Sports Medicine Global

Clinical Director - Perform @ St Georges Park

2012-02-15T15:18:00.000Z

Spire Healthcare, a leading provider of private healthcare, is proud to announce its search for a Clinical Director to launch its new Sports Medicine, Rehabilitation and Performance service at St.George’s Park, the new home of English football.

A unique opportunity to lead the delivery of clinical excellence and govern Perform’s medical, rehabilitation and performance services.
Responsibility to drive action and inspire innovation in sports medicine services and research.
A key role in managing the clinical relationship between Perform and The FA’s Medical Services department.
Operate Sport and Exercise Medicine clinics and work alongside the senior management team at Spire Healthcare to deliver commercial objectives.

Candidates must have experience in an elite sporting environment, hold specialist SEM qualifications and display evidence of leadership within clinical settings.

Desirable attributes include project management skills and business acumen.

Closing date for applications: 5th March 2012.

To apply please send a CV and covering letter to:
recruit@sportinghealthgroup.com
+44 (0) 207 193 7929

http://www.sportinghealthgroup.com

Emergency Medical Management in Individual/Team Sports (EMMiITS)

2012-02-08T14:23:00.000Z

Approved by the Association of Chartered Physiotherapists in Sports Medicine (ACPSM) for their gold level Continuing Professional Development (CPD) pathway and pending approval from Royal College Surgeons Edinburgh, Faculty Pre Hospital care.

Date: 14-15 April 2012

Venue: Ramsden Building at the University of Huddersfield

This intensive and highly practical advanced sports trauma course is suitable for doctors, physiotherapists, paramedics, chiropractors and other related health professionals, who have attended a basic sports first aid course. You will improve upon your basic skills and knowledge. You are expected to have a basic level of knowledge of Cardio Pulmonary Resuscitation (CPR) as this is an advanced course and assumes a level of prior knowledge. For this postgraduate course you are required to provide evidence of a professional qualification in a medically related field, for example medicine, physiotherapy and paramedic.

The course will be delivered under the guidance of a highly skilled faculty consisting of A&E and sports medicine doctors and elite sports physiotherapists. This will cover the essentials of first aid,CPR/Automated External Defibrillation (AED), head injury and concussion management, dealing with immediate injuries such as wounds and fractures, as well as emergency interventions for athletes suffering from chest injuries, shock and heart conditions, including sudden cardiac death. All scenarios will be based upon real life sporting traumas.

Assessment

The course will be assessed via a written examination, practical examination and CPR/AED practical examination. If you successfully pass all the examinations on day two, you will receive an emergency medical management in individual/team sports certificate. This certificate is valid for 3 years and enables you to work in a variety of sporting arenas including individual and team sports.

The certificate consists of:

• Certificate of attendance (16 hours)

• Certificate of successful completion and pass of the course including Health and Safety Executive

• Automated Defibrillation certificate

• This course is currently under review via the Royal College of Surgeons Edinburgh (RCSEd) for their approval. This pending approval is likely March 2012, so successful candidates will also receive a RCSEd certificate.

How to book

Places on this course are limited to ensure the highest standard of teaching and supervision is provided at all times. The cost of the course is £500 per person, including refreshments, buffet lunch and course workbook.

To book your place on the course visit the website and click on the short course link: www.store.hud.ac.uk

For further details please contact:

Emma Knott Denise Richardson

Tel: 01484 473481 Tel: 01484 473493

E-mail: e.knott@hud.ac.uk E-mail: d.richardson@hud.ac.uk

Inspiring tomorrow’s profesThe University of Huddersfield, Huddersfield HD1 3DH www.hud.ac.

The information contained in this publication was correct at the time of going to press. The University reserves the right to withdraw or

Football Medicine Strategies for Knee Injuries 21-22 April London Stamford Bridge

2011-11-02T20:18:00.000Z

The Isokinetic FIFA Medical Centre of Excellence is proud to announce that the 2012 Football Medicine Conference will take place at Stamford Bridge Stadium, London, over the weekend of the 21st and 22nd of April.
This decision marks an exciting shift in the history of the International Conference on Sports Rehabilitation and Traumatology, having previously been held in Bologna, Italy, for the past 20 years.

With this exciting news, we can also announce the title of the conference 'Football Medicine Strategies for Knee Injuries'.

Injuries to the knee are among the most common sports-related injuries, with incidence rates in football particularly high. For this reason we have designed a conference which tackles common challenges presented to football players and their support teams.

Conference President:
Stefano Della Villa
Bryan English

Scientific Director:
Dott. Giulio Sergio Roi

Conference Home Page

Conference Program

Registration Form

Sports Injuries Symposium Homerton Monday 10 October 2011

2011-09-02T15:36:00.000Z

Cost Dr £100.00 AHP 75.00 Student £50.00

To Register contact Ms. Ellenor Buxton,

Physiotherapy department,
Homerton University Hospital,
Homerton Row,
London, E9 6SR

Tel: 020 8510 7835

Email: Ellenor.buxton@homerton.nhs.uk
peter.resteghini@homerton.nhs.uk
ziali.sivardeen@homerton.nhs.uk

Liability, Risks and Indemnity - Hospital of St John + Elizabeth, London NW8 9NH 4th July 2011, 6.00 – 8.00pm

2011-06-28T12:55:00.002Z

When it goes wrong are you covered ?

Liability, Risks and Indemnity - Hospital of St John + Elizabeth,

London NW8 9NH

^4th July 2011, 6.00 – 8.00pm

Hospital of St John + Elizabeth,

London NW8 9NH

A free and compelling presentation by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting on the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.

