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Sports med

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In this podcast, Prof Antonio Pelliccia, Institute of Sport Medicine and Science, Rome, Italy, an international expert in sports cardiology, talks about the prevention of sudden death in athletes. In a field in continuous development, sports cardiologists in Italy are leading the way, both in clinical and scientific research. 

This podcast is also available in Italian: http://goo.gl/5fweGj

Prof Antonio Pelliccia - Sports cardiology: the cutting edge and looking to the future

Welcome to the first Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.

In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of heat injury evaluation and management with Dr Fran O'Connor, Chair of Military Medicine at the Uniformed Services University in Bethesda, MD.

We'd very much like to hear your feedback on this episode, email us at thesportsmedcast@gmail.com.

Sports medcast in association with AMSSM: Heat injury

Adam Weir talks to Ben Kibler from the Shoulder Center of Kentucky about the 2013 consensus statement on scapular dyskinesis in shoulder injury.

Read the editor's choice article for free online: http://bjsm.bmj.com/content/47/14/877.full

The second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of shoulder injuries. 

Scapular summit 2013 with Ben Kibler

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. 

In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further.

Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

Time to revisit inflammation in tendons, with Jon Rees

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.

In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of concussion evaluation and management with Dr Jeffrey Kutcher, a neurologist at the University of Michigan, and the Director of Michigan NeuroSport. 

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast

Further reading:
Zurich consensus statement on concussion http://bjsm.bmj.com/content/47/5/250.full

Sport medcast in association with the AMSSM: Concussion

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”. 

Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. 

Read the review article, which has had over 32,000 full-page views since 2009:

Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair -  http://bjsm.bmj.com/content/43/4/247.full


“Mechanotherapy” and why it’s important for clinicians with Karim Khan

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

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. 

In this episode, hosts Dr Scott Young and Dr Cole Taylor present clinical pearls on several topics from the recent sports medicine literature.  

Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Sports medcast in association with AMSSM: Journal club

Are you wondering how to best manage sports-related groin pain? In this 2nd of two podcasts by, Dr Andrew Franklyn-Miller focuses on groin pain – particularly in football sports. He advocates a fresh look at the treatment and diagnosis of groin pain. In particular, he argues that the patient’s biomechanics can be best analysed using dynamic video capture systems. 

Dr Franklyn-Miller 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.

Listen to his first podcast, on running injuries, here: http://bit.ly/187BA9b

Managing groin pain, with Andrew Franklyn-Miller

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss practical tips on the use and safety of non-steroidal anti-inflammatory drugs (NSAIDs). Please feel free to contact us at thesportsmedcast@gmail.com, and follow us on twitter twitter.com/sportsmedcast.

See also:

Read the article that Scott and Cole discuss - bjsm.bmj.com/content/47/17/1127

Use of NSAIDs in triathletes: prevalence, level of awareness and reasons for use: bjsm.bmj.com/content/45/2/85.full

E-letter: Prophylactic use of NSAIDs in endurance runners: http://blogs.bmj.com/bjsm/2009/10/07/e-letter-prophylactic-use-of-nsaids-in-endurance-runners/

“Mythbuster” on NSAIDs in sports medicine, challenging nutrition dogma, and evidence-based practice: https://soundcloud.com/bmjpodcasts/mythbuster-on-nsaids-in-sports

Republished research: Non-steroidal anti-inflammatory drugs (NSAIDs): http://bjsm.bmj.com/content/early/2013/09/06/bmj.f3195.full

Do non-steroidal anti-inflammatory drugs adversely affect stress fracture healing? A short review: http://bjsm.bmj.com/content/39/2/65.full?sid=8f2906bc-ea42-48fc-a5c1-8a5132504322

Sports Medcast Ep 4 - Practical tips on NSAIDs

This week we preview the national indoor championships and make some ballsy predictions.

We discuss the controversy at last weekend's Leinster Indoor Championships (late in the podcast) and offer some solutions. Of course we answer the random and serious questions from our loyal followers. And Cathal Dennehy connects Marie Antoinette and Michelangelo to the Athlone Indoor Arena, somehow. 

