James McCormack @Flawless_Physio Twitter profile

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James McCormack

@Flawless_Physio

10 months

Patellar Tendon Loading based on a great paper by @scattonesilva et al.

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James McCormack

@Flawless_Physio

1 year

💡7 Progressive Exercises for Tibialis Posterior🦶 1️⃣: Isometric Inversion in a seated position. 🧵1/7

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James McCormack

@Flawless_Physio

1 year

🦶Our Updated Differential Diagnosis around the Foot🦶 *These pictures don’t represent the exact location of pain, the purpose is to increase people’s awareness of potential diff Dx*

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James McCormack

@Flawless_Physio

10 months

Progressive Achilles Tendon Loading. Thanks to @joshrbaxter et al.

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James McCormack

@Flawless_Physio

1 year

🦶High Ankle Sprains (ankle syndesmosis injury) can take up to 2-4 times longer to recover compared to lateral ankle sprains. The diagnostic accuracy of our clinical tests are of low sensitivity and specificity 📊 It's recommended that a cluster of tests are performed 🧵 1/4

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James McCormack

@Flawless_Physio

7 months

Foot Pain Charts

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James McCormack

@Flawless_Physio

10 months

🦶High Ankle Sprains (ankle syndesmosis injury) can take up to 2-4 times longer to recover compared to lateral ankle sprains.🦶 The diagnostic accuracy of our clinical tests are of low sensitivity and specificity. 📊 It's recommended that a cluster of tests are performed. A

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James McCormack

@Flawless_Physio

1 year

Peroneal Strengthening through range

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James McCormack

@Flawless_Physio

2 years

Achilles Tendinopathy is one of the most common conditions in runners, but when should we consider Plantaris Tendon (PT) Pain as part of our differential diagnosis? 1/7

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James McCormack

@Flawless_Physio

11 months

🏃‍♂️Running-Related Biomechanical Risk Factors for Overuse Injuries in Distance Runners. A Systematic Review Considering Injury Specificity and the Potentials for Future Research🏃‍♂️ Achilles Tendinopathy (AT) 👣: 🦶 Higher vertical forces on the lateral part of the forefoot

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James McCormack

@Flawless_Physio

3 months

🦶7 Progressive Posterior Tibial Tendon Strengthening Exercises 🦶 1/ Isometric Holds

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James McCormack

@Flawless_Physio

1 year

🏃‍♂️📚 Running-Related Biomechanical Risk Factors for Overuse Injuries in Distance Runners: A Systematic Review Considering Injury Specificity and the Potentials for Future Research: 2022 📖: 🧵 Summary Below of Biomechanical Risk Factors: 1/7

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James McCormack

@Flawless_Physio

9 months

📊 Plantar intrinsic foot muscle activation during functional exercises compared to isolated foot exercises in younger adults: 2023 🦶 🔍 Background: The study delved into the activation of plantar intrinsic foot muscles (PIFMs) during functional exercises compared to isolated

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James McCormack

@Flawless_Physio

10 months

Exercise ideas for the Big Toe: 1: Plantar flexion into 1st MTP Flexion inspired by @lizbayleyphysio 2: FHL In Standing you and use a wall initially and progress into SL balance 3: Hallux Adduction Adductor Hallucis 4: Big Toe Flexion in a lunge position you can

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James McCormack

@Flawless_Physio

10 months

Not all heel and lateral foot pain are tendon-related. How often do you think about the Sural Nerve (SN)? The SN courses distally along the leg's posterolateral aspect, between the gastrocnemius heads, parallel to the saphenous vein. At the ankle, it wraps around the

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James McCormack

@Flawless_Physio

1 year

🦶Cuboid Syndrome 🦶 The cuboid bone plays an important role in the stability of the lateral column of the foot, articulating with the Lisfanc Complex & Chopart’s Joint. Let’s look into why this cube shaped bone is highly unlikely to subluxate or dislocate 1/

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James McCormack

@Flawless_Physio

1 year

Sever’s Disease (Calcaneal Apophysitis) occurs in up to 16% of all MSK issues with children but it is challenging to manage so let’s that a closer look 🧵1/5

