At uni I was taught to check THREADS in a patient’s past medical history. Recently I’ve adapted this to DEC’S THREADS. So why add the DECS?… Digestion - gastrointestinal complaints can be a sign of Low Energy Availability and digestive diseases can be a feature of inflammatory arthropathy (which can cause joint and tendon pain). Eyes - Uveitis (pain, inflammation and redness of the eye) is associated with Ankylosing Spondylitis. Cancer - a history of cancer is a red flag 🚩 as it increases the possibility that current symptoms may be cancer related. Skin - psoriasis can be accompanied by psoriatic arthritis which often affects joints and tendons. This may be more common in those with psoriatic nail changes. The addition of DECS helps the screening process then we can explore relevant areas in more detail. What do you think? Would you use this in clinic? 🤔

I’m excited to be returning to the Lake District in April to present Running Repairs and hoping we can include a run with course members to see some of the stunning local scenery! 🤞 Visit tickettailor.com/events/runn… to find out more and book your place.

Uphill running increases load on the Tibia and Achilles but can reduce peak load on the knee. ⛰️🏃‍♂️ See Van Hooren et al. (2024) for more on the influence of gradient, speed and step rate: onlinelibrary.wiley.com/doi/…