The short presentation will:

(1) Examine the key risks and liabilities associated with the treatment, reporting and medical assessment of professional sportsmen and women.

(2) Seek to clarify the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following recent changes and withdrawal of key elements of their indemnity cover.

To confirm attendence please email or phone SEMPRIS

Telephone: +44 (0) 208 770 0333

Email: info@sempris.co.uk

“A brilliantly simple presentation that seriously questions the adequacy of traditional MDO indemnity cover for doctors in this area of sports medicine” - Dr James Brown Co-Founder UKADIS

Liability, Risks and Indemnity - Venue Hospital of Elizabeth and St John 4th July 2011, 6.00 – 8.00pm

2011-06-23T21:33:00.001Z

When it goes wrong are you covered ?

Liability, Risks and Indemnity - Hospital of St John + Elizabeth,
London NW8 9NH

^4th July 2011, 6.00 – 8.00pm

Hospital of St John + Elizabeth,

London NW8 9NH

The short presentation will:

(1) Examine the key risks and liabilities associated with the treatment, reporting and medical assessment of professional sportsmen and women.

To confirm attendence please email or phone SEMPRIS

Telephone: +44 (0) 208 770 0333
Email: info@sempris.co.uk

“A brilliantly simple presentation that seriously questions the adequacy of traditional MDO indemnity cover for doctors in this area of sports medicine” - Dr James Brown Co-Founder UKADIS

UKSEM - Sport Performance Exercise Medicine Conference Nov 2011

2011-06-17T16:00:00.000Z

Locum / fixed term Physician required for the Department of Musculoskeletal, Sport and Exercise Medicine - Anglia Community Enterprise.

2011-06-12T13:03:00.000Z

An opportunity has arisen for a 6 month fixed term position with the possibility for extending the arrangement.

There are 9 sessions per week and consideration will be given to applicants who wish to work all the sessions, or part of the sessions.

The physician (s) will be required:-

· To work as part to the Tier 2 Musculoskeletal service within ACE along with the existing physician

· To receive referrals from other Health Professionals (primarily General Practitioners) regarding patients with musculoskeletal and/or exercise/activity-related problems.

· To provide a high standard consultation, investigation, diagnosis and treatment service for such patients

· To communicate with the patients General Practitioner

· To paper triage all referrals of patients with spinal problems

· To advise the referral and booking service where problems arise triaging patients with musculoskeletal problems.

· To see patients with knee osteoarthritis for hyaluronan injections (regular weekly session)

· To maintain spreadsheets for audit purposes.

· X Ray, MRI, CT, Ultrasound, Nuclear Medicine, Pathology and all usual investigative facilities are available

· Facilities for joint and soft tissue injection available.

· Links with Ace and Colchester Hospital Physiotherapy services and links with ACE podiatry service are in place.

· All consultations will be recorded on Systm1

· Secretarial support is provided.

The successful candidate(s) is likely to have -

o Higher qualifications and experience in Sport and Exercise Medicine or Musculoskeletal Medicine

o Considerable practical experience in Musculoskeletal Medicine

o Ability to perform joint and soft tissue injections

o Ability to record consultations on an IT system.

Salary £74,505 pro rata

For more information please contact

Dr Paul Marfleet telephone 01206 286801

or e-mail paul.marfleet@ACECIC.nhs.uk

Please note that these  attachments are drafts- please look for the final advert and
reply accordingly HR have yet to tweak the wording I am told.

The drafts also say respond to me but I will be teaching on the Foundation course
all week and will not be able to respond to any questions before next Friday.

Cheers

Paul

JOB SUMMARY - DRAFT Release

To work as part of the Tier 2 Musculoskeletal Service receiving referrals regarding patients with musculoskeletal and or exercise / activity related problems

To provide a high standard consultation, investigation, diagnosis and treatment service for such patients

To communicate with the patients General Practitioner

To undertake paper triage all referrals of patients with spinal problems

To advise the referral and booking service where problems arise triaging patients with musculoskeletal problems.

To manage the administrative support to the service

DEPARTMENTAL STRUCTURE

Head of Allied Health Professions

Senior MSK Physician ( Tendring )

Temporary MSK Physician

MAIN DUTIES & RESPONSIBILITIES

Lead physician for the primary secondary care interface providing diagnosis and treatment and prevention strategies for patients with musculoskeletal and sports injury / dysfunction

To provide a high standard consultation, investigation, diagnosis and treatment service for patients referred

To work closely with the Clinical Assessment service, advising where problems arise triaging patients with musculoskeletal problems

To work with the ACE musculoskeletal specialist physiotherapists for specific interventions

Clinical/Professional Duties

To see patients with knee osteoarthritis for hyaluronan injections To maintain spreadsheets for audit purposes.

To refer patients for X Ray, MRI, CT, Ultrasound, Nuclear Medicine, Pathology and other investigations as required.

To work as part of a team in close liaison with physiotherapy services.

To work wit other relates services such as podiatry

To advise on service developments and best practice

Communication Skills

To communicate with GPS, patients and other services within ACE and other local health providers.

To establish and maintain effective communication regarding the service with stakeholders

Analytical & Judgemental skills

To utilise a wide range of treatment skills and options to formulate and carry out interventions in relation to the specialist area

To demonstrate high level of professional behaviours, competence and sound decision making

Patient/Client Care

To work as an autonomous practitioner evidencing high levels of problem solving, clinical reasoning and independence of judgement

To provide a high standard consultation, investigation, diagnosis

To provide specialist interventions as appropriate to patient need

To make referrals to secondary care as appropriate.

