Joint Action

Jeffrey N. Katz, MD, MS graduated from Princeton University in 1980, attended Yale Medical School, and completed a medical internship and residency at Yale-New Haven Hospital and a Rheumatology fellowship at Brigham and Women’s Hospital. He received a Master’s Degree in 1990 at Harvard School of Public Health. Dr. Katz is currently Professor of Medicine and Orthopaedic Surgery at Harvard Medical School and Professor of Epidemiology and Environmental Health at Harvard School of Public Health.

On this episode we discuss: can opioids help for osteoarthritis, what are the risks of taking opioids, what are the long term risks of taking prescription opioid medication

Resources:

• Centers for Disease Control and Prevention - Opioid Overdose

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Professor Christopher Vertullo is a specialist orthopaedic knee surgeon. He is the current President of the Australian Knee Society, Chair of the AOA Youth Sport Injury Prevention Working Group and an Adjunct Professor at Griffith University. He is currently listed amongst the top 100 orthopedic influencers in the world.

Professor Teppo Järvinen, an orthopaedic surgeon at the department of orthopaedics and trauma at Helsinki University and Helsinki University Central Hospital. Teppo led the Fidelity trial and has a strong interest in the “too much medicine” movement.

On this episode we discuss: what is a knee arthroscopy, the evidence for knee arthroscopy in osteoarthritis and meniscal tears and much more

Resources

• Arthritis Australia - surgery for arthritis

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Professor Andrew McLachlan is the Head of School and Dean of Pharmacy in the Sydney Pharmacy School and a Member of the Order of Australia.

Dr Xiao Liu is a rheumatologist and PhD student at The University of Sydney. Her PhD focuses on supplements and osteoarthritis.

On this episode we discuss: what supplements are recommended for those with osteoarthritis, how to start a supplement regime safely and bust myths about popular supplements.

Resources:

• NPS MedicineWise
• Arthritis Australia

Contact details

Andrew

• Webpage
• Twitter

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A Prof Michelle Dowsey is an NHMRC Career Development Fellow, Epidemiologist, Registered Nurse and Principal Research Fellow in the Department of Surgery at St. Vincent’s where she leads the MSK Epidemiology Research Group.

Professor Peter Choong is the Sir Hugh Devine Professor and Chair of Surgery at St. Vincent’s Hospital Melbourne.

On this episode we discuss: what to expect after having your joint replaced, when you should have your joint replaced and how surgeons determine who is suitable for a joint replacement

Resources mentioned:

• Arthritis Australia
• MyJointPain
• MSK Australia

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Professor Kim Bennell is a research physiotherapist and her current positions include Professor and Director of the Centre for Health, Exercise and Sports Medicine (CHESM), in Physiotherapy at the School of Health Sciences, University of Melbourne, NHMRC Principal Research Fellow and Director of the NHMRC Centre of Research Excellence in Translational Research in Musculoskeletal Pain. She leads a multidisciplinary team including people from physiotherapy, medicine, exercise science, podiatry and psychology.

On this episode we discuss: the evidence for exercise and osteoarthritis, different types of exercise

Resources:

• MyKneeCommunity - Online Community for Australians with Knee Osteoarthritis
• Knee Pain Info video

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Professor Chris Little is a qualified Veterinarian with in an animal model of osteoarthritis. (OA). Chris's research interests focus on defining the biochemical and molecular mechanisms of joint pathology in OA. Chris is recognized internationally for his expertise in the development and use of animal models of bone and joint disease.

On this show we discuss the myths surrounding osteoarthritis, causes and the pathophysiology of osteoarthritis.

Chris' contact details:

Website

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Stephen Messier has been at Wake Forest University for 36 years. He is the Director of the J.B. Snow Biomechanics Laboratory and teaches undergraduate biomechanics and human gross anatomy as well as graduate biomechanics. Dr. Messier has 26 years of clinical trial experience concerning osteoarthritis (OA) of the knee; his team of clinicians and researchers are recognized for their research regarding the effects of weight loss and exercise upon knee OA pain, function, strength, and gait biomechanics.

On this episode we discuss: the impact of weight loss on osteoarthritis, how to lose weight, resources for weight loss

Resources mentioned:

• MyFitnessPal mobile application
• USDA ChooseMyPlate mobile application

Links to additional resources:

• Weight loss and knee joint load infographic
• Osteoarthritis Healthy Weight for Life Program
• CSIRO Total Wellbeing diet
• Dieticians Association of Australia
• Eat for Health
• CDC handouts
•  How to use fruits and vegetables to help manage your weight
• How to avoid portion size pitfalls to help manage your weight 
• Rethink your drink 
• Eat more, weigh less?
• Obesity Action Coalition’s Living Well Guide 
• OA Action Alliance interactive brochures to encourage healthy eating and weight management strategies: 
• Weight Gain and Joint Pain
• Can My Weight Make My Joint Pain Worse?

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Matthew Williams is a physiotherapist with over 15 years of experience and has been the musculoskeletal coordinator of the Osteoarthritis Chronic Care Program at the Royal North Shore Hospital for the last 8 years. He has worked in a variety of healthcare settings in public and private industry, both nationally and in the United Kingdom, and Subcontinent. His passion lies in improving the lives of individuals with osteoarthritis through tailored exercise programs and coordinating care utilising non-surgical evidenced based treatment options. Most recently, Matthew has been a respresentative for the Asia-Pacific region in developing a package of interventions for the management of osteoarthritis for the World Health Organisation to be utilised globally.

On this episode we discuss: practical tips for exercising with osteoarthritis, what type of exercise is appropriate and how much to do and much more.

Resources mentioned on this episode:

• Choose Physio
• My Joint Pain
• Arthritis Australia
• Arthritis NSW
• Beyond Blue
• MindSpot Clinic

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Dr. Richard Loeser is the Herman and Louise Smith Distinguished Professor of Medicine in the Division of Rheumatology, Allergy, and Immunology, and is Director of Basic and Translational Research in the Thurston Arthritis Research Center. Director, UNC Thurston Arthritis Research Center.

On this episode we discuss: Osteoarthritis and aging, "inflammaging", how to slow the processes of OA and much more.

Resources

• The OA Action Alliance
• The National Institute of Aging page on OA
• The NCOA resource on OA and falls as well as OA in general

Richard's contact details

Webpage

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Dr. Jason McDougall's laboratory employs an integrative approach to examine the role of nerves in controlling joint inflammation and pain. His laboratory uses electrophysiology to record from joint sensory nerves to investigate their activity in arthritic conditions. Joint neuropathology is tested using immunohistochemistry and electron microscopy. Inflammation of arthritic joints is assessed in his laboratory by intravital microscopy and laser speckle contrast analysis. His aim is to identify novel drug targets to help relieve joint disease, inflammation and pain.

On this episode we discuss: drivers of pain, common types of pain and how it is processed, pharmacological agents to modify pain, the use of new agents such as cannabinoids

Resources

Arthritis Society: What is medical cannabis?

Jason's contact details

Twitter

Webpage

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