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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

33:10

Cycling and hip osteoarthritis: Evidence and insights...

Joint Action ·

2025/10/26

Can two wheels really help ease joint pain? On this week's episode we are joined by Professor Tom Wainwright to discuss the benefits of cycling for hip osteoarthritis. He also discusses the findings of his recently completed randomised controlled trial comparing a cycling and educational intervention to usual physiotherapy care. Professor Tom Wainwright is a physiotherapist specialising in orthopaedic physiotherapy, researcher and educator. He has authored over 150 peer-reviewed publications is

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27:20

World Arthritis Day 2025

Joint Action ·

2025/10/12

Did you know that 1 in 8 Australians live with osteoarthritis? It is one of the leading causes of pain and disability worldwide. On this special episode, we hear from previous guests on common misconceptions and beliefs about osteoarthritis, the importance of staying physically active, behaviour change, and driving change in osteoarthritis.If you are interested, you can listen to the full episodes:“Common Misconceptions and Beliefs about Osteoarthritis” with A/Prof Ben Darlow (Season 6, Ep

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28:19

Can knee realignment slow down osteoarthritis? A...

Joint Action ·

2025/09/28

High tibial osteotomy (HTO) is a limb realignment surgery which is intended for people who have medial compartment osteoarthritis (OA), but are not suitable candidates for total knee replacement due to younger age, less severe disease and greater physical demands. The aim of HTO is to correct alignment, thereby shifting load away from the more involved knee compartment and limit progression of knee OA.On this week's episode of Joint Action, we are joined by Dr Trevor Birmingham and Dr David Parker

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29:26

In Memoriam: Prof Frank Beier - new insights into...

Joint Action ·

2025/09/14

This week's episode is in honour of Frank Beier, who recently passed away on July 18, 2025. Frank leaves behind a remarkable legacy through the impact he made in the field of osteoarthritis. In this previous episode (2021), he discussed the recent advances in osteoarthritis understanding with a particular emphasis on novel targets and epigenetics.Despite the large prevalence of osteoarthritis, there is no clinically approved drug which provides a cure. Currently, drugs focus on relieving symptoms

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29:10

Food for thought – the link between UPFs and knee...

Joint Action ·

2025/08/31

On this week's episode of Joint Action discover how ultra-processed foods may be silently contributing to osteoarthritis. Dr Gabby Joseph joins us to discuss her research research linking poor diet quality to greater knee pain, poorer physical function and thinner knee cartilage. Dr Gabby Joseph is a scientist and statistician with over 20 years of experience leading research funded by the US government at the University of California San Francisco, Her work focuses on musculoskeletal imaging,

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24:55

From court to classroom: Dr John Drazan’s game plan...

Joint Action ·

2025/08/17

Dribbling into discovery - on this episode of Joint Action, we are joined by Dr John Drazan to learn more about how he is using basketball to inspire the next generation of scientists. Dr John Drazan is an Assistant Professor of biomedical engineering at Fairfield University where he studies the relationship between muscle structure and function to understand how muscles remodel in response to aging, injury, or training.He is an award-winning STEM educator and former collegiate basketball player who

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38:43

Common misconceptions and beliefs about...

Joint Action ·

2025/08/03

Did you know your beliefs about osteoarthritis could be making your symptoms worse? In this re-aired episode from Season 5, Episode 1 of Joint Action, physiotherapist and health communication expert Dr Ben Darlow joins us to explore how common misconceptions - like “wear and tear” or “bone on bone” - can limit your activity and shape your treatment choices. We discuss the power of language, the importance of hope, and how better understanding can help you take control of your health. Whether you're

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38:23

Is Methotrexate ready for clinical use? A discussion...

Joint Action ·

2025/07/20

Methotrexate is a well-established drug used in oncology, but could it also play a role in managing osteoarthritis? In this episode of Joint Action, Professor David Hunter is joined by Dr Anna Døssing and Professor Robin Christensen to explore the potential of methotrexate as a treatment for osteoarthritis pain. They discuss:What methotrexate is and how it worksInsights from a recent meta-analysis on its effectiveness and safetyWhy individual studies show mixed resultsWhether it might help people

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23:29

Can a diabetes pill help with knee pain? A discussion...

Joint Action ·

2025/07/06

Metformin is one of the world’s most prescribed drugs for type 2 diabetes - but could it also help with knee osteoarthritis? In this episode of Joint Action, Prof. David Hunter is joined by Prof. Flavia Cicuttini to unpack the results of a groundbreaking clinical trial that tested metformin as a new treatment for knee pain in people with knee osteoarthritis. Tune in to hear what the study found, how the drug works, who might benefit, and what this could mean for delaying joint replacement.

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40:07

Is osteoarthritis treatment worth the cost? With Dr...

