Podcasts about amssm

On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, continues the conversation with Dr. Dan Cushman, MD, discussing the management of a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818

On this episode of the Sports Medicine Primer Series, host Dr. Zainab Shirazi, MD, is joined by Dr. Dan Cushman, MD, to discuss how to manage a case of shoulder pain in a 23-year-old backpacker. The goal of this ongoing series is to be an audible study aid for anyone pursuing a career as a sports medicine physician and to prepare them for a sports medicine fellowship. Dr. Cushman is board-certified in both Sports Medicine and Physical Medicine & Rehabilitation, and specializes in the care of musculoskeletal injuries in both athletes & non-athletes, musculoskeletal ultrasound, electrodiagnostics, and endurance sports-specific injuries. He serves as the team physician for the University of Utah Track & Field and Cross-Country teams and is also the team physician for the University of Utah Swimming and Diving teams. Dr. Shirazi is a Sports Medicine Fellow at the University of Colorado. She completed her residency training in Physical Medicine & Rehabilitation (PM&R) at NewYork-Presbyterian Columbia/Cornell, where she served as Chief Resident, and is the current Fellow Chair for AMSSM's Library of Ultrasound Pathology. She is passionate about women's sports medicine and providing specialized care for female athletes. Resources: Best Practices in Sports Medicine: AMSSM and AOASM Case Studies (1st ed) – Case 66 (p. 395): https://amssmstore.com/best-practices-in-sports-medicine-amssm-and-aoasm-case-studies Peripheral Neuropathies of the Upper Extremity | National Fellow Online Lecture Series: https://www.youtube.com/watch?v=vC0XgHvQWXc Unilateral Winged Scapula: Clinical and Electrodiagnostic Experience with 128 cases, With Special Attention to Long Thoracic Nerve Palsy: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.26059 The Natural History of Long Thoracic and Spinal Accessory Neuropathies: https://onlinelibrary.wiley.com/doi/full/10.1002/mus.10068 MR Neurography (MRN) of the Long Thoracic Nerve: Retrospective Review of Clinical Findings and Imaging Results at Our Institution Over 4 Years: https://link.springer.com/article/10.1007/s00256-017-2737-z Ortho Bullets – Scapular Winging: https://www.orthobullets.com/shoulder-and-elbow/3062/scapular-winging Surgical and Clinical Decision Making in Isolated Long Thoracic Nerve Palsy: https://journals.sagepub.com/doi/full/10.1177/1558944717733306 A Comprehensive Analysis of Pectoralis Major Transfer for Long Thoracic Nerve Palsy: https://www.sciencedirect.com/science/article/pii/S1058274614006818

  You may have noticed the large puffy extensions on some football helmets in recent years. They are kind of hard to miss. The NFL recommended the Guardian Caps to certain positions for preseason in 2022 and extended their use recently now allowing them for use in regular and postseason play for the 2024 season. While uptake was much lower in the regular season than preseason, the big question is, do they help reduce the likelihood of getting a concussion? As with most NFL data, we don't have that readily publicly available, and it typically isn't published. With the NFL adopting something, that typically trickles down to the levels below. No question I've seen more high school and younger teams adopting the Guardian Caps as well. What do we know about concussions at that level? Today on the podcast I have the lead author from a recently published article which also won the award for the best research article at the AMSSM annual meeting in 2024 about Guardian Caps to discuss their findings.    Connect with The Host! Subscribe to This Podcast Now!        The ultimate success for every podcaster – is FEEDBACK! Be sure to take just a few minutes to tell the hosts of this podcast what YOU think over at Apple Podcasts! It takes only a few minutes but helps the hosts of this program pave the way to future greatness! Not an Apple Podcasts user? No problem! Be sure to check out any of the other many growing podcast directories online to find this and many other podcasts via The Podcaster Matrix!       Housekeeping -- Get the whole story about Dr. Mark and his launch into this program, by listing to his "101" episode that'll get you educated, caught up and in tune with the Doctor that's in the podcast house! Listen Now! -- Interested in being a Guest on The Pediatric Sports Medicine Podcast? Connect with Mark today!   Links from this Episode: -- Dr. Erin Hammer https://www.uwhealth.org/providers/erin-hammer-md https://ortho.wisc.edu/physicians/erin-hammer -- Hammer E, Mosiman S, Joachim MR, Taylor E, Cordum A, Brooks MA, McGuine T. The association between Guardian Cap use during practices and sport-related concussion risk in high school American football players. Br J Sports Med. 2025 Jan 28:bjsports-2024-108945. doi: 10.1136/bjsports-2024-108945. Epub ahead of print. PMID: 39875183. https://pubmed.ncbi.nlm.nih.gov/39875183/ https://bjsm.bmj.com/content/early/2025/01/27/bjsports-2024-108945 -- Sinnott AM, Chandler MC, Van Dyke C, Mincberg DL, Pinapaka H, Lauck BJ, Mihalik JP. Efficacy of Guardian Cap Soft-Shell Padding on Head Impact Kinematics in American Football: Pilot Findings. Int J Environ Res Public Health. 2023 Oct 28;20(21):6991. doi: 10.3390/ijerph20216991. PMID: 37947549; PMCID: PMC10650906. https://pubmed.ncbi.nlm.nih.gov/37947549/ -- Quigley KG, Hopfe D, Fenner M, Pavilionis P, Owusu-Amankonah V, Islas A, Murray NG. Preliminary Examination of Guardian Cap Head Impact Kinematics Using Instrumented Mouthguards. J Athl Train. 2024 Jun 1;59(6):594-599. doi: 10.4085/1062-6050-0136.23. PMID: 37734732; PMCID: PMC11220776. https://pubmed.ncbi.nlm.nih.gov/37734732/ -- Breedlove KM, Breedlove E, Nauman E, Bowman TG, Lininger MR. The Ability of an Aftermarket Helmet Add-On Device to Reduce Impact-Force Accelerations During Drop Tests. J Athl Train. 2017 Sep;52(9):802-808. doi: 10.4085/1062-6050-52.6.01. Epub 2017 Aug 3. PMID: 28771033; PMCID: PMC5634228. https://pubmed.ncbi.nlm.nih.gov/28771033/ -- Stark NE, Begonia MT, Jung C, Rowson S. How Shell Add-On Products Influence Varsity Football Helmet Performance? Ann Biomed Eng. 2024 Nov;52(11):2923-2931. doi: 10.1007/s10439-024-03627-5. Epub 2024 Oct 2. PMID: 39356379; PMCID: PMC11511751. https://pubmed.ncbi.nlm.nih.gov/39356379/ -- Bailey AM, Funk JR, Crandall JR, Myers BS, Arbogast KB. Laboratory Evaluation of Shell Add-On Products for American Football He...

Today, we are launching a brand new season of AMSSM's mini journal club series, highlighting the Top Articles in Sports Medicine from 2023, as selected for the 2024 AMSSM Annual Meeting. Dr. Lee Mancini is the Co-Chair of the Top Articles Subcommittee and discusses how these impactful articles were selected with show host Dr. Jeremy Schroeder. This ongoing series will feature a series of episodes, highlighting each article and counting down the top 10 articles from 2023. These episodes will be released each Tuesday in AMSSM's podcast feed, culminating with the No. 1 article.

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Devin McFadden, MD, is joined by Dr. Robert Bowers, DO, PhD (X: @TheDrROBO) and Dr. Jason Zaremski, MD (X: @DrZSportsDoc) to discuss their research related to overuse throwing injuries, weighted ball throwing programs and more. For further discussion on this topic, check out a recent AMSSM webinar facilitated by Dr. Bowers and Dr. Zaremski on The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say, featuring an international panels of experts. Resources: Pitching Restriction Policies in Adolescent and High-School Baseball Pitchers: Is It Time for an Updated Paradigm? The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: crosssectional analysis of US high school pitchers

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Devin McFadden, MD, is joined by Dr. Robert Bowers, DO, PhD (X: @TheDrROBO) and Dr. Jason Zaremski, MD, FAMSSM (X: @DrZSportsDoc) to discuss their research related to overuse throwing injuries, weighted ball throwing programs and more. For further discussion on this topic, check out a recent AMSSM webinar facilitated by Dr. Bowers and Dr. Zaremski on The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say, featuring an international panel of experts. Resources: Pitching Restriction Policies in Adolescent and High-School Baseball Pitchers: Is It Time for an Updated Paradigm? The Throwing Injury Epidemic in Baseball and Softball: What Science, Data and the Experts Say [YouTube] Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates Most high school baseball pitchers are using weighted ball throwing programs to increase ball velocity: cross-sectional analysis of US high school pitchers

Commentary by Dr. Valentin Fuster

On this episode of the AMSSM Sports Medcast (X: @TheAMSSM), host Dr. Jake Wessels, MD, is joined by Dr. Jonathan Finnoff (X: @FinnoffJonathan) to give a glimpse of his Presidential Keynote address about USOPC Leadership, which will take place at the 2024 AMSSM Annual Meeting. Dr. Finnoff serves as the Chief Medical Officer for the United States Olympic and Paralympic Committee (USOPC) and Clinical Professor of Physical Medicine and Rehabilitation at the University of Colorado, School of Medicine in Denver, Colorado. In his leadership role as the Chief Medical Officer for the USOPC, he oversees the development and implementation of the medical strategy for the physical and mental health of the Team USA athletes. He is also the incoming 2nd Vice President of AMSSM. In-person and virtual attendance options are still available for the conference, which begins April 12. Register to attend the 2024 AMSSM Annual Meeting at annualmeeting.amssm.org. Resources: IOC Mental Health in Elite Athletes Toolkit USOPC Sports Medicine Website

Today, we are re-launching AMSSM's mini journal club series, highlighting the Top Articles in Sports Medicine from 2022, as selected for the 2023 AMSSM Annual Meeting. Dr. Lee Mancini is the Co-Chair of the Top Articles Subcommittee and discusses the process of how these impactful articles were selected with show host Dr. Jeremy Schroeder. This ongoing series will feature a series of episodes, highlighting each article and counting down the top 11 articles from 2022. These episodes will be released in AMSSM's podcast feed leading up to the 2024 Annual Meeting in Baltimore, MD.

On today's episode, I'm talking to Sports Medicine Physician Dr. Marci Goolsby about keeping a growth mindset. Marci is the Medical Director of the Women's Sports Medicine Center at the Hospital for Special Surgery and an Assistant Professor at Weill Cornell Medical College. She's recently been named the Director of Sports Medicine for the WNBA and is also serving this year as the president for the American Medical Society for Sports Medicine. Throughout her life and career, Marci has excelled at maintaining a growth mindset, always emphasizing the process over the outcomes. This has helped her learn from mistakes and adapt to an ever-changing environment. We talk about:The crucial role that mentorship plays in both discovering possible career pathways and later accessing crucial opportunities.Using leadership opportunities to learn the process behind the scenes.Learning when to say yes and when to say no to work that comes our way.You can find the show notes and more resources at https://madamathlete.comKeep an eye out for new content or let us know what you'd like to see next by following us on social:Instagram: @theMadamAthleteFacebook: @MadamAthleteTwitter: @MadamAthlete

In this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Margot Putukian, MD (T: @MPutukian), and Dr. Siobhan Statuta, MD, to discuss the AMSSM Position Statement on Mononucleosis and Athletic Participation, which was published earlier this year. This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. It also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research. A Past President of AMSSM and the CMO of Major League Soccer, Dr. Putukian served as the co-lead author, and Dr. Statuta, sports medicine physician and team physician at the University of Virginia, was a co-author on the statement.   Additional Resources: American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation https://journals.lww.com/cjsportsmed/Fulltext/2023/07000/American_Medical_Society_of_Sports_Medicine.1.aspx

On this episode of the AMSSM (T: @TheAMSSM) Sports Medcast, host Dr. Jake Wessels, MD, is joined by Dr. Margot Putukian, MD, FAMSSM (T: @MPutukian), and Dr. Siobhan Statuta, MD, FAMSSM, to discuss the AMSSM Position Statement on Mononucleosis and Athletic Participation, which was published earlier this year. This position statement updates the Evidence-Based Subject Review on Mononucleosis by the American Medical Society for Sports Medicine published in 2008 and reviews the epidemiology, clinical manifestations, laboratory assessment, and management including RTS for the athlete with IM. It also addresses complications, imaging, special considerations, diversity and equity considerations, and areas for future clinical research. A Past President of AMSSM and the CMO of Major League Soccer, Dr. Putukian served as the co-lead author, and Dr. Statuta, sports medicine physician and team physician at the University of Virginia, was a co-author on the statement.   Additional Resources: American Medical Society of Sports Medicine Position Statement: Mononucleosis and Athletic Participation https://journals.lww.com/cjsportsmed/Fulltext/2023/07000/American_Medical_Society_of_Sports_Medicine.1.aspx

