Alex Kraszewski

@deansomerset @itscoachgoodman Become his trainer, obviously.

@itscoachgoodman What should I do if I love your body though? What should I do Jon?

Train because you love your body, not because you hate your body.

@DrJN_SportsMed @TDekkersPhysio That's funny because I borrowed the taped up 1s from @LiamChong92

@AKraz88 @TDekkersPhysio i borrowed yours and taped them to together next

5 days post discectomy feeling comfortable to do boring ‘tick over’ stuff, not least to keep me borderline sane 🤪

@TDekkersPhysio @DrJN_SportsMed Don't worry they're only the 2.5s

@DrJN_SportsMed Glad your well mate 💪 Hate to be a buzz kill here but…a little high load for 5 days post discectomy? We normally advise 8kg max total carry load until 6 weeks post op 🫢

@DrJN_SportsMed @physiojack @TPMPodcast @JackAChew @rob_chiro @lizbayleyphysio @JLTHphysio All sold out - no Rheum at the inn.

@physiojack @TPMPodcast @JackAChew @rob_chiro @lizbayleyphysio @JLTHphysio Rheum with a view

Now that is a pretty opening slide, should probably write some content... @TPMPodcast Lower Limb Masterclass 17/06/2025 ;)

@function2fitnes Wonder how many AP's are actually weightbearing vs NWB in these patients, let alone the reporting radiographer/radiologist not being dysplasia-aware?

“Don’t believe the XR report, that states the Hip is normal”, especially in a young female with chronic hip pain. Key messages from leading Hip surgeons Marcus Bankes and Callum Bride at the Early Intervention in Hip surgery conference, New castle. Unfortunately, the majority of hip dysplasia cases are not reported on routine XRs. If in doubt, get a second opinion from an adult hip pain specialist.

@LiamChong92 People caring for people though, right?

Anyone else feel this is a bit excessive? I can’t leave my organisation without having to pay back 100 or 50% of the 2, yes 2 weeks of paternity leave!! 🤦🏽‍♂️🙏🏽

@DrJN_SportsMed 'Overcame' injury is probably a bigger stretch in that title than you trying to inject with your previously mangled thumb too

Her hip flexor got so tight it’s fractured her NOF…. bbc.co.uk/news/articles/…

@lorenzo_masci @DrJN_SportsMed Does that make it better or worse to gamble on something like this though?

@DrJN_SportsMed I suspect she and her team knew the diagnosis.

@DrJN_SportsMed @jcjfryer @hubermanlab CAM formation would definitely suggest that different things can all be true!

@AKraz88 @jcjfryer @hubermanlab Or does function influence structure? 🧐

@hubermanlab is probably my favourite science fiction podcast at the moment

@DrJN_SportsMed @WSWayland @CombatTherapist @greenfeetPT @PearseOD I'll invent AI POCUS for no other reason than to spite you

@WSWayland @AKraz88 @CombatTherapist @greenfeetPT @PearseOD Luckily I'm not a physio 😆😆😆

It’s over lads @AKraz88 @CombatTherapist @greenfeetPT @PearseOD @DrJN_SportsMed

@LenMacPT @sportskneephys @physio_charlie will be your guys or will know someone who is!

Any knee Physios in London (near Hyde Park/Holborn) want to take a patient of mine for a few weeks this summer? College soccer/lacrosse player who had ACL-PTG surgery April 9th.

@DrJN_SportsMed Very kind of you to give Jeeves the weekend off

@AKraz88 i had time to get an Uber home, have another banana, digest it and get back in time for the next set

My ABSOLUTE PET HATE in the gym is when it’s peak time & people are checking their Instagram for 5 mins between each set on a key piece of equipment 😩😩😠😠😠😤

@adamdobson123 @Neurodynamics The evidence is what it is and I won't dispute that - but if the evaluation of a neurodynamic approach is based on a limited or flawed understanding of what Shacklock's system actually is rather than a watered down understanding of it, then it's not a fair representation is it?

@AKraz88 @Neurodynamics I work in spines, Alex. I know his work. I've cited a few here. I know the historical beginnings. There Is a book. What exactly do you not agree with?

Get ‘unstuck’ on neurodynamics for lumbar radicular pain. A brief thread. 🧵 We’ve recently had some content on nerve mechanosensitivity and lumbar radicular pain. I thought it’d be a good opportunity to share some work, and my thoughts on neurodynamics as a treatment.

@adamdobson123 How much have you looked into Michael Shacklock's @Neurodynamics system around this? I think this is probably a more nuanced assessment & treatment framework than the cited literature above probably gives credit for - it's more than sliders & tensioners

6⃣ What’s to make of this? Based on the best available evidence, I don't think we can specifically recommend neurodynamics over any other kind of exercise or activity for painful lumbar radiculopathy. It doesn't matter how intuitive the theoretical model is if it lacks data to show effectiveness. I was unable to find any data comparing the degree of cord excursion following neurodynamics versus any other exercise, or if this would even matter to the outcome. Arguably, all movement is ‘neurodynamic’. Maybe we do not need to change it all. What happens if our 'slider' doesn't work within a session? What if it exacerbates pain? It probably best to not invest in just one approach built solely on theoretical mechanism. Personally, I've found neurodynamic exercises to be uncomfortable, boring, and poorly adhered to. As things stand, I would recommend a 'treat people where they are' approach—one that considers the patients' values, goals, and current activities. The focus may be less on adaptation and more on coping, utilizing their easing and aggravating factors to better manage their condition while their body does the rest. Neurodynamics would sit within that formal leisurely, therapeutic box to the right.

@DrJN_SportsMed @WSWayland I'm not sure if I am the cornerboy or the gatekeeper in this metaphor, but I'll take it

@WSWayland preach (plus a soupçon of prednisolone) ask @AKraz88 #TheChemist

NSAIDs aren’t the enemy, people often loath the idea of pharmaceutical approach but it’s often cost effective and life changing.

@DrJN_SportsMed @MRheumy @kneeguyuk I'd see if there's anything @clairepatella could add to the rehab picture?

@MRheumy @kneeguyuk She'd had a few CSI, good rehab, NSAIDs, cryo, etc etc

Knee surgeons, knee physios 🧎 General consensus is avoiding fat pad surgery But in those with recalcitrant symptoms - thoughts re intervening Outcomes / experience? Thanks

@DrJN_SportsMed @WSWayland @LiamChong92 Gotta give him a chance at least

@AKraz88 @WSWayland @LiamChong92 the bar is low

Warming up. Staggered hinges plus some rotation. @AKraz88 trying to get his stiff rib cage moving.