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10 contributions to CPG UNI -BECOME AN ALL ROUNDER
AC JOINT PATHOLOGY - Is this the missing joint in shoulder diagnostics??
32 YO F Ct presented today with superior-anterior shoulder pain 7 days after throwing a ''straight cross'' in pad work. Of all the structures that could have been affected, such as - A) Proximal short & long head bicep tendons B) Subscapularis tendon C) Superior-anterior labrum D) Supraspinatus insertional tendon E) Subacromial bursa Why do you think the AC joint was the structure that was implicated? What would you take into consideration when determining why the AC joint was damaged? What questions would you ask? DROP YOUR COMMENTS BELOW 👇
4 likes • Jul 2
It is likely the AC joint was damaged here due to the nature of the MOI; Cross body loading with the cross. Loads the AC nicely. Pain on the AC joint itself is a good give away in these cases. I'd ask: If this shoulder was bothering her before, during (on a particular hit) or after the session to gain an insight as to whether this issue is fatigue/endurance based, or acute traumatic force based. Id ask her to point to the painful point. If she felt a pop, or crack sensation at the moment of pain What movements aggravate it? I'd assess with Resisted Horizontal adduction Palpation over the AC joint itself Look for a step deformity in the AC Resisted abduction Resisted abduction in the scapular plane. If scapular plane doesn't hurt but abduction does, id rule out supraspin Empty can full can test. Look to see if full can is painful or not. If it is, could mean more rotator cuff involvement. If pain improves with full can or palms up, i'd think more AC
INTRODUCE YOURSELF!
Hey everyone!! Let’s all reintroduce each other! Would love to know where you are all from, what you do and how long you have been working for! Put yourself out there and get to know each other! No will bite, I promise! Drop a comment below and start networking 👇🏼
1 like • Jun 17
Hi everyone. My name is Jihad El-Masri I am a 2nd year physiotherapist running my own business solo out of a gym. I am a competitive Strongman and love to work with dedicated athletes. Especially lifters and fighters
1 like • Jun 24
@Rulan Albarouki it has definitely helped with building networks with athletes and coaches, understanding the needs and mentality of high performance athletes, and expanded my library of exercise prescription
HOW WE HANDLE CANCELLATIONS IN PRIVATE PRACTICE 🤮
How We Handle Cancellations in Private Practice (and Still Hit Our Weekly Targets) Let’s be real — cancellations are part of the game. But if you don’t track, overbook, and backfill smartly… they’ll punch holes in your revenue. Here’s our play: ✅ Know your numbers: Track your weekly cancellation + no-show %. Anything over 10–12% needs a system tweak. ✅ Overbook peak slots: Just like airlines do. Strategically overfill late arvo and morning spots (these always go first). ✅ Run a tight waitlist: Cancellation? Fill it in 10–15 mins. Keep a “hot list” of keen clients ready to slot in. ✅ Policy = power: 24hr cancellation policy + reminder texts. No awkward convos when it’s part of the system. ✅ Front-load value: Pre-paid packs, maintenance pricing, and reminder systems help reduce flakes + increase loyalty. 📊 Bonus: Track lost revenue per week. You’ll take cancellations way more seriously. Want the full SOP? Comment below and I’ll drop it 👇
1 like • Jun 17
Yes please
FIRST COMPLEX CASE STUDY OF THE YEAR 🚨
Let me see what your clinical reasoning is like! SHx/ 54 YO F presented with intermittent bilateral “pins & needles” in her wrists/hands ; 3rd digit numbness + Chronicity - 2 months Sleep affected/unaffected - Yes ; ++night in L) 3rd digit Aggs - Nil movements ; transient symptoms ; worse at night Occupation - Step teacher, and special needles teacher Scans/radiology - Client visited GP for scans. Client went and got CT scan for neck and ultrasound wrists. CT scan Cx result - Moderate left foraminal narrowing C6/7 with potential irritation left C7 nerve Ultrasound wrists result - - Thickening of median nerves within carpal tunnels bilaterally - Right volar wrist ganglion Client visited a Physio who specializes in carpal tunnel & was advised to use splinting at night for the next 4-6 weeks & to avoid loaded wrist extension and to use anti inflammatory gel if pain is excessive. No rehab was prescribed No manual therapy was administered Physio recommended nerve conduction study if symptoms did not settle Here are my questions to you - A) What would your assessment & differential diagnosis be? B) What would your treatment be based on the above? C) How would your treatment plan shape your rebooking strategy? READY. SET. GO 🚀🚀🚀🚀🚀🚀🚀
1 like • Jan 27
@Rulan Albarouki haha fair enough. Would you work on the neck in future sessions though to assess whether it provides relief?
0 likes • Jan 27
@Rulan Albarouki hahah gotcha
Marketing Strategies & finding new clients
Okay guys, the poll was small, but we start somewhere and grow 🌱 - the winning topic was “Marketing Strategies & Finding New Clients… So I’ll start by asking a question: What do you think is the best way to get new clients AND WHY?! And we can go from there. Hopefully this will help those with slow diaries right now, and maybe some people new to their own private practise…
3 likes • Jan 27
@Rulan Albarouki I 100 percent agree with this. Nearly everytime I attend my MMA gym to train, one of the lads there will tell me they need a session with me because of X pain/issue. And fighters always have some kinda issue 😂.
2 likes • Jan 27
Other than showing up to fight gyms and commercial gyms where I'm well known, I've found providing valuable content helps as it gets shared around and people then enquire with me about another issue they have. For example I'll make a reel on insta that showcases 3 exercises strikers can do to prevent or fix shoulder issues, and someone will benefit from the free sauce im giving em and trust in me to look at another issue they may have.
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@jihad-elmasri-5581
Competitive Strongman and a Physio

Active 24d ago
Joined Jun 11, 2024
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