“Selective androgen receptor modulators (SARMs) differentially bind to androgen receptors depending on each SARM's chemical structure.”(Solomon ZJ et al. 2019). But do they actually give the benefits of androgens or anabolic steroids minus the side effects?  Listen and learn my friends!Edwin Davila DO MS CISSN is a senior resident of Internal Medicine, TIGMER San Antonio. Medical degree from the UIWSOM San Antonio, MS Exercise Physiology Baylor University, BS Biology Baylor University, CISSN holder. TACSM Board of director, AMSSM board member. Prior US Naval Officer. Focus on obesity medicine and associated comorbidities.Guillermo Escalante, DSc, MBA, ATC, CSCS*D, FISSN: Dr. Escalante is currently the Assistant Dean and Professor of Kinesiology for the College of Natural Sciences at California State University, San Bernardino. He also performs research in the areas of sports nutrition, physique enhancement, sports medicine, and human performance where his work has been published in over 60 peer-reviewed publications and/or presented at regional, national, and international conferences for athletic training, strength & conditioning, and sports nutrition. He is currently the Vice-President of the International Society of Sports Nutrition.About the ShowWe cover all things related to sports science, nutrition, and performance. The Sports Science Dudes represent the opinions of the hosts and guests and are not the official opinions of the International Society of Sports Nutrition (ISSN), the Society for Sports Neuroscience, or Nova Southeastern University. The advice provided on this show should not be construed as medical advice and is purely an educational forum.Hosted by Jose Antonio PhDDr. Antonio is the co-founder and CEO of the International Society of Sports Nutrition, as well as the co-founder of the Society for Sports Neuroscience.Dr. Antonio has over 100 peer-reviewed publications, 16 books, and is Professor at Nova Southeastern University, Davie Florida in the Department of Health, and Human Performance.Twitter: @JoseAntonioPhDCo-host Anthony Ricci EdDDr Ricci is an expert on Fight Sports and is currently an Assistant Professor at Nova Southeastern University in Davie Florida in the Department of Health and Human Performance.Twitter: @sportsci_psyDoc     

“Glucagon-like peptide-1 (GLP-1) agonists (also known as GLP-1 receptor agonists, incretin mimetics, or GLP-1 analogs) represent a class of medications used to treat type 2 diabetes mellitus and, in some cases, obesity. Examples of drugs in this class include exenatide, lixisenatide, liraglutide, albiglutide, dulaglutide, and semaglutide. According to the American Diabetes Association, metformin remains the preferred first-line therapy for treating type 2 diabetes. However, the addition of a GLP-1 analog should be considered in patients with a contraindication or intolerance to metformin, in patients with a hemoglobin A1c greater than 1.5% over target, or in patients who do not reach their target A1c in three months, particularly in patients with atherosclerosis, heart failure, or chronic kidney disease.” (Collins and Costello, 2023).Edwin Davila DO MS CISSN is a senior resident of Internal Medicine, TIGMER San Antonio. Medical degree from the UIWSOM San Antonio, MS Exercise Physiology Baylor University, BS Biology Baylor University, CISSN holder. TACSM Board of director, AMSSM board member. Prior US Naval Officer. Focus on obesity medicine and associated comorbidities.Guillermo Escalante, DSc, MBA, ATC, CSCS*D, FISSN: Dr. Escalante is currently the Assistant Dean and Professor of Kinesiology for the College of Natural Sciences at California State University, San Bernardino. He also performs research in the areas of sports nutrition, physique enhancement, sports medicine, and human performance where his work has been published in over 60 peer-reviewed publications and/or presented at regional, national, and international conferences for athletic training, strength & conditioning, and sports nutrition. He is currently the Vice-President of the International Society of Sports Nutrition. About the ShowWe cover all things related to sports science, nutrition, and performance. The Sports Science Dudes represent the opinions of the hosts and guests and are not the official opinions of the International Society of Sports Nutrition (ISSN), the Society for Sports Neuroscience, or Nova Southeastern University. The advice provided on this show should not be construed as medical advice and is purely an educational forum.Hosted by Jose Antonio PhDDr. Antonio is the co-founder and CEO of the International Society of Sports Nutrition, as well as the co-founder of the Society for Sports Neuroscience.Dr. Antonio has over 100 peer-reviewed publications, 16 books, and is Professor at Nova Southeastern University, Davie Florida in the Department of Health, and Human Performance. Twitter: @JoseAntonioPhD Co-host Anthony Ricci EdDDr Ricci is an expert on Fight Sports and is currently an Assistant Professor at Nova Southeastern University in Davie Florida in the Department of Health and Human Performance. Twitter: @sportsci_psyDoc     

On today's episode, I'm back with part 2 of my conversation talking to sports medicine physician Dr. Cindy Chang about building a team.Last week, you heard part one of my conversation with Cindy. If you haven't heard that yet, go back and give it a listen and then come right back here for part two! Cindy is currently the Chief Medical Officer for the National Women's Soccer League and one of my heroes in sports medicine. She is a Professor Emeritus in Family Medicine and Orthopedics at UCSF and the former head team physician at UC Berkeley. As the first Chief Medical Officer of the NWSL, Cindy is building medical care teams and protocols from the ground up, all in the name of these professional women soccer athletes' health and well-being. This episode picks up where we left off last week and we dive into Cindy's current job. We talk about:Becoming the first Chief Medical Officer for the National Women's Soccer LeagueEncouraging questions and involving your entire staff in the decision-making process Standing up for what you believe inYou can find the show notes and more resources at https://madamathlete.comKeep an eye out for new content or let us know what you'd like to see next by following us on social:Instagram: @theMadamAthleteFacebook: @MadamAthleteTwitter: @MadamAthlete

On today's episode, I'm talking to sports medicine physician Dr. Cindy Chang about building a team.Cindy is currently the Chief Medical Officer for the National Women's Soccer League and one of my heroes in sports medicine. She is a Professor Emeritus in Family Medicine and Orthopedics at UCSF and the former head team physician at UC Berkeley. As the first Chief Medical Officer of the NWSL, Cindy is building medical care teams and protocols from the ground up, all in the name of these athletes' health and well-being. For the first time ever on Madam Athlete, we're breaking this up into two parts because there was just too much to share! This is part one of two of my conversation with Cindy.We talk about:Bringing all of your outside interests and past experiences to workApplying for jobs even when you're not 100% qualifiedThe benefits of looking at roles outside of your current organizationYou can find the show notes and more resources at https://madamathlete.comKeep an eye out for new content or let us know what you'd like to see next by following us on social:Instagram: @theMadamAthleteFacebook: @MadamAthleteTwitter: @MadamAthlete

Dr. Rebecca King reviews the “AMSSM Position Statement: Principles for the Responsible Use of Regenerative Medicine in Sports Medicine,” which was originally published in the Clinical Journal of Sport Medicine in November 2021. Dr. Jeremy Schroeder serves as moderator. Dr. King is a member of the AMSSM Top Articles Subcommittee, and this episode is part of an ongoing mini journal club series highlighting each of the Top Articles in Sports Medicine from 2021, as selected for the 2022 AMSSM Annual Meeting in Austin, TX.   American Medical Society for Sports Medicine Position Statement: Principles for the Responsible Use of Regenerative Medicine in Sports Medicine DOI: 10.1097/JSM.0000000000000973

On today's episode, I'm talking to sports medicine physician Dr. Margot Putukian about knowing when to say yes.Margot is currently the Chief Medical Officer for Major League Soccer and has served as a team physician for US Soccer since 1994. She recently retired as the Director of Athletic Medicine at Princeton University and has served as a leader in many sports medicine organizations, including as a past-president of AMSSM. Over the years, she's taken on many additional roles, from covering the 2022 Beijing Winter Olympics, years working with US Lacrosse, to helping the NFL unify their approach to concussion as a member of the Head, Neck & Spine Committee. With each opportunity she always makes sure that she has the bandwidth to do good work before committing and she shares how this is key to knowing when to say yes.We talk about:The threads of imposter syndrome that drive us to take on more than we might be able to handle.How networking and making new bonds, not just attaching your name to a project, are the real rewards when taking on additional projects.The next generation of women in primary care sports medicine that are inspiring her.To narrow down what really matters to you when deciding whether to say yes to a new opportunity, use my free guide to defining your values, and get ready to start saying YES to the work that lights you up!You can find the show notes and more resources at https://madamathlete.comKeep an eye out for new content or let us know what you'd like to see next by following us on social:Instagram: @theMadamAthleteFacebook: @MadamAthleteTwitter: @MadamAthlete

Today, we are introducing a new mini journal club series highlighting the Top Articles in Sports Medicine from 2021, as selected for the 2022 AMSSM Annual Meeting in Austin, TX. Dr. Lee Mancini is the Co-Chair of the Top Articles Subcommittee, the newest addition to AMSSM's Education Committee, and in this inaugural episode, he discusses the rigorous process of how these impactful articles were selected. This ongoing series will feature 10-15 minute episodes, highlighting each article individually, beginning with the honorable mentions, and then counting down the top 11 articles from 2021. These episodes will be released every other week in AMSSM's podcast feed.

n this episode I chat with Dr. John Leddy, one of the inventors of the famous Buffalo Concussion Treadmill Test. We discuss the autonomic nervous system and how exercise is medicine for concussion patients. If you need a treadmill test done please visit completeconcussions.com to find a clinic near you. BIO: Dr. John J. Leddy is Professor of Clinical Orthopedics and Rehabilitation Sciences at the University at Buffalo Jacobs School of Medicine and Biomedical Sciences, a Fellow of the American College of Sports Medicine, the AMSSM, and of the American College of Physicians, and Director of Outcomes Research for the Department of Orthopaedics. He is a Division 1 team physician and Medical Director of the University at Buffalo Concussion Management Clinic. He is a Member of the Expert Panel for the Berlin Fifth International Consensus Conference on Concussion in Sport. In conjunction with Dr. Barry Willer, he developed the Buffalo Concussion Treadmill Test. For previous podcast episodes, visit: https://completeconcussions.com/resources/ask-concussion-doc/ CONCUSSION EDUCATION PROGRAMS: Healthcare Practitioners: https://completeconcussions.com/services-courses/healthcare-practitioners/become-a-clinic/ Coaches/Trainers/Teachers: https://completeconcussions.com/services-courses/sports-schools/ Follow us! www.completeconcussions.com
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twitter.com/ccmconcussions DISCLAIMER This is not intended as a substitute for the medical advice of doctors and/or healthcare professionals. Patients should consult their physician and/or healthcare providers in matters relating to their health, and in particular, with respect to any concussion and/or symptoms that may require diagnosis or medical attention.

Dr. Francis O'Connor is a Professor and Medical Director for the Consortium for Health and Military Performance at Uniformed Services University, and has been a leader in sports medicine education and research for the military for over 30 years.  Dr. O'Connor is also the Medical Director for the Uniformed Services University Consortium for Health and Military Performance (CHAMP) and a Professor of Military and Emergency Medicine. A retired Colonel in the United States Army, Dr. O'Connor is a graduate of the United States Military Academy at West Point, and also served one year as a Command Surgeon with Special Operations in the Middle East.  Dr. O'Connor has authored over 100 peer reviewed articles in scientific journals and book chapters for the military and sports medicine. He is a past President of the American Medical Society of Sports Medicine (AMSSM), and has received several awards for excellence in sports medicine research and education including the Korey Stringer Institute's Lifesaving Research Award, presented by the NFL and Gatorade, and he is also a recipient of the AMSSM's Founder's Award – the highest honor awarded by the AMSSM. *Contact info: francis.oconnor@usuhs.edu**Post Episode Survey: https://surveyking.com/a/f0fqjsu*This project was completed with support from the American Academy of Family Physicians Foundation through its Family Medicine Leads Emerging Leader Institute program.

Today I'm talking to sports medicine physician Dr. Shelley Street Callender.Shelley is a team physician and Chief of Sports Medicine and Associate Professor of Pediatrics and Internal Medicine at Mercer University. While she was training in internal medicine and pediatrics, Shelley never thought that sports medicine was in her future. That all changed when she started working with a local high school girls' basketball team. Many years later, she's working as a team physician and helping to encourage the next generation to get after their dreams.We talk about:The encouragement from her family and mentors that helped her pursue a career path she had never seen beforeHow following her passion at every turn led her to where she is today.Finding a home and a support network within AMSSM and the honor of serving as a board member. Keep an eye out for new content or let us know what you'd like to see next by following us on social:Instagram:  @theMadamAthleteFacebook:  @MadamAthleteTwitter:  @MadamAthlete

CJSM has published the American Medical Society for Sports Medicine (AMSSM) position statement on the responsible use of regenerative medicine in sports medicine. Two AMSSM members and authors of the statement, Kenneth Mautner, MD of Emory University and Shane Shapiro, MD of the Mayo Clinic, Florida join us to discuss.

