Joint Action

Join us on this week's episode as we delve into the complexities of osteoarthritis pain with Professor Nidhi Sofat. In this episode, we explore the sources of pain in osteoarthritis, from cartilage damage to synovitis and bone marrow lesions. Professor Sofat discusses groundbreaking research on the role of nerves and blood vessels in pain, the significance of bone and synovium in joint health, and the latest findings on gene expression and inflammation. We also cover the different types of pain - nociceptive, inflammatory, nociplastic, and neuropathic - and what this means for treatment. Whether you're a clinician, researcher, or someone affected by osteoarthritis, this episode offers valuable insights into understanding and managing this common yet complex condition.Nidhi Sofat is a Professor of Rheumatology at St George's, University of London, where she studies what causes pain and inflammation in diseases that affect muscles and joints. Her research takes a hands-on approach, bridging the gap between lab experiments and real-world medical applications. Tune in for an enlightening conversation on the future of osteoarthritis research and discover how her team's innovative approaches may pave the way for future treatments in osteoarthritis.RESOURCESJournal article:Can we achieve pain stratification in musculoskeletal conditions? Implications for clinical practicePrevious episodes:Why does my knee hurt with Dr. Jason McDougallWhere does osteoarthritis pain come from ? with Prof Anne-Marie MalfaitCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info

Join this week’s conversation with Dr Sam Bunzli which explores how health professionals can better understand and support people with osteoarthritis by moving beyond checklists and truly listening to their stories. We'll debunk common misconceptions about osteoarthritis, such as the belief that pain always means joint damage or that imaging is always necessary and provide evidence-based corrections.We’ll also discuss the importance of culturally safe care and share resources for improving clinician communication. Finally, we’ll look at how empowering communication and providing the right information, skills, and resources can help individuals manage their osteoarthritis effectively.Dr Sam Bunzli is a Senior Research Fellow in Physiotherapy who holds a conjoint position between the School of Health Sciences and Social Work at Griffith University and the Physiotherapy Department at the Royal Brisbane and Women’s Hospital, Queensland Australia. In her program of osteoarthritis research, Dr Bunzli engages the voices of people with lived experience, their carers, and clinicians to advance person-centred communication and inform the design and implementation of interventions that meet their needs and preferences. Tune in for valuable insights and practical advice on living well with osteoarthritis.RESOURCESThe Osteoarthritis Health Professional Training ManualClinical Yarning: www.clinicalyarning.orgStaying Strong with Osteoarthritis: www.stayingstrongwitharthritis.org.auJournal of Orthopaedic and Sports Physiotherapy (JOSPT): Broken Machines or Active Bodies? Part 1. Ways of Talking About Health and Why It Matters Part 2: How People Talk About Osteoarthritis and Why Clinicians Need to Change the Conversation Part 3: Five Recommendations to Shift the Way Clinicians Communicate With People Who Are Seeking Care for OsteoarthritisCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info

Metabolism plays an important role in our day to day lives. Our metabolism changes over time as we age, with conditions such as osteoarthritis and in people who are above a healthy weight. The study of the small molecules chemicals in biological samples or the study of metabolomics is an emerging field in research. On this week's episode of Joint Action, we are joined by Ron June and Hope Welhaven to discuss the role of the metabolome in osteoarthritis. Dr Ron June is a Professor and bioengineer based at Montana State University, USA. His research interests include osteoarthritis and biomechanics. He also recently founded a company, OpenBioWorks, seeking to provide commercial metabolomic profiling services.Dr Hope Welhaven’s research focusses on investigating the metabolism of musculoskeletal tissues during times of health and disease, such as osteoarthritis. She uses mass spectrometry-based techniques including metabolomics and imaging to identify and examine metabolic mechanisms involved in disease progression. RESOURCESJournal articles·     The metabolome of individuals with knee osteoarthritis is influenced by 18-months of an exercise and weight loss intervention and sex: the IDEA trialCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info

Learn more about what happens during the history taking and physical examination components of getting your osteoarthritis diagnosed.RESOURCESThe Osteoarthritis Health Professional Training ManualMSK Physical Examination of the KneeMSK Physical Examination of the HipMSK Physical Examination of the HandCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info

