Joint Action

Join this week’s conversation with Dr Sam Bunzli which explores how health professionals can better understand and support people with osteoarthritis by moving beyond checklists and truly listening to their stories. We'll debunk common misconceptions about osteoarthritis, such as the belief that pain always means joint damage or that imaging is always necessary and provide evidence-based corrections.We’ll also discuss the importance of culturally safe care and share resources for improving clinician communication. Finally, we’ll look at how empowering communication and providing the right information, skills, and resources can help individuals manage their osteoarthritis effectively.Dr Sam Bunzli is a Senior Research Fellow in Physiotherapy who holds a conjoint position between the School of Health Sciences and Social Work at Griffith University and the Physiotherapy Department at the Royal Brisbane and Women’s Hospital, Queensland Australia. In her program of osteoarthritis research, Dr Bunzli engages the voices of people with lived experience, their carers, and clinicians to advance person-centred communication and inform the design and implementation of interventions that meet their needs and preferences. Tune in for valuable insights and practical advice on living well with osteoarthritis.RESOURCESThe Osteoarthritis Health Professional Training ManualClinical Yarning: www.clinicalyarning.orgStaying Strong with Osteoarthritis: www.stayingstrongwitharthritis.org.auJournal of Orthopaedic and Sports Physiotherapy (JOSPT): Broken Machines or Active Bodies?Part 1. Ways of Talking About Health and Why It MattersPart 2: How People Talk About Osteoarthritis and Why Clinicians Need to Change the ConversationPart 3: Five Recommendations to Shift the Way Clinicians Communicate With People Who Are Seeking Care for OsteoarthritisCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected] Hosted on Acast. See acast.com/privacy for more information.

Metabolism plays an important role in our day to day lives. Our metabolism changes over time as we age, with conditions such as osteoarthritis and in people who are above a healthy weight. The study of the small molecules chemicals in biological samples or the study of metabolomics is an emerging field in research. On this week's episode of Joint Action, we are joined by Ron June and Hope Welhaven to discuss the role of the metabolome in osteoarthritis. Dr Ron June is a Professor and bioengineer based at Montana State University, USA. His research interests include osteoarthritis and biomechanics. He also recently founded a company, OpenBioWorks, seeking to provide commercial metabolomic profiling services.Dr Hope Welhaven’s research focusses on investigating the metabolism of musculoskeletal tissues during times of health and disease, such as osteoarthritis. She uses mass spectrometry-based techniques including metabolomics and imaging to identify and examine metabolic mechanisms involved in disease progression. RESOURCESJournal articles·     The metabolome of individuals with knee osteoarthritis is influenced by 18-months of an exercise and weight loss intervention and sex: the IDEA trialCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected] Hosted on Acast. See acast.com/privacy for more information.