Today, AMSSM members Dr. Caitlyn Mooney hosts Dr. Katie Rizzone on the topic of sports bras.  With more women athletes than ever, the sports bra has certainly grown in popularity in the last decades.  This extended podcast episode will visit the history of breast support in sport and discuss how breast pain and discomfort affect sports participation in women, as well as recent research by Dr. Rizzone and colleagues on their recent study on characteristics of sports bra preference in adolescent females.    Resources: CHARACTERISTICS OF SPORTS BRA PREFERENCES IN ADOLESCENT FEMALES Katherine H. Rizzone, MD MPH, Bianca Edison, MD MPH, Jane Chung, MD, Ingrid K. Ichesco, MD, Nailah Coleman, MD https://journals.sagepub.com/doi/abs/10.1177/2325967121S00110

Today, AMSSM members Dr. Caitlyn Mooney hosts Dr. Katie Rizzone on the topic of sports bras. With more women athletes than ever, the sports bra has certainly grown in popularity in the last decades. This podcast will visit the history of breast support in sport and discuss how breast pain and discomfort effect sports participation in women as well as recent research by Dr. Rizzone and colleagues on their recent study on characteristics of sports bra preference in adolescent females. More info: CHARACTERISTICS OF SPORTS BRA PREFERENCES IN ADOLESCENT FEMALES Katherine H. Rizzone, MD MPH, Bianca Edison, MD MPH, Jane Chung, MD, Ingrid K. Ichesco, MD, Nailah Coleman, MD https://journals.sagepub.com/doi/abs/10.1177/2325967121S00110

The mental health of athletes has been in the spotlight throughout this summer, as high-profile athletes such as Naomi Osaka and Simone Biles have spoken out about the importance of prioritizing their physical, and especially their mental, well-being. In this episode, host Giselle Aerni, MD, is joined by AMSSM Past Presidents Cindy Chang, MD, FAMSSM, and Margot Putukian, MD, FAMSSM, to discuss the AMSSM Position Statement on Mental Health Issues and Psychological Factors in Athletes, which Dr. Aerni also co-authored. In this 33-minute conversation, they address the following topics: The importance of a position statement on the mental health of athletes and the novel aspects addressed in the document The team-based approach to mental health care and why it's a crucial component for the well-being of athletes How the acceptance of mental health issues has evolved in recent years and the impact social media has on those perceptions The impact of the COVID-19 pandemic on athletes' mental health and how it reinforces the need for conversations about this vital issue Resources: Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement (bjsm.bmj.com/content/54/4/216.full) Madam Athlete Podcast (madamathlete.com/)

The mental health of athletes has been in the spotlight throughout this summer, as high-profile athletes such as Naomi Osaka and Simone Biles have spoken out about the importance of prioritizing their physical, and especially their mental, well-being. In this episode, host Dr. Giselle Aerni, MD is joined by AMSSM Past Presidents Dr. Cindy Chang, MD and Dr. Margot Putukian, MD to discuss the AMSSM Position Statement on Mental Health Issues and Psychological Factors in Athletes, which Dr. Aerni also co-authored. In this 33-minute conversation, they address the following topics: The importance of a position statement on the mental health of athletes and the novel aspects addressed in the document The team-based approach to mental health care and why it's a crucial component for the well-being of athletes How the acceptance of mental health issues has evolved in recent years and the impact social media has on those perceptions The impact of the COVID-19 pandemic on athletes' mental health and how it reinforces the need for conversations about this vital issue Resources: Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement (https://bjsm.bmj.com/content/54/4/216.full) Madam Athlete Podcast (https://madamathlete.com/)

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen? Host Dr. Devin McFadden, MD is joined by Dr. Jason Zaremski, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the, Department of Orthopaedics and Rehabilitation at the University of Florida. In addition he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM. In this 17 minute conversation Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program Considering the risks and benefits of their use Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one. Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497. Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453. Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen?   Host Dr. Devin McFadden, MD, is joined by Dr. Jason Zaremski, MD, to explore these topics and more on the AMSSM Sports Medcast.   Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the Department of Orthopaedics and Rehabilitation at the University of Florida. In addition, he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM.   In this 17 minute conversation. Dr. Zaremski addressed the following topics: Defining a weighted ball velocity program. Considering the risks and benefits of their use. Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one.   References and Resources: Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497.   Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453.   Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.   Reinold MM, Macrina LC, Fleisig GS, Aune K, Andrews JR. Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates. Sports Health. 2018 Jul-Aug;10(4):327-333. doi: 10.1177/1941738118779909. Epub 2018 Jun 8. PMID: 29882722; PMCID: PMC6044122.   Reinold MM, Macrina LC, Fleisig GS, Drogosz M, Andrews JR. Acute Effects of Weighted Baseball Throwing Programs on Shoulder Range of Motion. Sports Health. 2020 Sep/Oct;12(5):488-494. doi: 10.1177/1941738120925728. Epub 2020 Jun 29. PMID: 32598234; PMCID: PMC7485027.   Erickson BJ, Atlee TR, Chalmers PN, Bassora R, Inzerillo C, Beharrie A, Romeo AA. Training With Lighter Baseballs Increases Velocity Without Increasing the Injury Risk. Orthop J Sports Med. 2020 Mar 26;8(3):2325967120910503. doi: 10.1177/2325967120910503. PMID: 32258183; PMCID: PMC710359

Drew Watson, MD, MS, joins host Nate Milburn, MD, MBA, on a special episode of the AMSSM Journal Club Podcast to apply knowledge of several articles toward a common issue we're all experiencing — COVID-19. It has been an unusual year for all healthcare providers, and there have been some additional, unique issues that have presented themselves in the sports medicine world. The majority of this episode focuses on what the pandemic has inflicted on the physical and mental wellbeing of patients and how sports medicine physicians can guide them back safely to activity. Resources: CDC Exercise Guidelines: https://www.cdc.gov/physicalactivity/basics/adults/index.htm The Relation of Physical Activity and Exercise to Mental Health: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1424736/pdf/pubhealthrep00100-0085.pdf Relative Energy Deficiency in Sport (RED-S) and Female Athlete Triad Articles from the AMSSM 120: http://amssm.blogspot.com/p/top-100-female-athletic-triad.html

How can you best prepare yourself for applying to sports medicine fellowships? For the first of a three part series Dr.'s Glenn Sapp and Kevin Machino, both Physical Medicine & Rehabilitation residents who have been accepted to sports medicine fellowship, present a quick, entertaining, and educational podcast. We discuss our journeys and tips we've personally learned along the way! Feel free to reach out with questions and comments @ sportsmedicineresident@gmail.com References: Preparing for a Sports Medicine Fellowship: A Guideline for PM&R Residents (by Jason L. Zaremski, MD, Michael Fredericson, MD, Jonathan T. Finnoff, DO. ) AMSSM 23rd Annual Meeting - Resident/Medical Student Interest Group Credits: Cover: Jim Larson via flickr.com Intro music: BDKSONIC Sports 3 via Jamendo Creative Commons Legal: The views expressed during this podcast are those of the individuals' only. They do not represent any affiliated organizations or companies. This is podcast is produced strictly for educational/informational purposes only. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition.

On this episode of the AMSSM CRN Spotlight Podcast, host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, FAMSSM, and Kimberly Harmon, MD, FAMSSM, who are both Past Presidents of AMSSM. In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics: Details about the ORCCA registry, what makes it unique and why it was created The early findings of the registry and what they mean for team physicians and athletic trainers How this study and others are impacting return-to-play decisions after COVID The current recommendations regarding cardiac imaging in athletes Finding the right balance in our professional and personal lives Resources: SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes

On this episode of the AMSSM CRN Spotlight Podcast (T: @TheAMSSM) host Dr. Jeremy Schroeder, DO, is joined by BJSM Editor-in-Chief Dr. Jonathan Drezner, MD, and Kimberly Harmon, MD, who are both Past Presidents of AMSSM. In this 23-minute conversation, Drs. Drezner and Harmon discuss the Outcomes Registry for Cardiac Conditions in Athletes (ORCCA) national registry and address the following topics: · Details about the ORCCA registry, what makes it unique and why it was created · The early findings of the registry and what they mean for team physicians and athletic trainers · How this study and others are impacting return-to-play decisions after COVID · The current recommendations regarding cardiac imaging in athletes · Finding the right balance in our professional and personal lives Resources: SARS-CoV-2 Cardiac Involvement in Young Competitive Athletes (https://www.ahajournals.org/doi/10.1161/CIRCULATIONAHA.121.054824)

Sports medicine professionals interact with athletes daily, many of whom have some underlying mental health issue. Commonly this may be anxiety or depression. We know […]

Sports medicine professionals interact with athletes daily, many of whom have some underlying mental health issue. Commonly this may be anxiety or depression. We know […]

Sports medicine professionals interact with athletes daily, many of whom have some underlying mental health issue. Commonly this may be anxiety or depression. We know […]

  Sports medicine professionals interact with athletes daily, many of whom have some underlying mental health issue. Commonly this may be anxiety or depression. We know that many athletes don't feel comfortable disclosing their mental health issues or concerns or often they may go undiagnosed for long periods of time. They can affect athletic performance … Continue reading The AMSSM Position Statement on Mental Health →

  Sports medicine professionals interact with athletes daily, many of whom have some underlying mental health issue. Commonly this may be anxiety or depression. We know that many athletes don't feel comfortable disclosing their mental health issues or concerns or often they may go undiagnosed for long periods of time. They can affect athletic performance … Continue reading The AMSSM Position Statement on Mental Health →

Dr. Stephanie Kliethermes is a biostatistician who helped develop the Collaborative Research Network for the American Medical Society for Sports Medicine in her role as the Research Director for AMSSM. In this role she is also an Assistant Professor in the Department of Orthopedics and Rehabilitation at the University of Wisconsin – Madison. In addition to helping coordinate collaborative sports medicine research across AMSSM, Steph’s personal research focuses on the application of statistical methodology and design to sports medicine topics such as health and well-being in youth, endurance sports, and adaptive sports. Steph herself is an endurance runner, Girls on the Run Coach, and a former 3-sport Division III athlete.After I nerd out about math for the first few minutes of this episode,We talk about:Going for the position even when you don’t check all the boxesMaking room for yourself every dayHow to handle imposter syndromeSave your spot in the upcoming FREE and LIVE masterclass on how to Crush Your Imposter Syndrome!https://madamathlete.com/masterclassFor more information about Dr. Steph Kliethermes, head on over to the show notes at https://madamathlete.com/To get the latest tools to help you build your own career check out the Madam Athlete newsletter and resources page:Newsletter:  sign up hereResources:  get the tools to help you in your careerKeep an eye out for new content or let us know what you'd like to see next by following us on social:Facebook:  @MadamAthleteTwitter:  @MadamAthleteInstagram:  @theMadamAthlete

The benefits of physical activity are unquestioned, but many health care providers still do a poor job of activity counseling and prescription. Frequently cited reasons for this apparent disconnect include a lack of time, poor reimbursement, and lack of training on how to incorporate exercise prescription into clinical practice. The AMSSM has assembled a team of international experts to help address these gaps and share best practices for incorporating exercise medicine into both clinical practice and academic medicine. On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by Dr. Irfan Asif, MD is a Professor and Chair of the Department of Family and Community Medicine at the University of Alabama-Birmingham School of Medicine. He also serves on the AMSSM board of directors and is an associate editor for both the BJSM and Sports Health. In this 10-minute conversation Dr. Asif addresses the following topics: What is the focus of the upcoming AMSSM Collaborative Research Summit? What are the aims and anticipated outputs of the summit? Is this summit relevant to a clinician not currently engaged in multi-site research? The Virtual AMSSM Annual Meeting takes place from April 13-18, 2021. Registration is still open for both the main meeting and CRN Research Summit. More information can be found at https://annualmeeting.amssm.org/ Exercise is Medicine connects physical activity to healthcare: https://www.exerciseismedicine.org/ Joy E (L), Blair SN, McBride P, et al. Physical activity counseling in sports medicine: a call to action. Br J Sports Med. 2013;47:49-53. https://bjsm.bmj.com/content/bjsports/47/1/49.full.pdf Hebert ET, Caughy MO, Shuval K. Primary care providers’ perceptions of physical activity counseling in a clinical setting: a systematic review. Br J Sports Med. 2012;46:625-31. https://bjsm.bmj.com/content/bjsports/46/9/625.full.pdf

