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PODCAST

Joint Action

David Hunter, PhD, FRACP (Rheum)

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. It is critical at times like this that people with osteoarthritis have their burden and disability minimised and their knowledge of how to manage the disease enhanced. Join David as he interviews the world"s leading experts in osteoarthritis.Professor David Hunter is a rheumatology

health & fitness medicine

All Episodes

35:13

Reducing opioids harms with Aili Langford

Joint Action ·

2022/10/09

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

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28:55

What jobs put you at risk of developing knee...

Joint Action ·

2022/09/25

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

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35:26

Reframing pain for osteoarthritis with A/Prof Tasha...

Joint Action ·

2022/09/11

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

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31:48

Health literacy for osteoarthritis with Adj A/Prof...

Joint Action ·

2022/08/28

Health literacy is a factor that is often overlooked and could potentially impact OA outcomes. Health literacy refers to how people access, understand and use health information in ways that benefit their health. People with low health literacy are at higher risk of worse health outcomes and poorer health behaviours. Adj A/Prof Steve Morris is the CEO of Arthritis South Australia. Steve was previously the CEO NPS MedicineWise since 2018, which promotes the safe and wise use of medicines and other

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42:21

Does running cause knee osteoarthritis? with Dr...

Joint Action ·

2022/08/14

People with osteoarthritis are encouraged to exercise and stay physically active, but what does the evidence say about running? Running has been often perceived as bad for the knees. Long-term exposure to running has raised concerns about the development and progression of knee osteoarthritis. If you have knee osteoarthritis, you might be wondering if it is safe continue running. Dr Christian Barton works in both research and private practice treating sports and musculoskeletal patients in

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27:47

The global burden of osteoarthritis with Prof Lyn March

Joint Action ·

2022/07/31

Did you know that 500 million people around the world have osteoarthritis? In those over 55 years of age, a staggering one in three people have osteoarthritis. While many people may well suffer in silence or become isolated from the disease, it’s important to recognise that you are not alone in your experience of living with this disease. Professor Lyn March joins us on this episode to discuss the burdn of OA in Australia and worldwide. Professor Lyn March has a conjoint appointment with the

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35:26

Is walking good for your knee osteoarthritis? with Dr...

Joint Action ·

2022/07/17

Walking can be an excellent form of exercise and physical activity for people who have osteoarthritis. Walking is low-impact, inexpensive and safefor everyone. Despite the apparent benefits of walking, not only for managing OA symptoms but to reduce the development or progression of other chronic diseases such as heart disease and diabetes, many people are simply not doing enough. This may be due to many factors including but not limited to patient beliefs about exercising with osteoarthritis or

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49:14

The volume of joint replacement surgeries for...

Joint Action ·

2022/07/03

Studies have shown that the rates of joint replacement surgeries has increased steadily over the past decade. In Australia alone, there are about 110,000 joint replacements performed every year. This number is expected to rise with the aging population and increasing rates of obesity. Furthermore, COVID-related cancellations and hospital restrictions will likely impact the provision of joint replacements for years to come. Although joint replacement surgery is an effective treatment for end-stage

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39:00

Tips and tricks for increasing physical activity with...

Joint Action ·

2022/06/19

Staying physically active is not only important for people with osteoarthritis, but all adults. Participating in physical activity can help improve mobility, physical conditioning and reduce the risk of falls. However, despite the numerous health benefits of staying physically active, many older adults do not meet the recommended guidelines. We know it is often hard staying active so wanted to unpack that and give some tips and tricks for staying active. In this week’s episode of Joint Action, we

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37:25

Patellofemoral osteoarthritis - pain from behind the...

Joint Action ·

2022/06/05

Osteoarthritis commonly affects the knee joint, which consists of three compartments – the medial tibiofemoral compartment, lateral tibiofemoral compartment and the patellofemoral compartment. Osteoarthritis can affect these compartments in isolation or in combination. Although, the majority of osteoarthritis research has focused on the tibiofemoral joints, patellofemoral OA is more prevalent and associated with greater pain and disability. On this week’s episode of Joint Action, we are joined by Dr

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41:39

Does obesity cause knee replacements? with Prof Chris...

Joint Action ·

2022/05/22

Obesity is a major risk factor for developing knee osteoarthritis and subsequently undergoing total knee replacement (TKR). The rates of obesity have increased dramatically over the past decades and in many developed nations, about two third of adults are above a healthy weight. Although TKR is a cost-effective treatment for end-stage osteoarthritis, the rising rates of obesity are resulting in more knee replacements and being performed at a younger age. On this week’s episode of Joint Action, we

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51:34

Prevention of osteoarthritis following injury with Dr...

