achilles tendinopathy? A randomised controlled trial. Clin Rehabil. 2026 Feb;40(2):171-181. doi: 10.1177/02692155251394951. Epub 2025 Nov 27. PMID: 41308020; PMCID: PMC12816402.

[Medicine Refresher @notes4medicine]

Anemia Workup Algorithm

[CardiovascularCorner @TrackYourHeart]

Wide QRS Tachycardia
1️⃣ Ventricular tachycardia (VT)
2️⃣ SVT with aberrancy
3️⃣ SVT with preexcitation (WPW)
4️⃣ SVT with baseline abnormal ECG
5️⃣ SVT with hyperkalemia
6️⃣ Ventricular pacing

[Betsy Grunch, MD | Ladyspinedoc⚡️ @ladyspinedoc]

Ryan Lasko’s injury is a devastating reminder that spinal cord injuries can happen in an instant. Fractures at C6–C7 can affect movement and sensation below the injury, including the trunk, legs, bowel, and bladder. Emergency surgery helps relieve pressure on the spinal cord and stabilize the spine, but recovery from a spinal cord injury takes time.

Sending strength to Ryan, his family, his teammates, and everyone living with spinal cord injury. 🖤

[Dan Bos @DanBosPhysio]

@kh505043 Vertigo

[Dr. Khaled @kh505043]

This test is used to diagnose which condition?

A) Vertigo
B) Migraine
C) Stroke
D) Inner ear infection

[Grady Sas @GradySas]

Trading a guy like Marcus Pettersson for futures and potentially signing a guy like Oleksiak to replace him who could be flipped down the road for more futures is good rebuilding business. #Canucks

[Matthew McConaughey @McConaughey]

Big congrats to Northern neighbor Canada.
🇨🇦 1 🇿🇦 0. Carry on co-hosts.

[Satiar Shah @SatiarShah]

RJ says he likes players with size and they don't get much bigger than picking Brooks Rogowski who's 6'7 with the 33rd overall pick

[Satiar Shah @SatiarShah]

Adam Novotny was one of my draft faves, fully endorse this pick for the Canucks

[Dick Vitale @DickieV]

It is amazing that @CaitlinClark22 who has brought so much publicity for the @WNBA has to take so much abuse from many of those that she has helped financially since her arrival .The physical pounding she takes is totally UNACCEPTABLE! https://t.co/PdJO1xl773

[卄𝐎ù𝔰ε 𝐨𝔣 ℙｏє𝐌 _ @P0eMPieDinges]

Only the Dutch 🤣🤣

[Running-Physio @tomgoom]

6 Phases of Calf Rehab

Adapted from a great paper by Green et al. (2022):

Green B, McClelland JA, Semciw AI, Schache AG, McCall A, Pizzari T. The Assessment, Management and Prevention of Calf Muscle Strain Injuries: A Qualitative Study of the Practices and Perspectives of 20 Expert Sports Clinicians. Sports Med Open. 2022 Jan 15;8(1):10. doi: 10.1186/s40798-021-00364-0. PMID: 35032233; PMCID: PMC8761182.

[Dan Bos @DanBosPhysio]

@DocPriyamMD GBS - fast ascending weakness eventually hitting the respiratory muscles.

[Dr. Priyam Bordoloi @DocPriyamMD]

• Just recovered from a stomach bug
• Sudden numbness in the toes
• Legs quickly become heavy and weak
• Paralysis starts crawling up the body
• Eventually reaches the chest muscles
• Breathing stops

What is the diagnosis? Even med students should be able to answer this.

[Running-Physio @tomgoom]

Always consider bone health in patients presenting with a stress fracture.

Unless these factors are addressed there's a high risk of future bone stress injuries.

Multidisciplinary input may be needed for a full assessment of an athlete’s needs.

[Dr. Priyam Bordoloi @DocPriyamMD]

Treating numbers instead of patients is a massive clinical trap👇

• ​The 80/50 Danger: A BP of 80/50 can mean two completely different things. If the patient is 65, pale, breathless, and confused, he is in Shock. His organs are actively starving for oxygen and we have minutes to start IV fluids and pressors.

• ​The 80/50 Normal: But if that 80/50 is a young 25-year-old woman sitting comfortably and scrolling through her phone? That is just her physiological baseline. Many young, healthy women have chronically low BP. If she is asymptomatic, it’s not an emergency.

• ​The 200/120 Trap (Asymptomatic): If the high BP patient feels fine, it is not an emergency. We actually phased out the term "Hypertensive Urgency" because it made doctors panic. Now we call it Severe Asymptomatic Hypertension. Their brain has adapted to this high pressure over years. If you rapidly drop it to 120/80, you will literally cause an ischemic stroke. We take days to lower it safely with oral meds.

• ​The 200/120 Crisis (Emergency): The only time that 200/120 jumps to the front of the line is if there is active end-organ damage. Crushing chest pain, sudden weakness or breathlessness means it's a true Hypertensive Emergency (like a heart attack or torn aorta). Then we use IV drugs.

​The Golden Rule: The monitor only gives you a number. The patient tells you the emergency. Never treat a blood pressure reading without looking at the person attached to the cuff.

​Hi, I am Dr. Priyam. I break down complex medical science and advocate for Evidence-Based Medicine. Follow me for more clinical truths.

[Kamloops Blazers @blazerhockey]

LOGAN STANKOVEN IS A STANLEY CUP CHAMPION!! 🏆

CONGRATS STANK! 👏 @LoganStankoven

[TONY™ @TONYxTWO]

The National Anthem at the White House was absolutely epic!!! 🇺🇸🔥

Wait for the flyover!!!!