This episode of the CMO Corner podcast features Dr. John DiFiori, a Past President of AMSSM and the Director of Sports Medicine of the National Basketball Association. Dr. Ashley Austin spoke with Dr. DiFiori in early December of 2020, leading up to the start of the 2020-21 NBA season. They talk about his role as Sports Medicine Director of the NBA, some of the lessons and takeaways from last year’s “bubble season” and much more.For a full transcript of this episode, check out the December 2020 edition of The Sideline Report newsletter: https://www.amssm.org/NewsletterPDFS/December2020-84.pdf

The AMSSM conveyed a writing group to give guidance to clinicians conducting PPE’s during the SARS-CoV-2 pandemic. Co-chair Alex Diamond, D.O. shares his thoughts on the new publication

On this week’s podcast, Dr. Douglas Casa PhD, ATC and Dr. Francis O’Connor MD, MPH, FAMSSM join Dr. Seth Smith MD, PharmD on AMSSM’s Sports Medcast to discuss exertional heat illness with an emphasis on exertional heat stroke. In this conversation, Dr. Casa and Dr. O’Connor will address the following topics: · What is the basic paradigm for the prehospital care of exertional heat stroke (EHS)? · How to develop a thorough emergency action plan (EAP) for recognition and management of EHS? · What steps can be taken to help reduce the occurrence of EHS? · What future items may be used to help guide return to activity for patients who have suffered an EHS? Listen to an extended version of this conversation on the AMSSM podcast feed, beginning at the 17-minute mark: https://amssm.podbean.com/e/an-in-depth-discussion-on-exertional-heat-illness-with-dr-doug-casa-and-dr-fran-o-connor/

In this week's episode of the Spine & Nerve podcast, we sit down with Dr. Kevin Mullins. Dr. Mullins joins the podcast to discuss the journey of becoming a sports medicine physician, specifically focusing on what drove Dr. Mullins into this area of expertise and his tips to the next generation of physicians Listen in as the doctors discuss: - Why physical medicine and rehabilitation as a primary specialty? - How did Dr. Mullins decide to sub-specialize and which fellowship to peruse? - What advice does Dr. Mullins give to medical students and residents trying to find their way towards a fulfilling career? Dr. Mullins's bio: Dr. Kevin Mullins is a Sports Medicine Physician at the University is California, Davis. He is originally from Central California where he graduated as a salutatorian while playing varsity basketball at Buchanan High School. He then matriculated into the University of California, Davis, completing his Bachelor of Science in Exercise Biology with Dean’s List Honors in 2011, as well as a minor in African-American Studies. He remained at UC Davis for his medical degree and was awarded the Sacramento Newspaper 30 Under 30 Award for his community engagement as Chapter President of the Student National Medical Association and Co-Director for the Imani Healthcare Clinic. Upon graduation in 2015, Dr. Mullins was selected as Medical Student of the Year by the Departments of Neurology and Physical Medicine & Rehabilitation. Dr. Mullins remained at UC Davis for his PGY-1 internship year, where he completed a combined medical/surgical training program. Dr. Mullins continued residency in Physical Medicine & Rehabilitation at UC Davis, where he achieved the honors of being named Electrodiagnostic Resident of the Year as a PGY-2, and later served as a PGY-4 Chief Resident until graduation in 2019. He covered the California International Marathon event for 4 years, leading as a team captain in his final year of the race. Dr. Mullins then completed his Sports Medicine Fellowship at Stanford University, where he worked as a team physician providing sideline coverage for several NCAA Division 1 teams. He also provided care for local junior college (CCCAA) and Division 2 athletes. Dr. Mullins has also gained experience working with professional level athletes from a wide variety of sports. Dr. Mullins is a published author in an academic journal and has given several poster presentations at national conferences including ACSM and AMSSM, as well as at training events including the Annual Team Physician Course. Dr. Mullins has presented for multiple grand rounds, journal clubs, residency lectures and workshops. He is involved in mentoring high school students and educating medical students, and led in the teaching of a weekly Orthopaedic lecture series on the Stanford University undergraduate campus. His clinical interests include motion analysis development, virtual care and ultrasound guided procedures. This podcast is for information and educational purposes only, it is not meant to be medical or career advice. If anything discussed may pertain to you, please seek council with your healthcare provider. The views expressed are those of the individuals expressing them, the may not represent the views of Spine & Nerve.

This episode of the CMO Corner podcast features Dr. Margot Putukian, a Past President of AMSSM and the Chief Medical officer of Major League Soccer. Host Dr. James MacDonald spoke with Dr. Putukian in July of 2020, just days before the start of the MLS is Back Tournament in Orlando, Florida. They discuss her role as CMO in this unique season, the most rewarding parts of her position and much more.For a full transcript of this episode, check out the September 2020 edition of The Sideline Report newsletter: https://www.amssm.org/NewsletterPDFS/September2020-82.pdf 

On this week’s podcast, Dr. Douglas Casa PhD, ATC and Dr. Francis O’Connor MD, MPH, FAMSSM join Dr. Seth Smith MD, PharmD on AMSSM’s Sports Medcast to discuss exertional heat illness with an emphasis on exertional heat stroke. In this conversation, Dr. Casa and Dr. O’Connor will address the following topics:What is the basic paradigm for the prehospital care of exertional heat stroke (EHS)?How to develop a thorough emergency action plan (EAP) for recognition and management of EHS?What steps can be taken to help reduce the occurrence of EHS?What future items may be used to help guide return to activity for patients who have suffered an EHS? Dr. Casa is a Professor in the Department of Kinesiology, College of Agriculture, Health and Natural Resources, University of Connecticut where he serves as the Chief Executive Officer of the Korey Stringer Institute.  He leads a team of experts who study sport safety, sudden death in sports, and exertional heat illness/exertional heat stroke.  He has published over 200 peer-reviewed publications/book chapters, presented over 400 times, and has been a lead or co-author on over 15 position/consensus statements on exertional heat illness/sudden death. He is widely recognized as one of the leading authorities worldwide on exertional heat illness. Dr. O’Connor is Professor and Chair, Military and Emergency Medicine and Associate Director for Consortium for Health and Military Performance, Uniformed Services University of the Health Sciences where he leads sports performance and sports medicine research for over 20 years.  He has authored over 75 peer-reviewed publications/book chapters, been on the board of American College of Sports Medicine and former president of the American Medical Society for Sports Medicine. He is a Colonel in the United States Army and graduate of the United States Military Academy at West Point.  National Athletic Trainers’ Association Position Statement on Exertional Heat IllnessCasa DJ, DeMartini JK, Bergeron MF, et al. National Athletic Trainers’ Association position statement: Exertional heat illnesses. J Athl Train. 2015; 50 (9): 986-1000. Consensus Statement: Prehospital Care of Exertional Heat StrokeBelval LN, Casa DJ, Adams WM, et al. Consensus statement – Prehospital care of exertional heat stroke. Pre Emer Care. 2018; 22 (3): 392-397. American College of Sports Medicine: Roundtable on Exertional Heat StrokeO’Connor FG, Casa DJ, Bergeron MF. American College of Sports Medicine roundtable on exertional heat stroke – Return to duty/return to play: Conference proceedings. Curr Sports Med Rep. 2010; 9 (5): 314-321.

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again?On this episode of the AMSSM Sports Medcast, host Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Jonathan Drezner, MD, FAMSSM and Michael Ackerman, MD, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic.Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM. Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation.In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics:What is COVID myocarditis and why is it so concerning?How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences?What metrics need to be satisfied in order to safely return to play, and will that occur this year?Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19) https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916 Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516 Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015. https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19.https://academic.oup.com/eurheartj/article/40/1/19/5248228

What is COVID myocarditis and how strong is the data to create a link between COVID and potential arrhythmias? Was COVID myocarditis the leading factor in the recent decisions of some American athletic conferences to shut-down the fall sports season? What are the criteria to start participation again? On this episode of the AMSSM Sports Medcast (T: @TheAMSSM) host Dr. Devin McFadden, MD is joined by sports medicine physicians and internationally renowned experts on Sports Cardiology Dr. Jonathan Drezner and Dr. Michael Ackerman, who have both been influential in the debate on whether a Collegiate Athletic season can safely occur in the midst of the ongoing COVID-19 Pandemic. Dr. Jonathan Drezner is a Professor from the Department of Family Medicine and Director of the University of Washington Center for Sports Cardiology, past president of the AMSSM, team physician for the Seattle Seahawks, UW Huskies, and OL Reign and deputy editor of the BJSM. Dr. Michael Ackerman is a Professor of Medicine, Pediatrics, and Pharmacology at the Mayo Clinic College of Medicine and Science. He is the Director of the Windland Smith Rice Genetic Heart Rhythm Clinic and Windland Smith Rice Sudden Death Genomics Laboratory, as well as the president of the Sudden Arrhythmia Death Syndromes (SADS) Foundation. In this 40 minute conversation Drs. Drezner and Ackerman addressed the following topics: What is COVID myocarditis and why is it so concerning? How strong is the link between COVID-19 and was this a driving factor in the cancelling of the FALL sports season by some collegiate conferences? What metrics need to be satisfied in order to safely return to play, and will that occur this year. Health and Well Being Considerations for PAC-12 Institutions: Guidance for Local Planning for Return to Sporting Activity https://xs.pac-12.com/2020-08/Pac-12%20Covid-19%20Return%20to%20Play%20Considerations%2008.10.2020.pdf Puntmann VO, Carerj ML, Weiters I. Outcomes of Cardiovascular Magnetic Resonance Imaging in Patients Recently Recovered From Coronavirus Disease 2019 (COVID-19) https://jamanetwork.com/journals/jamacardiology/fullarticle/2768916 Baggish A, Drezner JA, Kim J, et al. Resurgence of sport in the wake of COVID-19: cardiac considerations in competitive athletes https://bjsm.bmj.com/content/early/2020/06/18/bjsports-2020-102516 Maron BJ, Zipes DP, Kovacs RJ, et al. Eligibility and disqualification recommendations for competitive athletes with cardiovascular abnormalities: a scientific statement from the American Heart Association and the American College of Cardiology. Copublished in Circulation and the Journal of the American College of Cardiology 2015. https://www.acc.org/~/media/fb92803045d249ae91b715650dd0ebe4.pdf Pelliccia A, Solberg EE, Papadakis M, et al. Recommendations for participation in competitive and leisure time sport in athletes with cardiomyopathies, myocarditis, and pericarditis: position statement of the Sport Cardiology Section of the European Association of Preventive Cardiology (EAPC). European Heart Journal 2019;40:19. https://academic.oup.com/eurheartj/article/40/1/19/5248228

In this Journal Club Podcast episode, host Dr. Julia Kammel speaks with Dr. John Leddy about "Returning to Learning Following a Concussion", which was published in Pediatrics.Original Article:https://pediatrics.aappublications.org/content/132/5/948

Dr. Rachel Lampert, MD joins host Devin McFadden, MD on AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss athletic participation in athletes with cardioverter-defibrilators for known cardiac abnormalities. In this 20 minute conversation Dr. Lampert addresses the following topics: - What are the common causes of sudden cardiac death in athletes? - What is the data to support disqualifying patients with known cardiac disease (cardiomyopathies and channelopathies) from sports, and could they potentially participate safely? - How will future studies impact the way we practice further?

Our guests are past presidents of the AMSSM and co-lead authors of the new AMSSM Position Statement: Drs. Cindy Chang and Margot Putukian

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Krys Bigosinski, MD and Cindy Chang, MD converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

One of the most important aspects of athletic performance is something we all do for a third of our lives, but until recently, had rarely been discussed. In the first of this two-part episode, Dr. Krys Bigosinski and Dr. Cindy Chang converse about the role of sleep in sports medicine. They cover topics including the role of sleep in sports performance, the challenges of travel for the elite athlete, the impact of a busy schedule on sleep for collegiate athletes, and the role of sleep in concussion care.   Dr. Chang is currently a Clinical Professor in the Departments of Orthopaedics and Family & Community Medicine at UCSF. Prior to this, she has served as president of AMSSM, was the head team physician for UC-Berkeley, and has published many papers and textbook chapters in sports medicine, including co-authoring a chapter titled The Role of Sleep in the Psychological Well Being of Athletes in the book Mental Health in the Athlete: Modern Perspectives and Novel Challenges For The Sports Medicine Provider. She was also active in writing the section on the effect of sleep on mental health in the upcoming AMSSM position statement on Psychological Issues in Athletes.