Learn more about what happens during the history taking and physical examination components of getting your osteoarthritis diagnosed.RESOURCESThe Osteoarthritis Health Professional Training ManualMSK Physical Examination of the KneeMSK Physical Examination of the HipMSK Physical Examination of the HandCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected] Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, we are joined by Dr Bryan Tan to discuss how mental health can contribute to the experience of living with osteoarthritis.Dr Bryan Tan is an Orthopaedic Surgeon-Scientist in Singapore. He has experience practicing both locally and overseas having done several fellowships internationally including US and New Zealand. His research focuses on health service research, implementation science, population health and taking a biopsychosocial perspective in musculoskeletal health. He has a strong interest in administration, policy making and public health and applies a public health, system lens to musculoskeletal problems and currently sits on several health cluster-wide and national committees looking to deliver new models of care for musculoskeletal health. RESOURCESJournal articlesCORR Insights®: What Are the Underlying Mental Health Constructs Associated With Level of Capability in People With Knee and Hip Osteoarthritis?A Qualitative Study of Psychosocial Factors in Patients With Knee Osteoarthritis: Insights Learned From an Asian Population.Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore. Discordance between self-reported and performance-based physical function in patients who have knee osteoarthritis: Associations with pain intensity and negative affect.A cross sectional study exploring the relationship of self-reported physical activity with function, kinesiophobia, self-efficacy and quality of life in an Asian population seeking care for knee osteoarthritis.Singapore KneE osTeoarthritis CoHort (SKETCH): protocol for a multi-centre prospective cohort study. Complex Lifestyle and Psychological Intervention in Knee Osteoarthritis: Scoping Review of Randomized Controlled Trials.CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected] Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, we delve into the world of osteoarthritis management through the lens of mobile applications. Professor James Bilzon joins us to discuss how mobile apps are transforming osteoarthritis care, including the features, benefits and future potential of these innovative tools to empower individuals to take control of their osteoarthritis journey. James is a professor of Human and Applied Physiology with specific expertise in rehabilitation medicine at the University of Bath, UK. RESOURCESJournal articlesInfluence of the intelligent knee osteoarthritis lifestyle app (iKOALA) on knee joint painDevelopment of the intelligent knee osteoarthritis lifestyle app: a person-based approachCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Joint Action, we are joined by Dr James Linklater OAM to discuss the use and misuse of imaging in the context of knee osteoarthritis. James is a radiologist and CEO of Castlereagh Imaging. He has particular skills in all aspects of musculoskeletal imaging and intervention and has ongoing research interests in imaging osteoarthritis and imaging of ACL reconstructions. CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Joint Action, we are joined by Professor Jasvinder Singh to discuss disparities in total joint replacement, including disparities in who receives surgery and in surgical outcomes. Jasvinder Singh, MD, MPH, is Professor of Medicine and Epidemiology and holds the Musculoskeletal Outcomes Research Endowed Professor of Medicine. He has served as Director of the Rheumatology Research at the Birmingham VA Medical Center since 2009.RESOURCESDoes the money matter? Disparities in total joint replacement outcomes by incomeCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Joint Action, we are joined by Professor Toby Smith to discuss core outcome sets in osteoarthritis trials. Toby is Professor of Clinical Trials at the Warwick Clinical Trials Unit, University of Warwick. His current research areas include exploring the rehabilitation of people after hip and knee surgery, trauma, and persistent pain.RESOURCESJournal articlesAdoption of core outcome sets in osteoarthritis clinical trials: Still a long way to goThe OMERACT-OARSI Core Domain Set for Measurement in Clinical Trials of Hip and/or Knee OsteoarthritisUptake of the OMERACT-OARSI Hip and Knee Osteoarthritis Core Outcome Set: Review of Randomized Controlled Trials from 1997 to 2017WebsiteOMERACTCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, we are joined by Dr Lauren King. Lauren is a rheumatologist and clinician scientist at St. Michael’s Hospital and Assistant Professor in the Department of Medicine at the University of Toronto. Her clinical research program combines epidemiology and implementation science, with the goal of identifying gaps in care and developing evidence-informed solutions to improve care and outcomes for people living rheumatic and musculoskeletal diseases, with a particular focus on osteoarthritis.RESOURCES“You don't put it down to arthritis”: A qualitative study of the first symptoms recalled by individuals with knee osteoarthritisCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, we are joined by Dr Matlock Jeffries. Matlock is a rheumatologist and clinical associate professor of medicine at the University of Oklahoma Health Sciences Centre. His research interests include the microbiome in osteoarthritis and his research lab was the first to identify a microbiome within human and mouse cartilage which changes as patients develop osteoarthritis.RESOURCESOA susceptibility in mice is partially mediated by the gut microbiome, is transferrable via microbiome transplantation and is associated with immunophenotype changesThe Microbiome in Osteoarthritis: a Narrative Review of Recent Human and Animal Model LiteratureCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Dr Kosaku Aoyagi is a physical therapist and Assistant Professor based at the University of Texas at El Paso and the Director of Pain Research in Mechanism-based Physical Therapy. His expertise is in pain and central pain mechanism in osteoarthritis. On this week's episode of Joint Action, we discuss the use of opioids for osteoarthritis, opioid induced hyperalgesia and much more.RESOURCESMediating Effect of Pain Sensitization on the Paradoxical Relation of Taking Opioids to Pain Severity in Knee Osteoarthritis: The Multicenter Osteoarthritis StudyCONNECT WITH KOSAKULaboratory websiteLinkedInTwitter/XInstagramCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On today’s episode of Joint Action, we discuss common misconceptions about osteoarthritis and how we can improve knowledge and build helpful beliefs. We are joined by Dr Ben Darlow. Ben is an Associate Professor at the University of Otago Wellington and Musculoskeletal Physiotherapy Specialist based in Wellington, New Zealand.  RESOURCESLiving with osteoarthritis is a balancing act: an exploration of patients' beliefs about knee painThe osteoarthritis knowledge scaleCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On the final episode for 2023, we answer some listener questions. Best wishes for the end of 2023 and Happy Holidays! CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, learn more about the benefits of walking and running for managing your osteoarthritis and how you can get started.We will hear from experts:Grace Lo (Season 3, Episode 14)Christian Barton (Season 3, Episode 16)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

