Physielle - physiotherapy tips

Physielle - physiotherapy tips Registered Physiotherapist
NASM certified Personal Trainer
MSK clinician

30/04/2026

Surgery left him SHAKING? 🫪

But don't worry, this is a normal part of recovery after an injury.

This muscle twitching is also called myoclonus, and after surgery/injury it can be due to:
1) residual effects of trauma to tissues
2) your brain trying to protect the area from being used too much

With some time and rehab, my patient is expected to make a full recovery.

HOWEVER:

⚠️ If you have this type of twitching for no apparent reason, consider seeing a physio or doctor because it could be early signs of neurological disease (e.g. multiple sclerosis, nerve damage, NMD/ALS etc.)

27/04/2026

Rest ≠ Recovery❗

How the tendinopathy pain cycle usually goes:

Injury occurs → Your tendon is triggered (normally with overuse, e.g. running too much/too long/too intense).

Rest phase → Your pain decreases because initial inflammation settles, but your tendon remains weak, deconditioned, and under stimulated.

False confidence → You assume you're "healed" and try resuming your activity.

Progressive limitation → You try lighter activities (jogging), because you're scare you'll retrigger your tendon. But the pain inevitably returns.

Repeated rest → You rest again and pain reduces again, but your tendon gets more deconditioned with each rest period.

Downward spiral → Eventually even normal walking becomes painful because your tissue capacity deteriorated while your symptoms went away temporarily.

The solution is to USE the tendon to STIMULATE new growth factors so it can ADAPT to what you want it to do.

23/04/2026

🔪 Surgery is NOT the surgeon's decision...

It's YOUR decision.

These 3 questions will help you get the conversation started with your medical team to find the best management for you.

Sometimes it's surgery, sometimes it's not.

Of course, there are many other things to be discussed like:
- your lifestyle and activity needs
- the degree of your current disability
- how much pain you're in
- the extent of the current damage
- what you've tried previously
etc.

These are conversations to be had with your doctor, physio, coaches/trainers (if you're an athlete), and other trusted medical and health professionals.

Unless your body is severely compromised, most orthopaedic surgeries are ELECTIVE so don't rush into a decision.

16/04/2026

Key things to know about HIGH ANKLE SPRAINS (syndesmosis injuries) 🦶🏻:

Common MECHANISM of injury - (forced) weight bearing eversion in dorsiflexion.

Commonly injured tissues:
Anterior Inferior Tibiofibular Ligament (AITFL)
Posterior Inferior Tibiofibular Ligament (PITFL)
interosseous membrane
These can be in combination with other tissues, like the ATFL, deltoid ligament, talar dome etc.

SURGICAL procedures - tightrope or screw fixation to bring the tibia and fibula together distally.

Xavier Savage injury video from

Also best of luck to Endo Wataru on his rehab! Hope to see you back at Anfield soon or at the world cup ⚽

03/04/2026

This lady has electric shock IMMUNITY ⁉️

For simplicity's sake, nerves have 2 functions:

1) To FEEL; sensory pathway

2) To MOVE; motor pathway

If either/both of these aren't functioning (like in a spinal cord injury), you might not be affected by a taser/electrical instrument.

My thanks to for letting me stitch your video!

01/04/2026

Don't know if you have mum thumb? TEST YOURSELF 👍🏻

1) Down & spread (WHAT)
- hand with palm down
- bend wrist towards palm side
- open thumb (away from pinky)

2) Wrap thumb & hammer down (Eichhoff's)
- pinky facing towards your thigh
- wrap your thumb with your fingers
- wrist down like you're hammering a nail

If you have pain on the tendons on the thumb side of your wrist, you likely have De Quervain's.

These tests are, of course, preliminary checks and not an official diagnosis. Please consult with a healthcare or medical professional!

31/03/2026

You NEED to try this beginner friendly shoulder exercise‼️

Your rotator cuff and deltoids will be SO ROBUST you can bounce bullets off yourself 💪🏻💪🏻💪🏻



Just so we're clear...

Happy April's fools!

Bidding 2024 farewell and welcoming 2025 with a grateful, open heart 💖__I am immensely proud of the choices I made this ...
31/12/2024

Bidding 2024 farewell and welcoming 2025 with a grateful, open heart 💖
__

I am immensely proud of the choices I made this year, the work I've put in, and the challenges I have overcome.

Thank you to my closest circle, my life is better with you by my side.

Let the positive ripple continue to make waves in the year to come 🙏🏻

Sunday mobility! 5 moves, 2 minutes each.Welcome to the last of 7 days of mobility, by now you'll start feeling your bod...
20/10/2024

Sunday mobility! 5 moves, 2 minutes each.

Welcome to the last of 7 days of mobility, by now you'll start feeling your body getting used to more ranges of motion!

Get your partner, family, and your friends in on the programme! It's a great way to stay accountable yourself and help those around you as well 💪🏻

✨ Have a wonderful day ✨

Saturday mobility! 5 moves, 2 minutes each.Use the weekend as an opportunity to get your body moving - every little bit ...
19/10/2024

Saturday mobility! 5 moves, 2 minutes each.

Use the weekend as an opportunity to get your body moving - every little bit makes a difference 💪🏻

The last of the 7 days will be up tomorrow 🙏🏻

✨ Have a wonderful day ✨

Thursday mobility! 5 moves, 2 minutes each.My 7 day mobility programme targets major culprits of everyday aches and pain...
17/10/2024

Thursday mobility! 5 moves, 2 minutes each.

My 7 day mobility programme targets major culprits of everyday aches and pains 🔥 Follow along in real time and see how you feel!

Friday's post will be up tomorrow 🌞

✨ Have a wonderful day ✨

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