family, cycling and triathlon. fortunate to work for our wonderful NHS. Passionate about msk medicine in Leicestershire & GP
Leicester, England
Joined February 2022
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This a million times. I’ve seen far worse end stage OA in physically inactive metabolically unhealthy patients than marathon runners or ex athletes.
Dr R mitchell retweeted
Consent ✅
Guess what
Male, 50s - Marathon training, increased mileage & speed work
L groin & thigh pain, limping, night pain
Treated as hip flexor tightness by physio
+ive Hop test, +ive FADIR test
Weakness & pain on iliopsoas testing
MRI - high grade medial femoral neck of femur stress fracture - involving the iliopsoas tendon insertion at the lesser trochanter
Diagnose these as the hip flexor at your peril
ENDURANCE RUNNERS WITH A RAMP IN TRAINING DON'T GET HIP FLEXOR PROBLEMS THEY GET STRESS FRACTURES 😡😡😡
Great summary on one of the Most difficult conditions to deal with in primary care. Well done @CorKinetic
Lower back pain is the most prevalent & often challenging MSK condition out there Here are some key texts in a 🧵 to help understand it better!
Let's start with this overview! "What low back pain is and why we need to pay attention"
1/ pubmed.ncbi.nlm.nih.gov/2957…
Dr R mitchell retweeted
Many think osteoarthritis (OA) is a 'wear and tear' problem.
While the instigator may be traumatic (think ACL injury), framing it as wear-and-tear can cause patients to think exercise will make things worse.
So understanding why cartilage loves load is important...🧵👇 1/7
Fascinating paper. It seems not all plaques are created as equal
Regular exercise reduces the likelihood of plaque accumulation in the arteries
However, many long-term exercisers appear to have coronary artery calcification, indicating atherosclerosis progression
The fascinating thing is that despite the higher plaque, those people still have lower rates of cardiovascular disease events and mortality
Full video youtu.be/S-NKPZSkbXg
Graph: academic.oup.com/eurheartj/a…
Important infographic on management of OA. Focus on exercise and weight management as front line treatment. Pharmacology has moved away from opiate based meds to short term nsaid use. #msk @NHS_LLR @llrpcl
Guidance for diagnosis and management of Osteoarthritis👇🏼
#joint #arthritis
bmj.com/content/380/bmj.p24
Brilliant teaching session from Mr Basu this evening from @Leic_hospital for me on spinal pathologies for GPs. A lot to take away from the session to improve patient care as well as fostering good cross-relations from primary and secondary care @llrpcl spinesurgery #msk
Dr R mitchell retweeted
New BOAST guideline on management of first time lateral patellar dislocation 👀
boa.ac.uk/static/4d585229-65…