The curse of midlife weight creep is a phenomenon where adults gain a small amount of weight each year. This weight gain has in impact on your osteoarthritis and other symptoms. On this week's episode of Joint Action, we are joined by Professor Flavia Cicuttini to discuss this important topic.Professor Flavia Cicuttini is the Head of the Musculoskeletal Unit, Monash University and Head of Rheumatology, Alfred Hospital. Her principle research interests are the prevention and treatment of musculoskeletal diseases, in particularly osteoarthritis.RESOURCESYoutube videosSlowing weight gain will reduce joint painSlowing weight gain will reduce joint pain (Chinese language version)Slowing weight gain will reduce joint pain (Vietnamese language version)How to maintain weight for joint healthHow to maintain weight for joint health (Chinese language version)How to maintain weight for joint health (Vietnamese language version)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Wendy is a registered clinical dietician, PhD researcher at Amsterdam UMC. Her research focusses on the effects of a plant-based diet, exercise, and stress reduction on arthritis. RESOURCESPlants for Health websiteA multidisciplinary lifestyle program for metabolic syndrome-associated osteoarthritis: the "Plants for Joints" randomized controlled trialCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

This episode of Nutrition Unlocked explores the role nutrition plays in managing osteoarthritis symptoms. Anna Mohl chats to Professor David Hunter, a Rheumatologist Epidemiologist, Professor of Medicine and Florance and Cope Chair of Rheumatology at the University of Sydney.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

What is early-stage knee osteoarthritis? How does it differ from later stage knee osteoarthritis? Learn more on this week's episode with Dr Jean Liew.Dr Jean Liew is an Assistant Professor of Medicine in the Section of Rheumatology at Boston University, where her clinical research currently focuses on knee osteoarthritis and axSpA.RESOURCESA scoping review of how early-stage knee osteoarthritis has been definedCONNECT WITH JEANTwitter: @rheum_catCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, learn more about the benefits of physical activity, how much physical activity is recommended for people with osteoarthritis and how you can get started.We will hear from experts:Dan White (Season 1, Episode 17)Mariana Wingood (Season 3, Episode 12)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's episode we discuss the barriers and enablers of weight management for people with osteoarthritis. We are joined by Natalie Pavlovic, a senior physiotherapist at Fairfield Hospital in Western Sydney, Australia and a PhD candidate working at the Whitlam Orthopaedic Research Centre at the University of New South Wales. Natalie has extensive experience in musculoskeletal physiotherapy and has been working clinically for over 10 years. She was awarded a prestigious Medibank Better Health Scholarship to undertake her research in obesity and osteoarthritis.RESOURCESWhy do some people with osteoarthritis and obesity awaiting hip or knee arthroplasty achieve successful weight management? A qualitative studyGet Healthy Service (New South Wales)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On this week's special episode hear from experts in weight loss and osteoarthritis, including content from: Stephen Messier - Losing weight and osteoarthritis– why and how? (Season 1, Episode 4)Rosie Venman - Implementing dietary change (Season 1, Episode 20)Stephen Messier has been at Wake Forest University for 36 years. He is the Director of the J.B. Snow Biomechanics Laboratory and teaches undergraduate biomechanics and human gross anatomy as well as graduate biomechanics. Dr. Messier has 26 years of clinical trial experience concerning osteoarthritis (OA) of the knee; his team of clinicians and researchers are recognized for their research regarding the effects of weight loss and exercise upon knee OA pain, function, strength, and gait biomechanics.Rosie Venman is a clinical Dietitian working at Royal North Shore Hospital. Rosie received her Bachelor’s degree in Food Science and Human Nutrition from the University of Newcastle and a Masters in Nutrition and Dietetics from Sydney University. At Royal North Shore Hospital she has been working as the Osteoarthritis Chronic Care Program Dietitian for the last 4 years and has a keen interest in improving weight loss outcomes for this patient group.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of Joint Action, learn more about the benefits of exercise, including the types of exercise recommended and how a health professional can help you get started.We will hear from experts: Kim Bennell (Season 1, Episode 6)Matt Williams (Season 1, Episode 3)Prof Kim Bennell (PhD, BAppSci (physio)) is a research physiotherapist and her current positions include Professor and Director of the Centre for Health, Exercise and Sports Medicine (CHESM), in Physiotherapy at the School of Health Sciences, University of Melbourne, NHMRC Principal Research Fellow and Director of the NHMRC Centre of Research Excellence in Translational Research in Musculoskeletal Pain. Matt is Senior Physiotherapist, Musculoskeletal Coordinator. Has been the Northern Sydney Local Health District (NSLHD) lead of the innovative Osteoarthritis Chronic Care Program (OACCP) since its inception in February 2012.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Julie Leask is a social scientist and professor of public health at the University of Sydney. She and her team conduct research looking at vaccination and what people think, feel and do about it. She has a background in nursing, midwifery and a masters degree in public health. Julie lives in Sydney on Dharug country with her husband and two adult children. She also has had osteoarthritis of her knees for three decades. On this week's episode of Joint Action, Julie shares her journey with us.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's special episode, we will hear from experts in arthroscopy and surgery including content from:Peter Choong and Michelle Dowsey (Season 1, Episode 7)Gillian Hawker (Season 4, Episode 8)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Professor Christopher Little is director of the Raymond Purves Bone and Joint Research Labs at the Kolling Institute of Medical Research at Royal North Shore Hospital, Australia. Chris is a qualified Veterinarian with specialist surgery training and ACVS certification. Chris's research interests focus on defining the biochemical and molecular mechanisms of joint pathology in OA, and tendon and intervertebral disc degeneration, and are based on the belief that it is only though a better understanding the mechanisms that drive the initiation and progression of these diseases that new therapies can be developed. Chris is recognized internationally for his expertise in the development and use of animal models of bone and joint disease.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's special episode, we will hear from experts in arthroscopy and surgery including content from:Chris Vertullo and Teppo Järvinen - Should I have an arthroscopy for my knee arthritis? (Season 1, Episode 9)Howard Luks - Do you really need surgery for your knee osteoarthritis? (Season 2, Episode 20)Teppo Järvinen - Arthroscopy, past time to stop the harm (Season 4, Episode 4) CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

