The Physio Student

@function2fitnes @function2fitnes any MSK POCUS courses you recommend in the uk ?

Some of the best conversations happen when old paths cross again. Recently, I reconnected with Nancy Venables — specialist ESP shoulder physiotherapist at St. Albans City Hospital (NHS). We worked together over 20 years ago at Barnet and Chase Farm Hospital. Back then, the landscape looked very different. -No ultrasound in clinic. -No image-guided injections. -A lot more guesswork. Comparing notes on how practice has evolved was fascinating — and one theme kept coming up: Ultrasound is transforming shoulder management. Here's why it matters: -It elevates diagnostic confidence at the point of care — no waiting weeks for imaging reports -It improves accuracy for guided injections, which directly enhances patient outcomes -The shoulder, with its superficial structures and dynamic pathology, lends itself exceptionally well to high-quality ultrasound assessment People often associate me with hip and groin work. Fair enough — it's a big part of what I do, along with complex running injuries. But shoulder ultrasound and ultrasound-guided procedures are a significant part of my NHS APP clinical practice too. GH joint injections under US guidance remain one of the most satisfying procedures I perform. Nancy is now planning to implement ultrasound-guided procedures within her service. I think this is the direction of travel for advanced practice clinics everywhere — bringing greater precision, efficiency, and tangible patient benefit. The profession is moving forward, especially in Advanced Practice. And conversations like this remind me why.

@DrJN_SportsMed Great case as always, whats the management here ?

@Retlouping Thank you! Very helpful as always 🙏

@AStudentPhysio free full text here

@thomas_jesson Hi Tom, just wondering how specific myotome testing is to the level of radiculopathy ? Any insight would be helpful or signposting me to relevant literature. Thanks

@OnlinePhysios @Retlouping 😴

You're lying on the floor on your back. The instructor grabs your crotch & nipples, shoves his saliva-wet fingers in your ears, then jokingly asks if you feel like a virgin. For laughs. What other profession would tolerate this? What is wrong with us? youtu.be/77Ov6rXag_k

@DrSethPT I don’t feel confident in this in the sense that if there was an abnormality I wouldn’t know how to approach it

I once started a talk asking who thought they did a thorough job “screening for red flags.” Nearly 100% said yes. Then asked who regularly did cranial nerve exams. Literally NO ONE said yes.

@AdamMeakins So this is for a full grown adult swearing ?

So after nearly 20 years in the NHS todays clinic theoretically could be my last one ever if some get their way! 🥺😖

@AdamMeakins That would be a massive shame!!

@thecsp Hi I didn’t receive my email to vote on the pay deal, can you help me with this ?

@theEndurancePT @marathontalk @LondonMarathon @NewportWales262 @runnersworlduk @letsrundotcom @UKRunChat @WelshMarathon @TrailWales @runnersworld What cues do you use to help with this ?

The clinic is currently jam packed with spring marathon runners struggling with knee pain, worried they won’t make the start line. One strategy thats helping many to reduce pain and continue with their goals is to increase their step rate 1/5🧵

@PhysioDOH @RobYeldham @BleasdaleJoanne @physiospilz @thecsp Agree Dec, back to the pickets I think

@RobYeldham @BleasdaleJoanne @physiospilz @thecsp It’s a disgrace Rob. Reject. Don’t talk to the Gov until it’s above inflation. On top of Nurses being offered talks for different pay bands away from AfC? No mention of this from the CSP. Absolutely useless. 🤦🏻‍♂️🤦🏻‍♂️🤦🏻‍♂️

@thecsp Below inflation… reject. Back on the picket

BREAKING: New NHS pay offer to be put to members in England. CSP members working in the NHS in England will be consulted on a new pay offer secured through negotiations with the government in Westminster. #CSP4FairPay bit.ly/3Z8fZOh

@RobYeldham @Mihaifr1 @thecsp Are you able to explain how ?

@Mihaifr1 @thecsp With all elements it roughly equates to 10.5%

@thecsp what’s next for us ?

4k @thecsp physiotherapists are striking today. They were there during Covid drafted onto ICU wards to prone patients. They ensure people recover faster and get back to their life sooner. They keep patients out of hospital. People like me don't write nearly enough about them.

NHS MSK gang! How long do you/your team get for your new patients and follow ups ? @AdamMeakins @ShoulderGeek1 @adamdobson123

@consultantPT At what stage would you allow them to start loading that heavy ?

Physios often ask me why I keep studying as a clinician…My answer to them is, so I can try & solve difficult clinical problems …so a power lifter 2 months post ACLR asked me if they can squat and deadlift with body weight + 100kg because it’s well below their PB ? 1/1 cont

Physiotherapy staff in England and Wales vote Yes to strike action NHS physiotherapy staff in England and Wales have voted to take strike action in their first-ever ballot on pay and retention issues. #CSP4FairPay bit.ly/3FrwVaj

How many new patients on average do you all see a week?