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Alan J Taylor Profile picture
@TaylorAlanJ
Nov 12, 2019 • 3 tweets • 2 min read • Read on X
A tragic case of spinal manipulation gone wrong. #AdverseEvent #Harm #Fracture #SpinalManipulation #Death bbc.com/news/uk-englan…
Additional testimony from the Chiropractor.
bbc.com/news/uk-englan…
Further information ...
walesonline.co.uk/news/uk-news/c…

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More from @TaylorAlanJ

Alan J Taylor Profile picture
Nov 27
External Iliac Artery Endofibrosis (EIAE) is a rare cause of exercise induced leg pain #EILP in high level #sport
It often remains undiagnosed because doctors & physios may be unfamiliar with the condition.
I teamed up with @tomgoom to raise awareness in #Physio #Physiotherapy Image
2/ The symptoms only manifest at high levels of effort, and subside quickly when the effort level is reduced.

Athletes report that they can train/compete at lower levels of effort without symptoms for prolonged periods.

Effecive testing requires the reproduction of symptoms.
3/ Reduced pulses or blood pressure (ABPI) after exercise is an indicator that such athletes should be referred on to the vascular team for further investigation. Duplex US, MRA, CTA will locate the site of the flow limitation.
Read 6 tweets
Alan J Taylor Profile picture
May 19, 2022
Six reasons to assess the cranial nerves in the MSK clinic.

A thread 🧵

Reason 1.
You assess and manage patients with neck pain/ headache/orofacial symptoms
#Physio #Physiotherapy #PhysicalTherapy
Reason 2.
You routinely assess neurological function when you encounter
1. Distal symptoms in the upper limb
2. Distal symptoms in the lower limb
It is logical therefore to do the same when it comes to the neck/head/face
Reason 3.
You will see patients who complain of post trauma/insidious onset dizziness/nausea/visual disturbances
... which may or may not be linked to CN dysfunction.
CN testing should form part of your routine risk assessment. pubmed.ncbi.nlm.nih.gov/34182898/
Read 6 tweets
Alan J Taylor Profile picture
Apr 14, 2022
6 reasons to take #BloodPressure in the MSK physiotherapy clinic.

A thread to ponder over Easter 🧵

#Haemodynamics #Physio #PhysicalTherapy #Hypertension

1/
Reason 1.

Vital signs tell you lots about the patient’s general health.

The 2 minutes it takes to check someone’s blood pressure may impact directly on your clinical reasoning and subsequent management.

2/
Reason 2.

High blood pressure is generally asymptomatic, so you wouldn’t know if the person sitting in front of you might be hypertensive.

... Unless you take the time to check.

3/
Read 8 tweets
Alan J Taylor Profile picture
Sep 22, 2020
1/ So here is the final result on the Cranial Nerves poll.

>50% responded that they were not taught CN’s at University

In addition 56% who WERE taught it suggested they were not comfortable acting on the findings.
2/ It is worth reflecting on the fact that most trained PT’s will assess neurological function in suspected upper limb and lower limb neurological dysfunction ... BUT NOT routinely in the cervical-cranial region.
3/ For a profession that positions itself as able ‘First Contact Practitioners’ for MSK conditions, that HAS to to be an #AFI

Serious adverse events related to cervical-cranial neurovascular dysfunction = Vision loss, Stroke or Death
Read 8 tweets
Alan J Taylor Profile picture
Aug 24, 2020
Risk Assessment of the cervical spine for NON-MANUAL THERAPISTS

4 case scenarios, to problem solve #RISK in the assessment & management of neck pain presentations.

#ClinicalReasoning #Physiotherapy #PhysicalTherapy #FCP #Haemodynamics #VertebralArtery
Case 1.

Mayumi a 69 year old male archer (retired factory worker).

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Case 2.

Phil a 41 year male sports shop proprietor and ex-olympic rower.

#ClinicalReasoning #FCP #Physiotherapy #PhysicalTherapy #Haemodynamics
Read 5 tweets
Alan J Taylor Profile picture
Aug 21, 2020
The Vertebral Artery Test Part II:

Risk assessment of the cervical spine

4 clinical cases to try and make sense of risk assessment.

Of interest to ALL #Physiotherapy #PhysicalTherapy #FCP clinicians #Neck #Headache #Haemodynamics #Risk #VBI #CAD

A consideration of major or serious adverse events.

#Risk #LossOfVision #Stroke #Death #VBI #CarotidArtery #CAD Image
Into the 4th decade we go!

#Physio #PhysicalTherapy #VBI #CervicalSpine #Risk

How do we move forward from here? Image
Read 5 tweets

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