BJSM Podcast

Peripheral Nerve Hydrodissection: A minimally invasive approach with Dr. Garry Ho. EP# 496

What is peripheral nerve hydrodissection and what conditions can it potentially treat? What is the data behind it’s practice? Has one injectate proven to be more efficacious than the others?
On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by family medicine and sports medicine physicians Dr. Garry Ho.
Dr. Garry Ho is an Associate Professor from the Department of Family Medicine at the Virginia Commonwealth University School of Medicine, University of Vriginia School of Medicine, and the Georgetown University School of Medicine and has worked closely with athletes from several professional and collegiate organizations including the Washington Football Team, the D.C. Divas, the Washington Glory, the US Military Academy at West Point and the US Naval Academy in Annapolis.
In this 20 minute conversation Dr. Ho addresses the following topics:
The definition of hydrodissection and theory behind its use?
The current data supporting this procedure with respect to injectate utilized and anatomic location targeted.
A discussion of the training required to become competent in this practice, and methods for assessing proficiency in learners?
2022 AMSSM Annual Meeting Information: https://annualmeeting.amssm.org
Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020;13:1957-1968
https://www.dovepress.com/ultrasound-guided-nerve-hydrodissection-for-pain-management-rationale--peer-reviewed-fulltext-article-JPR
Cass, Shane P. DO Ultrasound-Guided Nerve Hydrodissection, Current Sports Medicine Reports: January/February 2016 - Volume 15 - Issue 1 - p 20-22
https://journals.lww.com/acsm-csmr/Fulltext/2016/01000/Ultrasound_Guided_Nerve_Hydrodissection__What_is.10.aspx

To jab or not to jab? Responsible use of orthobiologics and regenerative therapies. EP #495

In this episode host Dr Brooke Patterson, is joined by Associate Professor Shane Shapiro, to discuss the responsible use of orthobiologics and regenerative therapies in sports medicine. Professor Shapiro provides clinicians with practical considerations and tips for communicating with patients who may be considering the use of orthobiologics.
Links
American Medical Society for Sports Medicine Position Statement: Principles for the Responsible Use of Regenerative Medicine in Sports Medicine https://journals.lww.com/cjsportsmed/Fulltext/2021/11000/American_Medical_Society_for_Sports_Medicine.10.aspx
Editorial - highlights from the American Medical Society for Sports Medicine position statement on responsible use of regenerative medicine and orthobiologics in sports medicine https://bjsm.bmj.com/content/early/2021/10/21/bjsports-2021-104887

A call to action for a more systematic approach to respiratory health. EP# 494

In this podcast with Dr James Hull and Dr Maarit Valtonen, we take a deep dive into a topic that affects athletes around the globe.
We cover:
• The extent of the issue
• A recommended approach to evaluating athletes
• The value of point-of-case testing
• Return to sport
For some further resources, the below links may well be useful
Papers:
https://bjsm.bmj.com/content/early/2021/11/17/bjsports-2021-104719
https://bjsm.bmj.com/content/53/17/1093
https://bjsm.bmj.com/content/55/20/1144

Achilles tendinopathy masterclass pt 2, with Dr Adam Weir and Assoc Prof Robert-Jan de Vos. EP #493

In part 2 of this podcast series Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable.
They discuss:
Conservative treatment
The role of surgery
Prognosis
Secondary prevention
Links
https://soundcloud.com/bmjpodcasts/sets/bjsm-1?si=ed9b271d1d7140ca81ecfbb201ec42ae&utm_source=clipboard&utm_medium=text&utm_campaign=social_sharing
https://bjsm.bmj.com/content/55/20/1125

Achilles tendinopathy masterclass pt 1, with Dr Adam Weir and Assoc Prof Robert-Jan de Vos. EP #492

In this podcast Dr Adam Weir talks to Associate Professor Robert-Jan de Vos about the recently published Dutch multidisciplinary guideline on Achilles tendinopathy. They give a clinically focused overview that all practitioners will find invaluable.
They discuss:
· How the guideline was developed
· Risk Factors
· Prevention strategies
· Clinical diagnosis
· The role of imaging
Links
https://bjsm.bmj.com/content/55/20/1125

Stepping into the Beat of Performing Arts Medicine with Dr. Jeremy Stanek. EP# 491