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James McCormack

@Flawless_Physio

1 year

Baxter’s Nerve Entrapment Infographic

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James McCormack

@Flawless_Physio

11 months

Peroneal Tendon Strengthening Through Range

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James McCormack

@Flawless_Physio

1 year

Peroneal Strengthening Progression ideas 💡 These can be used for Peroneal Tendinopathy, tears or post ankle sprains. They can also be used as ankle stability exercises for Runners 🏃‍♀️or any change of direction sports 🏉 ⚽️ 🏏 1st: Isometric Variations 1/4🧵

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James McCormack

@Flawless_Physio

1 year

Not all heel and lateral foot pain are tendon related. How often do you think about the Sural Nerve (SN)? Let's have a closer look: 🧵1/6

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James McCormack

@Flawless_Physio

1 year

🦶Exercise Ideas for Hallux Valgus (Bunions)💡 1️⃣: Big Toe Adduction 🧵1/4

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James McCormack

@Flawless_Physio

3 months

Flexor Hallucis Longus (FHL) 🦶 is a well-known differential for posteromedial ankle pain 😖, but it is often misdiagnosed as Plantar Fasciitis🐾 Let's look into the important role of the FHL tendon and how to expand our diff dx 🧐. 1/

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James McCormack

@Flawless_Physio

1 year

🦵When it comes to calf pain with tightness or cramping when running that resolves with rest we often think about a soleus muscle strain. 🦵 How many of us include a vascular exam as part of our assessment? 🧵1/7 📖: Image:

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James McCormack

@Flawless_Physio

10 months

Muscle Activation During Squat Variations

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James McCormack

@Flawless_Physio

9 months

Gluteus Maximus Activation during Common Strength and Hypertrophy Exercises

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James McCormack

@Flawless_Physio

1 year

📕🏃Joint Kinetics in Rearfoot versus Forefoot Running: Implications of Switching Technique, 2014 📖:

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James McCormack

@Flawless_Physio

2 years

Plantar Fasciitis (PF) is the most common diagnosis of heel pain, but did you know Baxter's Nerve Entrapment (BNE) causes up to 20% of Heel Pain? 🧵 1/7

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James McCormack

@Flawless_Physio

9 months

Patellofemoral Joint Forces During Activities

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James McCormack

@Flawless_Physio

2 years

We often consider Posterior Tibial Tendon Dysfunction (PTTD) as the primary cause of Adult Acquired flat foot deformity. However, how much consideration should we give to the Spring Ligament? 🧵 1/5

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James McCormack

@Flawless_Physio

1 year

📖: Effectiveness of an 18- week general strength and foam- rolling intervention on running- related injuries in recreational runners 2023 📕: Summary below: 🧵1/6

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James McCormack

@Flawless_Physio

4 months

Baxters Nerve Entrapment - Don't mistake it for Plantar Fasciitis

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James McCormack

@Flawless_Physio

10 months

🦶We have multiple blogs on every condition from these Foot Pain Charts👣 Let me know if any changes should be made.

Foot Pain Chart: Top of Foot, Side and Front of Foot Pain Chart

Find out what condition is causing your foot pain with the most comprehensive Foot Pain Chart with links to each condition.

james-mccormack.com

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James McCormack

@Flawless_Physio

1 year

🦶📕: Towards modern understanding of the Achilles tendon properties in human movement research: 2023 📖:

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James McCormack

@Flawless_Physio

11 months

🦶Did you know the Anterior Drawer Test (ADT) may not be the most accurate test for ankle ATFL laxity?🦶 A study found the Reverse Anterolateral Drawer Test (RALDT) more accurate and sensitive for chronic ATFL injuries. 📝In the RALDT, the ankle is adjusted to 10°-15° plantar

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James McCormack

@Flawless_Physio

2 years

Lateral ankle sprains are common, but how many of you consider a Peroneus Brevis longitudinal split as part of your differential? I know I've been caught out on this before 🧵 1/5

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James McCormack

@Flawless_Physio

10 months

Did you know that up to 21% of people 🧍‍♀️🧍‍♂️ have an extra muscle in their foot 🦶 known as the Peroneus Quartus (PQ), which can lead to pain on the outside of the ankle and foot? The PQ typically stems from the peroneus brevis muscle, the lower third of the fibula, or the

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James McCormack

@Flawless_Physio

11 months

Plantaris Tendon Pain

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James McCormack

@Flawless_Physio

1 year

📖: Treatment of medial tibial stress syndrome using an investigational lower leg brace. A pilot for a randomised controlled trial. 2023 📕: Summary Below: 🧵 1/6

