* The purpose of this podcast is to educate and to inform. The content of this podcast does not constitute medical advice and it is not intended to function as a substitute for a healthcare practitioner’s judgement, patient care or treatment. The views expressed by contributors are those of the speakers. BMJ does not endorse any views or recommendations discussed or expressed on this podcast. Listeners should also be aware that professionals in the field may have different opinions. By listening to this podcast, listeners agree not to use its content as the basis for their own medical treatment or for the medical treatment of others.
BJSM Podcast
The British Journal of Sports Medicine (BJSM) podcast offers the latest insights in sport and exercise medicine (SEM). Committed to advancing innovation, enhancing education, and translating knowledge into practice and policy, our podcast features dynamic debates on clinically relevant topics in the SEM field. Stay informed with expert discussions and cutting-edge information by subscribing or listening in your favourite podcast platform. Improve your understanding of sports medicine with the BJSM podcast, and visit the BMJ Group’s British Journal of Sports Medicine website - bjsm.bmj.com. BJSM podcast editing and production managed by: Jimmy Walsh.
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Episodes
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Phillip Newman (assistant professor of physiotherapy, University of Canberra) gives his advice on shin pain, and explains how two simple tests can predict those at higher risk of developing Medial Tibial Stress Syndrome. BJSM editor Karim Kham asks the questions.0.33 Studying shin pain in the military population1.51 The shin palpation test and the shin oedema test and how they’re useful5.45 Are these tests useful in the broader population?6.22 A quick summary of the findings7.40 Treatment of shin pain9.29 The use of orthotics10.21 Professor Newman’s views on barefoot runningSee also:Two simple clinical tests for predicting onset of medial tibial stress syndrome: shin palpation test and shin oedema test http://bit.ly/17NbVCoManaging leg pain - focus on chronic exertional compartment syndrome http://bit.ly/ZMnOnr
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UzOuu], gives Karim Khan an update on examination and management of leg pain. He explains why he doesn’t use the term ’shin splints’.In this podcast Dr Hutchinson covers: (i) clinical work-up of persistent leg pain (ii) investigating compartment pressure (iii) two or four compartments? (iv) tips for surgeons treating compartment syndrome (v) fasciotomy or fasciectomy?Three extremely relevant papers in BJSM include:Chronic exertional compartment syndrome testing: a minimalist approach http://bit.ly/10aWJu3Chronic exertional compartment syndrome http://bit.ly/ZMnzIWIntracompartmental pressure testing: results of an international survey of current clinical practice, highlighting the need for standardised protocolshttp://bit.ly/17Nbvfd
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Dr Robert Sallis (Exercise Is Medicine Advisory Board chairman) offers advice on how to get patients and colleagues engaged with exercise as medicine. Karim Khan (BJSM editor) asks him about his experience promoting this at Kaiser Permanente, and resources and schemes available.As Dr Sallis is a former president of the American College of Sports Medicine, they also discuss what’s coming up for the organisation.An update on Exercise Is Medicine 0.51How to get started with Exercise Is Medicine 2.00The Everybody Walks scheme 3.00Getting exercise as a vital sign into consultations 4.11Referral resources 6.23How encorporating exercise into healthcare has worked for Kaiser Permanente 11.06The upcoming triathlon conference in Kona 13.30ACSM in 2013 15.57The National Activity Plan in the US 18.49See also:Podcast: Exercise on prescription, Mai-Lis Hellénius and Carl Johan Sundberg http://bit.ly/13USrPHPodcast: Mike Loosemore - how to prescribe exercise http://bit.ly/naC5QV
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Darren Burgess, head of fitness and conditioning at Liverpool FC and former strength and conditioning coach of the Socceroos, talks to Karim Khan about his role and how he deals with the unique challenges of the premier league. They discuss the interface between the conditioning team the coach and the manager and how technology has changed the way in which players fitness needs are understood. One specific topic of interest to many will be how GPS can help guide training volumes.1.25 - Assessing a player for fitness to play5.26 - Words of advice for emerging sports scientists7.21 - Resolving tensions between strength and conditioning and medical teams11.30 - Player tracking systems19.25 - Top 3 recovery tips
