John Drummond @GatesPhysio Twitter profile | Pikagi

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John Drummond

@GatesPhysio

4,077

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5,040

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Advanced Practice MSK Physiotherapist @connect_health | MSc ACP Student @AcpMmu | Occasional cyclist 🚵‍♂️ | Dog dad 🐾 | Views my own | He/him🏳️‍🌈

Nottingham

Joined December 2011

Don't wanna be here? Send us removal request.

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@GatesPhysio

John Drummond

2 years

🤕🤦‍♂️Headache Thread🤦‍♀️🤕 I will try to cover common DDx in 1ry & 2ry Headache, Red Flag/screening Qs, resources/links etc I may add to it over time so consider bookmarking / sharing if useful. Aimed towards MSK clinicians, FCP/ACPs, Primary Care non-medics for now

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@GatesPhysio

John Drummond

2 years

@afrofatalism

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John Drummond

2 years

So I have some exciting news I've been bursting to share! 30.4.22 Hannah and I eloped to Edinburgh after 9 years together we tied the knot. 🇫🇮🌸💍👩‍❤️‍👨 It was a perfect day, and this photo sums up the joy we experienced together. We can't wait for our honeymoon next weekend ✈️🇱🇰🇲🇻

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@GatesPhysio

John Drummond

2 years

This guy, Jöel, is an absolute #RehabLegend #FunTheory Great ideas for cognitive and physical movement. @FitGreyStrong @FitnessFoundry @Strength4_Life @exerciseworks

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John Drummond

3 years

Axial spondyloarthritis (AxSpA): new advances in diagnosis and management @BJSM_BMJ 2021

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John Drummond

4 years

Can't believe I haven't seen this resource before! 'MSK HUB Evidence Base for AHPs' HT Emma Longley PT CC @PMFirstSteps @sjryan15 @bendotellis #PhysioStudent @ashjamesphysio @pbonnaud @RoryTwogood @vanessa_haycock @LCphysio @alicrewe @beardedPT

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@GatesPhysio

John Drummond

5 years

Nearly everyone who is anyone in the pain world always references/quotes/states influence from... Now time to see what the hype is about! #achesandpains #thematureorganismmodel #louisgifford #painrevolution

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@GatesPhysio

John Drummond

2 years

@dinosaurcouch @kbuddyartist Oh god I did not need thay today, right in the feels.

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John Drummond

2 years

Ok physiotwitter so why have I got a tenosynovitis/bursitis in my 3rd MCP. Please advise if this looks like something different - had a course of ABx and Naproxen, awaiting bloods. Similar issue in knee few months back.

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John Drummond

5 years

"Knee bones not connected to the, shin bone" 🎶🎵 holy moly

@iamDrHamilton

Kendall Hamilton, MD

5 years

Posterolateral Corner injury #orthotwitter what’s your preferred recon technique?

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John Drummond

1 year

@AdoptionsUk Not sure you've read the room here 😬

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John Drummond

4 years

Joan. is. stacked.

@ladbible

LADbible

5 years

Joan was unhappy with her weight and started training when she was 70. Now she's 73 and she's in unbelievable shape 💪 🎥: trainwithjoan

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John Drummond

3 years

AVN risk factors PLASTICRAGS P:pancreatitis, pregnancy L:lupus (SLE) A:alcohol XS S:steroids T:trauma I:idiopathic, infection C:caisson disease, collagen vascular disease R:radiation, rheumatoid arthritis A:amyloid arthropathy G:Gaucher disease S:sickle cell disease To file

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@GatesPhysio

John Drummond

2 years

I asked #ChatGPT from @OpenAI to write a rap to aid cranial nerve recollection and tests. It's quite phenomenal what this software can do so quickly 🧵🖥️

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@GatesPhysio

John Drummond

4 years

Wore a mask for food shop today. Did I feel like a prat? ☑️ Did I get lots of funny looks? ☑️ Was there many other shoppers wearing masks? 👎 Till worker: "whatever makes you feel safe" My mask protects YOU, your mask protects ME. #Masks4All @trishgreenhalgh

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John Drummond

1 year

I credit @AdamMeakins & his blog for the most accelerated development in my early career. Calling out quakery, critiquing evidence and modernising physiotherapy. Loved his course, even the neuromodulation (😬). He has personally been supportive to me. #GoodlLuckMeaks

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John Drummond

4 years

Saw some information on safety-netting recently but couldn't find it- saving this thread for future reference! #Safetynetting @neiljlangridge @LaurafinucaneB @mercephysio1 @sue_greenhalgh @AndrewVCuff

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John Drummond

6 years

Great 1st day of #shouldercomplex course. Not sure if feels less complicated yet Adam 🙄🤷🏼‍♂️🤯. @AdamMeakins ©️

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John Drummond

3 years

This is absolutely class advice. Would love to receive all top tips from this kid to be honest, does he do physio specific seminars too?

