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Physiutrition

� Combining Health, Rehab + Nutrition
� Musculoskeletal Physio + Trainer
� Nutritionist (MSc)

04/12/2022

MPFL - Medial Patellofemoral Ligament⁣
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In important factor in patella stability and risk of patella dislocations. ‼️⁣
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Further reading/references:⁣
📕 Moiz M et al. Orth J Sports Med. 2018.⁣
📕 Krebs C et al. J Orth. 2018.⁣
📕 Martinez-Cano JP et al. Orth J Sports Med. 2021.⁣
📕 Huntington LS et al. Am J Sports Med. 2020.⁣
📕 Placella G et al. Musculoskelet Surg. 2015.⁣
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27/11/2022

Strong communication between all parties is vital. ‼️⁣
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It baffles me when consultants and physios don’t have a clear channel of communication when working together delivering patient care. 🫤 ⁣
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The patients ends up being used as a proxy messenger, relaying messages between. 💬⁣
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I 𝐀𝐋𝗪𝐀𝐘𝐒 reach out to a consultant or other clinician when we are mutually seeing a patient if there isn’t already a channel of communication there. It undoubtedly makes giving best care easier. 😊 ⁣
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20/11/2022

Conservative Osteoarthritis Management!⁣
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It’s clear from all the green which ones we should all be sticking to when it comes to non-surgical (conservative) management. 😃 ⁣
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This table summarises guidance made by four parties; ACR (American College of Rheumatology), EULAR (European League Against Rheumatism), AAOS (American Academy of Orthopaedic Surgeons) and OARSI (Osteoarthritis Research Society International). ⁣
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Reference on the graphic! 📚 ⁣
Katz JN, Arant KR & Loeser RF, 2021. Diagnosis and treatment of hip and knee osteoarthritis: A review. 𝘑𝘈𝘔𝘈, 325 (6): 568-578. ⁣
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13/11/2022

Make it easy to do (not physically easy, but life easy)! 😊 😆 ⁣
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25/10/2022

Post-operative nutrition 🍎 ⁣
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You’ve given your all to prehab. You and your physio have a brilliant post-op plan to get you back to your goals. 🎯 ⁣
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Why wouldn’t you nail in on the nutrition in the early days?⁣
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23/10/2022

Seen this a few times recently. It really makes no sense. 🤷🏼‍♂️ ⁣
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So there’s no confusion - in the 1960s the British Ministry of Transport introduced a yearly test for cars on the road to ensure they were safe. 🇬🇧 🚗 ⁣
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Therefore this became shortened to an ‘M.O.T’ which has since become a sort of synonym for regular check up. Interestingly the Ministry of Transport no longer exists and is now the Department for Transport. I supposed DfT doesn’t roll of the tongue so well. ⁣
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Anywho, it is now relatively common for physios and other musculoskeletal clinicians to refer to semi-regular or ‘maintenance sessions’ as an M.O.T 😬 ⁣
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Your body is strong, robust, adaptable and able to heal itself. All very different from my 2007 Ford Fiesta S. 😆 ⁣
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If people want to spend their income on a massage or another therapy then that is absolutely fine. It can make people feel great and if they feel better and this opens the door to training better then I have no problem with them allocating resources to that. 👌🏼⁣
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If it is an athlete or keen exerciser and you’re testing metrics such as strength, mobility, stability and endurance semi-regularly to hone in their training plans then surely we can use a better word than the initialism of Ministry of Transport. ⁉️⁉️⁉️⁣
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22/10/2022

We all know weight loss is one of the core pillars in osteoarthritis management. ⁣
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The updated NICE guidelines published on 19/10/22 outline the above guidance for clinicians seeing OA patients who are overweight or obese. ⁣
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Key things to know:⁣
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🔹 The available evidence is heavily based on those with knee OA. 📚 ⁣
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🔹 Achieving successful weight loss is challenging and NICE recommended that appropriate support should be provided. ⁣
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🔹 Providing a target (10%) should be used to help motivate people. 🎯 ⁣
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16/10/2022

