Jane Cowley Physiotherapy Ltd

Your body has a built-in shock absorption system It’s called Pronation The foot, ankle, Achilles tendon, fascia, & lower leg muscles seamlessly soak up impact forces But, if you have Rigid Arches & Stiff Ankles.. Your ‘spring’ may be wound too tight.. & this increases prevalence of -PTTD, -knee pain, -calf cramps, -hip discomfort, -& low back pain. The cool thing is, you CAN train pronation & reclaim its benefits

Lack of sleep can impair performance & increase injury risk 😴 It’s important to ask patients about sleep duration & quality. The Hooper Index can also be valuable for assessing fatigue, stress & sleep. See Hatia et al. (2024) for more info: DOI 10.7759/cureus.76635

💥 Continuum Model of Tendon Pathology💥 🔹Reactive Tendinopathy 🔹Tendon Disrepair 🔹Degenerative Tendinopathy @PhysioMeScience

Tennis Elbow (Lateral Epicondylitis) ✅usually resolves in 6-12 months ✅no strong evidence to support any intervention ✅limited evidence👉physiotherapy ✅steroid injections👉short term pain relief (long-term adverse effects) ✅surgery👉rarely indicated nejm.org/doi/full/10.10…

High school soccer ⚽️ lower body strength training day: ▪️Single leg wall sits ▪️Deadlift ▪️Seated box jumps ▪️DB step ups ▪️Cossack squat

Central role of skeletal muscle ageing in the pathogenesis of sarcopenia Potential pathways👇 ✅insufficient myokine signalling (IL-6, 7, 15) ✅altered immune factors (pro-inflammatory profile) ✅impaired immune cell function ✅altered body composition thelancet.com/article/S2352-…

“Rotator Cuff Tears” (Nature PrimeView 2024)👇🏼 ▶️epidemiology ▶️pathophysiology ▶️diagnosis ▶️management ▶️outlook #shoulder #rotatorcuff nature.com/articles/s4157…

LATEST ➡️ Here is a great article by a team of stellar authors summarizing what is known about osteoarthritis based on the latest evidence📋 researchgate.net/publication/38…

Does marathon running increase arthritis risk? A recent study of 3,804 runners would suggest not! There are limitations; arthritis prevalence was determined by asking runners if they'd been diagnosed with it by a doctor. See full paper for details DOI: 10.1177/19417381231190876

An excellent new study from Dr Lauren Pringels et al. in the BJSM has found that reducing tendon compression (by limiting ankle dorsiflexion during rehab) leads to better outcomes in Insertional Achilles Tendinopathy. See full paper for details: bjsm.bmj.com/content/bjspor…

@iamtomskinner Much love to you all. My children had these (as did I) like yours mine were fine and then it was the first sign of virus. If it helps to know I was told by paeds that it’s certain virus’s and the rate of the rise of the temp not the height of the temp.They are 💯 now! ❤️

Yesterday afternoon my wife took the twins out with her sisters for a meal in Archway, North London whilst I took Henry to to the pub with our friends. My daughter Darla had a fit (febrile convulsion) whilst they was walking towards the restaurant on the pavement outside Home Bargains. A young couple helped my wife and her sister. And took them to whittington hospital straight away in their car. My wife didn’t get a chance to say thank you properly as she run in whilst my baby still having a fit. Darla is now stable and doing well and back home. But I really want to thank this couple. They are absolute Legends and hero’s. Can you all please help me find this lovely young couple who helped my family. I want to thank them and treat them as they took Sinéad and baby Darla to the hospital very quickly and if they wasn’t there it could have been another story. Darla is her happy little self this morning and back to normal. Thanks you every one and happy Sunday. Now both twins have had a febrile convulsion, they are extremely scary. Thank you to the wonderful doctors, nurses and staff at Whittington Hospital. If you know this couple please can you give me their number or email. Thank you. Please share or rt. Bosh❤️

This graphic shows the Sarcopenia Cascade—how muscle loss leads to insulin resistance, diabetes, obesity, bone loss, fractures, dementia, and higher mortality. A powerful reminder that muscle is metabolic, protective, and essential for healthy aging.

An example of being led by the evidence - but not constrained by it: Taping for patellofemoral pain. The research on it? Honestly, pretty 🫤leading many to argue it's a waste of time. But clinicians experienced with PFJ patients know many patients feel dramatic symptom relief when taped So, how do we decide when to use it? Simple, use evidence specific to the individual. 👉 Find an aggravating activity (stairs, running, squats). 👉 Tape the knee 👉 Reassess pain during the activity. If pain ⬇️by >50%? 👉Use the tape. If pain unchanged or ⬇️ by <50%? 👉 Don't bother, probably a waste of time. While the published evidence is mixed, it remains a frequently helpful part of a multimodal rehab program for the right patient. pmc.ncbi.nlm.nih.gov/articles/PMC55…

Pain Neuroscience Education: Teaching People About Pain tandfonline.com/doi/full/10.10…

An excellent new study from Dr Lauren Pringels et al. in the BJSM has found that reducing tendon compression (by limiting ankle dorsiflexion during rehab) leads to better outcomes in Insertional Achilles Tendinopathy. See full paper for details: bjsm.bmj.com/content/bjspor…

📋Acute ankle sprain in athletes: Clinical aspects and an algorithmic approach 🦶 Here is a comprehensive review article covering a wide range of topics on acute ankle sprains 👇 pmc.ncbi.nlm.nih.gov/articles/PMC77…

Decline in muscle size (%/yr) over ∼50 yr of ageing👇 ▶️psoas -0.58% ▶️quadriceps −0.53% ▶️paraspinals -0.47% ▶️elbow extensors −0.39% ▶️hamstrings −0.39% ▶️elbow flexors −0.38% ▶️triceps surae −0.28% ▶️hip adductors −0.27% ▶️dorsiflexors −0.19% journals.physiology.org/doi/full/10.11…

Hot off the press & Open Access: I'm very proud to have contributed to the development of these new clinical practice guidelines for RC tendinopathy! @ISERS2 @EUSSERBOARD Please read and share widely!

The Impact of Microbiota on Musculoskeletal Injuries mdpi.com/2073-4409/14/7…

Skeletal system