What is peripheral nerve hydrodissection and what conditions can it potentially treat? What is the data behind it’s practice? Has one injectate proven to be more efficacious than the others? 

On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by family medicine and sports medicine physicians Dr. Garry Ho. 

Dr. Garry Ho is an Associate Professor from the Department of Family Medicine at the Virginia Commonwealth University School of Medicine, University of Vriginia School of Medicine, and the Georgetown University School of Medicine and has worked closely with athletes from several professional and collegiate organizations including the Washington Football Team, the D.C. Divas, the Washington Glory, the US Military Academy at West Point and the US Naval Academy in Annapolis.

In this 20 minute conversation Dr. Ho addresses the following topics:
The definition of hydrodissection and theory behind its use?
The current data supporting this procedure with respect to injectate utilized and anatomic location targeted.
A discussion of the training required to become competent in this practice, and methods for assessing proficiency in learners?

2022 AMSSM Annual Meeting Information: https://annualmeeting.amssm.org

Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020;13:1957-1968

https://www.dovepress.com/ultrasound-guided-nerve-hydrodissection-for-pain-management-rationale--peer-reviewed-fulltext-article-JPR

Cass, Shane P. DO Ultrasound-Guided Nerve Hydrodissection, Current Sports Medicine Reports: January/February 2016 - Volume 15 - Issue 1 - p 20-22 

https://journals.lww.com/acsm-csmr/Fulltext/2016/01000/Ultrasound_Guided_Nerve_Hydrodissection__What_is.10.aspx

Peripheral Nerve Hydrodissection: A minimally invasive approach with Dr. Garry Ho. EP# 496

Associate Professor Izzy Moore and Grainne Donnelly discuss running during and after pregnancy and provide practical tips and great resources for clinicians treating pregnant and post-partum women. How can you ask about pelvic health? What is the role of a musculoskeletal clinician? How can we ensure less women suffer in silence? 

Original research: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women https://bjsm.bmj.com/content/55/22/1286.info

Editorial: Multidisciplinary, biopsychosocial factors contributing to return to running and running related stress urinary incontinence in postpartum women:  https://pubmed.ncbi.nlm.nih.gov/34836883/

2019 return to running guideline https://doi.org/10.1016/j.physio.2020.03.276

Return to running BJSM infographic  - https://bjsm.bmj.com/content/54/18/1114

Run ready post-partum BJSM blogs
https://blogs.bmj.com/bjsm/2019/05/20/ready-steadygo-ensuring-postnatal-women-are-run-ready/ and https://blogs.bmj.com/bjsm/2021/08/22/return-to-running-following-childbirth-when-the-principles-of-sports-medicine-and-pelvic-health-collide/
 
Pelvic health impact questionnaire https://pubmed.ncbi.nlm.nih.gov/16021067/
Canadian guidelines - https://bjsm.bmj.com/content/52/21/1339

Clinical commentary considering the whole system readiness for running post-partum https://journals.lww.com/jwhpt/Abstract/2022/01000/Beyond_the_Musculoskeletal_System__Considering.7.aspx

Be the difference that makes the difference for pregnant and post-partum women. EP #497

Duane Peters from the Lupus Foundation of America interviews Professor Iryna Kulyk from Indiana University in the USA and Professor Martin Kriegel from the University of Münster in Germany and Yale University in the USA. They discuss their study, presented at the Lupus 21st Century conference in September 2021, on the influence of the consumption of resistant starch (a type of dietary fiber) on the composition of the gut microbiota of lupus patients.

Access the abstract here: https://lupus.bmj.com/content/8/Suppl_2/A63.2.abstract

Lupus Science and Medicine Podcast Series

Could a high fiber diet positively impact the gut microbiome of SLE patients?

In this podcast Grainne Donnelly, Associate Prof Izzy Moore and Dr Brooke Patterson speak with Steph about her experience returning to sport post-partum using the 6Rs framework (https://pubmed.ncbi.nlm.nih.gov/34836883/).

Listen to Part 1 first: https://soundcloud.com/bmjpodcasts/bjsm-11022022-ep-497?in=bmjpodcasts/sets/bjsm-1&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing  where Izzy and Grainne discuss the framework and the role of a musculoskeletal clinician.