CrossFit: dangerous fad or fitness panacea? The AMSSM talks safety with Drs Sean Rockett and Robert Oh. Few topics in sports draw such universally strong opinions from medical providers as that of CrossFit. Most seem to love or hate it, but are their strong opinions justified? Does current data back-up the concerns many of us have regarding the safety of this sport? What are the common injury patterns that are found? Host Dr. Devin McFadden, MD is joined by Dr. Sean Rockett, MD and Dr. Robert Oh, MD to explore these topics and more on the AMSSM Sports Medcast. Dr. Sean Rockett is an Associate Professor of Orthopedic Surgery at Tufts University School of Medicine, president of Orthopedics New England and author of 321GoMD.com an injury prevention website for CrossFitters. He is head of the Orthopedic division for the Medical team for The CrossFit Games. Dr. Robert Oh, Sports Medicine physician and CrossFitter for 12 years. He’s the Chief of the Family Medicine Dept at Madigan Army Medical Center and Fellowship director for the Leader and Faculty Development at Madigan. References: 1. Sport Med - open. 2018;4(1):11. doi:10.1186/s40798-018-0124-5. 2. J Sports Med Phys Fitness. 2017;57(9):1147-1153. doi:10.23736/S0022-4707.16.06827-4 3. Orthop J Sport Med. 2018;6(10):2325967118803100. doi:10.1177/2325967118803100 4. J Sport Rehabil. 2018;27(3):295-299. doi:10.1123/jsr.2016-0040. 5. Sport Med. 2017;47(3):479-501. doi:10.1007/s40279-016-0575-0 6. Annals of epidemiology 2006; 16(9):712-719.) 7. Work Heal Saf. 2017. doi:10.1177/2165079916685568. 8. Mil Med. 2016;181(7):627-637. doi:10.7205/MILMED-D-15-00273 9. US Army Med Dep J.:36-47. http://www.ncbi.nlm.nih.gov/pubmed/24146241. Accessed August 5, 2018.

What are your favorite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Scott Young, MD and Meghan Raleigh, MD. In this episode, Drs. Raleigh and Young highlight some of the latest and most interesting research from the past year.

What are your favourite sports medicine research articles from 2018? This week, we are excited to share an AMSSM Sport Medcast hosted by Drs Scott Young and Dr. Meghan Raleigh In this abbreviated episode, learn about the latest research regarding: · Treatment of Achilles tendinopathy · Effect of NSAIDs on bone healing rates · Management of lateral hip pain · Exercise as medicine for concussion · Physiotherapy vs surgery for meniscal tears To listen to the full episode and learn about all ten studies, please visit the AMSSM’s website: https://www.amssm.org/E-Learning.php Further reading: Johannsen F, Jensen S, Wetke E. 10-year follow-up after standardised treatment for Achilles tendinopathy. BMJ open sport & exercise medicine. 2018 Oct 1;4(1):e000415. Wheatley BM, Nappo KE, Christensen DL, Holman AM, Brooks DI, Potter BK. Effect of NSAIDs on Bone Healing Rates: A Meta-analysis. JAAOS-Journal of the American Academy of Orthopaedic Surgeons. 2019 Apr 1;27(7):e330-6. Nissen MJ, Brulhart L, Faundez A, Finckh A, Courvoisier DS, Genevay S. Glucocorticoid injections for greater trochanteric pain syndrome: a randomised double-blind placebo-controlled (GLUTEAL) trial. Clinical rheumatology. 2019 Mar 14;38(3):647-55. Leddy JJ, Haider MN, Ellis M, Willer BS. Exercise is medicine for concussion. Current sports medicine reports. 2018 Aug 1;17(8):262-70. van de Graaf VA, Noorduyn JC, Willigenburg NW, Butter IK, de Gast A, Mol BW, Saris DB, Twisk JW, Poolman RW. Effect of early surgery vs physical therapy on knee function among patients with nonobstructive meniscal tears: the ESCAPE randomized clinical trial. Jama. 2018 Oct 2;320(13):1328-37.

Is it possible to support small, individual clinicians with an interest for research, while also encouraging collaborative research from major medical centers and teaching hospitals? These topics and others are explored on this episode of the AMSSM Sports Medcast. Host Devin McFadden, MD is joined by a panel which includes Anthony Beutler, MD, Andrew Peterson, MD, MSPH and Stephanie Kliethermes, PhD, who help form a portion of the AMSSM’s Collaborative Research Network leadership. They cover the history of this organization from inception to present day, and discuss the challenges and strategic issues which the organization has faced in its brief existence to date.Collaborative Research Network website: https://www.amssm.org/CRN.php

Our guest is Kim Harmon, M.D. Dr. Harmon is head team physician of the University of Washington Huskies and past president of the American Medical Society for Sports Medicine (AMSSM). She discusses the recently published AMSSM position statement on concussion in sport.

Did you know that up to 3.8 million sports-related concussions occur in the USA annually? As the largest membership organisation representing sports medicine physicians in North America, the AMSSM is perfectly placed to provide advice and guidance to clinicians who are expected to manage every stage of the concussion spectrum. On this week’s episode, Prof Kimberly Harmon (T: @DrKimHarmon) returns for another podcast and joins BJSM’s Daniel Friedman (T: @ddfriedman) to discuss the upcoming updated 2019 AMSSM position statement on managing concussion in sport. Prof Harmon is a Professor in the Department of Family Practice and Departments of Family Medicine and Orthopaedics and Sports Medicine at the University of Washington, as well as a past president of the AMSSM. She has over 20 years of experience as a team physician for the University of Washington, and is currently the head physician for the university’s American football team. In this 20 minute conversation, Prof Harmon discusses: · Our current understanding of concussion · The 2019 updated AMSSM Concussion in Sport position statement vs the 2013 statement · Managing concussed athletes and return to play at the collegiate level · Efforts to prevent concussion and reduce its severity in college football Prof Harmon will be speaking at the upcoming 2019 ACSEP conference (https://bit.ly/2HkQsi5) in Queenstown, NZ, and at the 2019 AMSSM Annual Meeting (https://bit.ly/2U573rD) in Houston, USA. Don't miss out! Further reading: Harmon KG, Drezner JA, Gammons M Endorsed by the National Trainers’ Athletic Association and the American College of Sports Medicine, et al. American Medical Society for Sports Medicine position statement: concussion in sport Br J Sports Med 2013;47:15-26. https://bjsm.bmj.com/content/47/1/15.short Turner M Happy Birthday Concussion! Br J Sports Med Published Online First: 01 December 2018. doi: 10.1136/bjsports-2018-100316 McCrory P, Meeuwisse W, Dvorak J, et al Consensus statement on concussion in sport—the 5th international conference on concussion in sport held in Berlin, October 2016. Br J Sports Med 2017;51:838-847

Is it possible to support small, individual clinicians with an interest for research, while also encouraging collaborative research from major medical centers and teaching hospitals? These topics and others are explored on this episode of the AMSSM Sports Medcast. Host Dr. Devin McFadden, MD is joined by a panel which includes Dr. Anthony Beutler, MD, Dr. Andrew Peterson, MD, and Dr. Stephanie Kliethermes, PhD who help form a portion of the AMSSM’s Collaborative Research Network leadership. They cover the history of this organization from inception to present day, and discuss the challenges and strategic issues which the organization has faced in its brief existence to date. Collaborative Research Network website: https://www.amssm.org/CRN.php Editorial on the CRN- https://bjsm.bmj.com/content/early/2018/11/26/bjsports-2018-100330 Kliethermes SA, Beutler AI. Clinical research and the AMSSM collaborative research network. Br J Sports Med. Published Online First: 27 November 2018. doi: 10.1136/bjsports-2018-100330

Is this a dysplasia problem? Or is this an impingement problem? Did you know that a young adult with a non-arthritic hip problem sees an average of 4.2 health care providers before a diagnosis of impingement is made? J.W. Thomas Byrd MD joins AMSSM’s Sports Medcast to discuss femoroacetabular impingement and hip dysplasia.Dr. Byrd founded the Nashville Hip Institute to help treat patients with complex hip disorders using advanced surgical techniques. A recent Past President of both the International Society for Hip Arthroscopy (ISHA) and the Arthroscopy Association of North America (AANA), Dr. Byrd has pioneered many of the surgical techniques for hip arthroscopy commonly employed throughout the orthopaedic world and invented numerous instruments that have revolutionised aspects of orthopaedic surgery. He has been one of the leaders for defining and developing the role of less invasive arthroscopic techniques in and around the hip. Dr. Byrd is currently the team physician for the Tennessee Titans and consults for many professional sports teams.In this 20 minute conversation, Dr. Byrd addresses the following topics:What is FAI?The work-up of FAI – examination and imagingManagement of FAI - when to interveneHip dysplasia in athletesCommon errors in managing hip pathology

Is this a dysplasia problem? Or is this an impingement problem? Did you know that a young adult with a non-arthritic hip problem sees an average of 4.2 health care providers before a diagnosis of impingement is made?! On this week’s podcast, Dr J.W. Thomas Byrd MD (T:@nashvillehipmds) joins AMSSM’s Sports Medcast (T: @TheAMSSM) to discuss femoroacetabular impingement and hip dysplasia. Dr. Byrd founded the Nashville Hip Institute to help treat patients with complex hip disorders using advanced surgical techniques. A recent Past President of both the International Society for Hip Arthroscopy (ISHA) and the Arthroscopy Association of North America (AANA), Dr Byrd has pioneered many of the surgical techniques for hip arthroscopy commonly employed throughout the orthopaedic world and invented numerous instruments that have revolutionised aspects of orthopaedic surgery. He has been one of the leaders for defining and developing the role of less invasive arthroscopic techniques in and around the hip. Dr. Byrd is currently the team physician for the Tennessee Titans and consults for many professional sports teams. https://nashvillehip.org/jw- thomas-byrd-md-orthopedic-hip-specialist-nashville-tn/  In this 20 minute conversation, Dr. Byrd addresses the following topics:        What is FAI?        The work-up of FAI – examination and imaging        Management of FAI - when to intervene        Hip dysplasia in athletes        Common errors in managing hip pathology

We all know that exercise is medicine’s polypill. On this podcast, Dr. Blaise Williams discusses how to help older patient’s get active again. BJSM’s Liam West provides the questions that see Dr. Williams cover how the aged runner differs both in biomechanics and physiology, how this effects the forces through various areas of their bodies and finally the top clinical pearls you can use in your office today to help these older patients get moving again. If you haven’t listened to the first BJSM podcast with Blaise on his readiness to run scale, make sure you check that out too! Dr. Williams is an Associate Professor in the Department of Physical Therapy and the Director of the Virginia Commonwealth University (VCU) RUN LAB. Blaise teaches students at VCU within the orthopaedic and sports curriculum. Alongside this, he continues to treat athletes of all levels at the VCU Sports Medicine Clinic. Related Reading Paquette MR, DeVita P, Williams DSB 3rd. Biomechanical Implications of Training Volume and Intensity in Aging Runners. Med Sci Sports Exerc. 2017. Epub ahead of print. Powell DW, Williams DS. Changes in Vertical and Joint Stiffness in Runners with Advancing Age. J Strength Cond Res. 2017. Epub ahead of print. Devita P, Fellin RE, Seay JF, Ip E, Stavro N, Messier SP. The Relationships between Age and Running Biomechanics. Med Sci Sports Exerc. 2016. 48:98-106. Bus SA. Ground reaction forces and kinematics in distance running in older-aged men. Med Sci Sports Exerc. 2003, 35:1167-75. Similar Podcasts ▪ From the AMSSM: Drilling down into running injuries – what they don’t teach in medical school http://bit.ly/2EvQbCP ▪ From the AMSSM: 3 sports medicine legends on running injuries, illness and footwear http://bit.ly/2mfG7pM ▪ Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller http://bit.ly/1iTsOWb ▪ Keeping runners running: the secrets of running assessment - advice and exercise progressions http://bit.ly/2EuGrIH Quotes “These changes occur as early as in our 40s, and in females even earlier” “Our physiology changes way before we see changes in our biomechanics”

Dr. Blaise Williams has a passion for helping people to get active and especially to get running. He is an Associate Professor in the Department of Physical Therapy and the Director of the Virginia Commonwealth University (VCU) RUN LAB. Blaise teaches students at VCU within the orthopaedic and sports curriculum. Alongside this, he continues to treat athletes of all levels at the VCU Sports Medicine Clinic. His research interests are in the areas of biomechanics and pathomechanics of running injuries, dynamic balance after injury and limb coordination during functional tasks. On this podcast he discusses his readiness to run scale with BJSM’s Liam West. Related Reading Roelofs EJ, Smith-Ryan AE, Melvin MN, Wingfield HL, Trexler ET, Walker N. Muscle size, quality, and body composition: characteristics of division I cross-country runners. J Strength Cond Res. 2015, 29:290-6. Paquette MR, Peel SA, Schilling BK, Melcher DA, Bloomer RJ. Soreness-related changes in three-dimensional running biomechanics following eccentric knee extensor exercise. Eur J Sport Sci. 2017, 17:546-554. Kuhman D, Melcher D, Paquette MR. Ankle and knee kinetics between strike patterns at common training speeds in competitive male runners. Eur J Sport Sci. 2016;16:433-40. Raabe ME, Chaudhari AMW. Biomechanical consequences of running with deep core muscle weakness. J Biomech. 2018;67:98-105. Luedke LE, Heiderscheit BC, Williams DS, Rauh MJ. Influence of Step Rate on Shin Injury and Anterior Knee Pain in High School Runners. Med Sci Sports Exerc. 2016;48:1244-50. Similar Podcasts ▪ From the AMSSM: Drilling down into running injuries – what they don’t teach in medical school http://bit.ly/2EvQbCP ▪ From the AMSSM: 3 sports medicine legends on running injuries, illness and footwear http://bit.ly/2mfG7pM ▪ Gait retraining to reduce leg pain with Dr Andy Franklyn-Miller http://bit.ly/1iTsOWb ▪ Keeping runners running: the secrets of running assessment - advice and exercise progressions http://bit.ly/2EuGrIH Quotes “I always try to get them to work on distance slowly, before they work on speed or intensity” “Injured athletes need to be able to land before they are able to go back running”

AMSSM member Dr. Scott Young speaks with shoulder dislocation experts Drs. John Tokish and John Wilckens about evaluating shoulder injuries, approaches to rehabilitation and much more.