The prevalence of osteoarthritis is increasing as are rates of overweight and obesity. Overweight and obesity are both important risk factors for the onset and progression of knee osteoarthritis.Weight loss is an effective treatment for osteoarthritis and has been shown to reduce pain and improve function – but what about structural changes? On this week’s podcast, Zübeyir Salis joins us to discuss this important topic.RESOURCESAssociation of Decrease in Body Mass Index With Reduced Incidence and Progression of the Structural Defects of Knee Osteoarthritis: A Prospective Multi-Cohort StudyCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Osteoarthritis (OA) is the most common form of arthritis. There are currently no effective disease-modifying treatments available to slow or reverse the progression of OA. Drugs such as metformin, which is commonly used to treat type 2 diabetes are generally safe and low cost. Research has been shown that metformin has anti-inflammatory and pro-weight loss effects, suggesting that the use of metformin may be useful in the treatment or prevention of OA. Dr Matthew Baker joins us on this week's episode of Joint Action to discuss this important topic. Dr. Matthew Baker is the Clinical Chief in the Division of Immunology and Rheumatology at Stanford University. He received his bachelor's degree from Pomona College, his medical degree from Harvard Medical School, and his master's degree in Epidemiology and Clinical Research from Stanford University. He completed his Internal Medicine residency at the Massachusetts General Hospital and his Rheumatology fellowship at Stanford University. Dr. Baker has established a clinical research program that is focused on clinical trials, epidemiological studies, and bench-to-bedside translational research. He has designed and led investigator-initiated and industry sponsored clinical trials with a focus on sarcoidosis, IgG4-related disease, and rheumatoid arthritis. In addition, he is the Co-Director of the Stanford Multidisciplinary Sarcoidosis Program and collaborates with other team members to advance sarcoidosis clinical care and research.RESOURCESDevelopment of Osteoarthritis in Adults With Type 2 Diabetes Treated With Metformin vs a SulfonylureaIncreased risk of osteoarthritis in patients with atopic diseaseCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Viscosupplementation is a procedure that involves injections of hyaluronic acid, most commonly into the knee joint. In the United States, one in every seven people receive a hyaluronic acid injection as first line treatment for their knee osteoarthritis. However, the effectiveness and safety of viscosupplementation has remained controversial. On this week’s episode of Joint Action, we are joined by Bruno da Costa to discuss viscosupplementation, their effectiveness and safety.Dr. Bruno R. da Costa is Deputy Director of Trial Methodology Program at Nuffield Department of Population Health, University of Oxford, and Associate Professor of Clinical Epidemiology at the Institute of Health Policy, Management and Evaluation, University of Toronto. He has a Ph.D. in Clinical Epidemiology and Biostatistics from the University of Bern in Switzerland, a M.Sc. in Medical Statistics from the University of Leicester in the UK, and a M.Sc. in Physical Therapy from the University of Alberta in Canada. Dr. da Costa is considered to be an influential scientist in the field of musculoskeletal and cardiovascular disease and methodological research on comparative effectiveness. He has co-authored over 100 scholarly peer-reviewed publications, which have been published in prominent peer-reviewed scientific journals such as The New England Journal of Medicine, The Lancet, Journal of the American Medical Association (JAMA), and The BMJ.RESOURCESViscosupplementation for knee osteoarthritis: systematic review and meta-analysisCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

On this week's special episode, we will hear from experts in pain including content from:Jason McDougall (Season 1, Episode 1)Anne-Marie Malfait (Season 2, Episode 14)Lisa Carlesso (Season 3, Episode 7)Tasha Stanton (Season 3, Episode 19)CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

