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Dr Andrew Franklyn-Miller is a renowned sports and exercise medicine physician whose background includes providing care to the UK Defence Forces and elite athletes. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller. 

In this podcast he shares secrets from 15 years of experience in treating runners and running injuries.

Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller

In this episode of the Heart podcast, Digital Media Editor Dr James Rudd is joined by Dr Andrew D'Silva from Brighton, UK. Along with Professor Sanjay Sharma, Dr D'Silva has published a comprehensive guide to the management of young athletes with heart conditions. In this episode, they discuss the differences between European and North American ECG screening practices and the reasons for this.

Please leave us a podcast review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2

Link to published papers:

Management of young competitive athletes with cardiovascular conditions - http://heart.bmj.com/content/103/6/463

ECG screening in athletes: differing views from two sides of the Atlantic - http://heart.bmj.com/content/early/2017/11/03/heartjnl-2016-309448

ECG screening for young athletes - yes or no?

Managing stress fractures in any athlete can be difficult. Liam West discussed the topic with international expert Dr. Kathryn Ackerman, to find out clinical management gems.

Dr. Ackerman has specialist training in Internal Medicine, Sports Medicine and Endocrinology, Diabetes & Metabolism. This training has cumulated in positions as Medical Director of the Female Athlete Program at Boston Children's Hospital, Associate Director of the Sports Endocrine Research Lab at Massachusetts General Hospital, and Assistant Professor of Medicine at Harvard Medical School. She has focused research efforts on hormonal treatments to improve bone density and fracture healing, as well as various imaging modalities for assessing bone quality.

Related Articles
Surgical versus conservative treatment for high-risk stress fractures of the lower leg (anterior tibial cortex, navicular and fifth metatarsal base): a systematic review. bjsm.bmj.com/content/49/6/370.long

IOC Concensus Statement: RED-S - http://bjsm.bmj.com/content/48/7/491


Associated Podcasts
Management of difficult stress fractures in sport - http://bit.ly/2EVorIM 

Margo Mountjoy on the REDS debate - http://bit.ly/1KzYT04

Podcast Quotes
“There is a transient osteopenia during adolescenece that predisposes them to stress fractures”


“Amenorrhic athletes have wider but weaker bones”

Taking the stress out of stress fractures. Deep dive & clinical tips w/ Dr. Kathryn Ackerman

How do we assess running biomechanics? Does it translate to practice? BJSM editor Tej Pandya chats with Chris Bramah (@chrisbramah), England Athletics physiotherapist and biomechanist based at the Manchester Institute of Health and Performance. Chris is completing a PhD dissertation on the links between running gaits and running injuries.

They discuss:
 - Biomechanics of elite running athletes
- Applying biomechanics to produce clinically relevant outcomes
- A case of ITB syndrome in runners: What’s the role of biomechanical assessment?
- Advances biomechanics technology
- How the clinician can use biomechanics to assess athletes

Links to some of the papers  mentioned in the podcast:
 - How to estimate centre of mass in running? https://bit.ly/2k4KbbV
 - Movement of the spine and pelvis during running. https://bit.ly/2La501S

Running Biomechanics 101 with Chris Bramah. Episode #334

Fresh off ‘BJSM Podcast World Cup’ victory, superstar physiotherapist Dr. Alison Grimaldi returns for what is sure to be another chart-topping podcast.  On this week’s episode, Dr. Alison Grimaldi (@alisongrimaldi) joins BJSM’s Daniel Friedman (@ddfriedman) to discuss the results from her latest clinical trial – the LEAP trial - that was recently published in the BMJ.
https://www.bmj.com/content/361/bmj.k1662    
With 25 years of clinical experience and particular expertise in the management of hip, groin and lumbo-pelvic pain and dysfunction, Alison is Principal Physiotherapist at Physiotec in Brisbane, Australia, and an Adjunct Research Fellow at the University of Queensland. Alison also has a special interest in the assessment and optimisation of lumbo-pelvic and lower limb biomechanics for
running, change of direction and all weight bearing sports. She is currently involved with research studies through the University of Queensland and University of Melbourne.
https://dralisongrimaldi.com/
Alison explains the clinical significance of the findings from the LEAP trial and shares some practical
physiotherapy tips for clinicians helping patients manage gluteal tendinopathy pain. She discusses:
       Treatment options for managing gluteal tendinopathy pain
       Load management for gluteal tendinopathy
       Specific exercises for gluteal tendinopathy
Alison continues to publish, present and provide practical workshops for other health professionals, and will be coming to Vancouver in September 2018 for her hip and groin pain masterclass!
https://www.eply.com/DrGrimaldi-2018

You can listen to Dr. Grimaldi’s previous BJSM podcast on treating lateral hip pain here:
https://soundcloud.com/bmjpodcasts/dr-alison-grimaldi-with-practical-physiotherapy-tips-on-treating-lateralhippain?in=bmjpodcasts/sets/bjsm-1

Dr Alison Grimaldi on managing gluteal tendinopathy. Episode #343

Welcome to this, trial run, of a new kind of BMJ podcast - here we’re going to be focusing on all things EBM. 

