Joint Action

Steve is a 56-year old father of three. He lives in Alexandria, Virginia – five miles from the White House in Washington, D.C. Steve spent 25 years building his own marketing and publishing company focused in the tech space – representing major firms like Google, Amazon, and Microsoft. He served on the USO DC board for 15 years – the largest not for profit supporting US military and their families. He’s physically active. He does resistance and cardio training. He grew up playing a lot of sports and got back into working out very regularly 17 years ago. He has osteoarthritis in both his elbows. Subsequently, he has also been diagnosed with OA in knees, shoulders, and hips. On this episode of Joint Action, we hear about Steve's journey with osteoarthritis.CONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

Exercise and physical activity are important not only for those with knee osteoarthritis, but all individuals. However, negative beliefs about pain and the body may hinder movement. Do you have knee osteoarthritis? Do you feel afraid to move? On this week’s episode, we are joined by Dr JP Caneiro to discuss beliefs about movement and their impact and how you can become more confident with movement. Dr JP Caneiro has over 17 years of experience as a clinician, researcher and lecturer on the field of musculoskeletal pain management. He has published over 40 research papers and presented his work in key conferences across the globe. He is an emerging leader on the field of chronic pain, particularly in the management of back pain and osteoarthritis.RESOURCESWebsitesManaging knee painThe A-Z of OAExercising with painJournal ArticlesThree steps to changing the narrative about knee osteoarthritis care: a call to actionCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

Hip and knee osteoarthritis are leading causes of global disability. Most osteoarthritis research has focused on the knee, but what do we know about hip osteoarthritis? Although they are both joints in the leg, there are differences in the prevalence, outcomes and recommended treatments. On this episode of Joint Action, we are joined by Dr Michelle Hall to discuss the differences in hip and knee osteoarthritis. Dr Michelle Hall is a Senior Research Fellow and Dame Kate Campbell Fellow in the Centre for Health, Exercise and Sports Medicine within the Department of Physiotherapy at the University of Melbourne. Michelle is an emerging leader in the field of hip and knee osteoarthritis, with particular interest in exercise.RESOURCESJournal articlesHow does hip osteoarthritis differ from knee osteoarthritis?Knee and hip osteoarthritis are more alike than different in baseline characteristics and outcomes: a longitudinal study of 32,599 patients participating in supervised education and exercise therapyHip Osteoarthritis: Etiopathogenesis and Implications for ManagementCONNECT WITH USTwitter: @ProfDavidHunter @jointactionorgEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

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: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

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: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!

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: www.jointaction.info/podcastIf you enjoyed this episode, don't forget to subscribe to learn more about osteoarthritis from the world's leading experts!