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Last year Caroline Foran's book, Owning It: Your Bullshit Free Guide to Living With Anxiety, was a runaway hit, becoming a best seller, surprising even her. Caroline was doing well – she’d overcome crippling anxiety, written a book about it and people had liked it. But the stress of promoting the book got to her and she realised she still had a long way to go in terms of confidence. She talks to Róisín Ingle about once again facing her fear and turning it into something positive with her new book, The Confidence Kit: Your Bullshit Free Guide to Owning Your Fear.

Caroline Foran: "Anxiety Guru"

This is for anyone who get triggered around a family member or other person in their life, but you have decided that you want to continue to be around this person – despite this trigger. So really – these are management tools for tolerating these interactions. This is from a listener who has to endure some triggers around a family member. When this person is there, they feel drained and irritated – so these are some tools for a similar situation. This is a very difficult (and sadly, common) experience – the gist is how to manage the experience of being around a triggering person if you’re still working on your shit in therapy. As with all my episodes – three parts: What, why and how the tools. 

If you’d like to see more of my writing or make a donation, head to YayWithMe.com xo!

Ep 115: How to deal with people who trigger you

On this week’s BJSM podcast, the Journal of Orthopaedic & Sports Physical Therapy (JOSPT) EIC elect Dr Clare Ardern PhD (T: @clare_ardern) joins BJSM EIC Prof Karim Khan to answer the difficult questions about return to play.
Dr Clare Ardern is a physiotherapist and clinical researcher who completed her award-winning PhD on return to play in 2013. Since then, Clare has worked as a clinical researcher at the Aspetar Orthopaedic & Sports Medicine Hospital (Qatar) and Linköping University (Sweden). Clare led the 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. She has a particular interest in the psychological aspect of returning to play and how the return to play transition can be improved with specific clinical interventions and superior clinical decision making.
We here at BJSM would like to thank Clare for her tireless work as BJSM Deputy Editor and wish her all the best for her upcoming role as EIC at JOSPT!
In this 30-minute conversation, Clare discusses:
·        Tips for clinicians when approaching RTP with athletes
·        The psychological aspects of RTP and the importance of shared decision making
·        Athletes’ biggest fears when RTP
·        Non-operative management of ACL injuries
·        Paediatric ACL injuries
On Oct 4-5, Clare will be speaking at the The IFSPT Third World Congress of Sports Physical Therapy in Vancouver, Canada. She will be presenting alongside a world-class line up of local and international experts exploring the theme “High performance to clinical practice”. https://www.sportphysio.ca/calendar-of-upcoming-events/spc2019/
 
Mentioned in this episode:
Ardern CL, Ekås G, Grindem H, et al. 2018 International Olympic Committee consensus statement on prevention, diagnosis and management of paediatric anterior cruciate ligament (ACL) injuries. Br J Sports Med 2018;doi:10.1136/bjsports-2018-099060 (article co-published by Knee Surgery Sports Traumatology Arthroscopy, Journal of ISAKOS and Orthopaedic Journal of Sports Medicine).
https://bjsm.bmj.com/content/52/7/422
Ardern CL, Glasgow P, Schneiders A, Witvrouw E, Clarsen B, Cools A, et al. 2016 Consensus statement on return to sport from the First World Congress in Sports Physical Therapy, Bern. Br J Sports Med 2016;50:853-864. https://bjsm.bmj.com/content/50/14/853
Ardern CL, Taylor NF, Feller JA, Webster KE. Fifty-five per cent return to competitive sport following anterior cruciate ligament reconstruction surgery: an updated systematic review and meta-analysis including aspects of physical functioning and contextual factors. Br J Sports Med 2014;48:1543-1552.
Grindem H, Snyder-Mackler L, Moksnes H, et al Simple decision rules can reduce reinjury risk by 84% after ACL reconstruction: the Delaware-Oslo ACL cohort study British Journal of Sports Medicine 2016;50:804-808. https://bjsm.bmj.com/content/50/13/804
Frobell RB, Roos EM, Roos HP, Ranstam J, Lohmander LS. A randomized trial of treatment for acute anterior cruciate ligament tears. New England Journal of Medicine. 2010 Jul 22;363(4):331-42.
Headspace App: https://www.headspace.com/headspace-meditation-app

Returning to play in 2019 with Dr Clare Ardern. Episode #383

Hi peeps, this is a way to make sure you’re keeping yourself functioning at an optimal level – and not getting stuck in a stressed/triggered state or a low/depressed state. It’s basically how to widen your capacity for resiliency via grounding yourself in moments you are getting out of whack. This one is based on a lengthy training I had and it’s meant to be done in person - one-on-one, so hopefully it translates somewhat! If you need more information about this one, please let me know and I’ll post a part 2. 

For more of my work or to make a donation, head to YayWithMe.com xo!