@LooseHeadz

LooseHeadz

3 years

As it’s #MentalHealthAwarenessWeek , we’ve teamed up with the wonderful Rocco to bring you 5 simple strategies that can make a big difference 💚 What a superstar 👏 #TackleTheStigma 🗣

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John Drummond

4 years

Have. Been. Saying. This. For. Ages. Why are we McMurraying everyone! 'no longer recommended because of concerns that it exacerbates the injury & its low diagnostic accuracy.' (NICE CKS) HT @MRWPhysio also via @benedsmith paper

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Knee pain - assessment | Health topics A to Z | CKS | NICE

Knee pain is a common condition, particularly in older people.Possible causes include osteoarthritis of the knee, injuries

cks.nice.org.uk

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@GatesPhysio

John Drummond

2 years

Props to people who help people with chronic pain well because IT IS HARD

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John Drummond

5 years

I like how all phone calls now end with a very genuine "stay safe" from both parties ☎️💙

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@GatesPhysio

John Drummond

6 years

Another fantastic resource new to me @livewellpain free resources for patients and therapists posters, leaflets, links etc. #ChronicPain #physiotherapy #pain #selfmanagement #physio #Fibromyalgia

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John Drummond

2 years

Can anyone give an example of dermatome testing giving a useful bit of clinical information that wasn't provided through subjective and has changed management? I think some level of sensation testing is good but it's routinely done so badly I don't consider it reliable? Thoughts?

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John Drummond

4 years

Physical activity during COVID-19; a series of blogs and infographics @BJSM_BMJ @exerciseworks

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John Drummond

1 year

Anyone doing pec reflex then? News to me. Only just got my head around Inverted Supinator Sign!

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John Drummond

3 years

Is 'fixing the impairment' related to LBP improvement? via @PhysioNetwork @CorKinetic @KWernliPhysio

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John Drummond

3 years

The British Society for Rheumatology Guideline for the Management of Gout - Algorithm via @RheumatologyUK

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John Drummond

4 years

Nottingham<-->Lincoln 150km,6+hrs ✅ Long way to get a @200Degs ! RIP my hammys. Now ready to eat all of the food.

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John Drummond

4 years

Current Clinical Concepts: Conservative Management of Achilles Tendinopathy 2020 @kgSilbernagel Graphic @YLMSportScience HT: @WWatson92 Cc: @cmclarkson67

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@GatesPhysio

John Drummond

4 years

Ok, stupid question, been round in a loop on this one: 1) do people feel Frozen Shoulders follow distinct phases? 2) do people feel it is self limiting? Questions previousy answered (or so I thought afted reading @PainSci doc

Complete Guide to Frozen Shoulder, 2024

A readable self-help manual for one of the strangest of all common musculoskeletal problems, adhesive capsulitis.

www.painscience.com

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John Drummond

3 years

This seems to have slipped under my radar - Young and Middle aged hip pain classification

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John Drummond

5 years

So first day with @Connect_Health_ today and have #MotivationalInterviewing training 🙌. Got to practice what I preach so late to the #TEDFeb party but a 3km row and home circuits. 🏋️ Look forward to hearing more about #OARS later 🚣‍♂️ niche #MI pun there 🤣 #TeamNotts

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John Drummond

2 years

Anyone have any top tips for managing expectations. It would be lovely to feel interactions as a dance rather than a battle (all the time) and feeling like the "bad guy" for not immediately refering on for imaging/surgical opinion inappropriately. Not sure an easy fix.

