3min chapter

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Management of anterior cruciate ligament injuries with Dr Adam Culvenor

Joint Action

CHAPTER

ACL Injuries - What's Your Advice for People With Osteoarthritis?

I think for people with osteoarthritis, I know this is the broad topic of your podcast. But in reality, we probably shouldn't be relying on what we're seeing on imaging because it doesn't necessarily drive our treatment decisions. We can do a lot of things really well by avoiding a lot of that imaging and over diagnosis. Well, I hope you continue to do what you're doing and making a big difference for the lives of so many people who are out there. And before you depart, is there any one piece of advice, knowledge or wisdom that you'd like to give for the people listening?

00:00
Speaker 2
So, we'll include a link for those resources in the show notes, but just, I guess, a couple of questions just in closing. How do you motivate yourself? What stimulates you to do what you do?
Speaker 1
I think working with very smart people, again, coming back to that sort of being part of a team and being in the Palatine, it's just really easy to continue to learn and I find that I'm learning every day just from talking to people in the corridor and having an open door policy and being surrounded by people who continue to drive you to uncover new and exciting information. I think that's a really unique position we find ourselves in as researchers that is never lost on me, that we are eight to a job which is asking questions and then designing studies to ultimately answer those questions. And so, when we're actually coming up with those questions initially, that can be really empowering and to be able to be funded to do this work is a real privilege, I think, and something that I, as I said, is not lost on me. So, I think that's something that continues to drive me to learn new things, become a better researcher to keep helping people in the community, who are at risk of injury, who are at risk of osteoarthritis and being able to translate all of that, best work that we're doing out to improve the lives of people in the real world.
Speaker 2
Well, I hope you continue to do what you're doing and making a big difference for the lives of so many people who are out there. But before you depart, is there any one piece of advice, knowledge or wisdom that you'd like to give for the people who are out there listening?
Speaker 1
I think for people with osteoarthritis, I know this is the broad topic of your podcast, is that, and this comes also back to the ACL, is that we rely a lot on imaging to diagnose osteoarthritis and ACL injuries. But in reality, we probably shouldn't be relying on what we're seeing on imaging because it doesn't necessarily drive our treatment decisions. So, it's an important part of it, but I think more and more research shows that if we haven't an MRI or an X-ray of your knee, for example, and we find some sort of damage or issue in the knee, that can be very anxiety-provoking and worrying. And often people want a label and diagnosis and go off and get it treated. When in reality, we know that a lot of these things can be seen on imaging in totally asymptomatic. So, they're not painful, uninjured knees. It's just a normal part of life. We have different pieces that occasionally go with a ride. So, I think, also, from an ACL, sometimes it doesn't matter if it's ruptured. You can create a really good strongly with your muscle function, and it doesn't matter if your ACL on an imaging isn't 100%. And I know that that's the same with osteoarthritis and a little bit of cartilage damage or having viscous tears. We can do a lot of things really well by avoiding a lot of that imaging and over diagnosis.

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