To refer patients for further investigations such as X-ray, MRI CT ultrasound, pathology

Policy & Service Development

To participate and contribute to any local pathway / service developments relating to Musculoskeletal Services

To contribute to strategic developments within ACE

To be responsible for the formulation of service protocols and guidance to support evidence based clinical practice

Planning & Organisation

To plan and organise the flow of patient through the service in conjunction with the other physician

To use excellent prioritising skills and time management to meet the unpredictable and conflicting needs of the service.

To work with the other physician within the service, ensuring that there is cover for periods of annual leave and that waiting time requirements within the service are adhered to

Information Management

To ensure that all written electronic records are maintained in a timely and accurate manner in line with the organisation policy for record keeping and Information Governance policy and procedure

To maintain activity databases, recording all consultations within the organisation information system ( S1)

Education & Research

To undertake audit, research and use government guidelines to recommend changes in service delivery and clinical practice.

To comply with the organisation mandatory audit procedures

To attend relevant training as identified at annual appraisal including mandatory training

To keep up to date with current literature and national guidelines relating to the service

Freedom to Act

To work within standards set by ACE , and relevant professional code of conduct

To manage own caseload and work with other physician to manage the waiting list

To be responsible for own practice and accountable for all aspects of treatment and care delivered to patients

To supervise the department administrative support

Effort & Environment

To manage distressed or aggressive patients/ carers

To be able to drive and have use of a vehicle to carry out duties

To have frequent concentration in areas of service planning , reporting, dealing with complaints and aspects of staff management

Further information – Additional Job Requirements

Infection Control

You are accountable and responsible for the prevention and control of healthcare associated infections and must comply with the standard set by the Health and Social Care Act 2008: Code of Practice for health and adult social care on the prevention and control of infections and related guidance (Revised December 2009).

Information Governance

Information Governance (IG) includes, but is not limited to, Data Protection, Code of Confidentiality, Freedom of Information, Information Security, Records Management and the Registration Authority. You have a responsibility to keep up to date with the organisations IG policies and ensure they are adhered to whilst performing your duties. You must not breach these policies, whether during your employment with the organisation, or after the end of it, whether you resign or are dismissed by the organisation. All IG policies are available on the public website and the staff extranet.

Child Protection

Everyone employed by the organisation regardless of the work they do has a statutory duty to safeguard and promote the welfare of children. When children and/or their carers use our services it is essential that all child protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow the Southend Essex and Thurrock (SET) child protection procedures and the organisations supplementary child protection guidance which is accessed electronically on the Extranet site. To ensure you are equipped to carry out your duties effectively, you must also attend mandatory child protection training and updates at the competency level appropriate to the work you do and in accordance with the organisations child protection training guidance.

Safeguarding Adults

Everyone employed by the organisation regardless of the work they do has a duty to safeguard and promote the welfare of vulnerable adults. When patients and/or their carers use our services it is essential that all protection concerns are both recognised and acted on appropriately. You have a responsibility to ensure you are familiar with and follow organisational policies in relation to safeguarding vulnerable adults. To ensure you are equipped to carry out your duties effectively, you must also attend mandatory vulnerable adult protection training and updates at the competency level appropriate to the work you do and in accordance with the organisations vulnerable adult protection training guidance.

This job description is not a definite or exhaustive list of responsibilities but identifies the key responsibilities and tasks of the post holder. The specific objectives of the post holder will be subject to review as part of the individual performance review process.

PERSON SPECIFICATION FOR

JOB TITLE

	CRITERIA	Essential P	Desirable P
Education/ Qualifications	Higher qualifications and experience in Sport and Exercise Medicine or Musculoskeletal Medcine	P

	CRITERIA	Essential P	Desirable P
Skills/Abilities	Able to carry out joint and soft tissue injection Able to use ultrasound Ability to use Word, PowerPoint, e-mail, Excel and Access (or similar spreadsheet or database packages) Car owner/driver/access to a motor vehicle (role will involve travel to other sites that cannot be easily accessed by public transport means) Demonstrates the ability to work independently using own initiative. Ability to work as part of a team liaising with a range of professionals and services	P P

	CRITERIA	Essential P	Desirable P
Experience	Considerable practical experience in Musculoskeletal Medcine Experience of working with Specialist physiotherapist Advanced clinical skills in the diagnosis, assessment and treatment of musculoskeletal patients

	CRITERIA	Essential P	Desirable P
Knowledge/ Understanding	Sound knowledge and understanding of national and local strategy relating to musculoskeletal services. Understanding of clinical governance and risk

	CRITERIA	Essential P	Desirable P
Personal Attributes/Other	Able to build good networks and relationships Ability to communicate effectively with client group and families Able to demonstrate empathy, sensitivity and tact

SEMPRIS Free Meeting on Medical Indemnity for your practice - Yorkshire

2011-06-02T14:25:00.000Z

14th June 2011, 6.00 – 8.00pm

The Yorkshire Clinic, Bingley, BD16 1TW

A compelling risk assessment by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting of the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.

Targeted principally at Radiologists, Cardiologists, Orthopaedic Specialists, Anaesthetists, and SEM Physicians, the short presentation will examine the risks and liabilities posed by the type of questions given below. Clarification will be provided on the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following the recent changes and withdrawal of key elements to their indemnity cover.

 Do you treat professional sportsmen / women?

 Do you provide medical services directly to a club/s?

 Are you using Waiver Letters with patients and or clubs?

 Are you in receipt of Waiver Letters from patients or clubs?