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@GatesPhysio

John Drummond

3 years

@AndrewVCuff Heneghan et al 2020 @PhysioNetwork did an infographic 🎣

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@GatesPhysio

John Drummond

3 years

*With full sharing consent* 75M Heavy Smoker. 3/52 Hx noticed atraumatic 8cmx6cm 'lump' appearance. No pain. Seems to self appear/reduce on certain movements. FAROM GHJ. CXR and recent bloods NAD. No apparent UL neurology. No bruising. Next step / by who / how quick / why?

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John Drummond

4 years

Great resource for clinicians of some helpful/not so helpful ways to communicate with people with lower back pain - gr8 for students! via @PeteOSullivanPT @jpcaneiro Dr. Leo Ng Peter Edwards @CurtinUni @PMFirstSteps @Connect2Physio @MSKEdNet @_lewadam

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John Drummond

3 years

@DrJN_SportsMed @suzy_speirs Not from me Doc, sorry you feel that way / recent posts. I know I speak for many that your insight and time is extremely welcomed and valuable

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John Drummond

6 years

Walk to health 🚶‍♂️💨🚶🏻‍♀️💨 @BJSM_BMJ @exerciseworks is it the single best step you can take towards health? #walkthetalk #everybodywalk

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John Drummond

4 years

"No appointments", "only telephone calls". I'm still amazed at people's beliefs and expectations from their GP and how far away it seems from my experience and reality. Our GP colleagues work SO hard and are still there for us, including F2F where appropriate #TeamGP

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John Drummond

1 year

Reflection of the week. Told someone today with LBP they had "bags of potential" "their spine moves lovely" - first time anyone has ever said that to them. We must do better to instil confidence and capacity in people.

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John Drummond

2 years

Never heard of this! Woltman's sign: Delayed relaxation of the deep tendon reflexes. Diagnosis: Hypothyroidism.

@BrownJHM

Journal of Brown Hospital Medicine

2 years

A patient presents with weight gain, constipation, dry skin, brittle nails and fatigue. What’s the clinical sign & diagnosis? @IhabFathiSulima #medtwitter

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John Drummond

3 years

Right then Twitter. Facilitating a Red Flags Study Day for OPD MSK clinician's with <1y experience generally. They will have a few hours of spinal and peripheral RF/masqueraders in advance. Thoughts? Suggestions? What do you wish you knew in more depth/breadth/faster?

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@GatesPhysio

John Drummond

2 years

@gasbagheera Ohmeprazole

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@GatesPhysio

John Drummond

3 years

Thanks to Jack's post it prompted me to give similar advice to this recently but didn't realise there was supporting images (this would have helped at the time) does anyone have any similar/suggestions of activity modification?

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@GatesPhysio

John Drummond

4 years

Took a break from logical fallacies for a while (got called out for using fallacy fallacy HA) but back on them again while trying to level up the reasoning/questioning/critiquing skills. Below are some examples and link to @AdamMeakins series on insta too.

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@AdamMeakins

The Sp⚽️rts Physio

5 years

I did a series on @instagram about the most common logical fallacies that affect your thinking, reasoning, and debating... go check it out if ya want!

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@GatesPhysio

John Drummond

4 years

Just remembered how good this video on knee OA is 😍

@HinmanRana

Prof Rana Hinman

5 years

Looking for help to educate knee #OA patients? Check out this 12-min video from @thorlenee @CHESM with help from @LiamRobMac & Joshua Simmich from UQ ........use it to start a conversation with patients about the best course of management

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John Drummond

1 year

⚪ Communication pearl ⚪ Don’t answer feelings with facts By Rock, LK 2020 BMJ opinions HT @hannah_moves via Insta

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John Drummond

2 years

‘One Minute Supervision’ Model for Clinical Teaching NERDS Framework, a walkthrough Adapted from @srrezaie

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@srrezaie

Salim R. Rezaie, MD

9 years

PV Card: One Min Preceptor – NERDS Mnemonic via @ALiEMteam http://t.co/r97aMhUVbL #FOAMed #MedEd http://t.co/Cwz9Ve7KTg

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John Drummond

4 years

Had not heard of this cluster for ?PFJ OA vs PFP - but makes sense clinically @TEAM_PFP are producing some great content

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John Drummond

2 years

Out of office on until 7th June, going to have forgotten how to be a physio by then! 🍯🌕🏝️🐘

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John Drummond

5 years

Had a fantastic " @PeteOSullivanPT moment" with a chap today. Dramatic reduction in distress, gaurding and positive outlook. 🔑Not damaged 🏋️Safe to move and lift (and proved it to himself through mvt experiments) 🧘‍♂️Relax and breathe ❌ Time of work 👏 SLOUCHING FEELS GOOD

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John Drummond

4 years

Top "special"/orthopedic tests/clusters to rule in/out certain conditions. That one uses clinically and can justify why with sens/spec/utility/explaination. I'll start Cluster of Wainer. Go....

