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: hello@jointaction.infoWebsite: 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: hello@jointaction.infoWebsite: 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: hello@jointaction.infoWebsite: 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: hello@jointaction.infoWebsite: 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: hello@jointaction.infoWebsite: 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.

Studies have shown that the rates of joint replacement surgeries has increased steadily over the past decade. In Australia alone, there are about 110,000 joint replacements performed every year. This number is expected to rise with the aging population and increasing rates of obesity. Furthermore, COVID-related cancellations and hospital restrictions will likely impact the provision of joint replacements for years to come. Although joint replacement surgery is an effective treatment for end-stage osteoarthritis, the volume of joint replacement surgeries being places a huge burden on the surgical workforce and the healthcare system. Ilana Ackerman is a Professor (Research) in the School of Public Health and Preventive Medicine at Monash University and a Deputy Director of the Monash-Cabrini Department of Musculoskeletal Health and Clinical Epidemiology. Ilana is a musculoskeletal epidemiologist and an experienced orthopaedic physiotherapist. She completed her PhD at The University of Melbourne in 2006. Over the past 15 years, Ilana has led a program of clinical and population-based research designed to quantify osteoarthritis impacts and joint replacement trends to inform optimal patient care. RESOURCESJournal articlesThe projected burden of primary total knee and hip replacement for osteoarthritis in Australia to the year 2030Actual versus Forecast Burden of Primary Hip and Knee Replacement Surgery in Australia: Analysis of Data from the Australian Orthopaedic Association National Joint Replacement Registry Lifetime Risk of Primary Shoulder Arthroplasty From 2008 to 2017: A Population-Level Analysis Using National Registry Data WebsitesOrthoanswerAAOS CONNECT WITH ILANATwitter @IlanaAckermanCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: 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.

Staying physically active is not only important for people with osteoarthritis, but all adults. Participating in physical activity can help improve mobility, physical conditioning and reduce the risk of falls. However, despite the numerous health benefits of staying physically active, many older adults do not meet the recommended guidelines. We know it is often hard staying active so wanted to unpack that and give some tips and tricks for staying active. In this week’s episode of Joint Action, we are joined by Mariana Wingood to discuss how we can increase our levels of physical activity.  Mariana is a physiotherapist who received her Doctorate in Physical Therapy from SUNY Upstate Medical University in 2012. In 2014, she became a Certified Exercise Expert of Aging Adults, in 2015 a Geriatric Certified Specialist, and in 2021, she completed her PhD in Interprofessional Health Sciences and her Masters in Public Health. Mariana’s research interests are related to physical activity and aging, with a focus on addressing physical activity prescription barriers identified by outpatient physical therapists treating individuals 50 years and older.  RESOURCESJournal articles Physical Activity and Physical Activity Participation Barriers Among Adults 50 years and Older During the COVID-19 PandemicThe Inventory of Physical Activity Barriers for Adults 50 Years and Older: Refinement and Validation  Community-Dwelling Older Adults and Physical Activity Recommendations: Patterns of Aerobic, Strengthening, and Balance Activities  Feet/Footwear-Related Fall Risk Screening Tool for Older Adults: Development and Content Validation APTA Geriatrics’ Guiding Principles for Best Practices in Geriatric Physical Therapy: An Executive Summary Pain Neuroscience Education for Older Adults WebsitesGo4LifeVivifrailNational Council on AgingCONNECT WITH MARIANATwitter @elevatingEBPCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: 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.

Osteoarthritis commonly affects the knee joint, which consists of three compartments – the medial tibiofemoral compartment, lateral tibiofemoral compartment and the patellofemoral compartment. Osteoarthritis can affect these compartments in isolation or in combination. Although, the majority of osteoarthritis research has focused on the tibiofemoral joints, patellofemoral OA is more prevalent and associated with greater pain and disability. On this week’s episode of Joint Action, we are joined by Dr Marieke van Middelkoop to discuss patellofemoral OA, including its prevalence, burden, diagnosis and treatments. Dr. Marienke van Middelkoop is a human movement scientist and an associate professor at the Department of General Practice at Erasmus MC Medical University Rotterdam, The Netherlands. She received her PhD in 2008 on the subject ‘Running injuries’ at the Erasmus MC Medical University Rotterdam, The Netherlands.She is currently the project leader of multiple PhD students and is the coordinator of the Osteoarthritis (OA) Trial Bank, an international successful ongoing project including a databank of more than 60,000 OA patients. She is a deputy editor of British Journal of Sports Medicine and in 2010 she was selected to participate in the Oxford International Primary Care Research Leadership Program.RESOURCESJournal articles·     International patellofemoral osteoarthritis consortium: Consensus statement on the diagnosis, burden, outcome measures, prognosis, risk factors and treatment·     Is patellofemoral pain a precursor to osteoarthritis?: Patellofemoral osteoarthritis and patellofemoral pain patients share aberrant patellar shape compared with healthy controls·     Medical Interventions for Patellofemoral Pain and Patellofemoral Osteoarthritis: A Systematic Review·     Obesity is related to incidence of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee (CHECK) study·     Incidence, prevalence, natural course and prognosis of patellofemoral osteoarthritis: the Cohort Hip and Cohort Knee studyCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: 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.