AMSSM Podcast host Dr. Krystian Bigosinski is joined by Dr. Alessio Fasano, the W. Allan Walker Chair in Pediatric Gastroenterology and Nutrition and Director of the Center for Celiac Research and Treatment at Massachusetts General Hospital, as well as Dana Lis, RD, PhD, owner of Summit Sports Nutrition in Vancouver, British Columbia. Topics of conversation include the definition of gluten and FODMAPs and their potential role in leading to both gastrointestinal and constitutional symptoms in athletes, a practical diagnostic approach to evaluate an athlete manifesting GI symptoms, recognition of the spectrum of disease from gluten sensitivity to true celiac disease, when to consider initiating a restrictive diet and subsequently how to reintroduce foods, and the potential risks of athletes restricting their diets without a formal pathological diagnosis. Links: Noakes T, Volek JS, Phinney SD. Low-carbohydrate diets for athletes: what evidence?. Br J Sports Med 2014;48:1077-1078. http://bjsm.bmj.com/content/48/14/1077 Collins J, McCall A, Bilsborough J, et al. Football nutrition: time for a new consensus?. Br J Sports Med Published Online First: 02 March 2017. doi: 10.1136/bjsports-2016-097260 http://bjsm.bmj.com/content/early/2017/03/02/bjsports-2016-097260 Lis DM, Fell JW, Ahuja KDK, Kitic CM, Stellingwerff T. Commercial Hype Versus Reality: Our Current Scientific Understanding of Gluten and Athletic Performance. Current sports medicine reports. 2016;15(4):262-268. doi:10.1249/JSR.0000000000000282. http://journals.lww.com/acsm-csmr/fulltext/2016/07000/Commercial_Hype_Versus_Reality___Our_Current.11.aspx

The American Medical Society for Sports Medicine (AMSSM) podcast is hosted by Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, Greensborough, North Carolina), Dr Robert Oh (Sports M edicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University). In this podcast (part 2 of 2), the experts on running injuries discuss: • What is the role of motion control shoes? • What factors unrelated to footwear do you look for in an injured runner? • What’s the role of the core? • Can nutrition contribute to obesity, metabolic syndrome even in distance runners? • What are the greatest risks to failing to meet your running goals? Link to Laurent Malisoux’s RCT on injury risk in motion control shoes vs standard shoes: http://bjsm.bmj.com/content/50/8/481 (Free) Link to part 1 of this podcast: https://soundcloud.com/bmjpodcasts/from-the-amssm-3-sportsmedicine-legends-on-running-injuries-illness-and-footwear The next AMSSM Annual meeting will be in Orlando, Florida, April 24-29, 2018.

Gluten is a natural-occurring protein that can be found in many types of foods. AMSSM member Dr. Krystian Bigosinski talks to Drs. Alessio Fasano and Dana Lis about all things gluten, from FODMAPs to Celiac Disease.

Johnny Owens is a Physical Therapist who currently serves as the Director of Education at Owens Recovery Science. Previously, Johnny spent 10 years as the Chief of Human Performance Optimization at the Center for the Intrepid (See Video Below).  Here he treated service members, including Ryan Miller from Episode 79, who suffered severe musculoskeletal trauma. I heard Johnny speak at the AMSSM conference this past May in San Diego and was amazed by the incredible knowledge he was sharing on Blood Flow Restriction (BFR) and the implications it has for athletes recovering from injury.  Johnny has been published extensively for his work with BFR in the peer reviewed literature and his work has been featured on 60 Minutes, Time Magazine, NPR, Discovery Channel and ESPN.  I have no doubt many of the athletes who listen to this episode can benefit one way or another by adding BFR to their rehab protocol or training regimen. As many of you know, I have been rehabbing from an Osteochonral Autograft Transfer (OATs) surgery I elected to have back in January of 2016.  I have been struggling with moderate to severe kneecap pain and atrophy  since 6 months out from surgery.  The pain has diminished greatly since working with Dr. Danielle Clarke over at Parabolic Performance and Rehab in Little Falls, NJ. However, when I heard Johnny talk about BFR at the AMSSM conference I first thought, I need to get this guy on the podcast and then thought, this could be a potential solution to my lingering knee pain! Johnny told me he thought I would be a good candidate for BFR training. For athletes like me who can't build muscle through lifting heavy loads because it is painful, the anaerobic properties of BFR training have been found to stimulate a similar biological response in the muscle with much lighter weights.  In the above picture, I am performing a step-up with a slow eccentric descent.  Trust me, you have never felt muscle fatigue until you have tried BFR.  It's a deep burn (Insert Ron Burgundy voice).  The single leg squat on the Total Gym is by far the most difficult and uncomfortable, but after having limited use of my quad for over a year, it's also glorious. Since recording this episode with Johnny I have been doing BFR on my leg for the past 3 weeks at Edge Physical Therapy & Sports Medici

Johnny Owens is a Physical Therapist who currently serves as the Director of Education at Owens Recovery Science. Previously, Johnny spent 10 years as the Chief of Human Performance Optimization at the Center for the Intrepid (See Video Below).  Here he treated service members, including Ryan Miller from Episode 79, who suffered severe musculoskeletal trauma. I heard Johnny speak at the AMSSM conference this past May in San Diego and was amazed by the incredible knowledge he was sharing on Blood Flow Restriction (BFR) and the implications it has for athletes recovering from injury.  Johnny has been published extensively for his work with BFR in the peer reviewed literature and his work has been featured on 60 Minutes, Time Magazine, NPR, Discovery Channel and ESPN.  I have no doubt many of the athletes who listen to this episode can benefit one way or another by adding BFR to their rehab protocol or training regimen. As many of you know, I have been rehabbing from an Osteochonral Autograft Transfer (OATs) surgery I elected to have back in January of 2016.  I have been struggling with moderate to severe kneecap pain and atrophy  since 6 months out from surgery.  The pain has diminished greatly since working with Dr. Danielle Clarke over at Parabolic Performance and Rehab in Little Falls, NJ. However, when I heard Johnny talk about BFR at the AMSSM conference I first thought, I need to get this guy on the podcast and then thought, this could be a potential solution to my lingering knee pain! Johnny told me he thought I would be a good candidate for BFR training. For athletes like me who can't build muscle through lifting heavy loads because it is painful, the anaerobic properties of BFR training have been found to stimulate a similar biological response in the muscle with much lighter weights.  In the above picture, I am performing a step-up with a slow eccentric descent.  Trust me, you have never felt muscle fatigue until you have tried BFR.  It's a deep burn (Insert Ron Burgundy voice).  The single leg squat on the Total Gym is by far the most difficult and uncomfortable, but after having limited use of my quad for over a year, it's also glorious. Since recording this episode with Johnny I have been doing BFR on my leg for the past 3 weeks at Edge Physical Therapy & Sports Medicine.  Considering the large number of physical therapy practices in my area, most of them do not have Owens Recovery System certified PT's.  You can find a list of certified providers in your area on Johnny's website. Since working with Lawrence and Johanns at Edge, I can definitely feel a big difference in the strength of my left leg. Normally when I go out for a ride on my road bike or do some intervals on an Assault Bike, my non-surgically repaired right leg feels like it is doing all the work.  However, I feel much more symmetrical in the last couple rides and workouts I have done. I am excited to see the progress in the coming weeks.  Keep an eye out for some videos on social media of my BFR training. Below you will find notes on my interview with the BFR legend himself, Johnny Owens: BFR is an individualized tourniquet system and is meant to reduce blood flow into an extremity. If you are able to exercise at a low blood flow, you can use lighter weights to get similar results that you would expect from lifting heavy weights. BFR isn't as new of an idea as you might think. Early physiology studies from decades ago look into anaerobic muscle response. Yoshiaki Sato noticed bigger pump effect with BFR. Population Perfect for person recovering from injury because those patients cant handle heavy loads. Geriatric population. Battling sarcopenia after 50, body doesn’t respond to muscle protein synthesis. Athletes in season, won’t beat up the body. Dwight Howard video Both lower tourniquet pressures have an effect and high pressures have an effect. Why not just use a tourniquet? Clinically you can’t ignore the tourniquet literature. Wide and tapered devices to avoid pressure gradients. Contraindications list: Cardiovascular compromised Cancer “Sick person List” Young pediatrics Certification process Over 1000 certified providers Medical License is required PT, OT, ATC, MD Teaching how to use tourniquets. The science: Who wins?  lifting light or lifting light with a tourniquet? Tourniquet Johnny believes lifting heavy still wins overall, but not everyone can. Increase in lactate Growth hormone elevation Proximal changes around the tourniquet Ex. Quad gets so fatigued that the glute has to work harder Downstream fatigue effect Johnny’s work with Active Duty service members starting back in 2004 “The best and most honorable experience I had in my life” Limb salvage population Needed a strength and hypertrophy response and that’s where BFR came in. What goes into the decision to save or amputate a limb? Loading is going to make you bigger and stronger overtime Once you are injured, the body goes haywire Attitude is number one on the list in leading to successful injury outcomes Identity struggles for athletes and veterans How Psychologists and Nutritionists can help in this process. It was hard to ever feel bad for yourself at the center for the intrepid. Johnny's story of 3 ACL injuries: Grew up in west Texas and was the son of a mechanic (That just sounds tough). Played High school football in the same district as Permian High School from the Book "Friday Night Lights". Eventually gravitated to soccer: Blew his knee out playing soccer on a non-contact play in the rain. Eventually re-tore the repaired knee. Johnny talks about the evolution in ACL surgeries and treatments since his initial injury. Got hit by a car and tore it a third time while at The University of Texas at Austin. The third injury was an eye opener for Johnny, because he realized he couldn’t rely on becoming a pro soccer player. Johnny's advice to athletes going through the transition to life after sports is, "what you do does not define who you are". Why staying at the Center for the Intrepid was “Fail better” and how athletes should seek out non-health-hazardous opportunities that makes them uncomfortable. The definition of toughness from the son of a West Texas mechanic. WHERE CAN YOU FIND MORE ON BFR and OWENS ReCOVERY SCIENCE? WEBSITE | Instagram | FACEBOOK | blog WHERE CAN YOU FOLLOW JOHNny Owens? INSTAGRAM |  TWITTER | LINKEDIN Download Episode 84 : iTunes | Stitcher | SoundCloud

Dr Jonathan Finnoff, DO, is the Medical Director for Mayo Clinic Square, Sports Medicine Center, Minneapolis, Minnesota. He is a specialist in Physical Medicine and Rehabilitation and Sports Medicine. He benefits from his experience as a former professional athlete in his work as the Team Physician for professional basketball teams -- the Minnesota Timberwolves and Lynx. Dr Finnoff addresses the case of a 24 year old basketball player who has calf pain that stops her from playing but responds relatively quickly when she stops running. Timeline • The differential diagnoses include chronic exertional compartment syndrome, vascular problems such as popliteal artery entrapment, as well as neurological causes • Physical examination is critical and there are some key tests to distinguish those different pathologies • The role of investigations including imaging • How does one make the compartment pressure diagnosis? • Treatment for chronic exertional compartment syndrome including gait retraining • More aggressive treatment including use of the meniscotome, botox injection and surgery • Outcomes of treatment including botox and surgery Link to previous podcasts: This podcast is complemented by one with Professor Francis O’Connor: https://soundcloud.com/bmjpodcasts/professor-francis-oconnor-from-the-amssm-challenging-leg-paincalf-pain-and-military-injuries?in=bmjpodcasts/sets/bjsm-1 Andy Franklin-Miller’s BJSM podcast on exertional compartment syndrome and gait retraining: https://soundcloud.com/bmjpodcasts/running-injuries-with-andy Andy Cornelius on how to assess a runner and what to do when you see abnormalities: https://soundcloud.com/bmjpodcasts/keeping-runnners-running-the-secrets-of-running-assessment-advice-and-exercise-progressions

The AMSSM Traveling Fellowship program connects sports medicine physicians from around the world. In this episode, participants from the AMSSM Traveling Fellowship discuss their experiences from their trips to Australia (2014) and South Africa (2015). In Part 2, Krystian Bigosinski, MD hosts a prestigious panel of AMSSM members, including Irfan Asif, MD, Chad Asplund, MD, M. Alison Brooks, MD, MPH, James MacDonald, MD, Past President Doug McKeag, MD, Past President Jim Puffer, MD.