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@GatesPhysio

John Drummond

1 year

@TheFigen_ Would be good to credit/link his insta

@GatesPhysio

John Drummond

2 years

This guy, Jöel, is an absolute #RehabLegend #FunTheory Great ideas for cognitive and physical movement. @FitGreyStrong @FitnessFoundry @Strength4_Life @exerciseworks

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John Drummond

3 years

Question, do you assess 'full neuro' (dermatomes, myotomes, reflexes, UMN signs) on nearly everyone with localised neck/back pain with no peripheral features (no radiating symptoms/paraesthesia/weakness)?

No, if no symptoms

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Yes, (comment why)

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John Drummond

5 years

🏆ABSOLUTE GOLD 🏆 ❌🤕 WEAR AND TEAR ✔️🦵BEND AND MEND ✔️💦 MOVE IT TO LUBE IT ✔️🧠 RETRAIN THE BRAIN - more you know, more you can grow ✔️🏃USE IT OR LOOSE IT (rest is rust!) @noigroup

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John Drummond

3 years

@DrJN_SportsMed I found this helpful when thinking of DDx, initial Hx made me wonder dysplasia but as other posts have said perhaps a little older. Good ROM + Hx I might have thought atypical GTPS. Following for further detail

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John Drummond

3 years

Nice reminder from @MattLowPT @neiljlangridge on self-determination theory - need to take a look from my own perspective too 👀When it works, it works brilliantly. HT @MRWPhysio @JghPhysio

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John Drummond

3 years

Great blog on CSI and the shoulder case study, patient centered care, limits in biomed approach, importance of language and goal focused structured rehabilitation. via @JaredPowell12 HT @AndrewVCuff

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John Drummond

4 years

Good news: cycled into work and feel great for it 🚲💪 Bad news: lost a bottle at 50kph down a hill and found out I'd left my trousers at home, soggy cycle leggings for the morning and borrowed some trousers from the lovely community nurse/OT for the PM 😳👖

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John Drummond

4 years

When Orthopods say "you'll probably need the other *joint* doing at some point" is that one of those win-wins where if the patient doesn't- they are happy and got away with it and if they do you can say "told you" and gain trust!?

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John Drummond

11 months

Looking forward to my first day in an Advanced Practice role within the existing Notts @Connect_Health_ team, new challenges and experiences on the horizon. Any reflections or tips from those with more skin in the game?

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@GatesPhysio

John Drummond

1 year

@Thund3rB0lt Would be good to have the creater credited

@GatesPhysio

John Drummond

2 years

This guy, Jöel, is an absolute #RehabLegend #FunTheory Great ideas for cognitive and physical movement. @FitGreyStrong @FitnessFoundry @Strength4_Life @exerciseworks

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John Drummond

4 years

@emmalucybell Reminds me of this haha

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John Drummond

4 years

Last day of placement with @Connect_Health_ for my ace student @RobbieLeventhal . I've certainly learnt a few new things from you, so thank you for your curiousity, energy, creativity and fantastic projects. 👨‍🎓🎉 #StudentPhysio #Physio @MSKEdNet

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John Drummond

4 years

Long but facinating commentary on CES with key points regarding clinilinical signs vs symptoms, CES "early"/incomplete, MRI urgency+threshold, documentation, safetynetting, hospital guidelines and bladder scans.

@1corQMLR

1COR Quarterly Medical Law Review

4 years

Jarman v Brighton and Sussex University Hospitals NHS Trust [2021] EWHC 323 (QB) - new judgment on cauda equina - alleged delay in MRI and decompression surgery - C unsuccessful

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John Drummond

2 years

MRI Result via local sarcoma unit Bilateral Elastofibroma Dorsi (benign lesions). (With Pts consent) Few suggestions of this DDx within the original comments, all's well that ends well.