Imagine everyone is walking around with a floating ‘To Do’ list above their head. 📃⁣
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As musculoskeletal clinicians, it is within our scope to potentially help tick off one of those issues. We probably can’t help with their mortgage but hopefully we can with their low back pain! 😃 ⁣
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I am always talking about this idea of a floating ‘To Do’ list. How can we get it so our patients and clients feel this problem is fixed or they have high self-efficacy to manage themselves going forward? 🤔 ⁣
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That’s the goal!! ⁣
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Our outcome should NEVER be to develop this dependency on us. It’s frankly criminal. ⁣
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09/10/2022

Acute OA Flare-ups: Using red counters and blue counters! 🧮⁣
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When a person with a joint (such as; hip, knee, ankle) that is known to have some degree of OA has a sudden worsening in symptoms, for instance, after an awkward movement, we can look at this as a sudden increase in red counters. 📈⁣
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We can help calm things back down by removing red counters and introducing blue counters. 📉⁣
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This model is not always applicable but for the right patient, can be really helpful! 😄⁣
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27/09/2022

Osteoarthritis - a diagnosis does not place a slippery slide in front of you! 🚫🛝 ⁣
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Swipe left for how we can be taking patients through an osteoarthritis flare up. ⁣
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19/09/2022

In 1947, aged 21, you promised to serve our country for your entire life. A promise kept. ⁣
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Rest in Peace Your Majesty. ⁣
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30/08/2022

No (rarely) are injury/surgery rehabs linear. Unfortunately!! 📈⁣⁣
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When helping our patients within our scope as Physios/Osteos/Chiros/Sports Therapists we know this. We know patients will be lucky to get better week on week on week. 🗓 🚫⁣⁣
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Progress will fluctuate, niggles will happen, we may overdo things. ⁣⁣
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This is where we need to communicate clearly with our patients. Be there for them during these setbacks and help them come out the other side!!! 😄⁣
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29/08/2022

Remember, if you’re driving at 60mph and you need to drop to 30mph, whilst it feels like you’re going backwards…. you 𝐀𝐑𝐄 still getting closer to the destination! 🚘 ⁣
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Surgery rehab has to be adjustable- as easily as the gas pedal on our cars. ⁣
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We can push HARD at times and when things slow and we ease off, be re-assured you’re not automatically in reverse. 😄⁣
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14/08/2022

Vit. C after orthopaedic surgery⁉️🍊⁣
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Vitamin C is a vital antioxidant. Crucial for human health. 🥝 ⁣
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In the field of orthopaedics there is moderate evidence that Vit. C can aid functional outcomes, reduce post-operative pain and decrease risk of CRPS (Chronic Regional Pain Syndrome). 🏥 ⁣
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Maybe we shouldn’t be routinely recommending it just yet but encouraging your patients to eat a few satsuma’s or kiwi’s probably isn’t a bad idea! 😄⁣
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03/08/2022

Let’s strive for ‘&’ not ‘Vs’.⁣
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01/08/2022

Protein after Orthopaedic Surgery. 🍽 🏥 ⁣
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After surgery such as knee or hip replacement, dietary protein is REALLY important for continuing to maintain your overall health and aid successful rehabilitation. ⁣
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Further reading:⁣
📕 Hirsch KR et al. Nutrients, 2021.⁣
📕 Mistry D et al. J Arthritis, 2022.⁣
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28/07/2022

Here’s a few similarities I draw between my experience preparing for a competition and helping patients/clients with their issue as a physio:⁣
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(Before we start - what an odd “sport” bodybuilding/physique is!!) 😆 ⁣
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1) Nothing is linear - don’t celebrate too much when things go well and don’t beat yourself up during the dips. Make sure the correct trajectory is maintained. 💹⁣
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2) Having someone in your corner is invaluable - in competition prep it was training partner(s), in injury rehab it is our role as a physio/clinician to be in our patients corner! 🥊 ⁣
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3) Everything goes smoother when you maintain a healthy diet!! 😂 😆 ⁣
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20/07/2022

Not 𝐀𝐋𝐋 benefits of a fantastic physio appointment are tangible or easily measured. ⁣
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Often, for many patients this stuff ⬆️, is of the bigger importance than the nitty gritty of the details. ⁣
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Cranleigh

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https://www.trustme-ed.com/lectures/nutrition-for-msk-health

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