Similar to sports, overuse injuries are exceedingly common in the performing artist population. On this episode of the AMSSM Sports Medcast, host Dr. Stephen Luebbert, MD, is joined by Dr. Jeremy Stanek, MD, to discuss on the topic of performing arts medicine and his career journey from musician to sports medicine physician.
In this conversation Dr. Stanek addresses the following topics:
· Dr. Stanek’s inspiration for becoming a performing arts physician as well as discuss the patient populations he typically sees and treats
· The different components to physical exams to consider with dancers and musicians
· The most common injury patterns in performing artists
· The go-to resources to utilize for best practices, prevention, treatment and overall management of performing arts medicine
· Recommend pathways to get started and more involved in this field
Resources
I. Websites:
1. Performing Arts Medicine Association https://artsmed.org/
2. International Association for Dance Medicine & Science- https://iadms.org/
3. Stanford Performing Arts Medicine Program- https://pmr.stanford.edu/patients/performing-arts-orthopaedic-health.html
4. Texas Center for Performing Arts Health https://tcpah.unt.edu/home
5. Harkness Center for Dance Injuries- https://nyulangone.org/locations/harkness-center-for-dance-injuries
6. Washington University Medical Program for Performing Artists- https://www.ortho.wustl.edu/content/Patient-Care/2348/Services/Physical-Medicine-and-Rehabilitation-Musculoskeletal/Performing-Arts-Program.aspx
7. Performing Arts Medicine Fellowship at the Texas College of Osteopathic Medicine - https://www.unthsc.edu/texas-college-of-osteopathic-medicine/graduate-medical-education/performing-arts-medicine-fellowship/

Apply the 8 investments for physical activity in your life, with Prof Jasper Schipperijn. EP #490

Professor Schipperijn is a Professor at the University of Southern Denmark & president of the International Society for Physical Activity and Health (ISPAH). He joins us on this BJSM podcast to outline the famous ‘8 investments’ for physical activity, that are now being translated into 12 languages.
We will be sharing the 8 investments, the translations and some associated resources through our social media channels over the coming weeks & months, but you can find out more information on the ISPAH website https://www.ispah.org/resources/key-resources/8-investments/

Too much? Too young? Youth sports specialization with Dr Neeru Jayanthi. Ep #489

Although early specialization in sport may pose a risk to some youth athletes, is it possible have success with specialized training? What is it about the workload-injury relationship and injury risk factors that practitioners must take in account when taking care of specialized athletes? On this episode of the AMSSM Sports Medcast, host Dr. Giorgio Negron, MD is joined by one of the leading experts on youth sports health Dr. Neeru Jayanthi, MD (Twitter: @neerujayanthi)to discuss on the topic of youth sports specialization.
In this conversation Dr. Jayanthi addresses the following topics:
· Definition of youth sports specialization
· What are the potential risks of injury for youth athletes pursuing sport specialization?
· Are there any research regarding training guidelines or protocols for youth pursuing sport specialization?
References:
Jayanthi N, Saffel H, Gabbett T. Training the specialised youth athlete: a supportive classification model to keep them playing. Br J Sports Med. 2021 Nov;55(22):1248-1249. doi: 10.1136/bjsports-2020-103880. Epub 2021 Aug 11. PMID: 34380644.
Jayanthi N, Kliethermes SA, Côté J. Youth sport specialisation: the need for an evidence-based definition. Br J Sports Med. 2020 Feb;54(4):196-197. doi: 10.1136/bjsports-2019-101256. Epub 2019 Dec 19. PMID: 31857339.
Myer GD, Jayanthi N, Difiori JP, Faigenbaum AD, Kiefer AW, Logerstedt D, Micheli LJ. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Sports Health. 2015 Sep-Oct;7(5):437-42. doi: 10.1177/1941738115598747. Epub 2015 Aug 6. PMID: 26502420; PMCID: PMC4547120.

Fit for participation - Physical activity in long term conditions. Ep #488

This podcast discusses the new consensus statement on the risks of physical activity for people living with long term conditions. Shona Kohlhardt is joined by Dr Hamish Reid and Dr Natasha Jones, as they explain the latest findings and new recommendations from the consensus.
This conversation covers:
New recommendations around patients being ‘fit for participation’
How to get patients to increase their physical activity levels
How to practically overcome perceived risks and barriers to physical activity
Who should be the judge of whether someone is safe enough to exercise
The potential ramifications of this statement in the broader system, focusing on the physical activity sector

The consensus: Benefits outweigh the risks: a consensus statement on the risks of physical activity for people living with long-term conditions: https://bjsm.bmj.com/content/early/2021/11/03/bjsports-2021-104281

Let’s exercise in comfort! Breast health and injuries with Deirdre McGhee. Ep #487

In this podcast Brooke Patterson talks with Associate Professor Deirdre McGhee about breast injuries and breast health. Deirdre is a sports physiotherapist, and leads the breast research and education area of the Australian Institute of Sport Female Performance and Health Initiative (https://www.ais.gov.au/fphi).
She has been researching breast health biomechanics for the past 20 years, has written guidelines for Sports Medicine Australia on breast support and bra fit for female athletes (https://sma.org.au/resources-advice/injury-fact-sheets/exercise-and-breast-support/) and the freely accessible web-based App, “Sports Bra” (https://www.bra.edu.au/), to guide female athletes on breast support and bra fit.
The podcast covers practical tips for clinicians to check bra fit and why it is important, and the current evidence related to breast injuries, treatment, and breast protection for women playing contact sports.