AMSSM Sports Medcasts

Peripheral Nerve Hydrodissection with Dr. Garry Ho

What is peripheral nerve hydrodissection and what conditions can it potentially treat? What is the data behind its practice? Has one injectate proven to be more efficacious than the others?

 

On this episode of the AMSSM Sports Medcast, host Dr. Devin McFadden, MD is joined by family medicine and sports medicine physician Dr. Garry Ho, who will be giving a lecture on Perineural Hydrodissection during the 2022 AMSSM Annual Meeting.

 

In this 20 minute conversation Dr. Ho addresses the following topics:

• The definition of hydrodissection and the theory behind its use?
• The current data supporting this procedure with respect to injectate utilized and anatomic location targeted.
• A discussion of the training required to become competent in this practice, and methods for assessing proficiency in learners.

 

Dr. Garry Ho is an Associate Professor from the Department of Family Medicine at the Virginia Commonwealth University School of Medicine, University of Virginia School of Medicine, and the Georgetown University School of Medicine and has worked closely with athletes from several professional and collegiate organizations including the Washington Football Team, the D.C. Divas, the Washington Glory, the US Military Academy at West Point and the US Naval Academy in Annapolis.

 

2022 AMSSM Annual Meeting Information: https://annualmeeting.amssm.org

 

Resources:

Lam KHS, Hung CY, Chiang YP, Onishi K, Su DCJ, Clark TB, Reeves KD. Ultrasound-Guided Nerve Hydrodissection for Pain Management: Rationale, Methods, Current Literature, and Theoretical Mechanisms. J Pain Res. 2020;13:1957-1968

https://www.dovepress.com/ultrasound-guided-nerve-hydrodissection-for-pain-management-rationale--peer-reviewed-fulltext-article-JPR

 

Cass, Shane P. DO Ultrasound-Guided Nerve Hydrodissection, Current Sports Medicine Reports: January/February 2016 - Volume 15 - Issue 1 - p 20-22

https://journals.lww.com/acsm-csmr/Fulltext/2016/01000/Ultrasound_Guided_Nerve_Hydrodissection__What_is.10.aspx

Performing Arts Medicine with Dr. Jeremy Stanek

Similar to sports, overuse injuries are exceedingly common in the performing artist population. On this episode of the AMSSM Sports Medcast, host Dr. Stephen Luebbert, MD, is joined by Dr. Jeremy Stanek, MD, to discuss the topic of performing arts medicine and his career journey from musician to sports medicine physician.

In this conversation Dr. Stanek addresses the following topics:

• Stanek’s inspiration for becoming a performing arts physician as well as discuss the patient populations he typically sees and treats
• The different components to physical exams to consider with dancers and musicians
• The most common injury patterns in performing artists
• The go-to resources to utilize for best practices, prevention, treatment and overall management of performing arts medicine
• Recommend pathways to get started and more involved in this field

 

Resources

Websites:

1. Performing Arts Medicine Association https://artsmed.org/
2. International Association for Dance Medicine & Science- https://iadms.org/
3. Stanford Performing Arts Medicine Program- https://pmr.stanford.edu/patients/performing-arts-orthopaedic-health.html
4. Texas Center for Performing Arts Health https://tcpah.unt.edu/home
5. Harkness Center for Dance Injuries- https://nyulangone.org/locations/harkness-center-for-dance-injuries
6. Washington University Medical Program for Performing Artists- https://www.ortho.wustl.edu/content/Patient-Care/2348/Services/Physical-Medicine-and-Rehabilitation-Musculoskeletal/Performing-Arts-Program.aspx
7. Performing Arts Medicine Fellowship at the Texas College of Osteopathic Medicine - https://www.unthsc.edu/texas-college-of-osteopathic-medicine/graduate-medical-education/performing-arts-medicine-fellowship/

Textbooks

Performing Arts Medicine, 1st Edition; Author: Lauren Elson, MD; Publisher: Elsevier; Paperback ISBN: 9780323662123; eBook ISBN: 9780323581837; Publication Date: November 20, 2018

Performing Arts Medicine, 3rd Edition; Authors: Robert T Sataloff, MD; Alice G. Brandfonbrener, MD; Richard J. Lederman, MD; Publisher: Science & Medicine, Inc.; ISBN-10: 0975886223; ISBN-13:  978-0975886229; Publication Date: December 15th, 2010

Youth Sports Specialization with Dr. Neeru Jayanthi

Although early specialization in sport may pose a risk to some youth athletes, is it possible to have success with specialized training? What is it about the workload-injury relationship and injury risk factors that practitioners must take into account when taking care of specialized athletes? On this episode of the AMSSM Sports Medcast, host Dr. Giorgio Negron is joined by one of the leading experts on youth sports health, Dr. Neeru Jayanthi, to discuss the topic of youth sports specialization.