Although joint replacement surgery is an effective treatment for end-stage osteoarthritis, they are not appropriate for everyone. Factors such as age, overall health and the severity of osteoarthritis must be considered when making decisions about joint replacement surgery. By selecting appropriate patients for joint replacement surgery, we can ensure that the procedure remains a safe and effective option for improving the quality of life for those living with osteoarthritis.On this week’s podcast, Prof Gillian Hawker joins us to discuss this important topic.Gillian Hawker is Professor of Medicine in the Department of Medicine, Division of Rheumatology, at the University of Toronto. She is active staff in Rheumatology at Women’s College Hospital, where she is a clinician-scientist at the Women’s College Research Institute. She is a senior scientist at the Institute for Health Policy, Management and Evaluation and adjunct senior scientist at the Institute for Clinical Evaluative Sciences. In July 2014, she was appointed the Sir John and Lady Eaton Professor and Chair of the Department of Medicine at the University of Toronto (U of T).RESOURCESInstruments to assess appropriateness of hip and knee arthroplasty: a systematic reviewThe crux of the issue: assessment of patient appropriateness for joint replacement requires a conversation with the patientCONNECT WITH GILLIANTwitter: @UofTDoMChairEmail: [email protected] WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! And please let us know what you thought by leaving us a review! Hosted on Acast. See acast.com/privacy for more information.

We have spoken about occupational risk factors for osteoarthritis on previous episodes, but one occupation we have not covered is elite level athletes or Olympians. The intense training schedules sometimes lasting up to 6 hours a day make Olympians more susceptible to joint injury. On this week’s episode of Joint Action, we are joined by Dr Debbie Palmer to discuss the prevalence of osteoarthritis in Olympians. Dr Debbie Palmer OLY is a lecturer in research methods and epidemiology. She is a three-time Winter Olympian, and competed in short track speed skating between 1990-2002. Debbie subsequently worked as an exercise physiologist at the University of Bath before completing her PhD in injury epidemiology 2009, and she has worked in sport injury and illness prevention for over 14 years. Debbie’s research focuses on epidemiology, risk and prevention of injury and illness in elite, youth and recreational cohorts, longer-term consequences of sport-related injury, and current and retired athlete health.RESOURCESPrevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: part 1 – the lower limbPrevalence of and factors associated with osteoarthritis and pain in retired Olympians compared with the general population: part 2 – the spine and upper limbConsequences of injury are greater for Olympians than the general populationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Exercise is a commonly recommended treatment for osteoarthritis. There have been many studies which have shown the benefits of exercise which include improved pain, function, and quality of life. However, more often times than not, exercise is delivered sub-optimally with health care professionals unclear about how to deliver exercise effectively to people with hip or knee OA. On this week’s episode of Joint Action, we are joined by Melanie Holden to discuss. Melanie Holden is a Chartered Physiotherapist with 17 years of experience of applied health research based within the School of Medicine at Keele University in the UK.  She leads the Osteoarthritis Research Group within the Centre for Musculoskeletal Health Research at Keele. Her research focus is optimising the management of musculoskeletal conditions, including osteoarthritis, through rehabilitation (non-drug, non-surgical treatments). RESOURCESVersus Arthritis: Exercising with ArthritisJournal articlesRecommendations for the delivery of therapeutic exercise for people with knee and/or hip osteoarthritis. An international consensus study from the OARSI Rehabilitation Discussion GroupCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