 Do you provide screening, medical reports or assessments directly for clubs?

 Do you have a contract, whether implied or actual, to provide services to a club/s?

 Do you provide screening, medical reports or assessments for contracted, third party providers?

What is a ‘Subrogated Claim’ and will your indemnity to respond to such a claim from a third party?

 What precedents can be drawn from the outcome of the El-Safty vs WBA FC case?

 Why have the MDU and MPS withdrawn cover in respect of third party claims?
Timetable of events:
6.00 – 6.30pm Registration

6.30 – 7.15pm Presentation and Q&A Session

7.15 – 8.00pm Refreshments

8.00pm Close

This event is kindly sponsored by The Yorkshire Clinic, part of Ramsay Healthcare.

_____________________________________________________________________________________________________

RSVP: If you would like to attend the presentation please email, fax, or telephone your confirmation together with details of colleagues who mat wish to attend with you to: info@sempris.co.uk or call Callum Payne on 0208 770 0333 or Fax: 0208 770 2194. Places are limited so please respond promptly to reserve your place.

Treatment of Proximal Hamstring Ruptures - A Systematic Review

2011-05-17T21:14:00.000Z

Int J Sports Med. 2011 May 11.

Harris JD, Griesser MJ, Best TM, Ellis TJ.

Source

The Ohio State University, Orthopaedics, Columbus, United States.

Abstract

Proximal hamstring ruptures are increasingly treated surgically, despite little high-level supporting evidence. We sought to determine whether there are differences in clinical outcome after surgical vs. non-surgical treatment of proximal hamstring tendinous avulsions/ruptures and acute vs. chronic surgical repair of tendinous avulsions. Multiple medical databases were searched for Level I-IV evidence. 18 studies were included. 298 subjects (300 proximal hamstring injuries) were analyzed with mean age of 39.7 years. 286 injuries were managed with surgical repair vs. 14 non-operative. 95 surgical cases were performed within 4 weeks of the injury (acute), while 191 were performed beyond 4 weeks (chronic). 292 injuries were tendinous avulsions while 8 were bony tuberosity avulsions. Surgical repair resulted in significantly (p<0.05) better subjective outcomes, greater rate of return to pre-injury level of sport, and greater strength/endurance than non-surgical management. Similarly, acute surgical repair had significantly better patient satisfaction, subjective outcomes, pain relief, strength/endurance, and higher rate of return to pre-injury level of sport than chronic repair (p<0.001) with reduced risk of complications and re-rupture (p<0.05). Chronic surgical repair also improves outcomes, strength and endurance, and return-to-sport, but not as well as acute repair. Non-operative treatment results in reduced patient satisfaction, with significantly lower rates of return to pre-injury level of sport and reduced hamstring muscle strength.

Links also see below to papers / articles of interest

See also here for a review on Hamstring Injuries from Ortho Super Site

Acute proximal hamstring rupture paper 2007 MRI + Anatomical drawings

Elite Human Performance Centre

2011-05-16T21:37:00.001Z

PML deliver sports science, sports medicine and cardiac screening services to the FA, UEFA, FIFA, professional football and cricket clubs and professional athletes throughout the UK.

The Lab is a consolidation of experience, learning and innovation and a hub of dedicated sports medicine professionals with common interests and who recognise the holistic nature wellbeing and of treating athletes and patients at all levels of ability. Professional clubs and individual athletes can benefit from our services for baseline assessment, injury prevention and conditioning strategies. The Lab is an ideal location to send long term injured athletes for a change of scenery and intense 1:1 conditioning and rehabilitation or when your treatment room becomes full. The Lab is a 1500 sq ft facility located in Oswestry, Shropshire and is just over an hour from Liverpool, Manchester and Birmingham airports. We are 3 and a half hours from London by road. The Lab is within a beautifully restored former Maltings which retains many of the original features and provides a wonderful restful environment. It is impossible to see into the building and we have private garage parking available on site. The Lab is equipped with the latest and innovative equipment, each item being chosen individually for its merit and capabilities rather than branding.

For further information on the Lab and the services we offer, please visit www.pmlthelab.com or email j.pither@pml.tel

Sports Medicine Indemnity Medico Legal Care Pro Sport Evening Meeting - Free

2011-05-16T11:10:00.000Z

Sport & Exercise Medicine Professional Indemnity Scheme

INVITATION

7th June 2011, 6.00 – 8.00pm

Worsley Park Hotel & Country Club

Manchester M28 2QT

A compelling risk assessment by Neil Redman of SEMPRIS and Medico-Legal specialist Dr Gerard Panting of the liability, risks and indemnity issues facing doctors involved in the treatment, reporting and medical assessment of professional sportsmen & women.

Targeted principally at Radiologists, Cardiologists, Orthopaedic Specialists, Anaesthetists, and SEM Physicians, the short presentation will examine the risks and liabilities posed by the type of questions given below. Clarification will be provided on the ability of the traditional Medical Defence Organisations (MDOs) to respond to these risks, following the recent changes and withdrawal of key elements of their indemnity cover.

 Do you treat professional sportsmen / women?

 Do you provide medical services directly to a club/s?

 Are you using Waiver Letters with patients and or clubs?

 Are you in receipt of Waiver Letters from patients or clubs?

 Do you provide screening, medical reports or assessments directly for clubs?

 Do you have a contract/s, whether implied or actual, to provide services to a club/s?

 Do you provide screening, medical reports or assessments for contracted, third party providers?

 What is a ‘Subrogated Claim’ and will your current indemnity respond to a claim from a third party?