Joint Action ·

2022/05/08

Joint injury is a major risk factor for developing osteoarthritis. For any given knee injury, about 50% of people will go on to develop osteoarthritis, regardless of if they have had surgical intervention or not. Osteoarthritis which follows a significant joint injury is sometimes called “post-traumatic osteoarthritis” or “PTOA” – many believe that PTOA represents a disease subgroup or phenotype of osteoarthritis. Joint injury is usually well-defined and easy to pinpoint in time allowing

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40:43

How can braces help with knee osteoarthritis? with Dr...

Joint Action ·

2022/04/24

The knee joint consists of three distinct joint compartments – the medial tibiofemoral (or inside), the lateral tibiofemoral (outside) and the patellofemoral (behind the kneecap). Braces or orthoses are devices made from lightweight materials which alter the biomechanics of the lower limb and alter the alignment of a joint. Research has shown that using an appropriate knee brace can reduce pain and improve function in people with osteoarthritis. Dr Howard Hillstrom joins us on this week's episode to

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41:21

What does osteoarthritis pain feel like? with Dr Lisa...

Joint Action ·

2022/04/10

There are a lot of descriptors used for osteoarthritis pain related to the character of pain, its distribution or location, its severity, its frequency - in particular, whether this is constant or intermittent.New research into these pain patterns has shown that the different pain patterns experienced lead to different clinical outcomes in people with knee OA. If we can identify why some people have more constant or more severe pain, it might provide insights on which to intervene. This promising

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37:09

Psychological treatments for adults struggling with...

Joint Action ·

2022/03/27

Having a chronic physical health condition such as osteoarthritis can have a negative effect on mental health which commonly manifests as depression or anxiety. Epidemiological research has shown that most adults with common mental health conditions do not access psychologically-based treatments. This is due to many reasons including costs, stigma, long waiting lists and availability outside of major cities. Professor Blake Dear joins us to discuss the impact of mental health on the management of

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38:56

How can shoes or insoles help with knee...

Joint Action ·

2022/03/13

On this week’s episode of Joint Action, Prof Rana Hinman joins us to discuss how shoes or insoles can help with knee OA.People with knee OA may experience abnormal knee joint loading – meaning that certain parts of their knees (for example, the inside or medial compartment) is loaded more, compared to the outside or lateral compartment. Biomechanical research has shown that some shoes can increase medial knee loads more than others and therefore, clinical guidelines commonly recommend “appropriate”

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41:18

Is osteoarthritis preventable? with Dr Jackie Whittaker

Joint Action ·

2022/02/27

On this episode of Joint Action, we are joined by Dr Jackie Whittaker to discuss osteoarthritis prevention, risk factors and prevention strategies.Osteoarthritis is the most common joint condition, affecting more than 300 million people worldwide. There is currently no cure for OA and the current management strategies for OA are focussed on alleviating symptoms. Current management and include core treatments such as patient education, exercise and physical activity and weight loss or weight

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53:27

Is osteoarthritis an inflammatory disease? with Dr...

Joint Action ·

2022/02/13

Traditionally, osteoarthritis has been thought to be a non-inflammatory disease. However, we now know that inflammation plays a critical role in the development of OA in the joint and synovium. Synovitis, the inflammation of the synovial membrane is a classic characteristic of inflammatory arthritis such as rheumatoid arthritis but is now being seen in many people with OA. The presence of inflammation in the joint is thought to play a role in the different pain experiences of OA and disease

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42:13

Exercise is no better than salt-water injections for...

Joint Action ·

2022/01/30

Exercise and education are recommended treatments for knee osteoarthritis. To date, there have been over 100 clinical trials demonstrating the beneficial effects of exercise for knee osteoarthritis compared to no-treatment control groups. This has resulted in strong recommendations for exercise as a primary management strategy for knee OA. The comparison of exercise to a no-treatment control introduces multiple biases. One option to overcome this is to compare exercise to a placebo treatment such as

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45:44

Time to reset: tips for behaviour change for diet and...

Joint Action ·

2022/01/16

Exercise, physical activity and education are the cornerstone treatments for osteoarthritis. However, despite their proven efficacy, they are difficult to maintain long-term. Behaviour change techniques, which are specific techniques such as goal-setting or monitoring that can help people stick to an OA management plan long-term. On this week’s episode of Joint Action, we are joined by Dr Shannon Mihalko to discuss how we can use behaviour change techniques to stick to our diet and exercise

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