Help Me Be Me

Tools for Self-Regulation: Staying in the “Chill Zone”

What is like working at one of the biggest clubs in the world? How do you manage the intense workload of the English premier league? What happens when players retire? In this hard hitting BJSM podcast, we are joined by Dr Andy Massey, physiotherapist and doctor who currently works as head of medical services at Liverpool FC. Topics discussed include:

●	Managing the load of the premier league footballer
●	Looking at the whole squad; substitutes and non-playing members 
●	The £177 million conundrum; the cost of injured players to the league
●	Managing a rectus femoris injury; how to approach it?
●	1%ers- what is their place in football?
●	Transitioning into retirement- do we do enough?
●	Top tips for early career professionals wanting to work in football

Links to some of the papers mentioned:
Bye Bye MRI? https://bit.ly/2KfChKQ
POLICE principle for treating injuries : https://bit.ly/2EHcS9C

More important than life and death? Liverpool FCs Dr Andy Massey’s view of football medicine. Ep#385

In this week’s BJSM podcast, BJSM deputy editor Dr Jane Thornton (T: @JaneSThornton) joins Daniel Friedman (T: @ddfriedman) to discuss physical activity counselling.
Dr Jane Thornton MD PhD is a sports medicine physician and researcher currently based in London, Canada, and is an international advocate for physical activity. She has a wealth of international experience in the field of preventative medicine, with a particular passion for promoting physical activity as both prevention and treatment of chronic disease. Alongside a super impressive medical career, Dr Thornton is also a World Champion and former Olympic rower for Canada.
In Part 1 of this 2-part podcast, Dr Thornton discusses:
·        Why physical activity is the single best thing we can do for our health
·        The evidence for physical activity prescription in primary care
·        The shared decision making of how to prescribe physical activity to patients
·        How to talk about physical activity intensity with patients
 
Mentioned in this podcast:
23 and a half hours YouTube video:  https://www.youtube.com/watch?v=aUaInS6HIGo
Make Your Day Harder http://www.makeyourdayharder.com/
PA Prescription Position Statement https://bjsm.bmj.com/content/50/18/1109
Naci 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. BJSM 2019. https://bjsm.bmj.com/content/53/14/859

Prescribing physical activity with Dr Jane Thornton (Part 1). Episode #388

On this week’s BJSM podcast, BJSM deputy editor Dr Jane Thornton (T: @JaneSThornton) joins Daniel Friedman (T: @ddfriedman) to discuss physical activity counselling.
Dr Jane Thornton MD PhD is a sports medicine physician and researcher currently based in London, Canada, and is an international advocate for physical activity. She has a wealth of international experience in the field of preventative medicine, with a particular passion for promoting physical activity as both prevention and treatment of chronic disease. Alongside a super impressive medical career, Dr Thornton is also a World Champion and former Olympic rower for Canada.
 
In Part 2 of this 2-part podcast, Dr Thornton discusses:
·        Her efforts leading the Canadian Medical Education Strategy
·        Physical activity resources for clinicians and patients
·        Examples for successful physical activity counselling initiatives around the world
·        What SEM clinicians can start doing today to help their patients become more physically active
 
Mentioned in this podcast:
Make Your Day Harder http://www.makeyourdayharder.com/
PAPRICA (Switzerland) https://www.paprica.ch/
WHO Global Action Plan on Physical Activity https://www.who.int/ncds/prevention/physical-activity/gappa
In-bed cycling for patients https://www.cbc.ca/news/canada/hamilton/biking-in-bed-is-good-for-icu-patients-says-new-mcmaster-study-1.3915472
Park Run https://www.parkrun.com/
PA prescription in Luxembourg http://www.sport-sante.lu/

Prescribing physical activity with Dr Jane Thornton (Part 2). Episode #389

Jonathan Hanson is a Sports Medicine consultant with a background in emergency medicine. He works as team doctor for the Glasgow Warriors rugby union team, has worked as an Emergency care advisor to the FA and worked on Head injury systems and immediate care with the Senior men at the 2018 FIFA World Cup. Given his background, he has a particular interest in the human factors associated with working in SEM, especially in a pitch-side/pre-hospital setting.
In this podcast, we discuss:
 What is meant by the term ‘human factors’?
 How do we develop these? Can they be developed at an individual level, or do they need to be embraced more broadly by a team/department as a whole?
 Examples of how human factors have affected practice
 Getting people to ‘buy-in’ to the importance of human factors?
For listeners, you can follow Jonathan @SportsDocSkye – and the links to the resources we
mentioned can be found below:
BJSM Three-Part Blog Series:
https://blogs.bmj.com/bjsm/2019/04/30/human-factors-in-sports-medicine-part-1/
https://blogs.bmj.com/bjsm/2019/05/17/human-factors-in-sports-medicine-part-2/
https://blogs.bmj.com/bjsm/2019/05/25/human-factors-part-3/
Just a routine operation: https://www.youtube.com/watch?v=JzlvgtPIof4
13 minutes to the moon: https://www.bbc.co.uk/programmes/w27vq4km

Human Factors in Sports Medicine – Unconsciously Unaware? Episode #390

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

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