In this conversation Dr. Jayanthi addresses the following topics:

• Definition of youth sports specialization
• What are the potential risks of injury for youth athletes pursuing sport specialization?
• Is there any research regarding training guidelines or protocols for youth pursuing sport specialization?

 

References:

Jayanthi N, Saffel H, Gabbett T. Training the specialised youth athlete: a supportive classification model to keep them playing. Br J Sports Med. 2021 Nov;55(22):1248-1249. doi: 10.1136/bjsports-2020-103880. Epub 2021 Aug 11. PMID: 34380644.

Jayanthi N, Kliethermes SA, Côté J. Youth sport specialisation: the need for an evidence-based definition. Br J Sports Med. 2020 Feb;54(4):196-197. doi: 10.1136/bjsports-2019-101256. Epub 2019 Dec 19. PMID: 31857339.

Myer GD, Jayanthi N, Difiori JP, Faigenbaum AD, Kiefer AW, Logerstedt D, Micheli LJ. Sport Specialization, Part I: Does Early Sports Specialization Increase Negative Outcomes and Reduce the Opportunity for Success in Young Athletes? Sports Health. 2015 Sep-Oct;7(5):437-42. doi: 10.1177/1941738115598747. Epub 2015 Aug 6. PMID: 26502420; PMCID: PMC4547120.

Studying the Connection Between Sports Bras and Physical Activity with Dr. Katie Rizzone

Today, AMSSM members Dr. Caitlyn Mooney hosts Dr. Katie Rizzone on the topic of sports bras.  With more women athletes than ever, the sports bra has certainly grown in popularity in the last decades.  This extended podcast episode will visit the history of breast support in sport and discuss how breast pain and discomfort affect sports participation in women, as well as recent research by Dr. Rizzone and colleagues on their recent study on characteristics of sports bra preference in adolescent females. 

 

Resources:

CHARACTERISTICS OF SPORTS BRA PREFERENCES IN ADOLESCENT FEMALES

Katherine H. Rizzone, MD MPH, Bianca Edison, MD MPH, Jane Chung, MD, Ingrid K. Ichesco, MD, Nailah Coleman, MD

https://journals.sagepub.com/doi/abs/10.1177/2325967121S00110

Journal Club Podcast – Low Back Pain in Young Athletes

Naomi Brown, MD, joins host Nate Milburn, MD, MBA, on the AMSSM Journal Club Podcast to discuss a review article on low back pain in young athletes.

This study gives a framework for the presentation and management of pediatric back pain. While it is not a randomized control trial, it is imperative that physicians understand this common complaint that can often be intimidating on the surface.

Resources:

Low Back Pain in Young Athletes https://journals.sagepub.com/doi/10.1177/1941738109334212

The Importance of Mental Health in Athletes with Two AMSSM Past Presidents

The mental health of athletes has been in the spotlight throughout this summer, as high-profile athletes such as Naomi Osaka and Simone Biles have spoken out about the importance of prioritizing their physical, and especially their mental, well-being.

In this episode, host Giselle Aerni, MD, is joined by AMSSM Past Presidents Cindy Chang, MD, FAMSSM, and Margot Putukian, MD, FAMSSM, to discuss the AMSSM Position Statement on Mental Health Issues and Psychological Factors in Athletes, which Dr. Aerni also co-authored.

In this 33-minute conversation, they address the following topics:

• The importance of a position statement on the mental health of athletes and the novel aspects addressed in the document
• The team-based approach to mental health care and why it’s a crucial component for the well-being of athletes
• How the acceptance of mental health issues has evolved in recent years and the impact social media has on those perceptions
• The impact of the COVID-19 pandemic on athletes’ mental health and how it reinforces the need for conversations about this vital issue

Resources:
Mental health issues and psychological factors in athletes: detection, management, effect on performance and prevention: American Medical Society for Sports Medicine Position Statement (bjsm.bmj.com/content/54/4/216.full)
Madam Athlete Podcast (madamathlete.com/)

Fellows Lecture Series Podcast - Ankle Sprains

Michelle Henne, MD, and John Fraser, PT, DPT, PhD, discuss Ankle Sprains on this episode of the AMSSM National Fellow Online Lecture Series Podcast, hosted by Eliot Hu, MD, MBA.

