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A sport and exercise medicine podcast for Canadian medical residents and senior medical students
26 Episodes
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Foot 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 f...
Millions 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 po...
What 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 ...
This 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 ...
Welcome 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...
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 P...
The 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 ro...
This 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 ri...
Lower 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 rela...
In 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 eva...
Physical 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 Kinesiolog...
Jennifer 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. Finall...
Low 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...
Hi! 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 myse...
Dr. 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!
This 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.
This 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.y...
In 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.
This 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/canada/IPT...
Welcome 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...
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