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James McCormack

@Flawless_Physio

1 year

Effects of Minimalist Shoes on Plantar Intrinsic Foot Muscle Size and Strength: A Review: 2022 Credit to @jenxu_atc and co for publishing. Summary Below: 🧵1/7

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James McCormack

@Flawless_Physio

1 year

📖: Heel-to-toe drop of running shoes: a systematic review of its biomechanical effects: 2023 📕: 🧵 Summary Below:

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James McCormack

@Flawless_Physio

10 months

Lateral ankle sprains are common, but how many of you consider a Peroneus Brevis longitudinal split as part of your differential? I know I've been caught out on this before... An ankle sprain can cause a tear or laxity of the superior peroneal retinaculum, allowing the

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James McCormack

@Flawless_Physio

1 year

📖: A systematic review of the effect of running shoes on running economy, performance and biomechanics: analysis by brand and model: 2023 📕: 🧵: Summary Below: 1/6

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James McCormack

@Flawless_Physio

1 year

9 causes of Achilles Tendinopathy. 📖:

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James McCormack

@Flawless_Physio

2 years

Do you include Calcaneal Fat Pad Atrophy in your differential diagnosis for Plantar Heel Pain? 🧵1/5

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James McCormack

@Flawless_Physio

9 months

📖🔍: The association between running volume and knee osteoarthritis prevalence: A systematic review and meta-analysis: 2023 🏃‍♀️🏃‍♂️📉 Image: 🌐 Study explores if knee OA prevalence differs among runners with varying weekly running

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James McCormack

@Flawless_Physio

2 years

Lateral Ligament Sprains account for up to 85% of all ankle sprains. But how many of us consider the Bifurcate Ligament (BL) as a part of our differential diagnosis and treatment plan?

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James McCormack

@Flawless_Physio

11 months

There are 2 special tests for Tarsal Tunnel Syndrome:🦶 Tinel's and eversion tests: 🔍 Tinel's test involves the therapist applying percussion 🥁 to the tarsal tunnel, and if there is distal radiation of paraesthesia, it is regarded as a positive test ✔️. Sensitivity is low at

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James McCormack

@Flawless_Physio

5 months

Two tibial fracture patients this week who went through 12 weeks of LL rehab without any hopping or heavy resistance. This amazing graph by @rwilly2003 should be put on the wall of all rehab centres. Osteogenic exercises are vital for bone health 🦴

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James McCormack

@Flawless_Physio

1 year

🦶FHL Strengthening Exercises🦶 1: Bulgarian Split Stance Position, keep weight through your big toe. 2: Progress from Double Leg to Single Leg 3: Isometric hold that can be progressed by changing a band to a sheet of paper 💡

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James McCormack

@Flawless_Physio

10 months

Really interesting new piece by @r_tourillon & @FFrunsanteperf on "The Role of Foot-Aankle Complex In Rehabilitation After ACL Reconstruction" 🏋️‍♂️ Plyometric Training Importance: Essential in ACLR rehab; focuses on achieving a springy foot-ankle complex, not just quick bouncing.

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James McCormack

@Flawless_Physio

1 year

Remember to include Sinus Tarsi Syndrome as part of your assessment for lateral ankle pain.

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James McCormack

@Flawless_Physio

10 months

Towards functionally individualised designed footwear recommendation for overuse injury prevention: a scoping review: 2023

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James McCormack

@Flawless_Physio

9 months

For normal mechanics for the big toe, 65-75º of dorsiflexion of the hallux on the 1st MTP is required. During this process, the 1st ray is required to plantarflex through contraction of the Peroneus Longus by pulling on a stable longitudinal arch of the foot. Soft tissue

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James McCormack

@Flawless_Physio

1 year

📖: Effect of resistance exercise dose components for tendinopathy management: a systematic review with meta-analysis 2023 📕: 🔓: Open Access

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James McCormack

@Flawless_Physio

1 year

Mueller-Weiss Syndrome (MWS) is a rare condition affecting the navicular bone that was brought into the public eye as the cause of Rafael Nadal's ongoing foot pain. So let's look at it in more detail...🧵 1/6

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James McCormack

@Flawless_Physio

2 years

Peroneus Longus pain can be located on the lateral ankle and the lateral aspect of the foot. Do you consider this as part of your differential for a 5th metatarsal stress injury? 🧵 1/7

