Dr Paul Kirwan
@pdkirwan
Followers
7K
Following
32K
Media
1K
Statuses
23K
Physio/Assistant Professor Trinity College Dublin @tcddublin /Head Physio Bohemian FC #Bohs @bfcdublin 🔴⚫/Connolly Hospital/Private Practice/Tendon Nerd
Dublin, Ireland
Joined July 2011
Frozen Shoulder: molecular pathophysiology Systemic/Extrinsic/Intrinsic trigger ⬇️ Pro-inflammatory/Pro-fibrotic Environment ⬇️ Substance P/ Cytokines/ Growth Factors ⬇️ Fibroblast Trans-differentiation to Myofibroblasts ⬇️ Tissue Fibrosis & Contracture https://t.co/i6O8POX8fD
0
32
142
Effects of metabolic syndrome components on tendon injuries ☑️Diabetes👉🏼accumulation of AGEs (Advanced Glycation End Products) ☑️Obesity👉🏼adipokine secretion ☑️Hyperlipidemia👉🏼dyslipidemia ☑️Hypertension 👉🏼tendon ischemia #tendon #diabetes #obesity
https://t.co/zUaqwphV91
2
33
151
Amazing, 5 points down 12 seconds to go and to go ahead, go behind and come back with a win... United centre with a huge moment!! Love it
0
0
0
This will no doubt be a great read, latest @DiseasePrimers on #Achilles #tendinopathy well done and thanks to all authors... I don't have all their links, but today's reading sorted👌
nature.com
Nature Reviews Disease Primers - This PrimeView highlights the epidemiology, mechanisms, diagnosis, management and quality of life of patients with Achilles tendinopathy.
0
0
3
How long does a knee replacement last? 🤔 Based on pooled registry data on TKRs (n=299,291) and UKRs (n=7714): ➡️ Approximately 82% of TKRs are expected to last 25 years. ➡️ Approximately 70% of UKRs are expected to last 25 years. https://t.co/beqUXxdSpd
2
22
86
Make programming easier with these evidence based templates for training program design VBT Plyometrics Complex training Cluster training Medicine ball training Strength & Power Tapering Blood Flow Restriction Training 👇
1
16
165
looking forward to it
What's proving to be a very popular session: Orla Armstrong, Paul Kirwan & Fearghal Behan will cover all areas of hamstring rehab From tendinopathy to assessment, rehab and RTP considerations Register for #ISCPConf25 & secure your place at this session @orlaarmie @pdkirwan
0
0
1
Corticosteroid injections: glass half-full, half-empty or full then empty? https://t.co/TyEbnodoxf An essential read for any clinician that provides CSI for MSK issues by @DrJohnOrchard Do you fully disclose the short term nature of this intervention? 🧐
pubmed.ncbi.nlm.nih.gov
Corticosteroid injections: glass half-full, half-empty or full then empty?
7
11
57
Terminating Corticosteroid Injection in Tendinopathy? Hasta la Vista, Baby https://t.co/0LaJknNEBS That "window" isnt really a window. maybe, just maybe, zoom out.
pubmed.ncbi.nlm.nih.gov
SYNOPSIS: Two recent randomized-controlled trials showed promising results of local corticosteroid injections combined with exercise therapy for Achilles tendinopathy and plantar fasciopathy. Should...
1
7
37
Tendinopathy https://t.co/LhsoKs3R4f One of the best papers Ive seen, tendon issues (like OA) are still seen as a tissue specific issue, and often "treated" directly, repeatedly with outdated info/language zoom out!!!
pubmed.ncbi.nlm.nih.gov
Tendinopathy describes a complex multifaceted pathology of the tendon, characterized by pain, decline in function and reduced exercise tolerance. The most common overuse tendinopathies involve the...
0
21
103
Great new study on normative values for calf raise testing from Tjerk Visser, @Seth0Neill @KimHebertLosier @rj_devos & Denise Eygendaal. Results are influenced by activity levels, sex and BMI. See full study for details 🔗 https://t.co/uVY5VfdXtu
4
35
121
From the excellent work of @DChalloumas @Seth0Neill @carlespedret @TendonGlasgow …. Apologies, as I don’t have the usernames/profiles for other authors
“Conclusion: In this network meta-analysis, we found no convincing evidence that any adjuncts administered on their own or alongside exercise are more effective than exercise alone. Therefore, we recommend that exercise monotherapy continues to be offered as first-line treatment
1
3
4
Thanks to @AAOS1 and @BiologicAssoci1 for inviting me to talk #tendinopathy novel treatments at the The 3rd annual AAOS-Biologic Association Symposium…. Discussed immune modulation and microRNA clinical trials as well as tendon modifying therapies 💉💊
0
2
9
Thanks to Dr Scott Rodeo @HSpecialSurgery for highlighting translational microRNA story at The 3rd annual AAOS-Biologic Association Symposium @AAOS1 In San Diego and for taking part in @CausewayThera Phase II trial that has finished recruitment 🥳
0
3
14
Mechanisms for tendon adaptation include strain, fluid movement and stress relaxation. Here I discuss what they are, how they relate to each other and some considerations when you are loading human tendons. Link here: https://t.co/MuNUP6vviw
#tendinopathy #strongtendons
4
63
229
Normative values for calf muscle strength-endurance in the general population assessed with the Calf Raise Application 🦶: A large international cross-sectional study https://t.co/HKMt8LIp8m
2
20
77
Love it Rich, 👍 well done
We’ve been busy over the last couple of years trying to find solutions to clinical problems. This is our current set up for testing quadriceps strength using the @VALDPerformance Dynamo Max based on our study https://t.co/3MmfhHaxyA
1
0
2
Take whatever you need from it Martin, that’s why I share it online, if anyone finds it useful then please feel free to take it, use it or edit it to suit your own clinical population/setting
@pdkirwan @DerekGriffin86 @tomgoom @DrJN_SportsMed @lizbayleyphysio @AdamMeakins @ShoulderGeek1 @clairepatella @Dora_Sportmed @jcandersen84 @TaylorAlanJ Not specifically this I hasten to add but this looks amazing is it open to be used??
2
0
6
INFOGRAPHIC: Muscle activity during running 🏃♀️ Peak loads on the calf, hamstrings and hip flexors will increase significantly with faster running and sprinting.
2
53
233