 What precedents can be drawn from the outcome of the El-Safty vs WBA FC case?

 Why have the MDU and MPS withdrawn cover in respect of third party claims?
Timetable of events:
6.00 – 6.30pm Registration

6.30 – 7.15pm Presentation and Q&A Session

7.15 – 8.00pm Refreshments

8.00pm Close

This event is kindly sponsored by Oaklands Hospital, part of Ramsay Healthcare.

_________________________________________________________________________________

RSVP: If you would like to attend the presentation please email, fax, or telephone your confirmation together with details of colleagues who mat wish to attend with you to: info@sempris.co.uk or call Callum Payne on 0208 770 0333 or Fax: 0208 770 2194. Places are limited so please respond promptly to reserve your place.

Latest date for confirmation of attendance – 31st May 2011

Shaping the Future of Musculoskeletal Services - A conference for interface musculoskeletal practitioners 8 June 2011, Skinners Hall, Dowgate, London

2011-05-10T15:04:00.000Z

Time	Session	Speaker
9.00am	Arrival, Registration and Coffee
9.30am	Welcome Address	Dr. Christopher Deighton (chair) Consultant Rheumatologist, Royal Derby Hospital; President Elect of the British Society of Rheumatology
9.45am	Musculoskeletal Commissioning – The National Perspective	John Wicks NHS Commissioning Board Implementation Team, Department of Health
10.10am	A Commissioner’s Perspective	Dr. Victoria Tzortziou-Brown GPwSI in musculoskeletal conditions; Research Fellow SEM; Commissioning Executive Committee member, Tower Hamlets; Regional Commissioning Champion RCGP
10.35am	Delegate Discussion: MSK Commissioning
11.10am	Coffee Break
11.30am	Developing a Musculoskeletal Interface Service – A 15 Year Experience	Dr. Peter Dawes Rheumatologist UHNS Clinical Lead Haywood Hospital
11.55am	Shaping the Future Through Feedback on Patient Experience	Dr. Lisa Roberts Arthritis Research UK senior lecturer in physiotherapy; Consultant physiotherapist
12.20pm	Delegate Discussion: Skills and Competencies
12.45pm	Lunch
1.50pm	Clinical Vignettes from the Interface	Dr. Ajit Menon Consultant Rheumatologist, Haywood Hospital
2.15pm	Developing Disease Pathways – Lessons Learnt at the MSK Interface	Susan Oliver Nurse consultant, Rheumatology
2.40pm	Delegate Workshop: Developing an MSK Patient Pathway
4.25pm	Closing Address	Dr. Christopher Deighton (chair)
4.45pm	Close

Post Conference Reception

Post conference reception drinks will be served until 7pm, to continue the opportunities for networking and to allow delegates to enjoy the fantastic surroundings of Skinner’s Hall.

As places are limited, please let us know if you’d like to attend the drinks reception when you register

Workshop Facilitators

Dr Louise Warburton – GPwSI; President of the Primary Care Rheumatology Society

Dr Adrian Dunbar – GPwSI; Associate Director of Postgraduate Medical Education, University of Leeds

Dr Tony Mitchell – GPwSI; Education Lead, East Lancs MSK Service

Contact

Abby Webster
Communications Manager
t: 0300 790 0400
e: a.webster@arthritisresearchuk.org
w: www.arthritisresearchuk.org

Elite Human Performance and Sports Medicine Centre

2011-05-10T12:11:00.001Z

PML deliver sports science, sports medicine and cardiac screening services to the FA, UEFA, FIFA, professional football and cricket clubs and professional athletes throughout the UK.

The Lab is a consolidation of experience, learning and innovation and a hub of dedicated sports medicine professionals with common interests and who recognise the holistic nature wellbeing and of treating athletes and patients at all levels of ability. Professional clubs and individual athletes can benefit from our services for baseline assessment, injury prevention and conditioning strategies. The Lab is an ideal location to send long term injured athletes for a change of scenery and intense 1:1 conditioning and rehabilitation or when your treatment room becomes full.
The Lab is a 1500 sq ft facility located in Oswestry, Shropshire and is just over an hour from Liverpool, Manchester and Birmingham airports. We are 3 and a half hours from London by road.
The Lab is within a beautifully restored former Maltings which retains many of the original features and provides a wonderful restful environment. It is impossible to see into the building and we have private garage parking available on site. The Lab is equipped with the latest and innovative equipment, each item being chosen individually for its merit and capabilities rather than branding.

For further information on the Lab and the services we offer, please visit www.pmlthelab.com or email j.pither@pml.tel

London marathon medicine conference Saturday 16 April 2011 - Royal Society of Medicine

2011-03-29T16:48:00.002Z

London marathon medicine conference

Saturday 16 April 2011

Venue: Royal Society of Medicine, 1 Wimpole Street, LONDON, W1G 0AE

FA Medical Soc (NW) 18.4.2011 Liverpool FC Melwood Training Ground - Pre Signing Screening in Pro Football

2011-03-24T14:27:00.000Z

Sports Medical Ethics Masters Level Module Swansea University 9 - 11 May 2011

2011-03-23T22:58:00.000Z

Clinical Senior Lecturer in Sports and Exercise Medicine - Vacancy

2011-03-18T13:16:00.000Z

WILLIAM HARVEY RESEARCH INSTITUTE

Centre for Sports and Exercise Medicine and NEWHAM UNIVERSITY HOSPITAL TRUST

Clinical Senior Lecturer in Sports and Exercise Medicine

This post, the first of its kind in the UK, sits within the Centre for Sports and Exercise Medicine, William Harvey Research Institute at Barts and The London School of Medicine and Dentistry (SMD), part of Queen Mary University of London, and Newham University Hospital NHS Trust. The SMD is a leading medical and dental school that offers international levels of excellence in research and teaching as well as providing clinical services for a population of unrivalled ethnic diversity in East London and the wider Thames Gateway. Newham University Hospital NHS Trust is a 379 bed Acute Trust, serving one of Britain’s most diverse, fastest growing and youngest populations.

