#76 Osteoarthritis with Professor David Hunter

The GP Show

Professor David Hunter is a rheumatology clinician-researcher whose main research focus has been clinical and translational research in osteoarthritis (OA). He is the Florance and Cope Chair of Rheumatology and Professor of Medicine at the University of Sydney and the Royal North Shore Hospital and Consultant Rheumatologist at North Sydney Orthopaedic and Sports Medicine Centre. He is ranked as the world’s leading expert in osteoarthritis on Expertscape.com since 2014. He is on the editorial board for Arthritis and Rheumatology, Osteoarthritis and Cartilage, Arthritis Care and Research and part of the review committee for OA for the American College of Rheumatology, EULAR and OARSI scientific meetings. Dr Hunter has over 400 peer-reviewed publications in international journals, numerous book chapters, is the section editor for UpToDate Osteoarthritis and has co-authored a number of books. He is also Co-Chair of the recent RACGP Osteoarthritis guidelines.

This was a thoroughly enjoyable and informative discussion around osteoarthritis pathophysiology, imaging, prevention and treatment. There was a bit of mic rustling when David speaks but this stops at ~11:25mins (to be exact!).

Resources mentioned:

Patient program - https://www.myjointpain.org.au/

RACGP guidelines = 2018 Royal Australian College of GPs Guidelines: https://www.racgp.org.au/your-practice/guidelines/musculoskeletal/hipandkneeosteoarthritis/

Warm up programs to prevent injuries:

PEP: https://www.aclstudygroup.com/pdf/pep-program.pdf

FIFA 11 training:

Shorter version - https://www.tmphysio.com/wp-content/uploads/2017/08/FIFA-11-_Poster_EN_Druck_2015.compressed.pdf

Longer version - https://www.kort.com/uploadedFiles/KORT/Content/Services/Sports_Medicine/Concussion_Management/FIFA-the-11-Booklet.pdf

Other resources:

Some published references:

• Clinical algorithms to aid osteoarthritis guideline dissemination. Osteoarthritis Cartilage. 2016 Sep;24(9):1487-99.
• Osteoarthritis: Models for appropriate care across the disease continuum. Best Pract Res Clin Rheumatol. 2016 Jun;30(3):503-535.
• Therapy: Are you managing osteoarthritis appropriately? Nat Rev Rheumatol. 2017 Dec;13(12):703-704.
• Lower extremity osteoarthritis: optimising musculoskeletal health is a growing global concern: a narrative review. Br J Sports Med. 2018 Jul 20.

Multimedia options:

• Annual Florey Public Lecture: https://www.youtube.com/watch?v=vY__ApcQOOc
• Article author Professor David Hunterdiscussed appropriate osteoarthritis management. Short video:https://vimeo.com/108976519
• Podcast from Radio National Health Report: Everything you ever wanted to know about osteoarthritis:https://www.abc.net.au/radionational/programs/healthreport/everything-you-ever-wanted-to-know-about-osteoarthritis/8664218

An online electronic educations module for RACGP for CPD points:

https://www.racgp.org.au/education/courses/activitylist/activity/?id=54640&q=keywords%3dosteoarthritis%26triennium%3d17-19

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Enjoy Friends