The AMSSM Traveling Fellowship program connects sports medicine physicians from around the world. In this episode, participants from the AMSSM Traveling Fellowship discuss their experiences from their trips to Australia (2014) and South Africa (2015). In Part 1, Krystian Bigosinski, MD hosts a prestigious panel of AMSSM members, including Irfan Asif, MD, Chad Asplund, MD, M. Alison Brooks, MD, MPH, James MacDonald, MD, Past President Doug McKeag, MD, Past President Jim Puffer, MD.

BJSM’s good friend Fran O’Connor is Director of Emergency Medicine and Sports Medicine at Uniformed Services University of the Health Sciences (USUHS) in Bethesda, Maryland. He is a former President of the American Medical Society for Sports Medicine (AMSSM, @theAMSSM). He also held leadership positions in the American College of Sports Medicine and the American Medical Athletic Association. He is a prolific researcher with more than 60 scientific journal publications, 25 book chapters and numerous national and international presentations. In the podcast he addresses the following questions: • What are the main challenges seen by clinicians who work in military settings? • What is the differential diagnosis to consider in the patient with calf pain, leg pain? • How does one make the compartment pressure diagnosis? • What are the challenges of measuring compartment syndrome? • What is the conservative management for compartment syndrome? (Prof O’Connor touches on gait retraining first and foremost, Pose running technique, botox injection) • Is there a role for surgery, and if so, which surgery? What are the outcomes? • What is the role of orthoses? Link to previous podcasts: This podcast is complemented by one with Dr Jonathan Finnoff: https://soundcloud.com/bmjpodcasts/mayo-clinic-and-amssm-sports-medicine-specialist-dr-jon-finnoff-on-managing-leg-pain-in-sport?in=bmjpodcasts/sets/bjsm-1 Andy Franklin-Miller’s BJSM podcast on exertional compartment syndrome and gait retraining: https://soundcloud.com/bmjpodcasts/running-injuries-with-andy Andy Cornelius on how to assess a runner and what to do when you see abnormalities: https://soundcloud.com/bmjpodcasts/keeping-runnners-running-the-secrets-of-running-assessment-advice-and-exercise-progressions

The American Medical Society for Sports Medicine (AMSSM) has its Annual Meeting come up (May 8-13, 2017) so we celebrate with this podcast. Dr Devin McFadden (Sports Medicine Fellow, Washington D.C) is your host. He chats with Dr Bert Fields (Sports Medicine Physician, North Carolina), Dr Robert Oh (Sports medicine, Fort Benning, Georgia) and Dr Chad Asplund (Athletic Sports Medicine, Georgia Southern University) Topics discussed include: • Common mistakes made by amateur running athletes – training errors and hip abduction weakness get a mention • Is one type of exercise best for reducing the risk of cardiovascular disease? The trade-off between health benefits and injury risk. • Non-MSK running injuries- which ones do we need to think about? • Biomechanics of running and types of shoes • Minimalist and barefoot running- evidence supporting a different running style? Link to JAMA study that mentioned the ‘weekend warrior’ promoting health: https://www.ncbi.nlm.nih.gov/pubmed/?term=JAMA+internal+medicine+and+weekend+warriors and the BJSM editorial commenting on it (FREE this weekend!) http://bjsm.bmj.com/content/early/2017/02/23/bjsports-2017-097538 Link to BJSM paper suggesting you can’t run to your way to health weight http://bjsm.bmj.com/content/49/15/967.long (FREE) Link to 2016 BJSM paper where 1 in 13 runners had illness in the lead up to an event http://bjsm.bmj.com/content/50/15/939.long Link to BJSM RED-S consensus statement: Relative Energy Deficiency (Sport) http://bjsm.bmj.com/content/48/7/491.long (FREE)

In part 1 of two podcasts, Dr Ben Kibler, international shoulder authority, shares top tips on examination and diagnosis of the tennis player. (Part 2 will focus on baseball pitchers) Dr Ben Kibler, orthopaedic surgeon and medical director of Lexington Clinic in Kentucky is a world expert on management of shoulder injuries with a particular focus on the role of the scapula (scapular dyskinesis). He has held regular ‘scapular summit’ meetings of experts in his hometown of Lexington, Kentucky, USA. The most recent summary of that meeting can be read here: http://bjsm.bmj.com/content/47/14/877 In this podcast, we discuss: • Briefly how Dr Kibler, a surgeon, learned about biomechanics • Examination of the tennis player’s shoulder including how to perform a biomechanical analysis • Simple tests to recognize abnormal asymmetry in the tennis player • Diagnosis of injury in tennis players; search for culprit (the real cause) – don’t just incriminate the victim • The rise in the double-handed backhand in tennis and how it has increased the incidence of ulnar wrist injuries • Role of communication within the multidisciplinary team: how much should the physician know about the biomechanics? • Two tests commonly used to assess shoulder function – the Scapular Assistance Test (SAT) and the Scapular Retraction Test (SRT). Remember to keep an eye out for Part 2 – management of the overhead throwing athlete. You can meet with Dr Kibler in person at the AMSSM annual conference. May 9-13, 2017, San Diego. It’s a prime spot on the sports medicine calendar. https://www.amssm.org/Content/pdf%20files/BROCHURES/2017_Annual_Meeting.pdf

Our guest is Dr. Jonathan Drezner, Former President of the AMSSM and lead author of the new AMSSM position statement on cardiovascular preparticipation screening. We focus primarily on the pros and cons of considering the use of ECG for screening to prevent Sudden Cardiac Death and Arrest in young athletes.

The American Medical Society for Sports Medicine (AMSSM) is the world's largest primary care sports medicine organisation and one of BJSM's 23 member societies. It provides authoritative education for the public as well as for athletes and health professionals. BJSM is proud to host AMSSM experts discussing the potentially life-threatening condition that is widely known as ‘The Female Athlete Triad'. Dr Elizabeth Joy (Salt Lake City) and Dr Aurelia Nattiv (UCLA, Los Angeles) are both researchers and clinicians in this field so they provide a great overview as well as practical tips for athletes, parents and health professionals in this 20-minute podcast. (AMSSM's guest host is Dr Britt Marcussen, U of Iowa). They are two of the lead authors on the 2014 International Consensus Statement on this topic: Br J Sports Med. 2014 Feb;48(4):289. doi: 10.1136/bjsports-2013-093218. http://bjsm.bmj.com/content/48/4/289.long Timeline: 2:00m - What is the ‘Female Athlete Triad'? 4:30m - What type of athletes are at risk? What should I look for? 6:15m - Energy availability, eating disorders, disordered eating. The role of anorexia nervosa, bulimia. Is this an essential element? 8:30m - Practical tips for parents. What to watch out for? 14:20m - If a parent is concerned what is the next step? 16:00m - What is the role of sport restriction in treating this condition? 21:00m - Take home messages: early recognition is key; seek help. An experienced multidisciplinary team (psychologists, nutritionist, sports physician) is key. Links: The definitive ‘Female Athlete Triad' consensus statement in the BJSM: http://bjsm.bmj.com/content/48/4/289.long A complementary perspective on the issue – the IOC's consensus statement: http://bjsm.bmj.com/content/48/7/491.long A 2015 podcast by the IOC's Dr Margo Mountjoy – on the IOC's perspective: http://ow.ly/XpkYO AMSSM e-learning elements: Podcasts and more! https://www.amssm.org/E-Learning.php

Associate Professor Irfan Asif is Vice Chair of Academics and Research at the Greenville Health System and University of South Carolina. This podcast is unashamedly focused on the American Medical Society which we believe is the world's largest member organisation for primary care sports medicine. For those of you wondering why it needed to be a ‘medical society for sports medicine' (tautology?/redundancy?) the answer is that sports medicine is a broad field with many disciplines involved, so one could have an ‘orthopedic' society for sports medicine, for example, or a ‘sports therapists' society for sports medicine. Timeline: 1m 40s: What is AMSSM? What benefits does it provide primary care sports medicine physicians? 1m 20s: AMSSM President John Devine was at the White House for a national ‘bystanders' conference – what can the public do to save lives? An initiative to ‘Stop the Bleed'. 1m 50s: Outline of the AMSSM Donjoy travelling fellowships in Australia (2014) and South Africa (2015) as well as the ECOSEP, Spain – providing international leadership. (Editors' note, these are all BJSM member societies). 3m 20s: Junior NBA programme – NBA players (junior.nba.co) Sports Medicine Today – tips and fact sheets about different injuries for athletes, coaches, parents etc 4m 10s: Collaborative Solutions for Safety in Sport (CSSS): March 2015 meeting at the NFL headquarters (partnership with NATA). Emergency action plans – including Drs Jon Drezner, Kevin Guskiewicz and Doug Casa. Focused on factors such as personnel management, AEDs and prevention of heat stroke. Another example of AMSSM partnering to make changes across the US 5m 15s: Position statements that @theAMSSM is leading (completed and in the pipeline) Viscosupplementation (5:30) – Pros and cons of using Viscosupplementation in osteoarthritis (http://www.ncbi.nlm.nih.gov/pubmed/26729890) Mental Health – Under-recognised ‘silent injury' – pressures of being an athlete per se Diagnostic ultrasound – building on previous work such as features in BJSM in 2015 (http://bjsm.bmj.com/content/49/3/145.1.long) Cardiovascular issues including ECG interpretation and pre-participation screening (coming out in 2016, ‘next year' in the podcast because we recorded late in 2015) 6m 30s: Come to the Annual Meeting in Dallas, Texas, April 15-20 - http://ow.ly/X6yKo Hot topics and speakers include: Tendons (Hakan Alfredson), Running Medicine (Blaise Williams – ACSM exchange lecture), Medical issues (e.g. cardiovascular, respiratory) in sports including NBA protocols, pearls for event coverage, low back pain management advances, stress fracture prevention and Rx, emerging technologies in sports medicine. 7m 30s: Opportunities to serve AMSSM on exciting committees (not an oxymoron!) Links: AMSSM conference registration (and programme) http://ow.ly/X6AIx Hakan Alfredson's classic (code for 2 years old now) BJSM tendon podcast http://ow.ly/X6AWA AMSSM Sports Medcast on injections with guest Matt Gammons (VP, AMSSM) http://ow.ly/X6BkZ Dr Irfan Asif's recent podcast on HOW to promote lifestyle medicine (‘Exercise is Medicine') http://ow.ly/X6Bww

