Joint Action

Steve is a 56-year old father of three. He lives in Alexandria, Virginia – five miles from the White House in Washington, D.C. Steve spent 25 years building his own marketing and publishing company focused in the tech space – representing major firms like Google, Amazon, and Microsoft. He served on the USO DC board for 15 years – the largest not for profit supporting US military and their families. He’s physically active. He does resistance and cardio training. He grew up playing a lot of sports and got back into working out very regularly 17 years ago. He has osteoarthritis in both his elbows. Subsequently, he has also been diagnosed with OA in knees, shoulders, and hips. On this episode of Joint Action, we hear about Steve's journey with osteoarthritis.

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

Exercise and physical activity are important not only for those with knee osteoarthritis, but all individuals. However, negative beliefs about pain and the body may hinder movement. Do you have knee osteoarthritis? Do you feel afraid to move? On this week’s episode, we are joined by Dr JP Caneiro to discuss beliefs about movement and their impact and how you can become more confident with movement.

Dr JP Caneiro has over 17 years of experience as a clinician, researcher and lecturer on the field of musculoskeletal pain management. He has published over 40 research papers and presented his work in key conferences across the globe. He is an emerging leader on the field of chronic pain, particularly in the management of back pain and osteoarthritis.

RESOURCES

Websites

• Managing knee pain
• The A-Z of OA
• Exercising with pain

Journal Articles

• Three steps to changing the narrative about knee osteoarthritis care: a call to action

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

Hip and knee osteoarthritis are leading causes of global disability. Most osteoarthritis research has focused on the knee, but what do we know about hip osteoarthritis? Although they are both joints in the leg, there are differences in the prevalence, outcomes and recommended treatments. On this episode of Joint Action, we are joined by Dr Michelle Hall to discuss the differences in hip and knee osteoarthritis.

Dr Michelle Hall is a Senior Research Fellow and Dame Kate Campbell Fellow in the Centre for Health, Exercise and Sports Medicine within the Department of Physiotherapy at the University of Melbourne. Michelle is an emerging leader in the field of hip and knee osteoarthritis, with particular interest in exercise.

RESOURCES

Journal articles

• How does hip osteoarthritis differ from knee osteoarthritis?
• Knee and hip osteoarthritis are more alike than different in baseline characteristics and outcomes: a longitudinal study of 32,599 patients participating in supervised education and exercise therapy
• Hip Osteoarthritis: Etiopathogenesis and Implications for Management

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

Despite evidence recommending against the use of opioids, about 20% of people with osteoarthritis take opioids on a long-term basis to manage their pain. But are they helpful? Or are they potentially harmful? Aili Langford joins us on this week's episode to discuss.

Aili is a hospital pharmacist employed at Concord Repatriation General Hospital in Sydney. Aili’s research is focused on developing the world’s first evidence-based guideline for deprescribing opioids. She recently submitted her PhD thesis on this topic. Following public consultation and independent expert and methodological review, the guideline recommendations were approved by the Australian National Health and Medical Research Council (NHMRC) (as of 14/09/2022).

RESOURCES

Websites

• NPS MedicineWise: Opioid medicines and non-cancer pain
• Pain Management Network: has a range of online resources to develop skills and knowledge for self-management
• Painaustralia has a range of fact sheets 

Journal articles

• Time trends in use of non-steroidal anti-inflammatory drugs and opioids one year after total hip arthroplasty due to osteoarthritis during 1996–2018: a population-based cohort study of 103,209 patients
• Challenges of opioid deprescribing and factors to be considered in the development of opioid deprescribing guidelines: a qualitative analysis
• “The lesser of two evils”: a framework analysis of consumers' perspectives on opioid deprescribing and the development of opioid deprescribing guidelines
• Communication techniques for opioid analgesic tapering conversations linked within Clinician information sheet on opioid analgesic tapering

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

Jobs which involve repetitive movements and excessive knee loading, such as farming and mining have been linked to the development of knee osteoarthritis. On this episode of Joint Action, we discuss which jobs put you at risk of osteoarthritis, which ones may have a protective effect and if you are in a physically demanding job, what can you do to minimise your risk.

Dr Thomas Perry is a postdoctoral researcher in the Vincent Group at the Kennedy Institute of Rheumatology, Oxford University. His work explores the relationship between molecular-based pain biomarkers and patient-reported outcome measures of pain using data from the STEpUP OA Consortium; a prospective study of knee OA utilizing existing clinical data and knee synovial fluid samples from 17 cohorts (~N = 2000 participants) of both participants with differing severities of knee OA or with a history of recent knee injury.

RESOURCES

Journal articles

-       Occupational risk in knee osteoarthritis: a systematic review and meta-analysis of observational studies

-       Occupation and risk of knee osteoarthritis and knee replacement: A longitudinal, multiple-cohort study

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

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.

RESOURCES

Journal articles

• A pain science education and walking program to increase physical activity in people with symptomatic knee osteoarthritis: a feasibility study
• The 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 analysis

Websites

• NOI Group

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

RESOURCES

• ABC of Health Literacy: National Medicines Symposium tool kit
• Teach-back
• Sydney Health Literacy Lab

CONNECT WITH STEVE

• Twittter: @stevemorrisau
• Arthritis South Australia

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

RESOURCES

• Infographic. Running Myth: recreational running causes knee osteoarthritis

Websites

• TRAIL - Trajectory of knee health in runners
• LaTrobe University Sport and Exercise Medicine Research Centre Blog
• TREK education

CONNECT WITH CHRISTIAN

• Twittter: @DrChrisBarton

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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 Study

RESOURCES

• The Institute for Health Metrics and Evaluation
• Burden of osteoarthritis in India and its states, 1990-2019: findings from the Global Burden of disease study 2019

CONNECT WITH LYN

• Twittter: @lynmarch1
• Australian Arthritis and Autoimmune Biobank Collaboration

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.

RESOURCES

Journal articles

• Running does not increase symptoms or structural progression in people with knee osteoarthritis: data from the osteoarthritis initiative

Websites

• Walk with Ease - Arthritis Foundation

CONNECT WITH US

• Twitter: @ProfDavidHunter @jointactionorg
• Email: [email protected]
• Website: www.jointaction.info/podcast

If 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.