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James McCormack

@Flawless_Physio

10 months

The Association of Recreational and Competitive Running With Hip and Knee Osteoarthritis: A Systematic Review and Meta-analysis

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James McCormack

@Flawless_Physio

4 months

Muscle Activation During Different Squat Variations

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James McCormack

@Flawless_Physio

9 months

🦵When it comes to calf pain with tightness or cramping when running that resolves with rest we often think about a soleus muscle strain. 🦵 How many of us include a vascular exam as part of our assessment? 📖: This case study highlights, a 23-year-old

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James McCormack

@Flawless_Physio

1 year

Infographic for the thread below

James McCormack

@Flawless_Physio

2 years

Do you include Calcaneal Fat Pad Atrophy in your differential diagnosis for Plantar Heel Pain? 🧵1/5

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James McCormack

@Flawless_Physio

7 months

How to activate the glutes best? Peak muscle activity of acceleration-specific pre-activation and traditional strength training exercises: 2024

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James McCormack

@Flawless_Physio

1 year

Did you know that up to 21% of the population have an accessory muscle in the foot called the Peroneus Quartus (PQ), and this small muscle can cause lateral ankle and foot pain? 🧵 1/4 Image:

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James McCormack

@Flawless_Physio

1 year

I was updating one of our blogs on Insertional Achilles Tendinopathy (IAT), and I was surprised by a couple of things in the research. It also reminded me of some stats...🧵 1/5

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James McCormack

@Flawless_Physio

1 year

Less common fractures associated with ankle sprains

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James McCormack

@Flawless_Physio

1 year

Can a patient with a flexible flat foot increase their medial arch height? This RCT demonstrated increased navicular height & an improvement in their longitudinal arch angle by 16º over 6 weeks. I've attached their protocol.

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James McCormack

@Flawless_Physio

1 year

Infographic for Achilles Paratenonitis

James McCormack

@Flawless_Physio

2 years

When does Achilles Paratenonitis move up the ladder on your differential diagnosis chart when assessing Achilles Tendon (AT) pain? 🧵1/5 Image:

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James McCormack

@Flawless_Physio

1 year

📖: Updated reliability and normative values for the standing heel-rise test in healthy adults

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James McCormack

@Flawless_Physio

1 year

Infographic for Cuboid Fractures

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James McCormack

@Flawless_Physio

10 months

James McCormack

@Flawless_Physio

10 months

Not all heel and lateral foot pain are tendon-related. How often do you think about the Sural Nerve (SN)? The SN courses distally along the leg's posterolateral aspect, between the gastrocnemius heads, parallel to the saphenous vein. At the ankle, it wraps around the

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James McCormack

@Flawless_Physio

1 year

📖Acute Rupture of the Plantar Fascia in a semi-professional Footballer: case study 2023 📚: Summary Below: 1/3

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James McCormack

@Flawless_Physio

11 months

👟Factors To Consider When Advising Patients on Footwear👟 1️⃣ Midsole Thickness: 🛏️ Comfort: Thicker midsoles often equate to enhanced cushioning and perceived comfort. 🚫 Risks: Increased distance between foot & ground (stack height) might lead to ankle sprains, peroneal

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James McCormack

@Flawless_Physio

10 months

Progressive daily hopping exercise improves running economy in amateur runners: a randomized and controlled trial: 2023 🔍 Study Overview: 🏃‍♀️🏃‍♂️34 amateur runners (Age: 29 ± 7 years, comprising 27 males). 📆 Over 6 weeks, the exercise group did 5 minutes ⏰ of double-legged

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James McCormack

@Flawless_Physio

1 year

Infographic to compliment this thread on Mueller-Weiss Syndrome.

James McCormack

@Flawless_Physio

1 year

Mueller-Weiss Syndrome (MWS) is a rare condition affecting the navicular bone that was brought into the public eye as the cause of Rafael Nadal's ongoing foot pain. So let's look at it in more detail...🧵 1/6

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James McCormack

@Flawless_Physio

1 year

📖: A guide to the management of paediatric pes planus 2020 📕:

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James McCormack

@Flawless_Physio

1 year

Visual representation of the thread below:

James McCormack

@Flawless_Physio

2 years

Achilles Tendinopathy is one of the most common conditions in runners, but when should we consider Plantaris Tendon (PT) Pain as part of our differential diagnosis? 1/7

