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)
Data on safety best for A/C joints injections, iliac crest, some finger injuries. However safety data not generally verified by independent study methodology
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!
Unfortunately, Tony and the AMA are speaking from a position of ignorance about the level of expert medical advice that the professional sports are receiving. There is plenty of expert medical advice going to the NRL and all other pro sports
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
SEM is therefore a specialty with good potential to do Telehealth consults, as Exercise Prescription/loading is our signature treatment and can safely be done over Telehealth.
@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.
Exercise, indoors or outdoors, remains safe and beneficial during the COVID-19 pandemic unless you are subject to quarantine. Keep a distance of 4 metres between people when walking, running or doing activity where you are puffing hard
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....]
....if you answered “groin” it was the best incorrect answer, as you can argue that diagnostically it is the least pure and therefore perhaps the most polluted dataset of the 4. But actually the correct answer is “Calf strains” - behave differently from the others
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
The sports I’ve worked with, particularly cricket, AFL and rugby league, have been at the forefront of improvements to player safety with rule changes and funding higher levels of medical care, and I’m privileged to have had a part to play