New chronic back pain trial alert! Congrats to @matthewbagg James McAuley and team for making it happen and Ben Wand for a bright idea. Graded sensorimotor training superior to a proper sham for pain and disability. Physiotherapy Brunel @BrunelCHWL

Revisiting this superb “Unraveling Groin Pain” Physio Network blog by James Noake. A required read for anyone treating runners, most importantly, “it’s not your hip flexor”. physio-network.com/blog/unravelli…

Differences in clinical, genetic, and radiographic features and treatment responses between axial PsA and axSpA 👀👀👇👇 axSpA, axial spondyloarthritis; IL, interleukin; NSAID, nonsteroidal anti-inflammatory drug; TNFi, tumor necrosis factor inhibitor. sciencedirect.com/science/articl…

Thread alert - posterior ankle & heel pain 🚨🚨🚨 Most cases are ‘common garden’ achilles tendinopathy However, here is a selection of conditions I've seen over time in clinic which can masquerade & are worth considering if the picture is atypical or patient not progressing

Beliefs about #osteoarthritis negatively impact the uptake of evidence-based treatments such as exercise and physical activity 🚶🏻‍♀️🏋🏼‍♂️ A/Prof A/Prof Tasha Stanton joins ProfDavidHunter on this week's episode to discuss reframing pain for osteoarthritis 🎧 pod.fo/e/13e82d

1) A 🧵 looking at meniscal root tears (MRT) of the knee.

A nice overview of the clinical considerations in the diagnostic workup for cervical myelopathy. journals.sagepub.com/doi/full/10.11…

If you haven't read it - do so! Well done Mary O'Keeffe et al. 💪 Clever design and clinically applicable! onlinelibrary.wiley.com/doi/10.1002/ej…

What is the disc made of?? intervertebral disc structure laid out here The most significant biochemical change to occur in disc degeneration is loss of proteoglycan pubmed.ncbi.nlm.nih.gov/18211591/

Hot of the press. The UK musculoskeletal advanced practice standards. The new standards align fully to those set out by IFOMPT putting MACP members in a strong position as all routes to our membership are already mapped to IFOMPT

I get asked about the utility of hip & groin tests all the time The short answer is there's a big overlap across clinical tests & key pain drivers - no test is particularly specific; some are sensitive This is my take based on clinical experience - opinions welcome

Osteoarthritis in over 16s: diagnosis and management Really are step in the right direction 😍 No acupuncture, no electrotherapy, no inappropriate imaging. Nice linear decision making Even like the layout, much more accessible. The Rheumatology Physio This is dreamy nice.org.uk/guidance/ng226…

🦵 Which ACL special test is most accurate? Tanaka et. al. found high diagnostic accuracy for: ✅ Lachman ✅ Anterior drawer ✅ Pivot shift ✅ Lever sign 📊 Authors have detailed sensitivity, specificity and LR's for each 🔗 Read: ncbi.nlm.nih.gov/pmc/articles/P…

Great summary article on Nerve Conduction Studies/ EMG, including indications, process and interpretation 👌 racgp.org.au/getattachment/…

Thread alert 🚨🚨🚨 Ankle inversion injuries don't just result in lateral ligament sprains.... ...there are plenty of other injuries to bear in mind when you assess, both acutely & further down the line

1/ Have you ever had a patient with low back pain & degenerative findings on lumbar MR imaging? 🔎👀 Demystifying lumbar stenosis is one of my favorite things to teach medical students & junior residents! A thread 🧵

Recently published, 'ASAS-EULAR recommendations for the management of axial #Spondyloarthritis: 2022 update' in @ARD_BMJ ard.bmj.com/content/82/1/1… #axSpA #axialSpA ASAS EULAR EULAR HPR - Health Professionals in Rheumatology BRITSpA

This 👇

The more people are aware of hip dysplasia the less often it’ll be overlooked.

Great opportunity for any aspiring/ current APPs to join our amazing MCATTS team at Guy's and St Thomas' beta.jobs.nhs.uk/candidate/joba… #Physio #FCP #APP #PhysioTwitter Benoy Mathew Rashida Pickford