Josiah Sinclair

UoL Physiotherapy Graduate 📚
UHL Senior 6 MSK rotational physiotherapist

[Josiah Sinclair @josiah_sinclair]

@TDekkersPhysio Cauda Equina

[Derek Griffin @DerekGriffin86]

Another reason to be wary of sternoclavcular joint pain especially in the absence of trauma.
https://t.co/RiGmcpibLq

[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...

[Derek Griffin @DerekGriffin86]

The role of autoimmunity and the immune system in fibromyalgia will hopefully lead the way to better treatments.
https://t.co/j2RAmr0H2f

[Paul Ingraham (PainScience.com) @PainSci]

Do scientific trials obscure some good treatment results? Outliers? “Strong responders”?

TL;DR: Strong responders do exist…but they’re rare, hard to find, and probably not YOU.

Or your patients.

And now for the whole discussion (4-min read):

https://t.co/grcZE79LYf

[Josiah Sinclair @josiah_sinclair]

@PainSci Great article!

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

@twint7787 The other one 😉

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

The lesser quoted Brinjikji et al study

MRI Findings of Disc Degeneration are More
Prevalent in Adults with Low Back Pain than
in Asymptomatic Controls: A Systematic
Review and Meta-Analysis

https://t.co/HKsA3bfchX

[Simen Sletten @simensletten]

New article. Navigating the grey zone regarding surgery for disc herniation and sciatica! Feedback appreciated (I know it's long).

https://t.co/OhjCsVm3Wi

[Josiah Sinclair @josiah_sinclair]

@Retlouping Great summary of key concepts, thanks.

[Josiah Sinclair @josiah_sinclair]

@adamdobson123 Yeah will do 👍

[Josiah Sinclair @josiah_sinclair]

@adamdobson123 Just relaying my experience, who doesn't listen to pts? That's basic care, Mckenzie appraocj is just another approach like any other. No better or worse than anything else.

[James Noake @DrJN_SportsMed]

For the people at the back -

1. Distance runner with ramp in load +/- REDS risk factors
2. Positive hop test
3. Positive FADDIR
4. Weak / painful on iliopsoas testing

This is 99.9% likely to be a neck of femur stress injury

IT ISN'T A TIGHT HIP FLEXOR

[Matt Jones @Mattjones0203]

Pain neuroscience education combined with any singular form of physical therapy intervention is not more effective than the single intervention itself: a systematic review

https://t.co/eO1BfbrwXT

[Dr sthanu subramanian @drsthanus]

A detailed infographic about Muscle cramps.

https://t.co/hQj2aAKkQG

[Dan Lorenz @kcrehabguy]

Pretty solid algorithm on how to decide op vs non-op ACL

[Siim Land @siimland]

It's commonly claimed that ultra-processed foods drive hedonic overeating.

However, this new analysis found that the degree of food processing was not the strongest predictor — it explained only up to 7% of the variance in overeating behavior.

Instead, individuals' subjective perceptions — such as whether a food was seen as indulgent, tasty, or a “guilty pleasure” — explained significantly more of the variation in both liking and hedonic overeating, accounting for up to 38%.

The biggest determinant was nutritional composition, i.e., macronutrients, fiber, energy density (40-57%)

Carbohydrate-to-fat ratio provided no additional effect

Study: https://t.co/Z8EvXPCGb9

[Asaf (Klaf) Weisman @AsafKlaf]

Metabolic disorders and pathophysiologies have many detrimental effects and are associated not only with tendinopathies but also with chronic #pain and are highly likely to be causal for these. This new review finds that diabetes has crazy effect sizes for many types of tendinopathies from trigger finger OR=~3.8 to Achilles tendinopathy OR =7.2 to medial epicondylitis OR = ~11.3 ! There are other weaker associations.

Open access in the comments.