Joint Action ·

2025/06/22

In this episode of Joint Action, Professor David Hunter is joined by Dr. Stephanie Mathies and Dr. Giovanni Ferreira to unpack the cost-effectiveness of osteoarthritis treatments. They discuss the results of their recent systematic review, which analysed over 100 studies to identify which guideline-recommended treatments provide the best value for money. From exercise and medications to injections and surgery, they explore which interventions are truly cost-effective - and which may not be worth the

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22:22

Walking for joint health with Dr Sarah Kobayashi

Joint Action ·

2025/06/08

In this week's episode of Joint Action, Professor David Hunter is joined by Dr Sarah Kobayashi, a lecturer in anatomy and osteoarthritis researcher, to talk about the power of walking - especially for people with osteoarthritis.Sarah shares her insights into the many health benefits of walking, why it’s so important for joint health, and how to overcome common barriers to getting started. She also introduces the CASCADE-OA study (Community bAsed phySical aCtivity AnD sElf-management for

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26:43

Rethinking running and knee health with Dr...

Joint Action ·

2025/05/25

Running often gets a bad rap when it comes to knee osteoarthritis - but is the fear justified? In this week's episode of Joint Action, Professor David Hunter speaks with physiotherapist and researcher Dr Jean-François Esculier to unpack common myths about running and joint health. They explore the latest evidence, share tips for safe running with OA, and discuss how to build joint resilience over time.Tune in to learn why running might not just be safe - it could even be helpful.RESOURCESEducation

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33:15

High heels, high risk? Investigating the impact of...

Joint Action ·

2025/05/11

High heels have long been associated with fashion - but what impact do they have on your joints? This week, Professor David Hunter is joined by physiotherapist and footwear researcher Dr. Kathryn Mills to unpack the biomechanics of high heels and their effect on knee health.From changes in posture and joint compression to the importance of shoe comfort and replacement, this episode blends science with practical advice for anyone managing knee pain or osteoarthritis. Plus, learn what to look for in a

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39:40

New Joints, New Moves: How Joint Replacements Impact...

Joint Action ·

2025/04/27

Can joint replacements reduce pain, help you move more - and live longer? In this week's podcast episode, we explore the untold benefits of hip and knee replacements beyond pain relief. Dr Tim Lindsay, clinician and researcher at Imperial College London, joins us to share insights from large-scale studies that show how joint replacement can restore physical activity levels and potentially reduce premature mortality. We also discuss why recovery takes time, how expectations should be managed, and

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37:48

The risk of bias in trial design and what this means...

Joint Action ·

2025/04/13

In this episode of Joint Action, Professor David Hunter is joined by Dr. Bruno da Costa, Associate Professor of Clinical Epidemiology at the University of Toronto and Senior Scientist at the University of Oxford, to unpack the evidence behind injections for osteoarthritis.Dr. da Costa shares insights from his recent systematic review and network meta-analysis of clinical trials, revealing just how limited - and at times unreliable - the evidence is for many joint injection therapies.This episode

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26:37

Driving change in osteoarthritis - strategies,...

Joint Action ·

2025/03/30

For too long, people living with osteoarthritis have felt powerless - like there’s nothing they can do to influence change. But that couldn’t be further from the truth.In this powerful episode, Prof. David Hunter is joined by Louise Hardy, Director of Policy and Advocacy at Arthritis Australia, to explore how individuals can use their voice to drive meaningful change - especially in the lead-up to the Australian federal election.Louise shares practical ways you can support better care, fairer

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38:56

Can MRI predict the development of osteoarthritis...

Joint Action ·

2025/03/16

MRIs are increasingly used to detect early signs of osteoarthritis - but are they truly beneficial for most people? On this week's episode, we examine the role of MRI scans in diagnosing knee osteoarthritis, particularly in its early stages. Joined by leading experts Dr. Alison Chang, a professor of Physical Therapy at Northwestern University, and Dr. Ali Guermazi, a Radiology professor at Boston University, we explore the genuine value of MRIs. Our discussion highlights when these imaging tests can

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26:51

Can a blood test predict the risk of osteoarthritis?...

Joint Action ·

2025/03/02

What if you could know your risk of developing osteoarthritis years before symptoms appear? In this episode, we explore whether a blood test could provide those answers.Joining us on this week's episode is Dr. Virginia Kraus, a leading rheumatologist and researcher, to discuss her study that identified osteoarthritis risk up to 10 years in advance with 77% accuracy. We unpack what this means for early detection, the role of inflammation in disease progression, and how this research could shape

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39:32

Hormones, menopause, and joint pain with Dr Ginni...

Joint Action ·

2025/02/16

Menopause is often referred to as "the change" and remains a complex and sensitive topic for many. Despite being historically under-discussed, it's crucial to address because of its profound impact on musculoskeletal health. Women are two to three times more likely than men to develop osteoarthritis, particularly around menopause. Changes in hormones, such as declining estrogen, can affect cartilage, bone density, inflammation, muscle health, and body weight - factors closely linked to joint pain

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1:01:45

Key lessons from 100 episodes of the Joint Action...

Joint Action ·

2025/02/02

In this special episode of Joint Action, host Professor David Hunter brings together the most valuable insights from over 100 episodes, creating a practical guide to understanding and managing osteoarthritis. By summarising years of expert advice, groundbreaking research, and real-world strategies, this episode makes it easy to access the latest information on osteoarthritis in one comprehensive discussion.Key topics include:What osteoarthritis is, what causes it, and who it affectsThe role of

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