Shows
MSK MattersFoot and Ankle InjuriesFoot and ankle injuries can be overwhelming for new sports medicine learners due to the complex network of bones, muscles, tendons, ligaments and joints. Dividing the anatomy into the ankle joint, hindfoot, midfoot, and forefoot can be helpful. Learning the intricate anatomy is the first step in understanding what structures are located where, making it easier to narrow down the differential diagnosis. Foot and ankle injuries are common in the majority of sports, and learners need to become familiar with common and not to be missed pathologies.In this episode, Dr. Fahim Merali, sports medicine specialist at...2023-04-1447 minMSK MattersCOVID RehabMillions of individuals will have persistent symptoms following an acute COVID-19 infection requiring post COVID-19 rehabilitation. Common symptoms include fatigue, decreased activity tolerance, cognitive dysfunction (brain fog), shortness of breath, and pain. This leads to decreased ability to complete activities of daily living, return to work or school and affects quality of life.There are many terms for post COVID-19 condition including long COVID (proposed by patients in May 2020) and post acute sequelae of COVID-19, also known as PASC. The World Health Organization created a clinical case definition in October 2021.Ongoing research includes assessing risk...2022-12-2343 minMSK MattersPhysical Activity and Brain HealthWhat role does physical activity have in optimizing brain health and function?There is strong evidence for exercise as a protective factor for dementia. This should includereaching the Canadian Physical Activity / World Health Organization Guidelines includingstrength training, balance exercises and aerobic activity.Exercise induces neurogenesis, addresses cardiovascular risk factors, decreases depressionand anxiety and is associated with larger brain regions such as the hippocampus.There is a brain health food guide that uses evidence from multiple diets. This is most similar tothe Mediterranean diet and should...2022-07-2534 minMSK MattersSleepThis episode deals with something we all do every day, sleep! Sleep is now seen as an active, restorative experience intended to optimize our functioning while awake, rather than a passive process. Sleep is closely tied with mood and pain, and plays animportant role in cognition, emotional regulation, injury, function, and chronic disease.Sleep difficulties are incredibly prevalent and fatigue frequently accumulates over time –the concept of sleep debt. Though generally 8 hours per night are recommended, weoften underestimate how much sleep we need and how much we are actually getting.2022-06-2444 minMSK MattersNutrition and Physical ActivityWelcome to Season 3! Three new residents will be co-hosting this season alongside Dr. Ali Rendely.PGY1: Dr. Chris WavellPGY4: Dr. Melissa WeidmanPGY4: Dr. Natalie Daly Episode one focuses on nutrition and physical activity through the decades.How do patients optimize nutrition and physical activity as they age? It’s hard to “out nutrition” inactivity, but exercise is the forgiver of many sins! The recommended dietary allowance (RDA) is 0.8 g protein per kg of body weight per day. For older adults, that may not be enough and...2022-05-0945 minMSK MattersThat’s a wrap on MSK Matters Season 2!In this episode, we review all of the episodes from this season and highlight our favourite clinical pearls, while adding some new ones! A huge thank you to all of our guests for sharing their knowledge and time. To recap:Low back pain with Dr. Stuart McGillDiet and Sports Nutrition with Jennifer SygoExercise is Medicine with Rob BertelinkSport Concussions with Drs. Alex Francella and Scott Shallow Lower extremity injuries with Dr. Tim Rindlisbacher Physical Activity and Pregnancy with Dr. Rebecca Titm...2021-12-3034 minMSK MattersThe Tokyo 2020 Olympic GamesThe Tokyo Olympics mark the debut of new sports include karate, sport climbing and skateboarding, among others.In this episode, we discuss common injuries sports medicine physicians see when treating patients that participate in these sports.In sport climbing, upper extremity injures account for 80-90% of all injuries. Specifically, hand and finger injuries are exceptionally common. So common, that the injury has been named climber’s finger. In a distant second, shoulder injuries including rotator cuff strains, tears, impingement, SLAP injuries, and subacromial pain syndromes are seen in those learning to climb. In professional climbers, sh...2021-08-0837 min
Preconceived112. Covid Rehab - Beyond the VirusA year into the pandemic, almost everyone knows someone who has tested positive for covid-19. While the emphasis has rightly focused on the mortality rate, there is another side of covid that is perhaps less talked about – recovery. While many do recover quickly, there is also a large proportion of people who are suffering from longer-term symptoms and require ongoing rehabilitation weeks to months after diagnosis. In fact, the morbidity of this virus will unfortunately affect the physical well-being of some of those affected for years to come. So how exactly is covid impacting the lives of those who have be...2021-06-2237 minMSK MattersPhysical Activity and PregnancyThis episode is for all women of childbearing years and all of the healthcare practitioners who provide care to these patients!The new CSEP Physical Activity throughout Pregnancy Guidelines provide evidence around the benefits and safety