Andrew Pontin

Hey @BBCSport could you just make a slight tweak to your website to make it even better? When I look at any football league table and you have the 'form' column (W/D/L), when you mouse over the 'W/D/L' please can you have it so it pops up with what the game/score was? thanks!

Spinal Cord Injuries🧠

Just published 🔥 The Suspected Cauda Equina Syndrome Score (SuCESS) pubmed.ncbi.nlm.nih.gov/41763246/

References the-scientist.com/what-causes-th… Image credit NATHAN DEVERY #F1" target="_blank" rel="nofollow noopener">frontiersin.org/journals/pain-… journals.lww.com/painrpts/Fullt… biomedres.us/fulltexts/BJST… nature.com/articles/s4139…

💡#Masterclass - check out our NEW masterclass on the Screening of #Axial and #Peripheral Spondyloarthritis (AxSpA) by @carol_mccrum & @HannahLChambers - buff.ly/d13OHYD #SpondyloarthritisAwareness #MSKPractice #EarlyDiagnosisMatters #RheumatologyCare

New article. Navigating the grey zone regarding surgery for disc herniation and sciatica! Feedback appreciated (I know it's long). thescandiphysio.com/2026/03/20/who…

The hardest conversation I have in my office isn't about surgery. It's about time. A 58-year-old sat across from me with knee pain. She’s otherwise healthy, but menopause has been rough on her. Her MRI shows some cartilage changes — age-appropriate, and a typical meniscus tear... basically, nothing that requires surgery. But she hasn't done any physical work in 15 years. She stopped playing tennis at 43. Stopped walking regularly at 50. Now the knee hurts when she climbs stairs. The knee isn't the problem. The knee is just the messenger. What has really happened is fifteen years of progressive capacity loss. Muscle mass has declined while tendon capacity has dropped. Her metabolic health shifted, and menopause has contributed to these changes. The knee was affected secondarily. The knee doesn't require my attention... that needs to be directed elsewhere. I can't give her those fifteen years back, but I can help her start from where she is. And starting from where she is still works. An 85-year-old can still synthesize new muscle protein after a single resistance-training session. The window of opportunity does narrow with age, but it never closes. Recovery takes longer. The risk of injury is likely higher. Progress is slower. But the biology of adaptation doesn't abandon you at 58, or 68, or 78. What changes is the cost of waiting. Every year of inactivity makes the starting point harder and the ceiling lower. The leverage you have at 40 is real and significant — and it's greater than the leverage you'll have at 60. That's not a reason for despair... It's a reason to start, wherever you find yourself now. 3 months later, after a solid strength/power program, she's walking daily with her weighted vest and is back on the tennis court.

This study by Hasvik et al. (2022) 📊 took 90 patients with MRI-confirmed lumbar disc herniation and followed them for 1 year. Heres what they found...

Just published in “Clinical Journal of Pain” 𝗣𝗮𝘁𝗵𝗼𝗽𝗵𝘆𝘀𝗶𝗼𝗹𝗼𝗴𝘆 𝗼𝗳 𝗖𝗵𝗿𝗼𝗻𝗶𝗰 𝗣𝗮𝗶𝗻 pubmed.ncbi.nlm.nih.gov/41614224/

In resident clinic, the patient says: “I’m off balance.” One sentence. A problem that could live anywhere on the neuroaxis. When the exam doesn’t scream cerebellum, vestibular, or spine—that’s when I reach for my neuromuscular buckets.

Managing the meniscus part I-Anatomy, biomechanics, and treatment strategies for the atraumatic meniscus tear pubmed.ncbi.nlm.nih.gov/41562126/

Woman, 52. Doctor, I think I'm getting Alzheimer's. She's not. She's in perimenopause and nobody told her this is neurological. Menopause = Brain event, not just ovarian. Here's your complete OPD cheat sheet: ↓ What to screen (4 pillars) ↓ Brain fog vs dementia ↓ HRT vs non-hormonal Rx ↓ Clinical pearls Save this. #MedTwitter #NeurologyTwitter #WomensHealth #Menopause

Just published 🔥 𝗗𝗼𝗲𝘀 𝘁𝗵𝗲 𝗦𝗶𝘇𝗲 𝗼𝗳 𝗖𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗗𝗶𝘀𝗰 𝗛𝗲𝗿𝗻𝗶𝗮𝘁𝗶𝗼𝗻 𝗔𝗳𝗳𝗲𝗰𝘁 𝗖𝗹𝗶𝗻𝗶𝗰𝗮𝗹 𝗣𝗮𝗿𝗮𝗺𝗲𝘁𝗲𝗿𝘀 𝗶𝗻 𝗖𝗲𝗿𝘃𝗶𝗰𝗮𝗹 𝗥𝗮𝗱𝗶𝗰𝘂𝗹𝗼𝗽𝗮𝘁𝗵𝘆? pubmed.ncbi.nlm.nih.gov/41464802/ illustration: nejm.org/doi/full/10.10…

Masterclass- Axial and Peripheral Spondyloarthritis: Screening, suspicion and referral in musculoskeletal clinical practice sciencedirect.com/science/articl…

2024 updated multiple sclerosis diagnostic criteria in visual form. pubmed.ncbi.nlm.nih.gov/41520421/

Right then, What were the Top 5 most downloaded podcast episodes of Clinical Communication from 2025? Let’s see…

Sharing these pearls on sensory ataxia again, which I posted last year. Clinical neurology never ages🤓. A couple of additional ones on the sensory/reflex exam: In general, in peripheral neuropathies, vibration is more affected than proprioception, while in posterior cord myelopathies, vibration and proprioception are usually equally affected. In PN, when proprioception is abnormal at the toes, the ankle reflex should be absent. If that is not the case, consider a superimposed myelopathy or an RFC1-related disorder.

Must read OA is complex and nuanced We see this mismanaged daily, with everything except what should be given first line (imaging/jabs etc) Language is still stuck in the wear and tear domain Considering it’s prevalence and impact we need to do better pubmed.ncbi.nlm.nih.gov/41183559/

A comprehensive review of SIRVA. More common as we enter flu jab season 💉 🎯Assessment 🎯Diagnosis 🎯 Management Full text 🔗sciencedirect.com/science/articl…

📚JUST PUBLISHED 💉 A review of injection therapy for common Wrist/Hand conditions 📈Efficacy 🥴Side Effects 💊Steroid & Dosages 🤓Full text link 👇🏼 assets.cureus.com/uploads/review…