Consent✅ - this is a beauty 🤓 Elite runner Crampy, aching lateral knee pain - onset at around 20-30 mins Seen multiple clinicians - had numerous injections including ITB plus extensive rehabilitation - refractory Almost 'claudicant' in nature - settles quickly on cessation of exercise - spreads both proximal & distal to lateral joint line No spinal symptoms & LSp assessment clear No lateral compartment pathology eg meniscal tear Had popliteus tendinopathy on US, but minimal response to my initial diagnostic injection POCUS video - The inferolateral genicular neurovascular bundle ('pepper pot' structure) is seen compressed under the distal ITB on active knee flexion : terminal extension Patient localises pain in this area with probe pressure Injection - hydrodissection (CSI, LA) - fluid seen separating plane just superficial to NV bundle 100% pain relief on extended treadmill test beyond 45 mins 👍 I wonder how many recalcitrant 'ITB' cases are actually neurovascular in aetiology? 🧐 Plan - considering angiography, MR neurography & possible distal ITB release at Gerdy's tubercle if not responsive to injection

Nine months ago I embarked on my very first taught, in person CPD course. Four years in the making. Its been tough but highly enjoyable. Mastering Lumbar Radiculopathy. All of my knowledge from the spinal clinic, underpinned by science with a lack of fluff. I have now delivered five of them. Four in-person courses and a very successful six part, six week online version. I also developed a professional website and managed to complete my ACP Masters.🎓 It is maybe not the most well known CPD course but i think the content speaks for itself and I have now properly finalised all of my artwork for the vascular, hip and myelopathy sections of Day 2 💪 Thank you to those who have supported and collaborated with me in 2025. I will soon announce a 2026 London Date 🤟 theradicularclinician.com/ @PrimaryCareMSK @rob_chiro @martinthomas11 @clinicalphysio @ClementsCharl96 @physiojack @Martin_Nekkolai @BillingMartin @Irish_Physio

For the people at the back - 1. Distance runner with ramp in load /- REDS risk factors 2. Positive hop test 3. Positive FADDIR 4. Weak / painful on iliopsoas testing This is 99.9% likely to be a neck of femur stress injury IT ISN'T A TIGHT HIP FLEXOR

What is the State of Play for Degenerative Cervical Myelopathy in Australasia? 🇳🇿🇦🇺🌏 🔓Check out our latest paper published in the @GlobalSpineJ doi.org/10.1177/219256822513… @AOSpine

Help us make this the widest and deepest evaluation of first contact physiotherapy & help inform future practice. Please complete our survey Survey link- forms.office.com/e/xdvCwtf1E… @thecsp @sharonchanb @physiojack @NeilLangridge @JackAChew @RogerKerry1 @FionaMoffat18 @benedsmith

18 months ago I could barely run 5k. Hopefully 2026 continues to be a good year of running 🏃

Appreciate a nod / share Please also consider adding in any physios you know in Wales & surrounding areas 🫶 @IoannisAthanas7 @rob_chiro @theEndurancePT @ClementsCharl96 @tomgoom @lioannis @JackAChew @physiojack @DrJN_SportsMed

Looking forward to delivering this session on all things Stenosis & PADs. Thanks as always for the invite @martinthomas11 last few 🎟️ eventbrite.co.uk/e/systemati…

Next series out now! Booking Link: linktr.ee/firstcontactphysio

🎯 UK MSK physios – we need your input! We’re running a short survey on how psychosocial factors are assessed in MSK care. 🕐 ~10 mins 🔒 Anonymous 📍Open to UK-based, patient-facing physios 👉 uwe.eu.qualtrics.com/jfe/for… Thank you!

