BJSM

If you have wondered about the connection between pain and pathology in tendons, this podcast is for you. In this new forum, a BJSM reader takes the hard questions to the experts, Chris Littlewood, who has expertise as a clinician and researcher in the rotator cuff, asks questions of Craig Purdam, who needs little introduction to you, and Ebonie Rio, who has expertise as a clinician in tendons and as a researcher in tendon pain. Listen to the answers on the complex nature of tendons and the relationship between pain and pathology, and let us know via bjsm@bmjgroup.com if you have a pressing desire to ask an expert yourself about a clinical issue in a podcast. We are always open to suggestions. See also: Greater glycosaminoglycan content in human patellar tendon biopsies is associated with more pain and a lower VISA score: http://bjsm.bmj.com/content/48/6/469.full Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season: http://bjsm.bmj.com/content/40/3/272.full Tendinopathy – rehab progression – part 1: http://blogs.bmj.com/bjsm/2013/07/23/tendinopathy-rehab-progression-part-1/ Achilles Tendinopathy: is foot strike important?: http://blogs.bmj.com/bjsm/2014/01/22/achilles-tendinopathy-is-foot-strike-important/ Australian football players’ Achilles tendons respond to game loads within 2 days: an ultrasound tissue characterisation (UTC) study: http://bjsm.bmj.com/content/early/2014/06/26/bjsports-2013-092713.full

If you have wondered about the connection between pain and pathology in tendons, this podcast is for you. In this new forum, a BJSM reader takes the hard questions to the experts, Chris Littlewood, who has expertise as a clinician and researcher in the rotator cuff, asks questions of Craig Purdam, who needs little introduction to you, and Ebonie Rio, who has expertise as a clinician in tendons and as a researcher in tendon pain. Listen to the answers on the complex nature of tendons and the relationship between pain and pathology, and let us know via bjsm@bmjgroup.com if you have a pressing desire to ask an expert yourself about a clinical issue in a podcast. We are always open to suggestions. See also: Greater glycosaminoglycan content in human patellar tendon biopsies is associated with more pain and a lower VISA score: http://bjsm.bmj.com/content/48/6/469.full Prospective study of change in patellar tendon abnormality on imaging and pain over a volleyball season: http://bjsm.bmj.com/content/40/3/272.full Tendinopathy – rehab progression – part 1: http://blogs.bmj.com/bjsm/2013/07/23/tendinopathy-rehab-progression-part-1/ Achilles Tendinopathy: is foot strike important?: http://blogs.bmj.com/bjsm/2014/01/22/achilles-tendinopathy-is-foot-strike-important/ Australian football players’ Achilles tendons respond to game loads within 2 days: an ultrasound tissue characterisation (UTC) study: http://bjsm.bmj.com/content/early/2014/06/26/bjsports-2013-092713.full

In this podcast Glen Hagemann, a sports physician from Durban, South Africa, shares with you his two-year experience and lessons learned as President of the South African Sports Medicine Association (SASMA). One of the highlights of his presidency was the 15th Biennial SASMA congress held recently at the Wild Coast Sun, and for those of you who are interested in viewing the presentations, please click on https://www.dropbox.com/l/HcISe1tlrMdfzl8PioTiGb/invite to download these. Keynote speakers such as Bob Sallis, Ann Cools, Peter Brukner, Babette Pluim and Michael Turner were integral to the success of the event. During this congress, The Sharks won South Africa's premier rugby competition, the Currie Cup, which immensely pleased Glen, as he oversees the medical care of the Sharks professional and Academy players at the Life Healthcare Sharks Medical Centre. Glen is an Executive Committee member of SASMA and Exercise is Medicine (South Africa) and discusses the specific challenges facing this movement in South Africa, and the role of SASMA in helping to overcome these obstacles. For more information on SASMA and Exercise is Medicine (South Africa) please see www.sasma.org.za. Finally, he explains why social media are a "must" for all health professionals in sports and exercise medicine. See also: Why some Africans stand out in a crowd: BokSmart for injury prevention and other SASMA-related jewels: http://bjsm.bmj.com/content/46/8/543.full SASMA: happy to be ‘hip’, wary of being too ‘hip happy’: http://bjsm.bmj.com/content/48/14/1071.full How BJSM embraces the power of social media to disseminate research: http://bjsm.bmj.com/content/48/8/680.full SASMA Wins (3rd year in a row) – Best BJSM Cover: http://blogs.bmj.com/bjsm/2014/03/31/sasma-wins-3rd-year-in-a-row-best-bjsm-cover/

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss practical tips on the use and safety of non-steroidal anti-inflammatory drugs (NSAIDs). Please feel free to contact us at thesportsmedcast@gmail.com, and follow us on twitter https://twitter.com/sportsmedcast. See also: Read the article that Scott and Cole discuss - http://bjsm.bmj.com/content/47/17/1127