About 50% of people who have an anterior cruciate ligament (ACL) injury will go on to develop osteoarthritis later down the track. What determines who will go on to develop OA? And is it possible to reduce your risk of developing OA? On this week’s episode, Dr Adam Culvenor joins us to discuss.Dr Adam Culvenor is a Senior Research Fellow and Head of the Anterior Cruciate Ligament (ACL) Knee Injury Group within the La Trobe Sport and Exercise Medicine Research Centre. His research focuses on the outcomes of ACL injuries, in particular the prevention and management of early knee osteoarthritis in young adults following ACL injury and reconstruction.RESOURCESWebsitesLaTrobe University Sport and Exercise Medicine Research Centre BlogThe OPTIKNEE group is working to prevent osteoarthritis after knee injuryJournal articlesOPTIKNEE 2022: consensus recommendations to optimise knee health after traumatic knee injury to prevent osteoarthritisKnee Extensor Strength and Risk of Structural, Symptomatic, and Functional Decline in Knee Osteoarthritis: A Systematic Review and Meta-AnalysisEarly Knee Osteoarthritis Is Evident One Year Following Anterior Cruciate Ligament Reconstruction: A Magnetic Resonance Imaging EvaluationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Over the years, there has been good evidence that certain treatments are of little or no value, provide harm and have substantial costs associated with them. Arthroscopic partial meniscectomy (APM) is not a recommended treatment for osteoarthritis. Despite this, millions of these procedures are still being performed each year. On this week's episode of Joint Action we are joined by Professor Teppo Järvinen to discuss the evidence behind APM and evidence-based medicine.Professor Teppo Järvinen, an orthopaedic surgeon at the department of orthopaedics and trauma at Helsinki University and Helsinki University Central Hospital. Teppo led the Fidelity trial and has a strong interest in the “too much medicine” movement.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Osteoarthritis is a highly prevalent disease affecting many developing and developed countries worldwide. The prevalence of OA depends on which joint is involved – whether it is the knee, hip or hand. Depending on what type of OA you have, it may also play a role in your overall health. On this week’s episode of Joint Action, we are joined by Qiang Liu to discuss the different sites of OA, their prevalence and risk factors.  Dr Qiang Liu is an orthopedic surgeon and associate professor who sees patients with joint diseases and does research on osteoarthritis in Peking University People’s Hospital. Qiang has published studies on the burden of osteoarthritis and exercise therapy for knee/hip osteoarthritis in prestige journals such as the Lancet Rheumatology and Osteoarthritis and Cartilage. Qiang has devoted himself to helping patients with osteoarthritis by applying and promoting strategies overlooked by the healthcare system in China. Together with Prof. Jianhao Lin, Qiang introduced the Good Life with Osteoarthritis from Denmark (GLA:DTM) to China together and has served as the program manager since 2017. They also opened the first private special clinic which focuses on delivering evidence-based non-surgical treatment for osteoarthritis in China. RESOURCESJournal articlesPrevalence Trends of Site-Specific Osteoarthritis From 1990 to 2019: Findings From the Global Burden of Disease Study 2019CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Digital interventions include mobile apps, virtual reality, and the internet and telephones. They have been recommended by the World Health Organization to complement traditional care. There has been a shift towards digital interventions especially during the COVID-19 pandemic. On this week's episode we are joined by Andrea Dell'Isola to discuss digital interventions for osteoarthritis.Andrea Dell’Isola is a research associate at the Clinical Epidemiology Unit Lund University in Sweden and a member of the OARSI early career investigators committee. His research interests include multimorbidity and the impact that other disease have on osteoarthritis development and management and first-line interventions for OA.RESOURCESJournal ArticlesComparison of Face-to-Face vs Digital Delivery of an Osteoarthritis Treatment Program for Hip or Knee OsteoarthritisTechnology-assisted rehabilitation following total knee or hip replacement for people with osteoarthritis: a systematic review and meta-analysisParticipatory health through behavioural engagement and disruptive digital technology for postoperative rehabilitation: protocol of the PATHway trialWebsitesMyJointPainMindSpot ClinicCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

Exercise, physical activity and education are the cornerstone treatments for osteoarthritis. However, despite their proven efficacy, they are difficult to maintain long-term. Behaviour change techniques, which are specific techniques such as goal-setting or monitoring that can help people stick to an OA management plan long-term. On this week’s episode of Joint Action, we are joined by Dr Shannon Mihalko to discuss how we can use behaviour change techniques to stick to our diet and exercise routines. Dr. Shannon Mihalko is a behavioral scientist whose research focuses on adherence and quality of life in adults with chronic disease, with a special interest in knee osteoarthritis and cancer populations. Specifically, her work examines determinants and consequences of behavior change and adherence, with a specific focus on building self-efficacy in older adults to engage in physical activity and healthy nutritional practices on their road to independence.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.

On the second installment of this two part series, we share some insights from our osteoarthritis experts this season.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