Return to running BJSM infographic - https://bjsm.bmj.com/content/54/18/1114

Bringing the 6Rs to life – a patient perspective of return to sport post-partum. Ep #498

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Rene Pareja, a gynecologist-oncologist at Astorga Oncology Clinic in Medellín and the National Cancer Institute in Bogotá, Colombia. Dr. Pareja is a reviewer for more than 20 specialty journals, an Associate Editor for IJGC, and a member of the board of directors of the International Gynecological Cancer Society (IGCS). He is the author of nine book chapters and more than 70 publications in peer-reviewed journals, and at IGCS 2021 he received an award for Community Advancement in Resource-Limited Settings.
 
Highlights:
Tips for expertise in minimally invasive surgery: (1) learn from an experienced mentor, (2) train all the time, (3) get a formal course, (4) record your surgeries.
The crucial components to do surgery related research: Start to review papers, write protocols/systematic reviews, and try to work the most and tirelessly on an original project.
A successful person is someone who has failed several times.
Secrets and tips on life and professional career.

Mentor's Podcast: Rene Pareja

In this episode of the IJGC podcast, Editor-in-Chief Dr. Pedro Ramirez is joined by Dr. Katherine Kurnit. Dr. Kurnit is an Assistant Professor at the University of Chicago in the section of Gynecologic Oncology. Her research interests include developmental therapeutics and early phase clinical trials for patients with gynecologic cancers.

Highlights:
Although surgical practices have changed over time, there is still much debate and no consistent consensus about timing or the use of new therapies such as HIPEC.
More options for upfront maintenance therapy are now available for ovarian cancer patients.
We need new treatment approaches for patients with platinum-resistant ovarian cancer.
Finding ways to ensure ovarian cancer care is safe, feasible, and cost-effective in many different settings (nationally and internationally) will be important.
New strategies for screening and prevention are sorely needed

Updates and New Options in Advanced Ovarian Cancer

Duane Peters from the Lupus Foundation of America talks to Dr Sylvia Kamphuis and Dr Javad Wahadat from the Erasmus Medical Center in Rotterdam in the Netherlands about aiming for a Low Lupus Disease Activity State (LLDAS) in children with systemic lupus erythematosus (SLE). They outline the difference between LLDAS and clinical remission (CR), and discuss how LLDAS may be a more achievable target for patients than CR that nevertheless still brings significant clinical benefits in terms of decreasing damage accrual and improving health-related quality of life.

Access the paper here: https://lupus.bmj.com/content/8/1/e000571

Final Output for posting to BMJ SoundCloud account

Challenging but achievable: reaching Low Lupus Disease Activity State (LLDAS) in childhood-onset SLE

This month we go all buggy, thinking about how we can use EU-level regulatory frameworks to help us act in our clinical lives (https://adc.bmj.com/content/107/5/507.2). We also address the persuasive power of an accelerated BCG reaction in children… fort noted by Koch of Koch’s Postulates in rodents (https://adc.bmj.com/content/107/5/507.1), and ask a partially useful question that might save many hours and many many stabs - are CVC concentrations of tobramycin good enough to judge how to dose in children? (https://adc.bmj.com/content/107/5/512).
Please do tell us what you think of the podcast or the section, and if you’re revisiting the Journey to the West in TV form, on any of the socials.
Please listen to our regular podcasts and subscribe to Apple Podcasts, Google Podcasts, Stitcher, and Spotify to get episodes automatically downloaded to your phone and computer. And if you enjoy the podcast, please leave us a review at https://podcasts.apple.com/gb/podcast/adc-podcast/id333278832

Archimedes May 2022: Micro Magic

Duane Peters from the Lupus Foundation of America talks to Dr Cristina Drenkard from Emory University and Dr Teresa Brady from Clarity Consulting and Communications, both based in Atlanta, USA. 

They discuss their paper on the relationship between levels of self-efficacy and health behaviours and outcomes in black women with SLE. Their study specifically evaluated the associations between age, educational level and depression in SLE patients and the degree of pain and fatigue they experienced. These findings may help predict who might benefit most from self-efficacy-enhancing interventions to improve quality of life.

Access the article: https://lupus.bmj.com/content/9/1/e000566

What's the relationship between self-efficacy and quality of life in SLE patients?

Duane Peters from the Lupus Foundation of America interviews Professor Ronald van Vollenhoven from the Amsterdam University Medical Centers in the Netherlands and Dr Cynthia Aranow from the Feinstein Institute for Medical Research in New York, USA. 

They discuss the efforts of the DORIS international task force to agree on a single definition of remission in systemic lupus erythematosus, which they hope will ensure that clinicians, patients and researchers in the field are all working towards the same outcome. 

Access the article: https://lupus.bmj.com/content/8/1/e000538

New tracks tagged #bmjjournals