Fellows Lecture Series Podcast - Sudden Cardiac Arrest

Brett Toresdahl, MD, discusses Sudden Cardiac Arrest on this episode of the AMSSM National Fellow Online Lecture Series Podcast, hosted by Myro Lu, DO.

CMO Corner - Dr. Jonathan Finnoff

This episode of the CMO Corner podcast features Dr. Jonathan Finnoff, a former AMSSM Board Member and the CMO of the U.S. Olympic and Paralympic Committee (USOPC). Dr. Jacob Miller spoke with Dr. Finnoff in February of 2021, and the conversation addresses the evolution of athlete medical care during the COVID-19 pandemic, the progression of the USOPC’s mental health emphasis, as well as some personal thoughts from Dr. Finnoff.

For a full transcript of this episode, check out the May 2021 edition of The Sideline Report newsletter: https://www.amssm.org/NewsletterPDFS/May2021-85.pdf

Weighted Ball Velocity Throwing Programs with Dr. Jason Zaremski

What is a weighted ball velocity throwing program? Do they work, and what is the evidence of benefit? What are the risks involved and common injury patterns seen?

 

Host Dr. Devin McFadden, MD, is joined by Dr. Jason Zaremski, MD, to explore these topics and more on the AMSSM Sports Medcast.

 

Dr. Zaremski is a clinical associate professor holding a joint appointment from the Departments of Physical Medicine and Rehabilitation and the Department of Orthopaedics and Rehabilitation at the University of Florida. In addition, he is the Co-Medical Director of the Adolescent and High School Outreach Program at the University of Florida. He is a past participant in the AMSSM International Travelling Fellowship program, is a Co-Chair of the AMSSM Fellowship Committee and currently serves on the Board of Directors for the AMSSM.

 

In this 17 minute conversation. Dr. Zaremski addressed the following topics:

• Defining a weighted ball velocity program.
• Considering the risks and benefits of their use.
• Determining what populations should not use these programs and how to safely implement them if athletes decide to pursue one.

 

References and Resources:

Zaremski JL. Weighted Ball Velocity Throwing Programs Are Effective. Are the Benefits Worth the Risk? Clin J Sport Med. 2020 Mar 11. doi: 10.1097/JSM.0000000000000822. Epub ahead of print. PMID: 33914497.

 

Caldwell JE, Alexander FJ, Ahmad CS. Weighted-Ball Velocity Enhancement Programs for Baseball Pitchers: A Systematic Review. Orthop J Sports Med. 2019 Feb 12;7(2):2325967118825469. doi: 10.1177/2325967118825469. PMID: 30800693; PMCID: PMC6378453.

 

Melugin HP, Smart A, Verhoeven M, Dines JS, Camp CL. The Evidence Behind Weighted Ball Throwing Programs for the Baseball Player: Do They Work and Are They Safe? Curr Rev Musculoskelet Med. 2021 Feb;14(1):88-94. doi: 10.1007/s12178-020-09686-0. Epub 2021 Jan 6. PMID: 33403626; PMCID: PMC7930148.

 

Reinold MM, Macrina LC, Fleisig GS, Aune K, Andrews JR. Effect of a 6-Week Weighted Baseball Throwing Program on Pitch Velocity, Pitching Arm Biomechanics, Passive Range of Motion, and Injury Rates. Sports Health. 2018 Jul-Aug;10(4):327-333. doi: 10.1177/1941738118779909. Epub 2018 Jun 8. PMID: 29882722; PMCID: PMC6044122.

 

Reinold MM, Macrina LC, Fleisig GS, Drogosz M, Andrews JR. Acute Effects of Weighted Baseball Throwing Programs on Shoulder Range of Motion. Sports Health. 2020 Sep/Oct;12(5):488-494. doi: 10.1177/1941738120925728. Epub 2020 Jun 29. PMID: 32598234; PMCID: PMC7485027.

 

Erickson BJ, Atlee TR, Chalmers PN, Bassora R, Inzerillo C, Beharrie A, Romeo AA. Training With Lighter Baseballs Increases Velocity Without Increasing the Injury Risk. Orthop J Sports Med. 2020 Mar 26;8(3):2325967120910503. doi: 10.1177/2325967120910503. PMID: 32258183; PMCID: PMC710359