We keep the Winter Olympic feel by saying what Irish athletes would excel in 2018 in Pyeongchang. Interested in finding out who's the fastest in the Jumping the Gun squad? Press play for all that and more (what else did you think we were going to say....).  

The Grand Nationals and trouble in paradise

Jon Drezner, BJSM’s senior associate editor for sports cardiology, discusses prevention of sudden cardiac death. Jon discusses where ECG fits into screening, training sport physicians to confidently interpret ECGs, and the utility of automated external defibrillators.

Jon is also president-elect of the American Medical Society of Sports Medicine, and he gives us a preview of the 2012 annual meeting in Atlanta (April 21-25).

To listen to Jon Drezner’s opening keynote presentation at the IOC’s 3rd World Congress on Prevention of Injury and Illness in Sport (a joint lecture with Professor Antonio Pellucia), follow this link [http://www.ioc-preventionconference.org/] and see the ‘Online Presentations’ tab on the top right of the screen.

Preventing sudden cardiac death with Jon Drezner

Ultrasound is rapidly revolutionising point-of-care medicine in many specialties. The last few years have seen technological advances make musculoskeletal ultrasound more practical, opening up opportunities for diagnostic and therapeutic interventions.

In this podcast, BJSM’s editor Karim Khan investigates the value of musculoskeletal ultrasound and how to integrate it into practice, with Kim Harmon, director of the Sports Medicine Fellowship at the University of Washington, US, and Sean Martin, Clinical Faculty at Eglin Airforce Base, US.

They discuss their experiences of the technique in clinical practice (0.44), which procedures it’s useful for (4.22), how to get started (12.03), using musculoskeletal ultrasound in the training room (13.33), the value of collaborating with radiologists and orthopaedics (15.58) and credentialing (17.46).

See also:
Musculoskeletal ultrasound education for sports medicine fellows: a suggested/potential curriculum by AMSSM http://bit.ly/XSYhwi
American Institute of Ultrasound in Medicine (AIUM) http://www.aium.org/
BJSM podcast: What is the future in sports imaging? Bruce Forster, David Hancock and John Orchard http://bit.ly/ZM6Q8C

Musculoskeletal ultrasound with Kim Harmon and Sean Martin

Diagnosing chronic exertional compartment syndrome relies on measuring intramuscular pressure, however Andrew Franklyn-Miller (Sports Surgery Clinic, Dublin; education director at BASEM) has shown the criteria for this are flawed (2.51). He talks to BJSM editor Karim Khan about what clinicians can do to get round this, his theory the condition is caused by biomechanical overload and his work looking at running re-education to alleviate symptoms (6.13).

He also gives us his views on barefoot running (10.44) and talks about his research on orthotics (17.57).

Finally, as UKsem’s director, Dr Franklyn-Miller gives us an update on the speakers and programme of the upcoming conference (21.04).

See also:
Foot Orthoses in the Prevention of Injury in Initial Military Training http://ajs.sagepub.com/content/39/1/30.abstract
The validity of the diagnostic criteria used in chronic exertional compartment syndrome: A systematic review http://bit.ly/10aEvc9
Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/ZkXNBc
Chronic exertional compartment syndrome http://bit.ly/oNUhJE
BJSM podcast: July’s BJSM and the UKsem Congress, with Andrew Franklyn-Miller
UKsem http://bit.ly/13rUCpJ

Biomechanical overload and lower limb injuries, with Andrew Franklyn-Miller

 Per Holmich, head of the Arthroscopic Centre at Amager University Hospital, has been working for many years on overuse problems especially hamstring, groin and hip problems focusing on exercise treatment and hip arthroscopy.

In this podcast he talks to Karim Khan about groin injuries, what to watch out for in diagnosis, and how to treat.

Groin injuries, with Professor Per Holmich

Professor Lars Nordsletten, from the Olso Sports Trauma Research Centre, talks to Karim Khan, BJSM editor, questioning the role of NSAIDs and COX-2 inhibitors in sport. He discusses how mediation of inflammatory response may not be in an athlete’s best interest. He shares data on NSAIDs delaying fracture healing, and discusses which drugs are most appropriate at various points during recovery.

