Tom Causebrook
274 posts

Tom Causebrook
@PhysioCause
Fitness breeds confidence, confidence breeds skill, skill breeds success. APP with Connect Health. Private practitioner with PhysioX. 🏉🏃🚴🏋️⛷️🏌️

Consent ✅ With respect to lower lumbar & gluteal pain, there are numerous potential pain drivers - disc, facet, SIJ, myofascial.... Cluneal nerve irritation is way down the list, but see it occasionally Dental hygienist - diffuse upper gluteal aching / burning, provoked by repetitive occupational bending & rotation to same side Also squats & trap bar deadlifts in gym Tender ++ over superior cluneal nerve exit point at posterior iliac crest 3-4 cm lateral to PSIS - see XX in picture POCUS - difficult to locate, but working patiently along from PSIS can identify the SCN & vessels as exit fibrosseous tunnel & under thoracolumbar fascia US guided SCN block with local anaesthetic - removed patient's pain







Tendinopathy & all MSK issues are much more than local tissue & exercise 🤔 Occurrence of tendon pathologies in metabolic disorders 🏥Diabetes 🏥⬆️ adiposity 🏥⬆️ blood pressure onlinelibrary.wiley.com/doi/10.1111/sm… pubmed.ncbi.nlm.nih.gov/23315787/
















Timing ⏱️ of physical activity 🏃♀️ matters: ->50% of daily 🏃♀️during 05:00-11:00 and 11:00-17:00, but not 17:00-24:00, is associated with lower risks of all-cause and cardiovascular disease mortality: nature.com/articles/s4146…




