Tomorrow morning I will be speaking on @martinthomas11 webinar series. Atypically Interesting Case Studies from the Spinal Clinic. Details below, still time to join us with a nice cup of coffee. Start the weekend right. linktr.ee/Firstcontact...

📣 In just two weeks I’ll be teaching my two-day, in-person MLR course in lovely South Wales. Handful of tickets remaining 😲 📍 St Joseph Hospital 📅 11th & 12th October 🎥 Listen to the bloke below to find out more 👋 📄 Sign up using the link below theradicularclinician.com/in-person-co...

Here is a slide from my MLR course. An amalgamation of Spine-Related Leg Problems and its phenotypes along with a comprehensive Differentials list.

Session 2 of our experimental six-part online Mastering Lumbar Radiculopathy course is coming tomorrow. It’s already shaping up to be something special. Long form can definitely work. 💪

Just 6 days to go until our first ever online Mastering Lumbar Radiculopathy course 😊 Chapters 1 & 2, Terminology and Fibers. Schedule here. Time to slow things down a little. Consolidate. Looking forward to meeting you all. A few spots available still 👇👇 www.eventbrite.co.uk/e/mastering-...

I think we need to shift from an all-encompassing fear of movement model towards a broader avoidance model, driven by a range of underlying factors. One of those is risk aversion, the risk of having another awful experience, the expectation of pain itself. pubmed.ncbi.nlm.nih.gov/40701208/?s=09

Interesting title. Brilliant narrative review on lumbar spinal stenosis. 2025 chiromt.biomedcentral.com/articles/10....

The leisure time and occupational physical activity paradox in persistent musculoskeletal pain. 2025. www.nature.com/articles/s41...

Agreement between high-quality clinical practice guidelines in their treatment recommendations for low back pain: A systematic review Open access!! 2025 www.thespinejournalonline.com/article/S152...

One to look out for. Not too far off 🔥 The Oral Steroids In Sciatica (OASIS) Trial is a randomised, placebo controlled, double blind trial investigating oral prednisolone in patients with acute, severe lumbar radicular pain. 👇👇👇 bmjopen.bmj.com/content/10/6...

I've made my one hour foot drop differentials talk free to watch on my bits n bobs page. Link below 🦶🦶 theradicularclinician.com/bits-n-bobs/

Pretty much sums up how musculoskeletal clinicians should view their role in managing patients with painful lumbar radiculopathy. Even when patients get injections or attend for surgical opinions, this still holds true. I wonder how much this mindset applies to other MSK conditions 🤔 #LongGame

Poignant comment from the clinic: "I know my problem isn't life-threatening, but it has been life-changing." A concept worth savouring before we rush into our explainers.

Just under two weeks to go! A very Northern two-day course in Teesside, my heartland ✌️ Still a few places remaining. 📍 Strive, James Cook Hospital, Teesside 🗓️ 17th–18th May 🔗https://theradicularclinician.com/in-person-course/ Let’s get busy with those reflex hammers 🔨 💪

'Nice' paper highlighting some criticism and recommendations on the 2016 NICE low back pain guidelines. 'Sciatica' is in the title, but there’s no substantial guidance on it - or on LSS, for that matter. Maybe it’s time to take it out and produce separate guidance. bjsm.bmj.com/content/earl...

Just over 3 weeks to go until my May Mastering Lumbar Radiculopathy fixture in the northeast of England 📅 Only a handful of places left, so if you were planning to join, now’s the time my nervy nerds friends 🤓

A BIG personal update – my Radicular Clinician 2.0 website is now officially live! 😍 Education & Continuing Professional Development for Healthcare Professionals Supporting People with Spine-Related Leg Pain 👇👇👇 www.theradicularclinician.com

Grainy images just weren’t cutting the mustard. Here’s my 2-day course schedule from the slide deck. Hips, DCM, PAD, and somatic referred pain assessment and management. And those are just the differentials. Details for my May 2025 course via the link below: events.southtees.nhs.uk/events/painf...

