Arun Samuel Jaykumar

@tomgoom Excellent work @tomgoom and @lizbayleyphysio Thank you

I teamed up with @Liz_Bayley_Physio to create this progressive rehab programme for Plantar Heel Pain.  We've called it 'LiTHE' (Liz and Tom's Heel Exercises) and it's aimed at active and sporty patients. It's not a recipe though so it's best to adapt it to suit individual needs.

Femoral neck stress #s /injuries are high risk injuries and the outcome depends on early diagnosis. Working as FCPs and in community MSK clinics one does come across runners presenting with anterior hip pain. Here’s a slide with some useful information on it #bonestressinjuries

⚠️ The joint association of abdominal obesity and physical activity with cancer risk 🏃‍♀️ NEW #BJSMBlog that summarises this recent study with infographic that highlights the #TakeHomeMessages 👇 Blog ➡️ bit.ly/44nUH3B

From the excellent work of @DChalloumas @Seth0Neill @carlespedret @TendonGlasgow …. Apologies, as I don’t have the usernames/profiles for other authors

@SportsDirectUK How do I know who this person is?

@arun_jaykumar @arun_jaykumar Hello there we're sincerely sorry for the inconvenience that you are currently experiencing. Share your order details with us via a direct message for further assistance from our team.Regards,Mzharfan

@SportsDirectUK Am trying to send an email to your customer service team regarding a credit note I was offered for a pair of running shoes I bought last week worth £150! I’ve been given invalid email address by the store manager which makes matters worse. Pls share email address

@SportsDirectUK Hi I received a call from someone stating they were going to refund me and asked me to download an app on my phone. They were quite rude when I said there is no way of me knowing who they were. He is asking me to download an app so he can check my identity. I was not comfortable

At uni I was taught to check THREADS in a patient’s past medical history. Recently I’ve adapted this to DEC’S THREADS. So why add the DECS?… Digestion - gastrointestinal complaints can be a sign of Low Energy Availability and digestive diseases can be a feature of inflammatory arthropathy (which can cause joint and tendon pain). Eyes - Uveitis (pain, inflammation and redness of the eye) is associated with Ankylosing Spondylitis. Cancer - a history of cancer is a red flag 🚩 as it increases the possibility that current symptoms may be cancer related. Skin - psoriasis can be accompanied by psoriatic arthritis which often affects joints and tendons. This may be more common in those with psoriatic nail changes. The addition of DECS helps the screening process then we can explore relevant areas in more detail. What do you think? Would you use this in clinic? 🤔

12 Truths about Endurance Training that 30 years in labs and out with athletes have taught me: fasttalklabs.com/training/seile…

📖 Advanced Hip Patient Care: From Theory to Practice CPD Scotland : Excited on returning back to Scotland, after 4 years,  which will be hosted at Life Fit Wellness in Falkirk. Join us for an immersive learning experience focusing on complex hip pathology assessment and management. This workshop bridges theoretical knowledge with practical application. Kasia Zielina 🎯 Core Components: ·      Systematic examination protocols ·      Evidence-informed treatment approaches ·      Rehabilitation progression strategies ·      Real-world case analysis Bringing decades of specialist experience in complex hip presentations. For more information and bookings, visit The Adult Hip Patient – Intraarticular Pathologies of Hip (17 MAY) vitalpm.com/events/the-adu… The Adult Hip Patient – Extraarticular (BIG FOUR)- Gluteal, Hip Flexor, PHT, Adductors  (18 MAY) vitalpm.com/events/the-adu…

I’m excited to be returning to the Lake District in April to present Running Repairs and hoping we can include a run with course members to see some of the stunning local scenery! 🤞 Visit tickettailor.com/events/running… to find out more and book your place.

@HMRCcustomers I do not seem to be able to pass the identity check to complete tax return. It seems there is an error with my surname on HMRC records and this maybe the reason. How can I change my surname on your records please?

@tomgoom Thank you for sharing Tom. Do you have the full paper please?

The 80:20 split is good training option for distance runners but it’s not a recipe for everyone! 🏃🏽‍♀️ For the best results work with a running coach to create a plan tailored to the individual and their goals.

Considering shockwave therapy for tendon pain? Watch this video first. youtube.com/watch?v=qvjtYO… I share findings of our shockwave therapy trial and how it reshaped my treatment. #AchillesTendinopathy #ShockwaveTherapy Link to paper in video description

Sleep and Nutrition should be given enough priority when managing runners. They affect energy availability and if this runs low it could influence endocrine function which in turn has various detrimental effects of bone turnover, ability to recover from an exercise session, etc.

@DrJN_SportsMed Wow! How old was the pt please Dr Noake?

Documented permission / consent from patient to discuss this ✅✅ 6 weeks bilateral sciatic pain Then progressive loss of initiating urination, testicular numbness / ‘warmth’ Subjective bowel function changes but hard to articulate Urgent MRI - no disc bulge or stenosis to cause CES But tumour involving the cauda equina nerve roots - likely benign Astonishing service from @ClevelandClinic 🙏🙏 - being seen first thing in the morning by neurosurgeon to plan Will likely need full spine MRI with contrast

Gait retraining measures e.g. increasing cadence for Patellofemoral pain can be useful in runners. How about increasing duty factor (DF = stance to flight time ratio)? Here’s some information on it. It has however only been tested on symptomfree population so far!

@tomgoom Congratulations @tomgoom

I'm so excited to be presenting at the Running Summit this September! It's an honour to share the stage with Bryan Heiderscheit, Rich Willy and Cristine Agresta. Visit summit.mlpt.com/running/ to find out more. Use code 'TOM50' for a special discount!

Large cohort study findings 🦵 High HbA1c even in prediabetes (>5.7%) triples the risk of LL tendon problems 🧐 High total cholesterol (>5 mmol/L) increases odds of UL tendinopathy by 1.5x, and metabolic syndrome by 2.5x In UL and LL pubmed.ncbi.nlm.nih.gov/33963621/ #TendinopathyRehab

Uphill running increases load on the Tibia and Achilles but can reduce peak load on the knee. ⛰️🏃‍♂️ See Van Hooren et al. (2024) for more on the influence of gradient, speed and step rate: onlinelibrary.wiley.com/doi/10.1111/sm…