Robin McNelis Physiotherapy

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Robin McNelis Physiotherapy

Robin McNelis Physiotherapy

@robinthephysio

Cardiorespiratory Physiotherapist working in private practice with a special interest in Breathing Pattern Disorders and Long Covid Recovery

London/Essex/Falkirk/Online شامل ہوئے Kasım 2023
209 فالونگ394 فالوورز
Robin McNelis Physiotherapy ری ٹویٹ کیا
Todd Davenport
Todd Davenport@sunsopeningband·
Pacing isn’t curative but it’s a necessary skill for people living with energy limiting conditions. ME and ME-like conditions that are associated with known deficits in aerobic metabolism. Obviously I teach pacing and that’s centered on patients’ specific self-identified needs.
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Dr Ben King 🌏
Dr Ben King 🌏@benking01·
Daring to believe that I'm on some kind of route to #recovery from #LongCovid #PEM. My raised 'Lactate Heartrate' from around 100bpm to c.138bpm, following months of careful #micropacing (HT @robinthephysio) should allow me to reintroduce some activities. Just had a shower 😲🎉
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Dr Ben King 🌏
Dr Ben King 🌏@benking01·
@useless_priest @visible_health @NuffieldHealth @robinthephysio My resting HR was 50-ish. Originally, back in May, my lactate threshold was around 110bpm, so I set alerts for 105bpm. I used a treadmill to gradually increase my heartrate and to discover a gradually rising lactate threshold; it's now around 130bpm so I only get alerts at 127!
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Dr Ben King 🌏
Dr Ben King 🌏@benking01·
@useless_priest @visible_health @NuffieldHealth @robinthephysio All from not over-exerting. Stopping moving and resting before my body produces lactic acid. It's working for me! I can go for days without hitting 127bpm. A woman on Facebook recently told me that her latate threshold is now 140 bpm. This effectively allows 'normal' activity.
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Robin McNelis Physiotherapy
Robin McNelis Physiotherapy@robinthephysio·
Well done!! A thing of beauty @benking01 So glad you found the YouTube I did with @BinitaKane so useful. You are part of our inspiration to produce further free to access resources in the New Year, watch this space 👍
Dr Ben King 🌏@benking01

The @visible_health app. offers a downloadable summary Health Report. Over this timescale it's clear to see a reduction in my symptoms and an overall improvement in my health. Thanks to heartrate monitoring and, since September, the @NuffieldHealth #LongCovid Rehab. course.

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Marco
Marco@Gmwetz·
Why PEM after showering but not after shopping? Subjectively speaking, the act of shopping is more strenuous than showering. Ideas ? Dysautonomy ? Nervous system ? Lactate build up ?
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LifeFitWellness
LifeFitWellness@LifeFitWellness·
That's our first Men's Pilates class held this Friday morning 😃👏 Well done to all attendees! Our Pilates instructor Stefan is embracing Movember and in support of Men's Health month he has shaved his beard and is showing off his moustache! #IamLifeFit #Movember #MensHealth
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Julie Taylor
Julie Taylor@JulieTa58407536·
Morning all, I am excited to have another amazing guest on the podcast. This will be another little mini series of the #podcast with the fantastic @robinthephysio more information later in the week. In the meantime 1/2
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LifeFitWellness
LifeFitWellness@LifeFitWellness·
Our specialist Cardiorespiratory Physio clinic is available monthly in Falkirk, for home visits or virtual appointments. Robin McNelis has expertise in managing a range of Breathing Pattern Disorders including asthma, bronchitis and long-covid. Contact us for more info or to book
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Binita Kane
Binita Kane@BinitaKane·
For anyone interested in the pathophysiology of MECFS there’s a nice infographic here from this review article; jci.org/articles/view/… LOTS more research needs to be done of course. In clinical practice the vascular dysregulation is something I very much recognise 🧵
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Binita Kane
Binita Kane@BinitaKane·
In less severe patients my colleague and friend @robinthephysio is finding reduced lactate thresholds, with patients switching from ‘green’ (aerobic) to ‘red’ (anaerobic) at low effort and heart rate levels - a key cause of PEM/PESE the cornerstone symptoms of ME 3/
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