Joint Action

The podcast for living with arthritis hosted by David Hunter

Joint Action is a podcast hosted by David Hunter.As a consequence of isolation, those living with osteoarthritis related disability may become less fit, more depressed and anxious, more socially isolated and gain weight.

Reducing opioids harms with Aili Langford

Season 3, Ep. 20
Despite evidence recommending against the use of opioids, about 20% of people with osteoarthritis take opioids on a long-term basis to manage their pain. But are they helpful? Or are they potentially harmful? Aili Langford joins us on this week's episode to discuss.Aili is a hospital pharmacist employed at Concord Repatriation General Hospital in Sydney. Aili’s research is focused on developing the world’s first evidence-based guideline for deprescribing opioids. She recently submitted her PhD thesis on this topic. Following public consultation and independent expert and methodological review, the guideline recommendations were approved by the Australian National Health and Medical Research Council (NHMRC) (as of 14/09/2022). RESOURCESWebsitesNPS MedicineWise: Opioid medicines and non-cancer painPain Management Network: has a range of online resources to develop skills and knowledge for self-managementPainaustralia has a range of fact sheets Journal articlesTime trends in use of non-steroidal anti-inflammatory drugs and opioids one year after total hip arthroplasty due to osteoarthritis during 1996–2018: a population-based cohort study of 103,209 patientsChallenges of opioid deprescribing and factors to be considered in the development of opioid deprescribing guidelines: a qualitative analysis“The lesser of two evils”: a framework analysis of consumers' perspectives on opioid deprescribing and the development of opioid deprescribing guidelinesCommunication techniques for opioid analgesic tapering conversations linked within Clinician information sheet on opioid analgesic taperingCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

What jobs put you at risk of developing knee osteoarthritis? with Dr Thomas Perry

Season 3, Ep. 19
Jobs which involve repetitive movements and excessive knee loading, such as farming and mining have been linked to the development of knee osteoarthritis. On this episode of Joint Action, we discuss which jobs put you at risk of osteoarthritis, which ones may have a protective effect and if you are in a physically demanding job, what can you do to minimise your risk.Dr Thomas Perry is a postdoctoral researcher in the Vincent Group at the Kennedy Institute of Rheumatology, Oxford University. His work explores the relationship between molecular-based pain biomarkers and patient-reported outcome measures of pain using data from the STEpUP OA Consortium; a prospective study of knee OA utilizing existing clinical data and knee synovial fluid samples from 17 cohorts (~N = 2000 participants) of both participants with differing severities of knee OA or with a history of recent knee injury.RESOURCESJournal articles-       Occupational risk in knee osteoarthritis: a systematic review and meta-analysis of observational studies-       Occupation and risk of knee osteoarthritis and knee replacement: A longitudinal, multiple-cohort studyCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

Reframing pain for osteoarthritis with A/Prof Tasha Stanton

Season 3, Ep. 18
On this week's episode we discuss reframing pain in the context of osteoarthritis. The purpose of today’s conversation is to help you reconceptualise what pain means and shift the dialogue from pain being solely a marker of tissue damage and discusses the nervous system adaptations that occur as pain persists. Further we discuss education programs that target this knowledge and the beliefs that may underlie behaviours that detract from your ability to be physically active and modify your behaviour.Associate Professor Tasha Stanton leads the Osteoarthritis Research Theme within IIMPACT in Health at the University of South Australia, Adelaide. Her research group is affiliated with the Body in Mind Research group in Adelaide (University of South Australia). Tasha completed her PhD at the University of Sydney in 2010 and is currently a National Health & Medical Research Council (NHMRC) Career Development Fellow (2019-2022). She has received over $5.3m in competitive research funding to date, including a highly renowned Canadian Institute of Health Research Postdoctoral Training Fellowship (2011-2014) and NHMRC Early Career Fellowship (2014-2018). Her research aims to understand why we have pain and why, sometimes, pain doesn't go away.RESOURCESJournal articlesA pain science education and walking program to increase physical activity in people with symptomatic knee osteoarthritis: a feasibility studyThe EPIPHA-KNEE trial: Explaining Pain to target unhelpful pain beliefs to Increase PHysical Activity in KNEE osteoarthritis - a protocol for a multicentre, randomised controlled trial with clinical- and cost-effectiveness analysisWebsitesNOI GroupCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!