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James McCormack

@Flawless_Physio

11 months

Sever’s Disease (Calcaneal Apophysitis) occurs in up to 16% of all MSK issues with children, but it is challenging to manage, so let’s take a closer look. CA affects boys more commonly, with a 2-3:1 ratio of males to females. It is present bilaterally in up to 65% of cases and

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James McCormack

@Flawless_Physio

6 months

The Spring Ligament helps to support the medial arch of the foot and resists forefoot abduction. Injury to this ligament can contribute to the development of an adult-acquired flat foot (AFFD) 🧵1/6

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James McCormack

@Flawless_Physio

2 years

Did you know that you can get a neuroma between any of your metatarsals. Morton’s neuroma is a very common condition, with a prevalence of about 1 in 3, and a female to male incidence of 4:1 🧵1/2

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James McCormack

@Flawless_Physio

1 year

📖 Activity and footwear characteristics in people with and without plantar heel pain: A matched cross‐sectional observational study: 2023 📕: 🧵 Summary below: 1/5

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James McCormack

@Flawless_Physio

1 year

🏃‍♂️📚: Effectiveness of Lower-Cost Strategies for Running Gait Retraining: A Systematic Review: 2023 📖: Summary Below: 🧵 1/7

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James McCormack

@Flawless_Physio

11 months

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James McCormack

@Flawless_Physio

1 year

Baxter's Nerve Entrapment can be identified by an MRI, with key indicators being fatty atrophy of the Abductor Digiti Quinti muscle.

Baxter's Nerve Entrapment: Symptoms, Causes & Treatment

Baxter's Nerve Entrapment causes 20% off all heel pain. Learn how to treat it and Stretches for Baxter Nerve Entrapment.

james-mccormack.com

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James McCormack

@Flawless_Physio

1 year

📖: Does a corticosteroid injection plus exercise or exercise alone add to the effect of patient advice and a heel cup for patients with plantar fasciopathy? A randomised clinical trial 2023 🖋️: @Henrik_Riel et al 📰: 🧵 1/4

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James McCormack

@Flawless_Physio

1 year

🏃‍♀️Does Running Protect Against Osteoarthritis 🏃 Inspired by @rwilly2003

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James McCormack

@Flawless_Physio

11 months

📖: A guide to the management of paediatric pes planus 2020 📕:

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James McCormack

@Flawless_Physio

1 year

🦶Did you know the Anterior Drawer Test (ADT) may not be the most accurate test for ankle ATFL laxity? 🦶 A study found the Reverse Anterolateral Drawer Test (RALDT) more accurate and sensitive for chronic ATFL injuries. 🧵1/5

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James McCormack

@Flawless_Physio

11 months

Some shoes that we recommend to our patients with Hallux Rigidus

9 of the Best Hallux Rigidus Shoes in 2023 by a Foot Expert

We recommend the best shoes for Hallux Rigidus and Running shoes in 2023 for Hallux Rigidus for pain relief.

james-mccormack.com

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James McCormack

@Flawless_Physio

1 year

📚Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles tendinopathy: systematic review and meta-analysis 2023 📖

Eccentric exercise is more effective than other exercises in the treatment of mid-portion Achilles...

Achilles tendinopathy (AT) is one of the most frequent overuse injuries in the ankle. The evidence base for its conservative management AT continues to evolve, but there is still a gap in the...

link.springer.com

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James McCormack

@Flawless_Physio

7 months

Shin Splints or a Stress Fracture?

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James McCormack

@Flawless_Physio

10 months

Spring Ligament: Learn How To Treat a Spring Ligament Foot Injury

The Spring Ligament connects the ankle and foot to support the arch of the foot. Learn how to treat a Spring Ligament Injury.

james-mccormack.com

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James McCormack

@Flawless_Physio

8 months

One of the first parts of my objective assessment includes a simple double-leg heel raise 🦶 It provides an insight into the patient's Posterior Tibial Tendon Function and Subtalar Joint motion 📈 Secondly, an uneven heel raise height can help you think about muscle strength

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James McCormack

@Flawless_Physio

1 year

An Os Peroneum (OP) is an accessory bone found in the distal peroneus longus tendon that can be present in up to 30% of adults. In most cases, they are asymptomatic, but let's look at the symptoms, diagnosis and treatment of a painful Os Peroneum 🧵1/5

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