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Hans Tol (BJSM senior associate editor) talks to Gino Kerkhoffs (Orthopaedic Surgery, Academic Medical Centre, Amsterdam, Netherlands) about diagnosing and treating acute ankle injuries, as his group has just published clinical guidelines on this in BJSM.0.37 Who the guidlines are aimed at2.11 Risk factors for ankle injuries5.09 Is there still a place for MRI in diagnosing acute ankle injuries?11.50 Functional treatment - tape or brace?15.03 Should injuries where the syndesmotic ligament is involved be treated the same as lateral injuries?16.50 Surgery21.45 Prevention after surgical repair24.16 The future of diagnosis and treatment26.24 What’s the evidence for platelet rich plasma treatment?See also:Diagnosis, treatment and prevention of ankle sprains: an evidence-based clinical guideline http://bit.ly/Qn0UTG
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the three million times viewed BJSM physical examination videos [http://bit.ly/17UykR2], gives Karim Khan an update on examination and management of shoulder injuries.In this podcast Dr Hutchinson covers (i) Common pitfalls and what to do instead (ii) How to diagnose overuse in the throwing shoulder (iii) ‘Labral tears’ vs ‘SLAP’ tears nomenclature (iv) Shoulder dislocation – when is surgery appropriate? and (v) Scaphoid fracture - has screw fixation become first line treatment?If you missed Dr Hutchinson’s knee podcast listen here http://bit.ly/O2rRe2.Another popular shoulder podcast is by Professor Jeremy Lewis on rotator cuff tendinopathy http://bit.ly/11yxbel.
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Dr Mark Hutchinson, professor of Orthopaedics and Sports Medicine at the University of Illinois Medical Centre, and star of the 3 million times viewed BJSM physical examination videos [http://bit.ly/17UykR2] gives Karim Khan an update on examination and management of acute knee injuries.He shares his experience in interpreting physical signs, imaging indications, and the advantages of early sideline diagnosis. He also answers 4 key questions: (i) knee haemarthrosis - to drain or not to drain?, (ii) mensical tear - arthroscopy or wait?, (iii) is surgery always indicated after ACL tear, and (iv) first time patellar dislocation - conservative or surgical management?Please note that Professor Hutchinson’s shoulder podcast will be released next week! What this space, BJSM’s Facebook page, or our Twitter feed for updates!
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Professor Lars Nordsletten, from the Olso Sports Trauma Research Centre, talks to Karim Khan, BJSM editor, questioning the role of NSAIDs and COX-2 inhibitors in sport. He discusses how mediation of inflammatory response may not be in an athlete’s best interest. He shares data on NSAIDs delaying fracture healing, and discusses which drugs are most appropriate at various points during recovery.See also:Professor Nordsletten’s biography page http://bit.ly/10aK8XLAbuse of medication during international football competition in 2010 – lesson not learned. Philippe Tscholl and colleagues. http://bit.ly/Y1smw1Nonsteriodal anti-inflammatory drug use in sports medicine: Guidelines for practical but sensible use. Jason Paoloni and colleagues. http://bit.ly/10aV6MY
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
Jeremy Lewis, consultant physiotherapist and visiting professor of Physiotherapy at Chelsea and Westminister NHS Foundation Trust, talks to Prof Jill Cook about management of rotator cuff tendinopathy. They cover the role of the subacromial bursa in the condition, new treatment paradigms, hopes for future developments.Bursa: 3.40Changing treatment paradigms: 6.00Future developments: 13.30
Tuesday Apr 23, 2013
Tuesday Apr 23, 2013
In the second part of this two-part podcast, Ross Tucker, one of the authors on The Science of Sport (http://www.sportsscientists.com/) explains how a understanding what limits performance can help an athlete achieve their best. He covers the use of GPS data and other measures of training volume, the difficulty that massive volumes of data creates, and how teams can use advanced sport science programs to gain a competitive advantage. He illuminates recent discoveries that ‘central’ processes - ‘the central governor’ - regulate performance; this contrasts with older views that suggested anaerobiosis (lack of oxygen) in skeletal muscle limited performance.Ross Tucker’s paper on pacing/limits of performance tiny.cc/ybc3hwThe January 2013 issue of BJSM focused on pacing and the Central Governor bjsm.bmj.com/content/46/1.tocPart 1 of the podcast: ‘What makes an Olympic champion?’ http://bit.ly/MQNiyf