@GatesPhysio

John Drummond

3 years

*With full sharing consent* 75M Heavy Smoker. 3/52 Hx noticed atraumatic 8cmx6cm 'lump' appearance. No pain. Seems to self appear/reduce on certain movements. FAROM GHJ. CXR and recent bloods NAD. No apparent UL neurology. No bruising. Next step / by who / how quick / why?

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John Drummond

3 years

Managing uncertainty is a tricky business isn't it.

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John Drummond

6 years

Fantastic send off today will miss @DerbyPhysioOPD fantastic team. Thank you 🙏 in true John fashion obviously everyone had to do squats @exerciseworks #physio #squats

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John Drummond

6 years

Strength training and a high protein diet best for delaying + reversing frailty. 2019 research found 70% of 14 studies where frailty was measured had significant improvement. 💪🏋️‍♀️👴👵 @exerciseworks @Strength4_Life @thecsp #cantgowronggettingstrong

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John Drummond

3 years

For those who don't know, yesterday evening I was involved in a cyclist vs car accident.

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John Drummond

4 years

Can anyone explain why supine pain is a red flag/sign for serious spinal pathology and the potential mechanism at play here? @LaurafinucaneB @mercephysio1 @sue_greenhalgh @AndrewVCuff @stevenawoor @_lewadam @ChrisWorsfold1 ? Visceral pressure

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John Drummond

4 years

10 days annual leave here I come

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John Drummond

3 years

RE: Consultation skills / Patient centred care -Explore -Educate -Empower -Enable

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John Drummond

2 years

Thank you for the invite. Kids so well behaved. Glad @thecsp #RehabMatters video, clinic role play and profession clues & anatomy quiz was a hit! Your students in nearly knew more anatomy than me as a junior! Other physios interested ➡️ @InspiringTF

@ChetwyndSpencer

Chetwynd Spencer Academy

@ChetwyndSpencer

2 years

Thank you so much @GatesPhysio and @InspiringTF for your great Careers Week assembly this morning. You have really inspired our children in the world of Physiotherapy! #appreciation @spencer_hub @satrust_

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John Drummond

4 years

Plummer just came, 20mins on site, washer changed and bit of tinkering, £80. I'm in the wrong job 😂😳

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John Drummond

2 years

Favourite papers/resources/threads on communication? Ping them my way please 🙏 E.g. rapport, open questions, MI, SDM, safetynetting, consultation skills, conflict management, ICE, goals etc. Please tag where approp. Have my own examples and plan but checking widely. ✅💭

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John Drummond

5 years

" I would add that employees stay when 1) we create opportunities for them, and give them opportunities to grow 2) take risks for them 3) treat their problems as our own 4) stand up for them 5) treat them fairly 6) stay honest with them" HT @MRWPhysio

@MRWPhysio

Matthew Wyatt

6 years

"Your most important assets aren’t your clients; its your loyal employees. If you take care of your employees, they will take care of your clients."

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John Drummond

5 years

Great day exploring and discussing clinical reasoning. Some big take homes regarding governance/pathways/supervision, systems thinking, masqueraders and FCP ☕ @stevenawoor @ClinicalMaze 💉🦴💪 Great case studies, reflections and pragmatic conversations.

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John Drummond

1 year

How's your afternoon going. Just chucked a bottle of squash overmyself as lid was open.

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John Drummond

2 years

@BillingMartin If patient is a farmer and their partner told them to come, then it's probably a fracture

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John Drummond

3 years

Saw this creepy baby in the clinic so I backed away slowly and shut my clinic door...

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John Drummond

4 years

**FAO Students and newer grads** Wondering where to start with information overload? Looking for short evidence based learning to focus your reading? Wondering how you can demonstrate your learning and test yourself? @clinicalphysio 1/2

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John Drummond

3 years

@Els_Richardson Fascinating, not actually heard of either of these and had to do some research, thank you

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The active elevation lag sign and the triangle sign: new clinical signs of trapezius palsy. |...

Semantic Scholar extracted view of "The active elevation lag sign and the triangle sign: new clinical signs of trapezius palsy." by O. Levy et al.

www.semanticscholar.org

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John Drummond

6 years

Had a @benedsmith moment. 70y/o PFJ OA pain ⬇️ stairs and hills, gave up Morris dancing as thought 30y of it caused it and 'cant do the movement'. Asked her to show me and she did it pain free and realised she'd just been scared to try and considering returning to it! Result!