of being active throughout pregnancy, for both mother and baby. Physical activity is now seen as a critical part of a healthy pregnancy. Following the guidelines can reduce the risk of pregnancy-related illnesses such as depression by at least 25%, and the risk of developing gestational diabetes, high blood pressure and preeclampsia by 40%. Providers should be educated on the absolute and relative...2021-05-0942 minMSK MattersLower Extremity InjuriesLower extremity injuries occur in all sports and high profile athletes draw attention to such injuries. This episode delves into 3 of the most talked about lower extremity injuries in the last years. Using these athletes as a starting point, this episode discusses the differential diagnosis, assessment, work up and rehabilitation plans for lower body sports injuries. We start with the hip dislocation sustained by now NFL player Tua Tagovailoa. Posterior hip fracture dislocations are relatively rare in sports, but it is always important to think of the common and not to miss diagnoses when evaluating a player. On...2021-05-0438 minMSK MattersSport ConcussionsIn this episode we review concussion, a large and nuanced topic. There are 200,000 concussions annually in Canada, making concussion knowledge required for coverage of all sports.To gain an understanding of sport related concussions refer to the consensus statement on concussion in sport (the 5th international conference on concussion in sport held in Berlin, October 2016)It is helpful to think of concussion management in 3 phases: acute, subacute and chronicIn the acute phase, a sideline evaluation must include screening for red flags. Review the CT Head Rules, C-Spine Rules and SCAT5 including what...2021-04-0134 minMSK MattersExercise is MedicinePhysical activity can help prevent and manage chronic diseases such as heart disease, depression and diabetes, but it is not a one size fits all measure. We need to tailor the intervention to the patient, as we would a drug. Check out Exercise is Medicine Canada’s prescription pad – a way to provide a personalized prescription to each of your patients and increase compliance.Rob Bertelink, Cardiac Rehab Supervisor at the Toronto Rehabilitation Institute Rumsey Centre and registered Kinesiologist discusses the evidence behind cardiac rehab, at home exercise hacks, how to prescribe HIIT training safely and how to d...2021-02-0835 minMSK MattersDiet and Sports NutritionJennifer Sygo is a dietitian, sports nutritionist, author, and speaker specializing in nutrition for prevention and performance.Jen discusses how to help athletes optimize their diets to maximize their performance. She explains how to personalize dietary advice including how to counsel patients on dietary deficiencies, high risk diets and how to eat for sport performance. She gives a phenomenal overview of relative energy deficiency in sport (RED-S), a highly complex and nuanced topic. Finally, we delve into the various categories of supplements - supplements for deficiencies, supplements for health optimization and performance supplements.For more...2020-12-3038 minMSK MattersLow Back PainLow back pain is one of the most common clinical conditions seen in outpatient clinics by family physicians, physiatrists and allied health practitionersIt affects so many people and can be quite debilitating Dr. Stuart McGill is a world renowned back pain clinician and research, with over 30 years experienceIn this episode he helps teach Dr. Alex McDougall, physiatry resident, how to approach patients with low back pain For more information on Dr. McGill and to learn more about his research and books please visit his website https://www.backfitpro.com 2020-12-1528 minMSK MattersPreview - MSK Matters Season 2Hi! I am Dr. Ali Rendely, a physical medicine and rehabilitation physician at UHN’s Toronto Rehab InstituteI am an MSK physiatrist doing both inpatient and outpatient work and have an outpatient sports medicine practice.Season 2 will sound a little bit different than season 1 as we add more voices including family medicine residents, physiatry residents and sports medicine fellows.Each episode will continue to centre around a specific MSK topic. We will have a round table discussion with myself, a resident and a featured guest.We have a wide range of...2020-12-1407 minMSK MattersMSK Matters Season One Synopsis and HighlightsDr. Jane Thornton imparts more wisdom for residents and then our incoming Season Two host, physiatrist Dr. Ali Rendely gives us her highlights from each of the preceding episodes.Be sure to keep an eye out for Season Two!2020-10-0736 minMSK MattersACL TearThis week's episode features guest expert Marc Rizzardo. Marc is a registered international sport physical therapist located in Burnaby, British Columbia. He has worked with Olympic athletes and was the Chief Therapist with the Canadian Medical Teams at the 2012 London Olympics, 2010 Vancouver Olympics and the 2007 Rio de Janeiro Pan Am Games. Also checkout these links:https://www.slideshare.net/PedMenCoach/fifa-11-warmup-to-prevent-injurieshttp://www.yrsa.ca/fifa-11.htmlhttps://casem-acmse.org/resources/position-statements/2020-09-0231 minMSK MattersLumbar PainThis week we are joined by Dr. Melissa Corso, a Sports Specialist Chiropractor and Certified Strength and Conditioning Coach. Check out these resources:Core Back Tool https://cep.health/clinical-products/low-back-pain/ The Centre for Effective Practice (CEP) has developed tools and education