The academic duties will be discharged within the Centre for Sports and Exercise Medicine (CSEM). CSEM is the oldest and largest sports and exercise medicine (SEM) training centre in the UK, and has dedicated facilities, the oldest MSc in SEM in the UK, the only intercalated BSc in SEM in the UK, £1.5m of current research funding and a high publication rate with 80 peer reviewed publications in the last 15 months. It is a growing multi-disciplinary team that has trained many of the elite SEM clinicians working with elite sports governing bodies in the UK, including the chief medical officers for both the Olympic and Paralympic games. CSEM staff are fully involved with delivery of the 2012 activity and realisation of the legacy. Lead by Prof Nicola Maffulli, CSEM staff includes two clinical senior lecturers, a centre administrator, three post-graduate researchers, and a trial manager.

The clinical duties will be discharged at Newham University Hospital Trust. At Newham University Hospital, the successful candidate will be part of a vibrant team committed to all aspects of Sports and Exercise Medicine, with close links with the community and with the local medical units.

The successful candidate will have a high level of competence in Sports and Exercise Medicine, with experience in exercise prescription, be able to work independently and with other consultant colleagues, and be able to work as part of the wider multidisciplinary team to deliver high quality patient care. SEM unit have strong links with the Trauma and Orthopaedic unit for the management of sports related injuries. The successful candidate is expected to develop clinical links with other units (Rheumatology and Cardiology) to facilitate the delivery of wide aspect of services within the Sports and Exercise Medicine. You must have an appropriate specialist qualification and be on the Specialist Register. Sports and Exercise Medicine is part of the Trauma & Orthopaedics – SEM division lead by Mr Mustafa El-Zebdeh.

A postgraduate degree in an appropriate discipline is highly desirable. The postholder should also have experience in health and scientific research relevant to our research strategy including writing applications for research grants and a suitable track record of research evidenced by an appropriate publication record. The appointee will need demonstrable experience of postgraduate teaching, and contribute to teaching and student supervision as appropriate.

This is a part time, permanent appointment and is available to start as soon as possible. Starting salary will be made in the range of £76,665 - £102,607 (inclusive of London allowance) pro-rata, per annum. Benefits include 30 days annual leave (pro rata), final salary pension scheme and interest-free season ticket loan.

Candidates must be able to demonstrate their eligibility to work in the UK in accordance with the Immigration, Asylum and Nationality Act 2006. Where required this may include entry clearance or continued leave to remain under the Points Based Immigration Scheme.

Informal enquiries about the post can be addressed to Professor Nicola Maffulli on

020-8223 8459 or to n.maffulli@qmul.ac.uk, and to Mr M. El-Zebdeh on 0207 363 8061 or to mustafa.elzebdeh@newhamhealth.nhs.uk

Application enquiries should be directed to the recruitment at;

csq-recruit@qmul.ac.uk

Further information about Barts and The London School of Medicine and Dentistry (SMD) can be found at www.smd.qmul.ac.uk and the William Harvey Research Institute at www.whri.qmul.ac.uk

To apply, please visit the Human Resources website on http://www.hr.qmul.ac.uk/vacancies and search for reference QMUL0356

The closing date is 14 April 2011

Interviews are expected to be held in April 2011.

Valuing Diversity and Committed to Equality

Athletic Participation After Hip and Knee - Arthroplasty

2011-03-16T23:17:00.000Z

Alexander Golant, M.D., Dimitrios C. Christoforou, M.D., James D. Slover, M.D., and Joseph D. Zuckerman, M.D.

The issue of athletic participation after hip and knee arthroplasty has become more relevant in recent years, with an increase in the number of young and active patients receiving joint replacements. This article reviews patient-, surgery-, implant-, and sports-related factors, and discusses currently available guidelines that should be considered by the physician when counseling patients regarding a return to athletic activity after total joint arthroplasty. Current evidence regarding appropriate athletic participation after total hip arthroplasty, resurfacing hip arthroplasty, total knee arthroplasty, and unicondylar knee arthroplasty is reviewed.

Management of Focal Cartilage Defects in the Knee - Is ACI the Answer?

2011-03-16T23:15:00.000Z

Eric J. Strauss, M.D., Lauren E. Fonseca, B.A., Mehul R. Shah, M.D., and Thomas Youm, M.D.

Abstract | PDF

Injuries to the articular cartilage of the knee are common. They alter the normal distribution of weightbearing forces and predispose patients to the development of degenerative joint disease. The management of focal chondral lesions continues to be problematic for the treating orthopaedic surgeon. Although many treatment options are currently available, none fulfll the criteria for an ideal repair solution: a hyaline repair tissue that completely flls the defect and integrates well with the surrounding normal cartilage. Autologous chondrocyte implantation (ACI) is a relatively new cell-based treatment method for full-thickness cartilage injuries that in recent years has increased in popularity, with early studies showing promising results. The current article reviews the nature of cartilage lesions in the knee and the treatment modalities utilized in their management, focusing on the role ACI plays in the surgical treatment of these complex injuries.