Duncan Jarvies, Helen Macdonald and Carl Heneghan - and occasional guests- will be back every month to discuss what's been happening in the world of evidence. 

We'll bring you our Verdict on what you should start or stop doing, geek out about stats, and rant about the unevidence based world in which we live.

This week we talk about:

Vitamin D
https://www.thelancet.com/journals/landia/article/PIIS2213-8587(18)30265-1/fulltext

Oxygen
 https://www.bmj.com/content/363/bmj.k4169

The UK parliament's report on clinical trial transparency
https://publications.parliament.uk/pa/cm201719/cmselect/cmsctech/1480/1480.pdf

Talk evidence - Vitamin D, Oxygen and ethics

Minimalist? Maximalist? Zero drop? Is there really one running shoe paradigm to rule them all?
On this week’s episode, Dr. Chris Napier PhD (T: @runnerphysio) and Paul Blazey (T: @Blazey85) joins BJSM’s Daniel Friedman (T:@ddfriedman) to debate running shoe prescription.
Chris is a Clinical Assistant Professor in the Department of Physical Therapy at the University of British Columbia, where he recently obtained his his PhD (“Running biomechanics and injury
prevention”) in 2018. Since becoming a physio, Chris has specialised his training with postgraduate studies in manual therapy and sport physiotherapy. He is currently a physiotherapist of Athletics
Canada. Chris competed at the national level as a successful middle-distance runner and today is an avid skier, kayaker, and marathoner.
A self-proclaimed encyclopaedia of running shoes, Paul is a physio who has spent time working with Crystal Palace and Arsenal FC, with a keen interest in managing running and triathlon injuries. He left
his physiotherapy clinic in England behind in 2017 to take up research at the University of British Columbia and currently works as a senior associate editor for BJSM. Like Chris, Paul is an accomplished runner with envious marathon times.  
In this 20 minute conversation, Chris and Paul discuss:
       Eliud Kipchoge’s recent marathon world record
       Different running shoes’ effects on running economy
       Running shoe prescription and tips for choosing shoes in-store
       Gait retraining
       The future of running shoes
 
Further reading:
Brick NE, McElhinney MJ, Metcalfe RS. The effects of facial expression and relaxation cues on movement economy, physiological, and perceptual responses during running. Psychology of Sport
and Exercise. 2018 Jan 1;34:20-8.
https://www.sciencedirect.com/science/article/pii/S1469029217303461
Napier C, Willy RW. Logical fallacies in the running shoe debate: let the evidence guide prescription.
https://bjsm.bmj.com/content/early/2018/10/22/bjsports-2018-100117
Hoogkamer W, Kram R, Arellano CJ. How biomechanical improvements in running economy could
break the 2-hour marathon barrier. Sports Medicine. 2017 Sep 1;47(9):1739-50.https://link.springer.com/article/10.1007/s40279-017-0708-0
Barnes KR, Kilding AE. A Randomized Crossover Study Investigating the Running Economy of Highly-Trained Male and Female Distance Runners in Marathon Racing Shoes versus Track Spikes.
Sports Medicine. 2018:1-2. https://link.springer.com/article/10.1007/s40279-018-1012-3
Nigg BM, Baltich J, Hoerzer S, Enders H. Running shoes and running injuries: mythbusting and a proposal for two new paradigms:‘preferred movement path’and ‘comfort filter’. Br J Sports Med. 2015
Jul 28:bjsports-2015. https://bjsm.bmj.com/content/49/20/1290.short

It’s all about the shoes…well, maybe not. Episode #356

We have known for a long time that exercise is effective in lowering blood pressure. But how does it stack up against antihypertensive medication?
On this episode, Dr. John Ioannidis joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss his recently published BJSM meta-analysis that made headlines around the world https://bit.ly/2EYW66J
Dr Ioannidis is recognised as one the most influential scientists alive today. A Professor of Medicine and of Health Research and Policy at Stanford University School of Medicine and a Professor of Statistics at Stanford University School of Humanities and Sciences, Dr Ioannidis has authored close to 1,000 academic papers and served on the editorial boards of 30 of the world's top journals. He is best known for his legendary 2005 PLOS medicine paper “Why Most Published Research Findings Are False”, which has been viewed over 2.5 million times. https://profiles.stanford.edu/john-ioannidis
 