Obesity is a major risk factor for developing knee osteoarthritis and subsequently undergoing total knee replacement (TKR). The rates of obesity have increased dramatically over the past decades and in many developed nations, about two third of adults are above a healthy weight. Although TKR is a cost-effective treatment for end-stage osteoarthritis, the rising rates of obesity are resulting in more knee replacements and being performed at a younger age. On this week’s episode of Joint Action, we are joined by Chris Vertullo to discuss the rising rates obesity, their relation to TKR and what we can do about it.Professor Chris Vertullo has been a specialist orthopaedic knee surgeon since 2001. He is the Director and Treasurer of the Australian Orthopaedic Association, current Past President of the Australian Knee Society, Chair of AOA Continuing Orthopaedic Education and an Adjunct Professor at Griffith University. He is currently listed amongst the top 100 orthopaedic influencers in the world. He is involved in the treatment of elite athletes and professional sports teams as well as being a strong advocate for sports injury prevention at a national level. He has a strong focus on research into knee surgery - founding Knee Research Australia and holds a PhD in the area of improving the outcomes of knee replacement.*Correction* In the podcast, we mentioned that about two thirds of people receiving a joint replacement are overweight or obese. This is incorrect, two thirds of Australian adults are overweight or obese. About 90% of people undergoing TKR are overweight or obese. RESOURCESWebsitesMyJointPainOARSI Joint Effort InitiativeArthritis AustraliaJournal articlesObesity is associated with an increased risk of undergoing knee replacement in AustraliaEffect of Bariatric Surgery on Risk of Complications After Total Knee ArthroplastyRelated episodesLosing weight and osteoarthritis - why and how? with Dr Stephen MessierThe role of bariatric surgery for people with osteoarthritis with Dr Jonathan SamuelsCONNECT WITH CHRISWeb: http://www.knee-surgeon.net.au/Twitter: @Knee_Surgeon Hosted on Acast. See acast.com/privacy for more information.

Joint injury is a major risk factor for developing osteoarthritis. For any given knee injury, about 50% of people will go on to develop osteoarthritis, regardless of if they have had surgical intervention or not. Osteoarthritis which follows a significant joint injury is sometimes called “post-traumatic osteoarthritis” or “PTOA” – many believe that PTOA represents a disease subgroup or phenotype of osteoarthritis. Joint injury is usually well-defined and easy to pinpoint in time allowing opportunities to better understand the early mechanisms of OA. Preclinical research has provided further insights on the development of PTOA and how certain molecules and pathways can be targeted to reduce or prevent OA following a joint injury. On this week’s episode of Joint Action, Dr Fiona Watt joins us to discuss prevention of osteoarthritis following injury. Fiona is a Clinical Reader in Rheumatology in the Department of Immunology and Inflammation at Imperial College London, having previously been an Associate Professor at the Kennedy Institute of Rheumatology at the University of Oxford for a number of years, where she had completed her PhD in cartilage biochemistry in 2009. She was appointed as an honorary consultant rheumatologist in 2013. She leads the Clinical Translation theme within the Centre for Osteoarthritis Pathogenesis funded by Versus Arthritis. In 2019 she was awarded a UKRI Future Leaders Fellowship. Her research interest aims to develop new predictive tests and treatments in high risk groups for osteoarthritis. RESOURCESJournal articles·     Prevention of posttraumatic osteoarthritis at the time of injury: Where are we now, and where are we going?·     Posttraumatic osteoarthritis: what have we learned to advance osteoarthritis? CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: 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.