See also:
Professor Nordsletten’s biography page http://bit.ly/10aK8XL
Abuse of medication during international football competition in 2010 – lesson not learned. Philippe Tscholl and colleagues. http://bit.ly/Y1smw1
Nonsteriodal anti-inflammatory drug use in sports medicine: Guidelines for practical but sensible use. Jason Paoloni and colleagues. http://bit.ly/10aV6MY

Professor Lars Nordsletten on NSAIDs and COX-2 inhibitors in sports medicine: A cautionary tale

Matthew Wilson, who runs the Sports Cardiology Research Programme at Aspetar Sports Medicine Centre, Qatar, talks Karim Khan through key issues, and the latest research, in sports cardiology.

0.46 Five clinical questions in pre participation screening

3.44 Should ECGs be mandatory?

4.56 Who should be screened?

6.34 Risk stratification for cardiac arrest

8.52 The common electrical and ion channel issues

12.37 Key papers

See also:
BJSM supplement:Advances in Sports Cardiology bit.ly/RLIBWq

Key issues in sports cardiology, with Matthew Wilson

Jill Cook is BJSM’s deputy editor with particular emphasis on physiotherapy. She is a professor at Monash University, Frankston, Australia, and a renowned international tendon authority. In this podcast she answers questions she is commonly asked about the ‘continuum model’ of tendinopathy that she and Craig Purdam (Australian Institute of Sport) proposed.

See also:
Is tendon pathology a continuum? A pathology model to explain the clinical presentation of load-induced tendinopathy bit.ly/YKmKkM
Is compressive load a factor in the development of tendinopathy? bit.ly/XTvZlk
Jeremy Lewis’s podcast on rotator cuff tendinopathies bit.ly/Nhll0U
Jill’s previous podcast on managing tendinopathies bit.ly/15DM8Qp

Jill Cook on the continuum model of tendinopathy

Professor Kim Harmon from the University of Washington, former President of AMSSM, has a strong clinical record in managing concussion on sideline in football. She led the AMSSM’s consensus document on concussion and here she guides you as to how to interpret current concussion ‘guidelines’ into best practice for your players on game day. She also previews AMSSM’s Annual Meeting - San Diego, April 2012.

Kim Harmon on managing concussion

Paul McCrory, neurologist and sports medic at the University of Melbourne, gives us the new, take home messages from the latest concussion consensus statement.

For a guide to all the content in the latest injury prevention and health protection issue of BJSM, where the consensus is published, listen to Dr McCrory’s earlier podcast http://bit.ly/12XvGb5.

All the content from the issue can be found here http://bjsm.bmj.com/content/47/5.toc.

Dr Paul McCrory’s 3-minute snapshot of what’s new in managing concussion

Professor Jiri Dvorak discusses the major public health initiative ‘Football for Health’ which has already been adopted in 19 countries. He also introduces that 11 steps to prevent cardiac death and revisits progess on the 11+, a warmup program that reduces lower limb injuries in football. Professor Dvorak is the Chief Medical Officer for FIFA and Chairman F-MARC.

Prof Jiri Dvorak on sudden cardiac death, and the Football for Health and 11+ programs

Dr Peter Brukner has been looking at nutrition for health, both of athletes and in the wider population. In this podcast he speaks to Professor Tim Noakes, author of The Lore of Running, originator of the central governor theory, and a strong exponent of the low carbohyrate-high fat diet.

Tim talks about his views on carbohydrate, and how his experience of a very low carb diet has changed the way he views the decades old advice of low-fat intake - particularly when it comes to treatment of patients with type-2 diabetes and cardiovascular disease. They discuss this diet in the specific setting of sport - long distance and football codes. Professor Noakes has over 21,000 followers on Twitter (https://twitter.com/ProfTimNoakes) and his most recent book, Challenging Beliefs, includes an introduction to his thoughts on this topic.

Peter Brukner's editorial on this topic is in the July 2013 issue of BJSM -  http://bjsm.bmj.com/content/47/11/663.full

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

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