In this 15 minute conversation, Dr Ioannidis discusses:
·       The findings of his latest BJSM meta-analysis
·       How trials that examine exercise’s effects on blood pressure can be made more useful
·       How exercise can become part of routine hypertension management
·       What needs fixing in the world of evidence-based medicine
 
Further reading:
Naci H, Salcher-Konrad M, Dias S, et al How does exercise treatment compare with antihypertensive medications? A network meta-analysis of 391 randomised controlled trials assessing exercise and medication effects on systolic blood pressure Br J Sports Med Published Online First: 18 December 2018. doi: 10.1136/bjsports-2018-099921
Naci H, Ioannidis JP. Comparative effectiveness of exercise and drug interventions on mortality outcomes: metaepidemiological study. Bmj. 2013 Oct 1;347:f5577.
Ioannidis JP. Why most clinical research is not useful. PLoS medicine. 2016 Jun 21;13(6):e1002049.
Ioannidis JP. Why most published research findings are false. PLoS medicine. 2005 Aug 30;2(8):e124.

Making exercise trials more useful with Professor John Ioannidis. Episode #363

In this episode of the Heart podcast, Digital Media Editor, Dr James Rudd, is joined by Professor Melvin Lobo from Bart’s Hospital, London. They discuss all aspects of high blood pressure and its management, plus Professor Lobo gives his view of the future of non-drug therapy in the wake of the Symplicity trials.
If you enjoy the show, please subscribe to the podcast to get episodes automatically downloaded to your phone and computer. Also, please consider leaving us a review at https://itunes.apple.com/gb/podcast/heart-podcast/id445358212?mt=2
Link to published paper: 
Education in Heart : https://heart.bmj.com/content/104/18/1543
European Heart Journal (free PDF) : https://academic.oup.com/eurheartj/article/38/15/1101/3056932

Tips and tricks for managing hypertension

What comes first—the robust athlete or the high training load? What is the role of moderating factors in training load? And is the ‘10% rule’ a myth?
On this episode, Dr. Tim Gabbett PhD x2 (T: @TimGabbett) joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss all things training load and debunk some common misconceptions.
Tim has over 20 years of experience working as an applied sport scientist with elite athletes, coaches, and high performance teams from around the world. He holds a PhD in Human Physiology (2000) and has completed a second PhD in the Applied Science of Professional Football (2011), with special reference to physical demands, injury prevention, and skill acquisition. www.gabbettperformance.com  
In this 20 minute conversation, Tim discusses:
·       The definition of training load and its different components
·       The Acute:Chronic Workload Ratio (ACWR) and its limitations
·       What separates robust from fragile athletes
·       The 10% rule ‘myth’
·        How to design a rehabilitation training program for an injured athlete
 
Further reading:
Gabbett TJ, Nielsen RO, Bertelsen ML, Bittencourt NF, Fonseca ST, Malone S, Møller M, Oetter E, Verhagen E, Windt J. In pursuit of the ‘Unbreakable’Athlete: what is the role of moderating factors and circular causation? https://bjsm.bmj.com/content/early/2018/11/13/bjsports-2018-099995
Gabbett TJ. Debunking the myths about training load, injury and performance: empirical evidence, hot topics and recommendations for practitioners. Br J Sports Med. 2018 Oct 26:bjsports-2018. https://bjsm.bmj.com/content/early/2018/10/26/bjsports-2018-099784
Gabbett TJ. The training—injury prevention paradox: should athletes be training smarter and harder?. Br J Sports Med. 2016 Mar 1;50(5):273-80. https://bjsm.bmj.com/content/50/5/273
Hulin BT, Gabbett TJ, Lawson DW, Caputi P, Sampson JA. The acute: chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players. Br J Sports Med. 2016 Feb 1;50(4):231-6. https://bjsm.bmj.com/content/50/4/231
Soligard T, Schwellnus M, Alonso JM, Bahr R, Clarsen B, Dijkstra HP, Gabbett T, Gleeson M, Hägglund M, Hutchinson MR, Van Rensburg CJ. How much is too much?(Part 1) International Olympic Committee consensus statement on load in sport and risk of injury. Br J Sports Med. 2016 Sep 1;50(17):1030-41. https://bjsm.bmj.com/content/50/17/1030

