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Consent ✅ Autistic young lady who enjoys Ballroom dancing Mum concerned about R flank & lower back 'swelling' & 'fullness' GP & orthopaedic surgeon assessed & given label of 'bursitis' & 'GTPS' - never having taken her top off to observe properly Pt mentions 'back

For the time being, at least, ALL of my course illustrations are now finalised, edited, and in the deck. My weekend evenings will now mostly be devoted to this little baby, yours, and my Clinical Companion. A comprehensive collection of unique, vibrant illustrations, facts &

Nothing to see here, apart from a ‘gun off’ with Nitro

My favourite Peloton instructor, Ben Adami. Such a lovely guy! #INTHF

Nice to see social influencer and hiker Zanna Van Dijk Pure Sports Medicine She is very tall 😅 🦒

Consent ✅ 30s female 1 year bilateral upper gluteal & pelvic pain radiating as far as calves Am stiffness ++ LSp MRI normal, but bilateral sacroiliitis on SI joint imaging PLus - bilateral hydrosalpinx Which is responsible for the pelvic pain? Could the hydrosalpinx cause

Consent ✅ Female early 20s - overweight Started running for weight loss Bilateral cramps medial gaiter area & ankle pain Complains of 'swelling' in the region Pain settles quickly post exercise after 30-60mins More recently P&N spreading into plantar aspect of foot

Very interesting differential Yet another example of when US trumps MRI around the groin / pelvis, especially with enthesopathy / tendinopathy pathologies

Patient just tried to give me a cheque lols

Consent✅ Sometimes you have to step back & recognise when you spend every waking hour prioritising your patients (I give everything I can) and neglect yourself - health, physically & mentally I had that reality check when I presented at Sports Kongres January 2025 - it was a

Consent ✅ Some things are sent to test us 😕 You build momentum, then the obstacles appear It feels so unjust - I don't feel I deserve this - but we go on It's how you deal with it that defines you as a person & your character #meanstoanend

Interesting - fairly rapid progression of L4/5 disc & end plate changes over 1 year

New puppy chewing everything + impending discectomy + Ocado delivery + Zooms waiting = 🤯🤯🤯

Felt i had to post & update here I could only handle 6 days of savage radicular leg pain - mostly at night And foot drop (this bothered me less tbh) God knows how pts deal with this for weeks / months (should they have to deal with it?) I’m incredibly lucky that I have a

5 days post discectomy feeling comfortable to do boring ‘tick over’ stuff, not least to keep me borderline sane 🤪

agreed - and it also provides diagnostic clarity ie cuff vs GHJ which in terms informs prognosis and refines the rehab approach

Update for those interested! 16 days post discectomy Minimal pain - low grade 2/10 neural ache buttock and fibula head / shin Worse at night and morning but variable Numbness is more annoying! Tib ant power recovering Doing simple upper body weights typically seated or

Chronic Low Back Pain: Differential Diagnosis A 58-year-old patient with right paravertebral low back pain radiating to the ipsilateral gluteal region, of 13 months' duration. An MRI scan showed multiple disc herniations at the L3-L4, L4-L5, and L5-S1 levels. Multiple