Osteochondroses and apophyseal injuries of the foot in the young athlete.

2011-03-16T23:10:00.000Z

Curr Sports Med Rep. 2010 Sep-Oct;9(5):265-8.

Gillespie H.

Division of Sports Medicine, Department of Family Medicine, University of California, Los Angeles, CA 90095-1683, USA. hgillespie@mednet.ucla.edu

Abstract

With an increase in involvement in sports activities by children and adolescents, there has been a concomitant increase in both acute and overuse injuries. The pediatric skeleton lends itself to injuries unique to the young athlete, including various apophysites and osteochondroses. It is important for primary care and sports physicians treating the athlete to be aware of normal and abnormal variations in the pediatric skeleton, as well as common sites of injury in the pediatric foot. This article provides an overview of some of the most common skeletal foot injuries in the pediatric athlete, including Freiberg's infraction, Sever's disease, Kohler's disease, os navicularis, and Iselin's disease.

The asthmatic athlete: inhaled Beta-2 agonists, sport performance, and doping.

2011-03-16T23:04:00.000Z

Clin J Sport Med. 2011 Jan;21(1):46-50.

McKenzie DC, Fitch KD.

Division of Sports Medicine, School of Human Kinetics, The University of British Columbia, 3055 Wesbrook Mall, Vancouver, BC, Canada. don.mckenzie@shaw.ca

Abstract

The asthmatic athlete has a long history in competitive sport in terms of success in performance and issues related to doping. Well documented are detailed objective tests used to evaluate the athlete with symptoms of asthma or airway hyperresponsiveness and the medical management. Initiated at the 2002 Salt Lake City Games, the International Olympic Committee's Independent Asthma Panel required testing to justify the use of inhaled beta-2 agonists (IBAs) in Olympic athletes and has provided valuable guidelines to the practicing physician. This program was educational and documented the variability in prevalence of asthma and/or airway hyperresponsiveness and IBA use between different sports and different countries. It provided a standard of care for the athlete with respiratory symptoms and led to the discovery that asthmatic Olympic athletes outperformed their peers at both Summer and Winter Olympic Games from 2002 to 2010. Changes to the World Anti-Doping Agency's Prohibited List in 2010 permitted the use of 2 IBA produced by the same pharmaceutical company. All others remain prohibited. However, there is no pharmacological difference between the permitted and prohibited IBAs. As a result of these changes, asthmatic athletes are being managed differently based on a World Anti-Doping Agency directive that has no foundation in pharmacological science or in clinical practice.

Hip pain referral patterns in patients with labral tears: analysis based on intra-articular anesthetic injections, hip arthroscopy, and a new pain "circle" diagram.

2011-03-16T22:54:00.000Z

Phys Sportsmed. 2011 Feb;39(1):29-35.

Arnold DR, Keene JS, Blankenbaker DG, Desmet AA.

Division of Sports Medicine, Department of Orthopaedic Surgery, University of Wisconsin-Madison, Madison, WI.

Abstract

Background: Fluoroscopically guided intra-articular (FGIA) anesthetic hip joint injections have been used to determine whether the hip joint is the source of a patient's hip pain. However, there have been no reports documenting the efficacy of their use for defining the pain referral patterns (PRPs) of patients with labral tears. The aim of this study was to determine the PRPs of patients with labral tears and evaluate a new pain "circle" diagram (PCD) developed for this analysis. Methods: Fifty-two patients were evaluated at our institution who had: 1) a preoperative FGIA anesthetic hip joint injection; 2) completed our PCD and a visual analog pain scale pre- and postinjection; 3) significant (≥ 80%) pain reduction after their FGIA injection; and 4) a labral tear and minimal (≤ grade II) degenerative joint disease, as documented by hip arthroscopy. The PCD had circles in which patients put an "X" in to indicate pain in the following locations: anterior superior spine, lateral peritrochanteric area, central groin, symphysis pubis, proximal inner thigh, anterior thigh, posterior iliac crest, sacroiliac joint, sciatic notch, and ischial tuberosity. Results: Based on the percentage of patients with significant (≥ 80%) pain reduction after administration of FGIA, 2 areas demonstrated substantially more and consistent presence of pain, which improved after injection. These were the central groin (P < 0.001) and the lateral peritrochanteric area (P = 0.02). Conclusion: The most common locations of pain were the central groin and the lateral peritrochanteric area. The least common were the ischial tuberosity and the anterior thigh, which are 2 areas often associated with osteoarthritis of the hip. The use of the PCD combined with an FGIA anesthetic injection may help physicians reconcile the expectations of those patients with labral tears who believe that hip arthroscopy will treat their multiple areas of "hip" pain.

A return-to-sport algorithm for acute hamstring injuries

2011-03-13T23:12:00.000Z

Phys Ther Sport. 2011 Feb;12(1):2-14. Epub 2010 Aug 21.

Mendiguchia J, Brughelli M.

Head of Rehabilitation Department at Athletic Club de Bilbao, Garaioltza 147 CP:48196, Lezama (Bizkaia), Spain. jurdan24@hotmail.com

Abstract

Acute hamstring injuries are the most prevalent muscle injuries reported in sport. Despite a thorough and concentrated effort to prevent and rehabilitate hamstring injuries, injury occurrence and re-injury rates have not improved over the past 28 years. This failure is most likely due to the following: 1) an over-reliance on treating the symptoms of injury, such as subjective measures of "pain", with drugs and interventions; 2) the risk factors investigated for hamstring injuries have not been related to the actual movements that cause hamstring injuries i.e. not functional; and, 3) a multi-factorial approach to assessment and treatment has not been utilized. The purpose of this clinical commentary is to introduce a model for progression through a return-to-sport rehabilitation following an acute hamstring injury. This model is developed from objective and quantifiable tests (i.e. clinical and functional tests) that are structured into a step-by-step algorithm. In addition, each step in the algorithm includes a treatment protocol. These protocols are meant to help the athlete to improve through each phase safely so that they can achieve the desired goals and progress through the algorithm and back to their chosen sport. We hope that this algorithm can serve as a foundation for future evidence based research and aid in the development of new objective and quantifiable testing methods.