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John Drummond

4 years

This is some fancy foot S&C, I like it

@RogerTarrago

Roger Tarragó Bardés

4 years

👣Is the foot core training another key component in running based sports? 🗝️Force transmission - ground to limb🤾🏼 🗝️ Adaptations to changing environments 🤼 🗝️ Mechanical factors increasing injury risk⛹🏽‍♀️ 🗝️Stable - Controlled joints🔒 #foot #footcore #Training #injury

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John Drummond

2 years

MSK Diploma Passed ✅ @RCSEd @pcrsociety

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John Drummond

5 years

#louisgifford blowing my mind again and confirming/challenging some bias RE placebo and the importance of pts beliefs/expectation and clinician interaction.... Whilst by the beach 🌴

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John Drummond

2 years

I wonder if many other healthcare professions have to "sell" the ways they can help and assist active self management and avoid "Tier 2" type services/investigation/treatment quite as much as us. People actually coming wanting and expecting Ax/Info/rehab seems to be dwindling.

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John Drummond

2 years

Update: 4 anyone following my odd knuckle - repeat urate was normal so presume not Gout. Hand consultant agreed seems unusual but likely bursitis. No further action as it's somewhat improved and no pain or dysfunction. Likely related to glove use/friction 🤷‍♂️ 💼

@GatesPhysio

John Drummond

2 years

Ok physiotwitter so why have I got a tenosynovitis/bursitis in my 3rd MCP. Please advise if this looks like something different - had a course of ABx and Naproxen, awaiting bloods. Similar issue in knee few months back.

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John Drummond

5 years

Tough 30km 9am ride filled with healthcare proffesionals from around the world! Come join us next time? ☺️🚲 @benedsmith @MichaelRathleff @gemtreee @LauraHeathcote7 @GavinStraffon + David Aronson @GoZwift @quarantraining #ActiveApril #QuaranTrain #StayInWorkOut

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John Drummond

3 years

What are people's go to RCRPS/Sub acromial pain "special"/orthopedic tests/clusters?💪 And why + with supporting evidence on R/I and R/O / likelyhood ratios etc. @ShoulderGeek1 @AdamMeakins @AndrewVCuff @marcusbatemanPT @VictoriaLane85 @hurtarms_physio @AnjuJaggi @Retlouping

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John Drummond

3 years

First experience of Red Whale @GP_Update today, slick website and some very handy free webinars for MSK / Rheum /Paeds Red Flags- perhaps useful for FCPs and those looking towards the MSK Diploma via @pcrsociety @MSKEdNet

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John Drummond

4 years

Local laps on the new @Dolan_Bikes GXC 😍 #newbikeday @strava #locallegend @wahoofitness #wahooligan #cyclechat #snowing #AHPsActive

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John Drummond

3 years

(Excuse the teeth and cast) @PseudoPhysio - it's a bit roomy but I love it 🤩🥰

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John Drummond

2 years

@CharlotteHayers Podcasts taught me so much. Research needs context ideally relating to some1/thing u are interested in. Usually a few seminal papers directed to by experts / seniors can help reduce the “noise” and overwhelm. @clinicalphysio @PMFirstSteps @TPMPodcast @TPMPodcast @Dr_OliverT_PhD

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John Drummond

2 years

👨‍🎓Calling educators in Heathcare👩‍🎓 Do you support students? Supervise staff? Developing yourself in the education pillar of advanced practice? What do you think of this supervision model with prompts? Feedback welcomed. Googledrive PDF:

One Minute Supervision NERDS GatesPhysio.pdf

drive.google.com

@GatesPhysio

John Drummond

2 years

‘One Minute Supervision’ Model for Clinical Teaching NERDS Framework, a walkthrough Adapted from @srrezaie

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John Drummond

5 years

Oh wow. Back to posture... This is terrible advice... @WebMD . @ashjamesphysio @Retlouping @PeteOSullivanPT @kieranosull @DMNPhysio @ChrisWorsfold1 @adamdobson123 @AdamMeakins @JackAChew @kfjnordin @mikeinglephysio @LivingWellPain

@WebMD

WebMD

5 years

Sitting hunched too often can flatten the natural curve of your spine and damage the cushioned disks between the bones.

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