NRD

MSK Physio

[NRD @ResourceSeeker]

@TaintlessRed It came much later. There were points he could’ve been considered high bmi/hip to waist ratio. Anecdotally, one of his early barca contracts had a stipulation that he had to do hamstring stretches. Ronaldo was a blessing for him more than the other way round.

[Tom Quick @TJQPNI]

Neurogenic Thoracic outlet syndrome (#nTOS) information for our patients at the SWePT in Bristol. https://t.co/01F9OlQL6y
#TOS #brachialplexus #pain

[NRD @ResourceSeeker]

@DrJN_SportsMed Thanks as always for the CPD. I’ve had some of these cases where, in my restricted diagnostic assessment, I felt it was patello femoral dominant. Patella compression and/or Clarkes are positive. I wonder how the release impacts the classic anterior joint compression aggs…?

[Football Tweet ⚽ @Footballtweet]

🚨 Jürgen Klopp has launched a scathing attack on the cooling breaks being used during this World Cup. 👊

"Football is being held hostage by executives sitting in air-conditioned offices.

These breaks are being presented as a shield for player welfare, a noble weapon against the heat. In reality, they are nothing more than a golden cage built for sponsors.

When I saw players standing around during cooling breaks while television timeouts dictated the rhythm of the match, I couldn't help but ask myself: who is the World Cup really serving?

The supporters? The players? Or the advertisers?

A World Cup match should flow like a river. Instead, we are building dams in the middle of it so commercials can be shown.

It's dangerous for the spirit of the game. Football used to be the main event, but it now risks becoming background music for an advertising show."

He didn't hold back. 👏👏

[michelle becker @michelleerrq]

Funniest thing I’ve watched on the internet today

[TopShagger @Plentyshit]

The Hangover 🍻🥴 Star Wars edition 🤔

[NRD @ResourceSeeker]

@SamMcGuire90 Italy is just silly. Does he really have McTominay in his sights as competition?

[NRD @ResourceSeeker]

@HendrickD82 @frankfrance12 So was Gerrard. We found a way. He ain’t no Gerrard but we’ll struggle to find better.

[NRD @ResourceSeeker]

@RayToluAyo @samadakin01 Like Netflix, next season bro.

[PGA TOUR @PGATOUR]

Now THAT’S a bunker shot 👏

Larry Mize with an up-and-down for the ages @CSChallengeFW.

#TOURVault

[NRD @ResourceSeeker]

There are people starting to tee off now and its hit 31 deg already. God speed.

[Futebol Nostálgico! @futnostalgico]

A dupla Ronaldo e Romário 😍🇧🇷

Nostálgico!

[Cricketopia @CricketopiaCom]

Viv Richards playing Street Cricket in the 80s

[Myles 🇯🇲🇧🇧 @myles_premium_]

They ain't even boarded the plane yet and the racismo has started? Fairs

[Led By Donkeys @ByDonkeys]

Immigration makes Britain brilliant.

[James Noake @DrJN_SportsMed]

Consent ✅

Professional race driver - FIA endurance / LeMans

R upper limb heaviness, weakness, headaches and facial pain with very high sustained effort in car over 3-4 hours - specifically repetitive shoulder abduction, forward flexion, rotation

Pre-dated by high energy 'whip lash' injury in crash

Numerous cervical spine investigations abroad - all normal

Most telling exam sign - Roo's test - (see video reel)

Forearm and hand cyanosis with vein dilatation

Highly suggestive of vascular (venous thoracic outlet syndrome)

End of reel - duplex ultrasound shows flow occlusion taking patient into functional driving position (FF, lateral raise 60 deg max)

Awaiting MRI TOS protocol with contrast and arms up / down

vTOS can be caused by myriad anatomical variants - anomalous muscle slips, ligaments, accessory rib, and also post trauma

Pearls - listen to the patient, the story's the pattern, and the sporting MOI

[Nick Ilić @NickIlic_Physio]

During football season subcutaneous calcaneal bursitis can pop up from time to time.

A lot of these short-term niggles never make it to clinic.
By the time someone would book, wait, and arrive… it’s already better.
So MSK clinicians often don’t get much exposure to them.

Typical picture:
🔹 Local swelling over the posterior calcaneus
🔹 More “mechanical compression irritation” than big inflammatory drama
🔹 Sometimes a little click
🔹 Pain with direct palpation
🔹 Often fine barefoot hopping, jumping, or running
🔹 Worse in boots due to friction/pressure from the heel counter

The issue often isn’t “can they load?”
It’s “can their heel tolerate the boot rubbing on it?”

Management is usually simple:
🔹 Reassure them it’s usually short-term
🔹 Give it space from the specific aggravating load (time out of shoes overt the day between training sessions)
🔹 Use a foam doughnut pad/strapping to offload heel-counter pressure
🔹 Ice a few times per day if it’s angry
Rest from the bits that clearly stir it up

Sometimes it just needs less rubbing, less poking, and a bit of time.

[Robert LaPrade, MD @thekneedoc]

What does a posterior cruciate ligament (#PCL) tear feel like? Athletes report a tearing knee sensation, not a pop. Swelling is often mild when isolated. This differs from anterior cruciate ligament (#ACL) injuries, which present with pop + rapid swelling https://t.co/10xIdRWe0l

[Teppo Järvinen @shamteppo]

We performed arthroscopic partial meniscectomy for decades.

Then tested it against placebo.

And followed patients for 10 years.

No benefit.
Signals of harm.

The challenge now is not evidence —
but what we do with it.

[Grizz Khan @GrizzKhan]

Remember the “Brexit midfield”. Some of you cunts used to mock them. I cry and despair looking at our midfield off the ball now.
#LFC