On this week's episode of Joint Action, we are joined by Dr Bryan Tan to discuss how mental health can contribute to the experience of living with osteoarthritis.Dr Bryan Tan is an Orthopaedic Surgeon-Scientist in Singapore. He has experience practicing both locally and overseas having done several fellowships internationally including US and New Zealand. His research focuses on health service research, implementation science, population health and taking a biopsychosocial perspective in musculoskeletal health. He has a strong interest in administration, policy making and public health and applies a public health, system lens to musculoskeletal problems and currently sits on several health cluster-wide and national committees looking to deliver new models of care for musculoskeletal health. RESOURCESJournal articlesCORR Insights®: What Are the Underlying Mental Health Constructs Associated With Level of Capability in People With Knee and Hip Osteoarthritis?A Qualitative Study of Psychosocial Factors in Patients With Knee Osteoarthritis: Insights Learned From an Asian Population.Adaptation and validation of the chronic illness-related shame scale among patients with knee osteoarthritis in Singapore. Discordance between self-reported and performance-based physical function in patients who have knee osteoarthritis: Associations with pain intensity and negative affect.A cross sectional study exploring the relationship of self-reported physical activity with function, kinesiophobia, self-efficacy and quality of life in an Asian population seeking care for knee osteoarthritis.Singapore KneE osTeoarthritis CoHort (SKETCH): protocol for a multi-centre prospective cohort study. Complex Lifestyle and Psychological Intervention in Knee Osteoarthritis: Scoping Review of Randomized Controlled Trials.CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.info

On this week's episode of Joint Action, we delve into the world of osteoarthritis management through the lens of mobile applications. Professor James Bilzon joins us to discuss how mobile apps are transforming osteoarthritis care, including the features, benefits and future potential of these innovative tools to empower individuals to take control of their osteoarthritis journey. James is a professor of Human and Applied Physiology with specific expertise in rehabilitation medicine at the University of Bath, UK. RESOURCESJournal articlesInfluence of the intelligent knee osteoarthritis lifestyle app (iKOALA) on knee joint painDevelopment of the intelligent knee osteoarthritis lifestyle app: a person-based approachCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast

On today’s episode of Joint Action, we are joined by Dr James Linklater OAM to discuss the use and misuse of imaging in the context of knee osteoarthritis. James is a radiologist and CEO of Castlereagh Imaging. He has particular skills in all aspects of musculoskeletal imaging and intervention and has ongoing research interests in imaging osteoarthritis and imaging of ACL reconstructions. CONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast

On today’s episode of Joint Action, we are joined by Professor Jasvinder Singh to discuss disparities in total joint replacement, including disparities in who receives surgery and in surgical outcomes. Jasvinder Singh, MD, MPH, is Professor of Medicine and Epidemiology and holds the Musculoskeletal Outcomes Research Endowed Professor of Medicine. He has served as Director of the Rheumatology Research at the Birmingham VA Medical Center since 2009.RESOURCESDoes the money matter? Disparities in total joint replacement outcomes by incomeCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast

On today’s episode of Joint Action, we are joined by Professor Toby Smith to discuss core outcome sets in osteoarthritis trials. Toby is Professor of Clinical Trials at the Warwick Clinical Trials Unit, University of Warwick. His current research areas include exploring the rehabilitation of people after hip and knee surgery, trauma, and persistent pain.RESOURCESJournal articlesAdoption of core outcome sets in osteoarthritis clinical trials: Still a long way to goThe OMERACT-OARSI Core Domain Set for Measurement in Clinical Trials of Hip and/or Knee OsteoarthritisUptake of the OMERACT-OARSI Hip and Knee Osteoarthritis Core Outcome Set: Review of Randomized Controlled Trials from 1997 to 2017WebsiteOMERACTCONNECT WITH USTwitter/X: @ProfDavidHunter @jointactionorgInstagram: @ProfDavidHunterEmail: hello@jointaction.infoWebsite: www.jointaction.info/podcast