In pursuit of the unbreakable athlete with Tim Gabbett. Episode #374

Seth is a physiotherapy lecturer at the University of Leicester with a special interest in calf & Achilles injuries, having completed his PhD on Achilles Tendinopathy. He joins us to answer some of these questions
·       What are the biggest risk factors for Achilles tendinopathy (AT)?
·       What would be your biggest bang-for-buck treatments for AT?
·       What would you say were the most useful markers for progression?
·       Where do you think people are going wrong in the treatment of AT in general – what are the most common misconceptions/mistakes?
·       How important is the role of the soleus in ankle/calf function, and sporting performance in general?
·       In terms of managing soleus injuries, what tips would you have for clinicians out there?

Talking Tendinopathies & Solving the Soleus Conundrum with Seth O’Neil. Episode #375

Is iliotibial band pain a friction problem? Or a load problem?
On this week’s BJSM podcast, Dr Rich Willy (T: @rwilly2003) and BJSM’s Daniel Friedman (T: @ddfriedman) discuss the clinical management of iliotibial band pain.
Dr. Richard Willy PT, PhD, is an Assistant Professor in the School of Physical Therapy, University of Montana (Missoula, MT, USA). He received his PhD in Biomechanics and Movement Science from the University of Delaware and his master of physical therapy from Ohio University. In addition to his research, Dr. Willy has been a clinician for 18 years specialising in the treatment of the injured runner. His research aims to develop clinically effective treatments for patellofemoral pain syndrome, Achilles tendon injuries and tibial stress fractures.
In this podcast, Dr Willy discusses:
·        How to assess the injured runner with ITB pain
·        Misconceptions about ITB pain – it’s not a friction problem and you need some tightness!
·        How to progress the rehabilitation in managing ITB pain
·    	Is there a role for stretching and foam rolling?
The case study used in this podcast was originally from Pegrum James, Self Alex, Hall Nick. Iliotibial band syndrome BMJ 2019; 364 :l980 https://www.bmj.com/content/364/bmj.l980

Mythbusting iliotibial band (ITB) pain with Dr Rich Willy (PT, PhD) – it’s not friction! #393

Predicting and preventing injuries is seen as the ‘holy grail’ of sports medicine. The literature is brimming with efforts to understand injury prevention, and popular buzzwords such as ‘artificial intelligence’ has seen the emergence of questionable methods to predict sports
injuries. In this podcast, Dr Nicol van Dyk speaks to Dr Sean Carmody about current concepts in injury prevention and the validity of the evidence underpinning them. Nicol draws on the experience of his PhD investigating risk factors for hamstring injuries in professional football to forecast the future for preventive efforts in elite sport. Key resources discussed in the podcast have been included below, and if you want to hear more on the topic, Nicol will be presenting at the South African Sports Medicine Association Conference in
October 2019.
Key Resources:
Why screening tests to predict injury do not work—and probably never will…: a critical review
Do not throw the baby out with the bathwater; screening can identify meaningful risk factors for sports injuries
Risk factors for hamstring in football - thinking fast and slow by Nicol van Dyk Short biceps femoris fascicles and eccentric knee flexor weakness increase the risk of hamstring injury in elite football (soccer): a prospective cohort study
The quadrant of doom and hamstring injuries: sexy but too easy?
The acute:chronic workload ratio predicts injury: high chronic workload may decrease injury risk in elite rugby league players
The acute-chronic workload ratio: a critical appraisal
Aspetar – Hamstring Issue
The training—injury prevention paradox: should athletes be training smarter and harder?

The injury prevention myth – predicting, pretending, or preventing sports injuries?  Episode #395

What are the keys to good running form? Is there a magical number for step rate? Should we all be changing the way we run?
 
This week Tom Goom joins us to chat about gait retraining and its role in helping injured runners. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.
  
In this 20-minute episode, Tom discusses the rationale for gait retraining, who needs it, how to assess the injured runner and his comprehensive gait retraining management plan.

Stepping up to better running form with the Running Physio – Tom Goom. Episode #408

Are passive therapies making patients worse? Does stretching help? Where do the bio, psycho and social components fit into patient management?
This week Tom Goom joins us to chat about how to avoid the common pitfalls all clinicians can make. Known to many in the SEM community as the ‘Running Physio’, Tom is a physiotherapist with over 15 years of experience who specialises in running injuries. He shares his knowledge with clinicians and runners around the world through his website Running-physio.com and very popular Running Repairs Course.

Common mistakes clinicians make and how to avoid them, with Running Physio Tom Goom. Episode #413

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