On this two part series, we share some insights from our osteoarthritis experts this season.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Steve is a 56-year old father of three. He lives in Alexandria, Virginia – five miles from the White House in Washington, D.C. Steve spent 25 years building his own marketing and publishing company focused in the tech space – representing major firms like Google, Amazon, and Microsoft. He served on the USO DC board for 15 years – the largest not for profit supporting US military and their families. He’s physically active. He does resistance and cardio training. He grew up playing a lot of sports and got back into working out very regularly 17 years ago. He has osteoarthritis in both his elbows. Subsequently, he has also been diagnosed with OA in knees, shoulders, and hips. On this episode of Joint Action, we hear about Steve's journey with osteoarthritis.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Exercise and physical activity are important not only for those with knee osteoarthritis, but all individuals. However, negative beliefs about pain and the body may hinder movement. Do you have knee osteoarthritis? Do you feel afraid to move? On this week’s episode, we are joined by Dr JP Caneiro to discuss beliefs about movement and their impact and how you can become more confident with movement. Dr JP Caneiro has over 17 years of experience as a clinician, researcher and lecturer on the field of musculoskeletal pain management. He has published over 40 research papers and presented his work in key conferences across the globe. He is an emerging leader on the field of chronic pain, particularly in the management of back pain and osteoarthritis.RESOURCESWebsitesManaging knee painThe A-Z of OAExercising with painJournal ArticlesThree steps to changing the narrative about knee osteoarthritis care: a call to actionCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Hip and knee osteoarthritis are leading causes of global disability. Most osteoarthritis research has focused on the knee, but what do we know about hip osteoarthritis? Although they are both joints in the leg, there are differences in the prevalence, outcomes and recommended treatments. On this episode of Joint Action, we are joined by Dr Michelle Hall to discuss the differences in hip and knee osteoarthritis. Dr Michelle Hall is a Senior Research Fellow and Dame Kate Campbell Fellow in the Centre for Health, Exercise and Sports Medicine within the Department of Physiotherapy at the University of Melbourne. Michelle is an emerging leader in the field of hip and knee osteoarthritis, with particular interest in exercise.RESOURCESJournal articlesHow does hip osteoarthritis differ from knee osteoarthritis?Knee and hip osteoarthritis are more alike than different in baseline characteristics and outcomes: a longitudinal study of 32,599 patients participating in supervised education and exercise therapyHip Osteoarthritis: Etiopathogenesis and Implications for ManagementCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Despite evidence recommending against the use of opioids, about 20% of people with osteoarthritis take opioids on a long-term basis to manage their pain. But are they helpful? Or are they potentially harmful? Aili Langford joins us on this week's episode to discuss.Aili is a hospital pharmacist employed at Concord Repatriation General Hospital in Sydney. Aili’s research is focused on developing the world’s first evidence-based guideline for deprescribing opioids. She recently submitted her PhD thesis on this topic. Following public consultation and independent expert and methodological review, the guideline recommendations were approved by the Australian National Health and Medical Research Council (NHMRC) (as of 14/09/2022). RESOURCESWebsitesNPS MedicineWise: Opioid medicines and non-cancer painPain Management Network: has a range of online resources to develop skills and knowledge for self-managementPainaustralia has a range of fact sheets Journal articlesTime trends in use of non-steroidal anti-inflammatory drugs and opioids one year after total hip arthroplasty due to osteoarthritis during 1996–2018: a population-based cohort study of 103,209 patientsChallenges of opioid deprescribing and factors to be considered in the development of opioid deprescribing guidelines: a qualitative analysis“The lesser of two evils”: a framework analysis of consumers' perspectives on opioid deprescribing and the development of opioid deprescribing guidelinesCommunication techniques for opioid analgesic tapering conversations linked within Clinician information sheet on opioid analgesic taperingCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Jobs which involve repetitive movements and excessive knee loading, such as farming and mining have been linked to the development of knee osteoarthritis. On this episode of Joint Action, we discuss which jobs put you at risk of osteoarthritis, which ones may have a protective effect and if you are in a physically demanding job, what can you do to minimise your risk.Dr Thomas Perry is a postdoctoral researcher in the Vincent Group at the Kennedy Institute of Rheumatology, Oxford University. His work explores the relationship between molecular-based pain biomarkers and patient-reported outcome measures of pain using data from the STEpUP OA Consortium; a prospective study of knee OA utilizing existing clinical data and knee synovial fluid samples from 17 cohorts (~N = 2000 participants) of both participants with differing severities of knee OA or with a history of recent knee injury.RESOURCESJournal articles-       Occupational risk in knee osteoarthritis: a systematic review and meta-analysis of observational studies-       Occupation and risk of knee osteoarthritis and knee replacement: A longitudinal, multiple-cohort studyCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