Few more recent course illustrations - EIGs, demyelination, the cauda equina, the radicular canal. Developing a picture show around mechanisms without any real reference has been hell-ish 🥴

My new website is nearly done. That also means my course schedule has had a lick of paint. Here it is in all its pink glory. Check it out, and sign up for my may event below 😉 events.southtees.nhs.uk/events/painf...

Wow wow wow wow wow. Tron Ares trailer is crazy good. Loved Tron Legacy, not gonna lie. youtu.be/9KVG_X_7Naw?...

My first ever 2-day face-to-face Mastering Lumbar Radiculopathy course is now finito. Eeeeek! What a lovely lot — passion, banter, and juicy debate. I was made to feel very welcome. Cheers, Jen. Flexed some content never seen before. Website’s on the cusp of launching. Loads of food for thought.

The Instruction Manual Collection now has a home in the members' section of my new website (coming soon). ✔️ Organised by category ✔️ Timestamps ✔️ Hyperlinked sections Exclusive to members who attend my course 🔗 events.southtees.nhs.uk/events/painful…

How useful is it to label pain as 'persistent' as early as >3 months, when it is known to continue for 5, 6, or even 7 months before showing any sign of resolution?

Understanding degenerative cervical myelopathy in musculoskeletal practice www.tandfonline.com/doi/full/10....

In September I raised a concern to the Cureas journal regarding a potentially bogus paper. It has just been retracted. www.cureus.com/articles/232... @adamdobson123.bsky.social

MASTERING LUMBAR RADICULOPATHY COURSE Details in images Book up now, I've limited the spaces. Scan the QR code on the leaflet or visit events.southtees.nhs.uk/events/painful… 📖 More details: Check out my course page: theradicularclinician.com/in-person-cour���

Editorial of already shared SR & practice guideline. Interventional management - blocks, ablations, etc. for chronic low back and low back related leg pain not helpful & a strong recommendation not to perform is made. Discusses gaps in research, harms & further work.... www.bmj.com/content/388/...

The impact of physical changes to appearance on people with vertebral fragility fracture: a qualitative study www.physiotherapyjournal.com/article/S003...

Commonly used interventional procedures for non-cancer chronic spine pain: a clinical practice guideline www.bmj.com/content/388/...

Diagnostics and treatment of acute non-specific low back pain: do physicians follow the guidelines? Short answer. No. Lots of imaging, muscle relaxants 😐, strong opioids, heavy-handed advice. I think we may have this in common with our Swiss counterparts... pubmed.ncbi.nlm.nih.gov/39951547/

All filming & photography for The #InstructionManualProject website & course content is now finished! 🎥📷🤩 Two years in the making—tons of research, prepping, and reshoots. Huge thanks to my old man (the face)and to Paul Wiseman for his professional involvement. Now, onto the final edit! 💪

Something beautiful has happened. Heaven has finally arrived. Bose QC Ultras. Just based on aesthetics and build quality - chefs kiss 👨‍🍳

Revisting some of my earlier illustrations, but now in slide deck form!! Finally have a home 🏡 😌 📸

DREs in primary care/A&E for patients with LBRLP 💀—no added value, just awkward and uncomfortable for both patient and clinician. A peculiar example of 'because I've always done it/mentor told me so.....

“The Dark Side of Musculoskeletal Care”: Why Do Ineffective Techniques Seem to Work? A Comprehensive Review of Complementary and Alternative Therapies www.mdpi.com/2227-9059/13...

New Gimbal O'clock.

Sometimes, it's best to have your brain down on paper, as a clinical companion.....coming soon(ish). Biggest project of my life 😦

An abstract from my 'Radicular Reminders' clinical companion book on lower limb reflexes & tendon jerks. Notes in images.

Hello Bluesky, I've heard good things, so here we are. If we already follow each other on other platforms, I’d appreciate a follow and a leg up For those who don’t know me, I talk about spinal and radicular stuff, as well as healthcare. You can find more on my website theradicularclinician.com