👩‍⚕️🧠 Been a while since you had a proper red flags refresher? You're not alone. In MSK & primary care, it’s easy to default to safety netting or over-investigating! But the confidence to recognise serious pathology early can change everything!! That’s why we teamed up with @ClementsCharl96 again for his Recognising Red Flags CPD course: ✔️ Half-day, live interactive ✔️ Real-world cases (no textbook waffle) ✔️ Covers CES, malignancy, fractures, myelopathy more ✔️ Designed for busy MSK clinicians FCPs ✔️ CPD certificate and recording access ✔️ Affordable, practical, confidence-boosting 🗓️ Saturday 7th June 🕘 9am–1pm | 💻 Online 🎟️ Reply "discount" to this post and we'll send you a cheeky discount code! 📩 Tickets: eventbrite.co.uk/e/135252333… Whether you're a new FCP or 10 years in, a solid red flag refresher isn’t just helpful - it’s essential. #PrimarycareMSK #MSK #FCP #redflags #physio

Great case here and one I must admit I was not aware of 👏

Really looking forward to delivering the 2nd instalment of this online course Last ones was a sell out so if you want to improve your confidence around serious pathology be sure to sign up quick ‼️

🚨New paper out! What is the role of non-surgical clinicians in Degenerative Cervical Myelopathy? 💡We synthesise emerging evidence with perspectives from the @AOSpine RECODE-DCM Peri-Operative Rehabilitation Incubator and highlight key knowledge gaps. 🔓doi.org/10.1016/j.bas.2025.1…

Don’t suppose anyone can get access to this paper? 👇 thejns.org/spine/view/journa…

A BIG personal update – my Radicular Clinician 2.0 website is now officially live! 😍 It’s taken the best part of six months and is now 99% finished. I’ve taken the best bits from my early self-built version and brought them into something far more refined. The site is now the home of my Instruction Manual Collection, properly showcases my Mastering Lumbar Radiculopathy course , extra content, and serves as my main point of contact outside of social media. I’d be really grateful if you took a moment to check it out, say some nice things😆 👉 theradicularclinician.com Huge thanks to Tedy and the team at T&B Media, Megan Geddis & MHG Photography @PhotographyMhg Jerome Fryer and @dynamicdisc and most importantly, my father Mark Dobson, who has become the face of this wider project over the last three years. It might not be a big thing by most people’s standards, but to me, it’s high-class and a milestone in my Radicular Clinician journey 😊

👉🏻 We have just launched a new episode of Case Studies Breaking down sciatica @clementscharl96 😎 In this episode, Charlie takes us through an extremely interesting case of a patient who presented to the clinic with sciatica. 📲 Listen now: 🔗 physio.network/sciaticapodca…

Bit beggy - but I am due to be running LDN Landmarks & Paris Marathon I am raising money for @GeneticAll_UK so if any1 has a spare quid ⬇️🙏 justgiving.com/page/charlie-…

The 1st of hopefully many instalments on Recognising 🚩’s this morning Sell out event with 30 clinicians and some really nice feedback @PrimaryCareMSK

🚨 Final Call: Last Few Tickets 10% Off! 🚨 ⏳ Tomorrow’s the day! If you’ve been thinking about joining our Recognising Red Flags in MSK Care course, this is your last chance – and we’ve got an exclusive discount for you. 🎟 Use code: PCMSK10 for 10% off! Every MSK clinician faces those cases where something just doesn’t feel right. Is it just mechanical pain, or is there a serious red flag hiding in plain sight? This half-day online course with Charlie Clements @ClementsCharl96 will help you: ✅ Recognise critical MSK red flags like cauda equina, spinal malignancy & vertebral fractures. ✅ Strengthen your clinical reasoning with real-world case studies. ✅ Know when to investigate, refer, or act fast – no hesitation, just clarity. 🎓 Can’t make it live? No worries – you’ll get 30-day access to the full recording! 📅 22nd February 2025 | Online 🎟 Use code: PCMSK10 for 10% off! 🔗 Grab your last-minute ticket now! eventbrite.co.uk/e/113039255… Let’s make sure we’re all spotting red flags with confidence. See you there! #MSK #CPD #PrimaryCare #RedFlags #Physiotherapy #FCP