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Lovely to meet Mark Laslett in person

Super interesting guy & lots to learn over a few beers on his visit to London

Bruce Hermann, MD Mark Bagnall PhD FRCS Review My Residency Address the issue re: teaching, instead of making a bitchy comment about a system . Or have you been caught out defending bullying and vulgar behavior that some of us don’t tolerate because we don’t have self esteem issues we take out on juniors who can’t fight back?

This made me chuckle on LinkedIn

If you’re ever in need of an urgent hair transplant - big date, international presentation etc - this is your man

Hmm, this looks familiar.

1500/3000m runner back from 4 weeks training camp. Sudden pain in deep glute area during a running session. Now limping, and unable to create power through limb. Resting pain.

History of 3 previous stress fractures.

James Noake

So excited to be asked to speak at this years LTAD Network conference

Have you ever wondered why some athletes get injured at specific loads yet others don’t. Join us to explore the reasons and how we can boost capacity to do more

saphenous nerve snapping: ultrasound diagnosis

Soccer player with a sensation of snapping in the posteromedial region of the upper third of the knee when performing high-intensity deep flexion, with minimal posterior discomfort.

A dynamic ultrasound was performed, which…

James Noake ɹǝʇlnoԀ pıʌɐᗡ 🚴🏻 🇺🇸 🇦🇺 🇬🇧 The Endurance Physio Derek Griffin Nick Allen Lorenzo Masci On further palpation....you're right!

Pretty ouchy down there.

Pain / our bodies are weird aren't they.

Past 2/12, no perception of pain from PS but when you go in firm there, reproduces the lower abdo pain that I have perceived.

Send me the invoice James Noake 🙏😃

Benefits of house renovations - blow up mattress in the TV room

And relax

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Elderly male - DM 2, high cholesterol

Severe posterior heel pain - unable to undertake a single leg calf raise, walking ⬇️⬇️

Can't get off first base with rehab

POCUS -

Normal mid portion but marked insertional achilles tendinopathy, possible intra-substance…

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Previous lateral talar fracture in a Speedway motorbike accident as a teen

Now, secondary to mal-union & obesity ➡️ severe anterolateral ankle gutter & sub fibular impingement, as well as subtalar OA (MRI)

POCUS - marked lateral gutter inflammation, synovitis &…

The beauty of our robust lumbar discs, not a jelly donut, sweet pastry, or Oreo cookie in sight 😊

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And another one!

Male, 30s, generally fit

Deep seated right lateral hip (& groin) pain under higher impact exercise

No significant ramp up in running load / volume 🧐

Treated as GTPS for some time

+ive Hop

Minimal symptoms at GT or with gluteal tendinopathy…

Wisdom +++

I mean... WTF!!! 🤯🔥😍
Will you miss it???? Really???

Pete spitting back pain facts.
You can keep your oreos. They are awful anyway. 😖

James Noake Very difficult problem to treat. A full tear is easy & predictable. Failing tendons test one’s patience.

For me it’s Rehab then PRP (not steroid)

Then Debride ( rarely done)

However detach and reattach tendon very predictable. But just doesn’t feel right.

James Noake Copy & paste

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'Groundhog day'

Runner London Marathon, R groin / anterior thigh pain

Treated for tight hip flexor for 3-4 weeks

+ive Hop

Pain & weakness on resisted iliopsoas testing

MRI - medial femoral neck stress response

Periosteal inflammation adjacent to distal iliopsoas…