modules to help primary care physicians and nurse practitioners better manage patients who suffer from low back pain. This work builds from the Ministry of Health and Long-Term Care (MOHLTC) Low Back Pain Strategy, which began in 2012. The goal of this initiative was to reduce the number of unnecessary diagnostic tests, improve w...2020-08-2730 minMSK MattersMedial Knee Pain- Is it OA or a medial meniscus tear?This week we are joined by Dr. Roz Lougheed Simpson talking about medial knee pain. Dr. Lougheed Simpson is a sport and exercise medicine physician who practices at the Cleveland Clinic Canada. She is also a physician for the Ryerson University and Centennial College varsity athletes. Dr. Lougheed Simpson obtained her Doctor of Medicine and completed her residency in family medicine at the University of Toronto, where she was a co-chief resident at the Scarborough Health Network site. She completed her Fellowship in Sport and Exercise Medicine at the Fowler Kennedy Sport Medicine Clinic at Western University. You do...2020-08-2529 minMSK MattersElbow Pain in Baseball PlayersThis episode we are joined by Ryan Crotin to discuss elbow pain. Ryan is the Director of Performance Integration with the Los Angeles Angels of Major League Baseball, a certified strength and conditioning specialist, and a registered strength and conditioning coach. He also has his Interdisciplinary PhD in Biomechanics and Exercise Physiology. Ryan offers some great info on elbow injuries specific to baseball. 2020-08-1828 minMSK MattersCervical RadiculopathyThis week our guest Dr. Steven Macaluso will be adressing shoulder pain. Dr. Macaluso is an associate professor with the Schulich School of Medicine and Dentistry at Western University in the Department of Physical Medicine & Rehabilitation and a consultant physiatrist on the Stroke and MSK Rehabilitation units. Dr. Macaluso is also the program director for the post graduate program in the Department of Physical Medicine and Rehabilitation. He offers some great expertise you don't want to miss!Check out:http://mskmedicine.com/about/2020-08-1832 minMSK MattersAnterior Knee PainThis week we are joined by Dr. Jane Thornton as we diagnosis a simulated patient with anterior knee pain. Join Dr. Falconi as she tries to find the correct diagnosis. Dr. Thornton is a Clinician Scientist specializing in health innovation, medical education and is an advocate for sport and physical activity in the prevention and treatment of chronic diseases. Jane is a sport and exercise medicine doctor and has started many initiatives to promote physical activity.2020-08-1829 minMSK MattersRotator Cuff TendinitisThis week our guest expert is Dr. Janice Harvey who is a Physician Advisor with The College of Family Physicians of Canada (CFPC) and is also an Assistant Clinical Professor at McMaster University Department of Family Medicine. Dr. Harvey is the Program Developer for MSK Education, a hands-on examination workshop on the shoulder, back, hip, knee and ankle. She offers some great insights and tools to use in shoulder exams with patients. Check out Dr. Carson's MSK videos here:https://www.youtube.com/playlist?list=PL9iAXHA6QFP9HEn-QQwT4cXKxTRb6IW4L2020-08-0431 minMSK MattersGroin Pain in Hockey PlayersIn this week's episode, our family medicine resident Dr. Falconi assesses a hockey player with groin pain. Our guest expert Brent Smith was an athletic therapist in the NHL for 20 years, including working with the Toronto Maple Leafs for 16 years.Extra Resources:https://orthoinfo.aaos.org/en/diseases--conditions/sports-hernia-athletic-pubalgia#:~:text=Sports%20Hernia%20%28Athletic%20Pubalgia%29%20A%20sports%20hernia%20is,traditional%2C%20abdominal%20hernia%2C%20it%20is%20a%20different%20injury.2020-07-2330 minMSK MattersMore Than an Ankle SprainThis week's episode deals with ankle sprains but our main message is to make sure to look at the patient as a whole, not just their immediate MSK concern. Dr. Cara Brown, a psychiatrist, is our guest and offers some important mental health tools. Links mentioned in the episode:APPS:Mindshift appInsight timer appSmiling mind appCheck out these links:Exercise and depression toolkithttps://exerciseanddepression.ca/toolkit/Exercise is medicine Canadahttps://exerciseismedicine.org/c...2020-07-1331 minMSK MattersAchilles Tendonitis- Tough to ManageWelcome to episode 2 of MSK Matters!This episode Dr. Falconi assesses a simulated patient with Achilles tendonitis. Dr. Carson and guest expert Cathy Campbell discuss important topics not to be missed and offer physical exam pearls.Dr. Cathy Campbell served as the team physician for the Canadian Women's Soccer Team for 12 years. This team won the bronze medal at the London 2012 Olympics with a very inspiring performance. Dr. Campbell is the President Elect of the Canadian Academy of Sport and Exercise Medicine.2020-07-0628 minMSK MattersOveruse Leg Injury in RunnersWelcome to the first episode of MSK Matters! This is a podcast aimed at helping Canadian Family Medicine residents and senior medical students, or those who would typically do an elective with a sport and exercise medicine physician. This episode Dr. Falconi assesses a simulated patient with medial tibial stress syndrome but she has no prior knowledge of the case going into the assessment. Dr. Carson and guest expert Steve Kopas discuss important topics not to be missed and offer physical exam pearls.Here is the link for Dr. Carson's knee and shoulder MSK Exam...2020-06-2927 min