On this week's episode we discuss reframing pain in the context of osteoarthritis. The purpose of today’s conversation is to help you reconceptualise what pain means and shift the dialogue from pain being solely a marker of tissue damage and discusses the nervous system adaptations that occur as pain persists. Further we discuss education programs that target this knowledge and the beliefs that may underlie behaviours that detract from your ability to be physically active and modify your behaviour.Associate Professor Tasha Stanton leads the Osteoarthritis Research Theme within IIMPACT in Health at the University of South Australia, Adelaide. Her research group is affiliated with the Body in Mind Research group in Adelaide (University of South Australia). Tasha completed her PhD at the University of Sydney in 2010 and is currently a National Health & Medical Research Council (NHMRC) Career Development Fellow (2019-2022). She has received over $5.3m in competitive research funding to date, including a highly renowned Canadian Institute of Health Research Postdoctoral Training Fellowship (2011-2014) and NHMRC Early Career Fellowship (2014-2018). Her research aims to understand why we have pain and why, sometimes, pain doesn't go away.RESOURCESJournal articlesA pain science education and walking program to increase physical activity in people with symptomatic knee osteoarthritis: a feasibility studyThe EPIPHA-KNEE trial: Explaining Pain to target unhelpful pain beliefs to Increase PHysical Activity in KNEE osteoarthritis - a protocol for a multicentre, randomised controlled trial with clinical- and cost-effectiveness analysisWebsitesNOI GroupCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Health literacy is a factor that is often overlooked and could potentially impact OA outcomes. Health literacy refers to how people access, understand and use health information in ways that benefit their health. People with low health literacy are at higher risk of worse health outcomes and poorer health behaviours.  Adj A/Prof Steve Morris is the CEO of Arthritis South Australia. Steve was previously the CEO NPS MedicineWise since 2018, which promotes the safe and wise use of medicines and other health technologies. He has worked in numerous clinical and leadership roles in the health sector, spanning pharmacy practice, community and hospitals, primary care, industry, and NGOs. Originally from the UK, Steve was deputy chief executive of the National Prescribing Centre. He was appointed an adjunct professor at the University of SA in 2018.RESOURCESABC of Health Literacy: National Medicines Symposium tool kitTeach-backSydney Health Literacy LabCONNECT WITH STEVETwittter: @stevemorrisauArthritis South AustraliaCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

People with osteoarthritis are encouraged to exercise and stay physically active, but what does the evidence say about running? Running has been often perceived as bad for the knees. Long-term exposure to running has raised concerns about the development and progression of knee osteoarthritis. If you have knee osteoarthritis, you might be wondering if it is safe continue running.  Dr Christian Barton works in both research and private practice treating sports and musculoskeletal patients in Melbourne. He currently holds a Post-Doctoral Research Fellow and is the Communications Manager at La Trobe’s Sport and Exercise Medicine Research Centre. He is currently studying a Communications Masters focussed on Journalism Innovation. Dr Barton is an Associate Editor and Deputy Social Media Editor at the British Journal of Sports Medicine. Christian’s research interests focus on knee, running injuries and knowledge translation including the use of innovative digital technologies. RESOURCESInfographic. Running Myth: recreational running causes knee osteoarthritisWebsitesTRAIL - Trajectory of knee health in runnersLaTrobe University Sport and Exercise Medicine Research Centre BlogTREK educationCONNECT WITH CHRISTIANTwittter: @DrChrisBartonCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Did you know that 500 million people around the world have osteoarthritis? In those over 55 years of age, a staggering one in three people have osteoarthritis. While many people may well suffer in silence or become isolated from the disease, it’s important to recognise that you are not alone in your experience of living with this disease. Professor Lyn March joins us on this episode to discuss the burdn of OA in Australia and worldwide. Professor Lyn March has a conjoint appointment with the University of Sydney and the Royal North Shore Hospital in the Sydney Medical School and Professorial Department of Rheumatology. She has 20 years of experience as a consultant rheumatologist and has remained very active in research and teaching. She has had a lead role in her profession holding Presidential and other honorary executive positions in both the NSW and Australian Rheumatology Associations and is co-chair of the NSW Musculoskeletal Network for the recently formed NSW Health Agency for Clinical Innovation. She is the International Musculoskeletal Expert Group Leader for the current Global Burden of Diseases StudyRESOURCESThe Institute for Health Metrics and EvaluationBurden of osteoarthritis in India and its states, 1990-2019: findings from the Global Burden of disease study 2019CONNECT WITH LYNTwittter: @lynmarch1Australian Arthritis and Autoimmune Biobank CollaborationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.

Walking can be an excellent form of exercise and physical activity for people who have osteoarthritis. Walking is low-impact, inexpensive and safe for everyone. Despite the apparent benefits of walking, not only for managing OA symptoms but to reduce the development or progression of other chronic diseases such as heart disease and diabetes, many people are simply not doing enough. This may be due to many factors including but not limited to patient beliefs about exercising with osteoarthritis or pain associated with OA flares. Dr. Grace Lo is a clinical researcher with a focus on osteoarthritis since 2001. She is an assistant professor at the Baylor College of Medicine and Chief of Rheumatology at the Michael E. DeBakey VA Medical Center in Houston, Texas. She received her rheumatology training at Boston University, where she also obtained a Masters of Science in Epidemiology. She has been working with investigators of the Osteoarthritis Initiative, a cohort of people who are either at high risk for or already had symptomatic radiographic knee osteoarthritis at the time of enrollment, and has spent much of her research efforts conducting studies using data that has emanated from this cohort.RESOURCESJournal articles Running does not increase symptoms or structural progression in people with knee osteoarthritis: data from the osteoarthritis initiativeWebsitesWalk with Ease - Arthritis FoundationCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: [email protected]: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts! Hosted on Acast. See acast.com/privacy for more information.