Fitness breeds confidence, confidence breeds skill, skill breeds success. APP with Connect Health. Private practitioner with PhysioX. 🏉🏃🚴🏋️⛷️🏌️
West Midlands, England
Joined November 2018
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Cluneal nerve🤨....one for the differential list. Every day's a school day📖
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
Tom Causebrook retweeted
I spent that last couple weeks reading @PeterAttiaMD book Outlive.
It is amazing and a must read.
If you haven't read it yet, here are 50 quotes on health and fitness from the book that will make you think
Health advocate>physiotherapist (or at least = to)
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/…
pubmed.ncbi.nlm.nih.gov/2331…
Excellent resource.
Fancy some endoftheweekend nerve updates? @OrthohubXYZ and I present examination tips on sheets for each of the major nerves of the hand. #ulnar #median #radial.
Tom Causebrook retweeted
Consent✅
For hip & groin geeks - mini thread 🧵🧵
Elite female sprinter
Worsening medial groin pain radiating into lower abdomen & "womb" - no acute episode, pop or tear
Worst on explosive block drills; sprinting especially when fatiguing & losing form, dropping into hip & lumbar extension; core / abdominal S&C work
Can attain max 65% sprint performance
Exam - pain & weakness on isometric long leg squeeze & resisted crunches
NO pain on palpation through pubic symphysis, tubercle or adductor origin
Cyriax may have his critics, but can't be faulted on this one.
This Post is from an account that no longer exists. Learn more
Tom Causebrook retweeted
Here's one of the best (highest-quality) studies on #cupping therapy. Relative to sham, it shows no effect of cupping on pain, physical function, perceived overall effect, quality of life, psychological symptoms, or medication use. #pseudoscience
🔓rb.gy/nb178
Tom Causebrook retweeted
Sarcopenia is not age-related. It is disuse related (plus all the usual suspects that accelerate development).
Tom Causebrook retweeted
"Association btw Grip Strength and impaired Cognition/Memory Loss in older adults"
Every 5-kg⬇️in grip strength is linked to👇
>10% greater odds for any cognitive impairment
>18% greater odds for severe cognitive impairment
Graphic Credit: Michigan News
pubmed.ncbi.nlm.nih.gov/3132…
Tom Causebrook retweeted
Delighted to release this 2 min video:
How to SAVE a LIFE - Recognize Sudden Cardiac Arrest in Athletes youtu.be/i-iN9o-cKu0
Please watch! Please re-tweet! Please send to everyone who works with athletes. #GlobalTraining
@TheAMSSM @BJSM_BMJ @NATA1950 @American_Heart
Tom Causebrook retweeted
Exercise is medicine.
New study finds:
Running EASY for 45 minutes, 2-3 days a week for 16 weeks had similar effectiveness on mental health as anti-depressants.
Get outside and get going:
sciencedirect.com/science/ar…
Injection update 👇🏼
💉Trigger Finger Injections 👋
Injectors…20mg Triamcinolone found to offer improved long term outcome 🤓
journals.sagepub.com/doi/abs…
Very detailed thread👇🏼
📖: A systematic review of the effect of running shoes on running economy, performance and biomechanics: analysis by brand and model: 2023
📕: pubmed.ncbi.nlm.nih.gov/3574…
🧵: Summary Below: 1/6
Tom Causebrook retweeted
When it comes to muscle loss with ~50 years of ageing, not all muscle groups are affected equally:
Elbow extensors: ⬇️20%
Elbow flexors: ⬇️19%
Paraspinals: ⬇️24%
Psoas: ⬇️29%
Hip adductors: ⬇️13%
Hamstrings: ⬇️19%
Quadriceps: ⬇️27%
Dorsiflexors: ⬇️9%
pubmed.ncbi.nlm.nih.gov/3682…
Just to clarify (as at first glance it read as though evening exercise wasn't beneficial), exercise at any time of day is beneficial to CVD, but early afternoon or mixing the time of training is slightly better (if you have that option). Have I interested this correctly?
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/s41467-0…
Karpman's Drama Triangle, very enlightening. blog.lantum.com/p/blog/clini…
Tom Causebrook retweeted
Rehab 3-5 months post #aclreconstruction w/ Luca Oyen & Adnane Abid including:
✔️ Eccentric strength
✔️ Deceleration mechanics
✔️ Rate of force development
✔️ Plyometrics & NM control
✔️ Integrated brain training
✔️ Football-specific load progression
✔️ Control-chaos continuum – at Hasselt, Belgium