AMSSM has a series of podcasts (https://www.amssm.org/E-Learning.php) and here experts highlight the management of shoulder, elbow and knee pain with a focus on the declining role of corticosteroid injections. The sports physicians discuss other injection treatment options – PRP, prolotherapy and viscosupplementation where relevant. Keep the AMSSM's 2016 Annual Meeting in mind – Registration opens on January 8th. It will be in Dallas, Texas, April 15-20, 2016. And the special AMSSM issue of BJSM appears online first on January 18th, 2016.(Mental health theme). The experienced and popular hosts are Dr Blair Becker and Dr Scott Young, with special guest AMSSM Vice-President, Dr Matt Gammons. Timeline: 2:00 m Shoulder pain and subacromial corticosteroid injection – what is the level 1 evidence? 4:05 m What about corticosteroid for frozen shoulder? Does distention add benefits? 5:30 m Dr Gammons in his experience with adhesive capsulitis and shared decision making. 6:30 m The severity of symptoms may influence the decision. What would make it worth it for the patient to have an injection? 7:30 m PRP – platelet rich plasma. Again, as usually the case with PRP, no therapeutic benefit. What about prolotherapy? 8:30 m The AMSSM position statement on ultrasound guidance for shoulder injection. 12:30 m The elbow – an area where corticosteroids are becoming less popular. 15:30 m Is there support for long-term benefit of PRP? Nothing in the short term but a benefit at 2 years? 16:00 m Dr Gammons provides an overview. “Tools to add to the toolbox”, “Reasonable discussions to have with the patient”. Remember that the natural history is toward resolution. 17:00 m Shared decision making is key 17:30 m Moving on to the knee. Osteoarthritis and corticosteroid – short term benefit. Dealing with the acute flare-up. 18:40 m Viscosupplementation. See also the AMSSM scientific statement – (http://ow.ly/VKUxC ) and its recommendation for use in patients aged >60 years with grade 2 or 3 Kellgren-Lawrence. 20:00 m Dextrose prolotherapy for knee osteoarthritis (University of Wisconsin). 21:00 m Intra-articular PRP for knee osteoarthritis 23:30 m Other targets around the knee. Iliotibial band, pes anserinus as well as the patellar tendon. 25:30 m Summary of clinical practice – putting it all into perspective. Other links Clinical Journal of Sport Medicine blog and link to AMSSM Viscosupplementation position statement http://ow.ly/VKUxC Evidence against elbow PRP via Dr Robert-Jan de Vos: http://bjsm.bmj.com/content/48/12/952.long

The American Medical Society for Sports Medicine (AMSSM) is strongly committed to embedding Exercise is Medicine in the health of Americans. A member of the AMSSM's leadership group is Associate Professor Irfan Asif, the Director of the Sports Medicine Fellowship within the Department of Family Medicine at the University of South Carolina Greenville. Our chat focuses on the practical aspects of Lifestyle Medicine – which is more than exercise medicine alone. You'll hear about: (i) the patient's journey through a 6-week clinical service, (ii) exercise being embedded in all 4 years of the medical curriculum, (iii) how medical students are engaging with high school students in very practical ways and with some surprising outcomes. We discuss the challenges of rolling out a lifestyle medicine programme in rural areas with minimal resources and the devil's advocate asks the hard question: ‘Are doctors really the right persons in health care teams to prescribe exercise?'. Timeline: 00:47m - What is the Lifestyle Medicine clinic? Who is involved, what are the goals? 02:00m - The diet part – modifying the DASH diet with a Southern Flavour (Dietary Approaches to Stop Hypertension (http://ow.ly/VtPSR)) 04:00m - An example: walking through the patient's journey – such as a patient with COPD. The role of partners such at the YMCA 05:30m - What the patient finds important – health or weight loss? 06:00m - How the curriculum embraces Lifestyle Medicine. See the link to Dr Jennifer Trilk's work below (BJSM paper) 08:00m - Practical experiences of medical students within their communities. From given practical cooking advice to engaging high school students who are at risk of gang-related behaviour. Leadership concepts and team dynamic training – beyond the traditional medical model 10:00m - Physicians encouraging 7th & 8th grade children to ‘get your 30' (minutes). Teaching CPR to children at this level. Encouraging young students to be open about concussion symptoms. Practical stuff 11:00m - Exercise Vital Sign: how many minutes do you exercise and how often do you exercise? Integrated into the Electronic Medical Record of the 13th largest health system in the US (with credit to Kaiser-Permanent as well). Flipping the health care system upside down from its focus on fee-for-service to prioritising prevention. 13:00m - Rural roll out: how to make this happen outside of major centres: ‘Think big but start small – practical first steps that will bring partners on board' 14:45m - Taking a broader view – 'If we rely only on medical professionals to provide care our system is bound to sink'. 'There is plenty of pathology to go around'. The role of various health professionals in a team that provides excellence: 'Everyone plays a vital role' 15:30m - Dr Asif answers the hard question: 'What if an exercise professional feels he or she knows more about exercise prescription than the doctor?' Links: Incorporating ‘Exercise is Medicine' into the University of South Carolina School of Medicine and Greenville Health System (Editorial, BJSM, 2014) - http://ow.ly/VtWv4 Check out the 2015 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/49/4.toc 2014 Physical Activity Issue of BJSM - http://bjsm.bmj.com/content/48/3.toc

Our guest is Dr. Christopher Madden, former President of the American Medical Society for Sports Medicine (AMSSM) and member of AMSSM and the Wilderness Medical Society (WMS). Dr. Madden is one of the Editors of the September 2015 CJSM Wilderness Medicine Theme Issue, a collaboration between AMSSM and WMS.

Steven Stovitz, MD, MS, directs the University of Minnesota's Program in Primary Care Sports Medicine and is the associate director of the University of Minnesota's Sports Medicine Fellowship. His clinical work is divided between the University of Minnesota's Sports Medicine clinic and Orthopedic clinic along with the athletics department, where he is a team physician for University's athletes. Dr. Stovitz's research involves the intersection of clinical medicine and epidemiology, as well as a variety of issues related to the study of obesity. He is a fellow of the American College of Sports Medicine and a senior associate editor with the BJSM. He has a special interest in evidence informed medicine and he challenges us with specific clinical settings where patients and doctors commonly make ‘inferior' choices. Why does this happen? A thought-provoking podcast that may be best enjoyed at home with focus rather than driving on a windy coastal road! See also: Stovitz SD, Shrier I. Sickle cell trait, exertion-related death and confounded estimates. http://bjsm.bmj.com/content/48/4/285.long Stovitz SD, Shrier I. Medical decision making and the importance of baseline risk. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3809433/ Stovitz SD. Confusion surrounding false-positive rates: distinguishing the definition from the important clinical question. Curr Sports Med Rep. 2014 Mar-Apr;13(2):69-70. doi: 10.1249/JSR.0000000000000032. PubMed PMID: 24614417. Stovitz SD, Shrier I. Injury rates in team sport events: tackling challenges in assessing exposure time. http://bjsm.bmj.com/content/46/14/960.long

A conversation with American Medical Society of Sports Medicine (AMSSM) member Jonathan Finnoff, D.O., lead author of two AMSSM sports ultrasound position statements.

Drs Jon Finnoff and John DiFiori on sports ultrasound. For several years, primary care sports medicine doctors have been mastering musculoskeletal ultrasound. With new technology comes a sharp learning curve and as the field matures, we begin to realise the full utility of point of care ultrasound. As sports medicine practitioners, we are now understanding that ultrasound has applications outside of the musculoskeletal system that may be advantageous for our practices. A couple of examples of this include FAST exam to look at abdominal trauma and limited echocardiography in pre-participation examination. This podcast highlights 2 articles that will be published in the AMSSM themed edition of BJSM in February, 2015. One on a new sports ultrasound curriculum for sports medicine fellowships and the other on a position paper on US- guided interventional procedures. Dr Ken Mautner discusses these articles with the chair of the AMSSM MSK US Task force, Dr Jon Finnoff, as well as with the immediate past president of AMSSM, Dr John Difiori. They will shed much more light on the transition to this new term “Sports Ultrasound” and how it may impact your practice. They will also discuss some aspects of their interventional position paper on MSK US which is timely as there is continued downward trends in reimbursement for interventional US. See also: American Medical Society for Sports Medicine (AMSSM) position statement: interventional musculoskeletal ultrasound in sports medicine: http://bjsm.bmj.com/content/early/2014/10/19/bjsports-2014-094219.full American Medical Society for Sports Medicine recommended sports ultrasound curriculum for sports medicine fellowships: http://bjsm.bmj.com/content/early/2014/10/31/bjsports-2014-094220.full

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, AMSSM members discuss the recently published 'Overuse Injuries and Burnout in Youth Sports: A Position Statement from the AMSSM' with statement authors Dr John DiFiori, Dr Joel S Brenner and Dr Neeru Jayanthi. Read the statement: http://goo.gl/lczEHo Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Dr Jonathan Drezner, BJSM Senior Associate Editor (Sports Cardiology) is the team physician for Seattle Seahawks in the National Football League. Speaking in the week after his team's first Super Bowl appearance, he shares thoughts with Karim Khan about a typical week at the Seahawks, the season's climax in New Jersey, and what budding sports medicine clinicians might do if aspiring to work in the top levels of professional sport. Off the playing field, Professor Drezner served as President of AMSSM in 2012, contributes to the Primary Care Sports Medicine Fellowship at the University of Washington, Seattle and heads the Sports Cardiology Centre. To find more related to sports cardiology (not the subject of this podcast), please go to this BMJ Learning site – over 10,000 educational modules have been completed. http://tinyurl.com/o5jcc5v See also: Peter Brukner on – Lessons from 30 years as a team physician http://bjsm.bmj.com/articleusage?rid=47/10/610 The use of local anaesthetic injections in professional football: http://bjsm.bmj.com/content/35/4/212.full Super Bowl: Two ACL tears and the landmark paper still under review: http://blogs.bmj.com/bjsm/2012/02/13/super-bowl-two-acl-tears-and-the-landmark-paper-still-under-review/

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor present clinical pearls on several topics from the recent sports medicine literature. Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast.

Welcome to the Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of concussion evaluation and management with Dr Jeffrey Kutcher, a neurologist at the University of Michigan, and the Director of Michigan NeuroSport. Please feel free to contact us at thesportsmedcast@gmail.com regarding this or any other Sports Medcast Further reading: Zurich consensus statement on concussion http://bjsm.bmj.com/content/47/5/250.full

Welcome to the first Sports Medcast, brought to you in association with the American Medical Society for Sports Medicine. In this episode, hosts Dr Scott Young and Dr Cole Taylor discuss the practical considerations of heat injury evaluation and management with Dr Fran O'Connor, Chair of Military Medicine at the Uniformed Services University in Bethesda, MD. We'd very much like to hear your feedback on this episode, email us at thesportsmedcast@gmail.com.

Ultrasound is rapidly revolutionising point-of-care medicine in many specialties. The last few years have seen technological advances make musculoskeletal ultrasound more practical, opening up opportunities for diagnostic and therapeutic interventions. In this podcast, BJSM's editor Karim Khan investigates the value of musculoskeletal ultrasound and how to integrate it into practice, with Kim Harmon, director of the Sports Medicine Fellowship at the University of Washington, US, and Sean Martin, Clinical Faculty at Eglin Airforce Base, US. They discuss their experiences of the technique in clinical practice (0.44), which procedures it's useful for (4.22), how to get started (12.03), using musculoskeletal ultrasound in the training room (13.33), the value of collaborating with radiologists and orthopaedics (15.58) and credentialing (17.46). See also: Musculoskeletal ultrasound education for sports medicine fellows: a suggested/potential curriculum by AMSSM http://bit.ly/XSYhwi American Institute of Ultrasound in Medicine (AIUM) http://www.aium.org/ BJSM podcast: What is the future in sports imaging? Bruce Forster, David Hancock and John Orchard http://bit.ly/ZM6Q8C

Professor Jon Drezner emphasises the need for careful planning and practice of emergency protocols in the sports medicine setting. He also shares the new criteria for ECG screening - these lead to a much lower false positive rate than was previously reported. He makes a compelling case to include a resting 12-lead ECG in the periodic health examination of athletes. In this podcast he previews the international collaboration to improve the criteria for interpreting ECGs in athletes. These ‘Seattle criteria' will be shared for free world-wide via BMJ Learning though sponsorship by numerous stakeholders including FIFA, AMSSM, PACES and ESC. 0.47 Has there been an increase in the rate of sudden cardiac death in sportspeople aged over 35 years? 1.42 What can clinicians do to minimize the risk of sudden cardiac death? 5.14 Screening and periodic health examination 8.56 Efforts to increase the accuracy of ECG interpretation - the Seattle meeting 21.04 AMSSM - a great member society for primary care physicians 23.33 Summary See also: BJSM blog: ECG Summit in Seattle: Successes and Next Steps http://bit.ly/wCELeS You can read how a two page tool with criteria for assisting interpreting ECGs in athletes led to improved accuracy in ECG reading by sports medicine attendings, primary care attending and primary care residents http://bit.ly/12EJwz4 Jon's previous BJSM podcast: Preventing sudden cardiac death with Jon Drezner http://bit.ly/occXQj The two page tool http://bit.ly/14LIF2Y Recommendations for interpretation of 12-lead electrocardiogram in the athlete http://bit.ly/Y1iUbO Detailed criteria for the interpretation of the electrocardiogram in young athletes http://bit.ly/ZJOMgi

Professor Kim Harmon from the University of Washington, former President of AMSSM, has a strong clinical record in managing concussion on sideline in football. She led the AMSSM's consensus document on concussion and here she guides you as to how to interpret current concussion ‘guidelines' into best practice for your players on game day. She also previews AMSSM's Annual Meeting - San Diego, April 2012.