In a podcast that may be of most interest to our general practice audience, Professor James McCormack has had a longstanding passion for scrutinising study results. One of his roles has been evaluating drug company trials [therapeuticseducation.org] and recommending with the British Columbia Provincial Government reimburse patients for those drugs or not. One category of drugs he is expert is NSAIDs. In the podcast, he also explains why the science of nutrition resembles a smorgasbord of low quality studies. Finally, (and for all health professionals), Prof McCormack shares a link to his ‘viral’ YouTube video ‘Viva La Evidence’ [bit.ly/13Wv5Eq] which shows that what marketing experts label ‘NMS’ is alive and well. (Nerd Market Segment). You’ll find a couple of videos that the BJSM Editor found hugely entertaining but that his adult children just rolled their eyes at.

Are you wondering how to best manage sports-related groin pain? In this 2nd of two podcasts by, Dr Andrew Franklyn-Miller focuses on groin pain – particularly in football sports. He advocates a fresh look at the treatment and diagnosis of groin pain. In particular, he argues that the patient’s biomechanics can be best analysed using dynamic video capture systems. Dr Franklyn-Miller has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller. Listen to his first podcast, on running injuries, here: http://bit.ly/187BA9b

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor present clinical pearls on several topics from the recent sports medicine literature. Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Dr Andrew Franklyn-Miller is a renowned sports and exercise medicine physician whose background includes providing care to the UK Defence Forces and elite athletes. He has published widely in sports medicine and his book, Clinical Sports Anatomy (2011), coauthored with Eanna Falvey and Peter Brukner, is an international best-seller. In this podcast he shares secrets from 15 years of experience in treating runners and running injuries.

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”. Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. Read the review article, which has had over 32,000 full-page views since 2009:Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair - http://bjsm.bmj.com/content/43/4/247.full

Karim Khan calls mechanotherapy “the most important fundamental concept that underpins rehabilitation exercises”. Listen to Karim explain that all exercise-based rehabilitation relies on the cells of the injured tissue sensing the exercise stimulus, converting that signal to protein synthesis, and repairing tissue. He explains why ‘rest doesn’t work’ and argues that mechanotherapy has substantial evidence in its favour. The process applies to all body tissues – to injuries / pathology in bone, muscle, tendon and cartilage. Read the review article, which has had over 32,000 full-page views since 2009:Mechanotherapy: how physical therapists’ prescription of exercise promotes tissue repair - http://bjsm.bmj.com/content/43/4/247.full

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine.In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of concussion evaluation and management with Dr Jeffrey Kutcher, a neurologist at the University of Michigan, and the Director of Michigan NeuroSport. Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports MedcastFurther reading:Zurich consensus statement on concussion http://bjsm.bmj.com/content/47/5/250.full

This podcast comes together with the Dutch Sports Medicine Association edition of BJSM.Guest editor Hans Zwerver talks with Prof Ron Diercks, head of the Sports Medicine Center of the University Medical Center in Groningen, about the development of sports medicine research in the Netherlands and the Groningen Sport Science Institute. Ron discusses the impact of the expected recognition of Sports Medicine in the Netherlands and also comments on the shoulder consensus statement and of course the cover photo of the Dutch BJSM edition...See that great cover, and all the content from the special edition, here: http://bjsm.bmj.com/content/47/14.toc

It is currently widely accepted among clinicians that chronic tendinopathy is caused by a degenerative process devoid of inflammation. The evidence for non-inflammatory degenerative processes alone as the cause of tendinopathy is surprisingly weak. In this podcast, Jon Rees a rheumatologist at Cambridge University Hospitals NHS Foundation Trust tells Jill Cook why the role of inflammation offers potential opportunities in treating chronic tendinopathies and should be explored further.Read the article online: http://bjsm.bmj.com/content/early/2013/03/08/bjsports-2012-091957.full

Adam Weir talks to Ben Kibler from the Shoulder Center of Kentucky about the 2013 consensus statement on scapular dyskinesis in shoulder injury.Read the editor's choice article for free online: http://bjsm.bmj.com/content/47/14/877.fullThe second international consensus conference on the scapula was held in Lexington Kentucky. The purpose of the conference was to update, present and discuss the accumulated knowledge regarding scapular involvement in various shoulder injuries and highlight the clinical implications for the evaluation and treatment of shoulder injuries.

Welcome to the first Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of heat injury evaluation and management with Dr Fran O'Connor, Chair of Military Medicine at the Uniformed Services University in Bethesda, MD. We'd very much like to hear your feedback on this episode, email us at thesportsmedcast@gmail.com.