Cortisone injections for knee osteoarthritis are harmful in the longer term, so doctors should stop doing them authors.elsevier.com/a/1g4sk3npMrUY… If you want more: bjsm.bmj.com/content/54/10/…

New opinion piece from The Australian Journal of General Practice: Prevention of the spread of respiratory viruses such as SARS-CoV-2 can also prevent cardiovascular deaths 1/thread www1.racgp.org.au/ajgp/2022/sept… Many studies now out showing that post-COVID there is an increased risk of cardiovascular complications, such as myocarditis, heart attacks, strokes and clotting disorders. Can be immediately afterwards or months afterwards pubmed.ncbi.nlm.nih.gov/35132265/

Co-authors @jessicajorchard @csheartresearch @ALaGerche Tim Driscoll and I have just published a study in @_JSAMS showing that AFL / VFL players have lower death rates (= higher life expectancy) than the general Australian population
authors.elsevier.com/a/1fcca57UJnKa… This study started in the 2021 S-E Australian lockdown where we noticed that every single male AFL / VFL player has a Wikipedia page with dates of birth, debut and death (if no longer alive), for example:

Emergency Departments in Australia are starting to get completely overwhelmed in every state. I don’t have all the answers on how to fix this, but...one measure that could relieve some pressure if Medicare is prepared to reverse 3 decades of bad policy….1/🧵 In Australia, almost 30% of Emergency Department presentations are musculoskeletal/injury related slhd.nsw.gov.au/rpa/start/pdf/…

Grattan Institute report released today - interesting reading - and based on good intentions of aiming for health equality. But ignores the issue of “evidence-based care” assuming overcharging by health-care providers is the problem. theconversation.com/last-year-half… In particular, exercise therapy to prevent and treat chronic disease is ignored, despite it being evidence-based treatment for musculoskeletal conditions, cardiovascular disease, cancer, mental health conditions and diabetes jpmer.com/doi/JPMER/pdf/…

Great that @CJSMonline has made our Systematic Review of the safety and use of local anaesthetic injections in sport a free view and download journals.lww.com/cjsportsmed/Fu… Limited data, but we did find 1970 injections in 540 athletes from 10 studies in the Sports Medicine literature. Only from football codes at elite level - nothing at amateur level or outside football (where hopefully use is uncommon anyway)

Thread: If the Australian Medical Association (AMA) wants to have some input on safe return to sport during the pandemic, their first step should be to recognise Sport & Exercise Medicine (SEM) as a specialty. AMA and their President Tony Bartone made a media release earlier this week cautioning the NRL against an early return to play and said that the NRL should heed “expert medical advice” ama.com.au/media/ama-urge…. I have comments!

The specialty of Sport & Exercise Medicine (SEM) in Australia and Telehealth. Thread spoiler: SEM physicians have effectively not (yet) been included. For SEM Telehealth, the patient will have to pay the full fee with no rebate. It is already know that SEM specialists do long consults with few procedures – a very detailed MBS Review document (via SCPCCC) proved this in 2019

@ACSEP_ @ESSA_NEWS media release - Boot Camp groups of 10 are not recommended as safe during the Coronavirus Pandemic. Alternate safer exercise options are advised in this media release Outdoor exercise in groups up to 10 people (such as with “boot camp”) is permitted under Australian Stage 2 restrictions, however, there are good reasons why we should NOT be participating in such activities.

Thread on Sport & Exercise Medicine (SEM) specialists in Australia and Telehealth. SEM physicians need to be included in Greg Hunt's plan for Telehealth and I'll explain why..... 1/thread Example: Low back pain accounts for 2% of all Australian Emergency Dept visits ncbi.nlm.nih.gov/pmc/articles/P… that is 160,000 ED visits annually or 400 per day; back pain is the 5th most common ED diagnosis aihw.gov.au/reports/hospit…

One of these muscle strains is not like the others, out of hamstring quadriceps, calf and groin. Read through this short thread to find out which from our latest @BJSM_BMJ paper.....

https://twitter.com/DrJohnOrchard/status/1225170883355930626

But pre-poll (no peeking below) which of the “Big 4” has the most differences from the other 3 from an Epidemiology perspective? [be brave and have a guess....]

This is a reprised thread to celebrate some of the outstanding female Sport & Exercise medicine physicians in Australia who are on Twitter, as part of
@WomenScienceDay #WomenInScience #WomenInSTEM @ACSEP_ @womenandmed @WomenScienceDay @ACSEP_ @womenandmed @ACSEP_ now has a female President
@DrLouiseTulloh who is providing terrific leadership. As well as ♀️ President, ACSEP has female CEO @hoover22
, 50% board representation acsep.org.au/page/about/acs… >50% office staff and Gender dashboard to try to increase equity on other metrics

I’m very proud and grateful to be named an AM in the 2020 Australia Day Honours list. Sincere thanks to all who have passed on congratulations and to collaborators in research & sports safety lobbying over the years I’m lucky to have chosen to work in Sport & Exercise Medicine at a time when professional sport, in particular, has rapidly evolved to appreciate the value of high level specialist medical care and been very open to improvements in sport safety

Knee osteoarthritis (OA) in Australia 2010-2019: A decade of (mainly) mismanagement. Updated Tweetorial for the New Year. Sadly, many other Western countries are also bad. 1/thread How would we know whether we are managing knee OA well? Let’s start with the latest data we have on knee OA, from aihw.gov.au/reports/arthri… and aoanjrr.sahmri.com/documents/1018…

Why do poorer Australians have shorter life expectancy than wealthy ones? Exercise and opiates as comparative risk factors: a flaming 🔥🔥🔥 hot long thread including the #RedRoosterLine 1/many @JudkinsSimon @stephenjduckett @CroakeyNews @DrChrisBarton @ACSEP_ @apaphysio @ESSA_NEWS @Kaubo We’ve known for a while than life expectancy is slightly worse (4-6 yrs) in poorer Australians with smoking status, diet, exercise and maybe less access to “good” medical care being potential explanations healthstats.nsw.gov.au/Indicator/bod_…