In this episode of the Joint Action podcast, we explore how injuries to the ACL (anterior cruciate ligament) in the knee can lead to osteoarthritis, especially in young people aged 15-25. Did you know that up to 20% of people who develop knee osteoarthritis do so because of a past injury? ACL injuries are a major culprit, and their impact can be life-changing. We chat with Dr Andrew Ross, a physiotherapist and researcher, and Associate Prof Chris Schilling, a health economist, about how we can prevent these injuries in the first place. They share insights from recent studies showing that national injury prevention programs could save millions in healthcare costs, improve quality of life, and keep more people active in sports for longer. We also discuss the challenges of getting these programs off the ground and why they’re so crucial - not just for individual athletes but for society as a whole. If you’re interested in how we can better protect our knees and prevent osteoarthritis, this episode is a must-listen! RESOURCESPrevious episodes Knee injury and osteoarthritis with Tim HewettIs osteoarthritis preventable? with Dr Jackie Whittaker ProgramsPerform+FIFA 11+ ProgramGLAD Australia PapersThe economics of a national anterior cruciate ligament injury prevention program for amateur football players: a Markov model analysisThe time is right to do more to reduce ACL injuries CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info Hosted on Acast. See acast.com/privacy for more information.

On this week's episode of the Joint Action podcast, we dive into a critical aspect of osteoarthritis care: pain management. Dr Stefan Ivanavicius and Dr Sarah Kennedy join us to unravel why pain remains an unmet need in osteoarthritis. They shed light on the complexity of pain, influenced by biological, psychological, and social factors. We explore different pain types and why current treatments fall short, highlighting the need for personalised care.We'll also take you through the journey of drug development, from preclinical to clinical trials, revealing why it takes years and billions of dollars to bring a new pain management drug to market.Tune in as we discuss innovations on the horizon, the hope for targeted treatments, and the collaborative efforts driving advancements in osteoarthritis care. Whether you're living with osteoarthritis or interested in the science behind pain management, this episode is packed with insights and optimism for the future.RESOURCESPrevious episodes New insights into osteoarthritis pain with Prof Nidhi SofatWhere does osteoarthritis pain come from ? with Prof Anne-Marie Malfait CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info Hosted on Acast. See acast.com/privacy for more information.

In this episode, we dive into the often overlooked world of younger adults living with osteoarthritis. Associate Professor Anthony Perruccio joins us to explore why people develop osteoarthritis and the unique challenges faced by younger individuals with the disease. We discuss key risk factors such as age, sex, weight, genetics, prior joint injuries, and muscle strength. Associate Professor Perruccio also sheds light on the delayed diagnosis in younger adults and the severe impact on their overall and mental health, life satisfaction, and the likelihood of having other chronic conditions. We examine how current diagnostic methodologies might be contributing to these delays and what needs to change. This conversation highlights the importance of recognising osteoarthritis in younger populations and encourages proactive management and participation in research to improve outcomes. Tune in to learn more about the hidden struggles and how we can better support younger individuals with osteoarthritis. RESOURCESJournal articlesOld Before Their Time? The Impact of Osteoarthritis on Younger Adults - PubMed (nih.gov) CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info Hosted on Acast. See acast.com/privacy for more information.

Dr. Kathryn Bacon and Prof. Deepak Kumar discuss how knee osteoarthritis affects walking patterns, highlighting changes like slower pace, reduced steps, and increased muscle activity. They share insights from a study tracking 2,500 participants and how alterations in gait can indicate worsening pain and knee function. The podcast explores potential implications for research and treatment, emphasizing the use of sensors to monitor walking patterns in daily life.

Join us on this week's episode as we delve into the complexities of osteoarthritis pain with Professor Nidhi Sofat. In this episode, we explore the sources of pain in osteoarthritis, from cartilage damage to synovitis and bone marrow lesions. Professor Sofat discusses groundbreaking research on the role of nerves and blood vessels in pain, the significance of bone and synovium in joint health, and the latest findings on gene expression and inflammation. We also cover the different types of pain - nociceptive, inflammatory, nociplastic, and neuropathic - and what this means for treatment. Whether you're a clinician, researcher, or someone affected by osteoarthritis, this episode offers valuable insights into understanding and managing this common yet complex condition.Nidhi Sofat is a Professor of Rheumatology at St George's, University of London, where she studies what causes pain and inflammation in diseases that affect muscles and joints. Her research takes a hands-on approach, bridging the gap between lab experiments and real-world medical applications. Tune in for an enlightening conversation on the future of osteoarthritis research and discover how her team's innovative approaches may pave the way for future treatments in osteoarthritis.RESOURCESJournal article:Can we achieve pain stratification in musculoskeletal conditions? Implications for clinical practicePrevious episodes:Why does my knee hurt with Dr. Jason McDougallWhere does osteoarthritis pain come from ? with Prof Anne-Marie MalfaitCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info Hosted on Acast. See acast.com/privacy for more information.

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: hello@jointaction.info 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: hello@jointaction.info Hosted on Acast. See acast.com/privacy for more information.

Prof Mel Holden and Dr Pip Nicolson discuss the history and examination process for osteoarthritis diagnosis. They explore the importance of patient-centered care, thorough physical examinations, and personalized treatment strategies. Emphasis is placed on effective communication, setting goals, and empowering individuals in their osteoarthritis management journey.

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: hello@jointaction.info 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: hello@jointaction.infoWebsite: www.jointaction.info/podcast Hosted on Acast. See acast.com/privacy for more information.