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

Mythbusting iliotibial band (ITB) pain with Dr Rich Willy (PT, PhD) – it’s not friction! #393

British Journal of Sports Medicine (BJSM) is a multimedia information portal that provides original research, reviews, and debate relating to clinically-relevant aspects of sport and exercise medicine. We contribute to innovation (research), education (teaching and learning), and knowledge translation (implementing research into practice and policy). We use web, print, video, and audio material to serve the international sport and exercise medicine community.

Medicine

Science & Medicine

Health & Fitness

Behaviour change theory and Motivational Interviewing (MI) principles are often an area cited by healthcare professionals as something they would like more training on. The BJSM has collaborated with the PACC programme to develop this podcast and has invited Dr Tim Anstiss, an expert in this area, to explain some key behaviour change theory and motivational interviewing concepts in this conversation. Tim is a medical doctor specialising in behaviour change and wellbeing improvement. He trained as a trainer in motivational interviewing in the mid 90’s and has trained thousands of health and care professionals, managers and coaches in Motivational Interviewing, health coaching, brief interventions and shared decision making.
“The Physical Activity Clinical Champions or PACC programme is a national project delivering physical activity education to professionals working in healthcare to help get patients more physically active. It was previously being led by public health England as part of the moving healthcare professionals programme and funded by the national lottery & Sport England and is now being led by a consortium of The Faculty of Sport and Exercise Medicine, The Advance Wellbeing Research Centre at Sheffield Hallam University and Intelligent Health and is being re-designed with new resources. This podcast forms part of a series to support physical activity education for professionals working in healthcare. For anyone you would like to get involved with PACC project then please do email us at pacc@shu.ac.uk
For further information on behaviour change and MI please go to the moving medicine website:
https://movingmedicine.ac.uk
A great course run by Moving Medicine that you can sign up to improve understanding in behaviour change and up skill on principles of motivational interviewing is Active Conversations.
Books mentioned: 
Motivational Interviewing in Health Care, Second Edition. Helping Patients Change Behaviour
By Stephen Rollnick, William R. Miller, Christopher C. Butler
Motivational Interviewing, Fourth Edition. Helping People Change and Grow. William R. Miller & Stephen Rollnick
Tiny Habits, Big Results: Your method for success, BJ Fogg

How to make exercise changes stick using behavioural change theory with Dr Tim Anstiss. EP#550

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jake Wessels, MD, is joined by Dr. Marcia Faustin (X: @FaustinMarcia) to discuss her main stage presentation about Mental Health and Shared Decision-Making during the 2024 AMSSM Annual Meeting.
Dr. Faustin is an Associate Professor in the Department of Family and Community Medicine and Physical Medicine & Rehabilitation at the University of California – Davis. She is the Associate Team Physician for the UC Davis Division I Collegiate Athletics team and the co-Head Team Physician for the USA Gymnastics Women's National Team.
In this conversation, Dr. Faustin discusses aspects of her upcoming talk in Baltimore, MD, and address the following topics:
Her journey to becoming a Division I athlete and working with elite level athletes
The factors that led her to work with the US Women’s Gymnastics Team
What shaped her shared decision-making process when caring for athletes – even at the highest levels of competition
How her personal experiences impact the way she practices medicine
The importance of mental health and why it should be a priority for providers
Trends she has noticed in mental health care for athletes
In-person and virtual attendance options are still available for the conference. Register to attend the 2024 AMSSM Annual Meeting at annualmeeting.amssm.org.

Mental Health and Shared Decision-Making with Dr. Marcia Faustin EP# 549

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Peter Brukner, MBBS, DSc (T: @DrPeterBrukner), to discuss his upcoming lectures on the placebo effect and fueling endurance athletes during the 2024 AMSSM Annual Meeting in Baltimore, MD.
In this conversation, Dr. Brukner shares some background on both of his upcoming main stage talks at the AMSSM Annual Meeting, which are titled:
Placebo Effect or Something More? How Nontangible Factors May Influence Perceived Outcomes with Injection Therapies
Fueling the Endurance Athlete
Dr. Brukner is a specialist sports and exercise physician and Professor of Sports Medicine at LaTrobe University. A former President of the Australasian College of Sports Physicians, he played a key role in establishing sports medicine as a medical specialty in Australia. He is the co-author of the widely used text book, Clinical Sports Medicine, and has been a team physician for professional football clubs as well as national athletics, swimming, soccer and cricket teams including Olympic and Commonwealth Games.
Learn more about his work and publications on his website (www.peterbrukner.com), and register to attend the 2024 AMSSM Annual Meeting in person or virtually at annualmeeting.amssm.org.

The Placebo Effect and Fueling Endurance Athletes with Dr. Peter Brukner. EP#548

This BJSM podcast discusses ACL reconstructions and when they may not meet the minimal important change (MIC) for the knee injury & osteoarthritis outcome score (KOOS) and quality of life (QoL).
Dr Janina Kaarre and Dr Eric Hamrin Senorski discuss their latest research of ACL reconstruction outcomes from the Swedish National Knee Ligament Registry database and explain who may not benefit from surgical ACL reconstruction intervention. Hosted by Dr Shona Kohlhardt.
Link to Paper: https://bjsm.bmj.com/content/57/9/528.abstract

When ACL reconstruction does not help: Risk Factors associated with not achieving the Minimal Important Change & Quality of Life. EP# 547

In this BJSM Podcast Dr Brooke Patterson hosts Dr Shefali Christopher and Dr Rita Deering. If you are a clinician who sees women runners this podcast is for you. Get up to date with the latest clinical and research recommendations for return to running post-partum. Dr Christopher led a recent consensus which combined expert opinion of a large range of clinical and exercise professionals with the current evidence. This is part 2 of a 2-part podcast, where we  discuss developing a return to run program in more detail.
 
Links
Consensus (Christopher) https://bjsm.bmj.com/content/early/2023/12/26/bjsports-2023-107489
Return to running (Deering) https://bjsm.bmj.com/content/early/2024/01/08/bjsports-2023-107490
 
Other resources:
https://bjsm.bmj.com/content/57/17/1065
https://bjsm.bmj.com/content/57/18/1164
https://bjsm.bmj.com/content/55/22/1286
https://bjsm.bmj.com/content/57/20/1285
https://www.jospt.org/doi/full/10.2519/jospt.2020.0607
https://journals.lww.com/jwphpt/fulltext/2022/04000/rehabilitation_of_the_postpartum_runner__a_4_phase.3.aspx
https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_b_.3.aspx
https://journals.lww.com/jwphpt/fulltext/2022/07000/running_during_pregnancy_and_postpartum,_part_a_.2.aspx

Mythbusting iliotibial band (ITB) pain with Dr Rich Willy (PT, PhD) – it’s not friction! #393

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