Chris Pollock

Exercise with chronic pain: Experts say to 'go for it, but gently' - ABC Everyday abc.net.au/everyday/exper…

@thomas_jesson When are you hoping to have next edition published Tom?

I hear that the PT twitter verse (I can’t see cos I blocked the protagonist) has it’s panties in a bunch over the famous professor of spinal biomechanics (NOT a medical doctor or clinician) and advice to pro NHL athletes to avoid tying their skates. A shortish 🧵

Core stability remains myth that needs debunking. Clinicians still support a flawed philosophy (I used to be one of them) that spawned an entire industry promoting the concept of a rigid spine. Here are 5 ideas that may change your practice. 🧵👇 1/6

@JoCyrusJackson @ChrisLeeuwDPT @AdamMeakins Great work. Her training load is much more likely associated with her symptoms than her 'errors', all of which are bilateral from the assessment. Given she has unilateral pain the list of 'errors' is likely coincidental and unrelated

@JaredPowell12 Endure is one of the best books I have read. Enjoy!

My birthday gifts: Books, undies and margarita mix. Name a better combo

@BillingMartin ...Or you are assuming when people cancel or stop coming it is because they are better.

“Every single patient of mine gets better. Within 1-3 sessions” No they don’t. You’re delusional or promoting your business.

Not all clinicians reassurance is useful or helpful to patients! pubmed.ncbi.nlm.nih.gov/23872104/

What's the difference between, say, knee "pain" and a knee "injury"? A recent paper in @BJSM_BMJ makes the case that how we talk about that distinction can affect how we return to training. outsideonline.com/health/trainin…

We're now 4 threads down, 4 to go! Liver, bone & kidney function coming up but today we're looking at.. BASICS OF BLOODS FOR DETECTING AUTOIMMUNE CONDITIONS.

In threads 1-3 we learned what we are measuring, how BTs interact in family groups & the basics of the full blood count. Th1: twitter.com/palingclaire/s… Th2: twitter.com/palingclaire/s… Th3: twitter.com/palingclaire/s… Keep scrolling to learn with me about inflammatory markers.... 👇

Hip & groin pain in sporty adolescents IS NOT NORMAL! (a thread) Kids aren't 'little adults' - they have different physiology, immature skeleton, growth plates... They're susceptible to unique conditions Yet they are robust - if they're not enjoying sport, pay attention...

Case study 11: When it looks like a 🦆, swims like a 🦆, but isn’t a 🦆. 45 yo. 6/12 Hx right lat knee pain. Onset while 🚴‍♀️. No change with physio. GP ➡️ ortho surgeon. MRI: 'inflamed' bursa b/w ITB and lat condyle. Dx: ITBFS. Steroid no help. Referred for 2nd opinion..🧵 1/13

@Retlouping Thanks for sharing

Chronic nociplastic pain affecting the musculoskeletal system: clinical criteria and grading system. pdfs.journals.lww.com/pain/2021/1100…

@DrJN_SportsMed Posterolateral thigh pain

@Pollicus14 yes mri would cover both if LSp and pelvis (plus small field of view L / R ham origin). did you mean anterior thigh or posterior ?

Had 60 y/o female present this morning with acute buttock and proximal thigh pain during 70kg deadlift. Hx of osteopaenia. No neurological signs. Some giving way of leg on down stairs. I am concerned about possible #. What imaging would be best to detect #?

@SportDocBedford @DrJN_SportsMed That was my initial impression too. No bruising and no tenderness at the hamstring origin. Knee flexion strength was poor but similar side to side. No issues with SLR or seated piriformis test. Still keeping it in the back of my mind though.

@DrJN_SportsMed Thanks James. I will send her off when she returns early this week.

@Pollicus14 alternative is sacral insufficiency # - either way mri lsp and pelvis best option

@DrJN_SportsMed That was on my list of differentials too. No pain with flexion. Leg pain reproduced with left lateral flexion and extension, which made me think more likely to be articular rather than discogenic. MRI would differentiate both wouldn't it?

@Pollicus14 more likely disc?

@DrJN_SportsMed @ashjamesphysio @thomas_jesson @lorenzo_masci