Skin-Derived Tenocyte-like Cells for the Treatment of Patellar Tendinopathy

2011-03-07T18:28:00.002Z

+ Author Affiliations

^†Department of Radiology, Royal National Orthopaedic Hospital NHS Trust, London, United Kingdom
^‡MRC Clinical Trials Unit, London, United Kingdom
^§University of London, London, United Kingdom
^‖Kingston Hospital NHS Trust, Surrey, United Kingdom
Investigation performed at Royal National Orthopaedic Hospital, Stanmore, United Kingdom

*Andrew W. Clarke, Department of Radiology, Royal National Orthopaedic Hospital NHS Trust, Brockley Hill, Stanmore, Middlesex, London HA7 4LP United Kingdom (e-mail: david.connell@googlemail.com).

Abstract

Background: Recent research of lateral elbow tendinopathy has led to the use of laboratory-amplified tenocyte-like cells.

Hypothesis: Ultrasound-guided injection of autologous skin-derived tendon-like cells are effective compared with other injectable therapies for the treatment of refractory patellar tendinosis.

Study Design: Randomized controlled trial; Level of evidence, 1.

Methods: From 60 patellar tendons in 46 patients with refractory patellar tendinopathy, a 4-mm skin biopsy was sampled to grow tenocyte-like collagen-producing cells. Patients were allocated into 2 groups: (1) injection with laboratory-prepared, amplified collagen-producing cells derived from dermal fibroblasts and suspended in autologous plasma from centrifuged autologous whole blood or (2) injection with autologous plasma alone. Injections were made into the sites of hypoechogenicity, intrasubstance tears, and fibrillar discontinuity within the patellar tendon. The Victorian Institute of Sport Assessment (VISA) score was used to assess pain, severity, and functional disability. Ultrasound was performed to assess structural and blood flow changes, evaluating 4 criteria: tendon thickness, hypoechogenicity, intrasubstance tears, and neovascularity.

Results: In the cell group, mean VISA scores improved from 44 ± 15 before treatment to 75 ± 17 at 6 months; in the plasma group, from 50 ± 18 to 70 ± 14. Estimated average difference between groups was 8.1, a significantly higher score in the cell group. Patients treated with collagen-producing cells also had significantly faster improvement and a highly significant effect of treatment, with the difference between groups estimated as 2.5 per unit increase in . One patient treated with cell therapy had a late rupture and progressed to surgery; histopathology showed normal tendon structure.

Conclusion: Ultrasound-guided injection of autologous skin-derived tendon-like cells can be safely used in the short term to treat patellar tendinopathy, with faster response of treatment and significantly greater improvement in pain and function than with plasma alone.

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

2011-03-07T18:27:00.000Z

Predictors of Outcome After Nonoperative and Operative Treatment of Adhesive Capsulitis

+ Author Affiliations

^*Henry Ford Hospital, Sterling Heights, Michigan
^†Cincinnati SportsMedicine Research and Education Foundation, Cincinnati, Ohio
^‡University of Cincinnati, Cincinnati, Ohio
Investigation performed at Cincinnati Sports Medicine Research and Education Foundation, Cincinnati, Ohio

§Samer S. Hasan, MD, PhD, Cincinnati SportsMedicine Research and Education Foundation, 10663 Montgomery Road, First Floor, Cincinnati, OH 45242 (e-mail: cfleckenstein@csmref.org).

Abstract

Background: Few studies regarding adhesive capsulitis have concurrently evaluated nonoperative and operative treatment.

Purpose: The objectives were to evaluate the efficacy of operative and nonoperative treatment of adhesive capsulitis and to determine predictors of clinical outcome.

Study Design: Cohort study; Level of evidence, 3.

Methods: At minimum 24 months’ follow-up, 85 patients underwent self-assessment using the Simple Shoulder Test (SST) and American Shoulder and Elbow Surgeons (ASES) score, including 24 patients treated operatively.

Results: Mean number of yes responses on the SST improved from 4.0 ± 2.7 at initial presentation to 9.9 ± 2.8 at final follow-up (P < .0001). Patients who received nonoperative treatment and patients who underwent surgery demonstrated similar improvements on the SST. For the entire cohort, forward elevation and external rotation at the side improved from 119° ± 20° to 152° ± 15° and from 29° ± 18° to 46° ± 11° (P < .0001), respectively, between initial presentation and discharge from treatment. Internal rotation to the back improved from the gluteal area to the thoracolumbar junction (P < .0001). Improvements in forward elevation and external rotation were greater for patients undergoing surgery. After nonoperative treatment, patients with diabetes had a lower final SST than patients without diabetes (P < .05). For the entire cohort, initial SST predicted final SST (P < .05), and a shorter duration of symptoms predicted a higher final ASES score (P < .05). Younger patients (P < .001) and those with a lower initial SST (P < .05) were more likely to undergo surgery.

Conclusions: A multimodal nonoperative treatment program is effective for most patients with adhesive capsulitis. Patients who do not improve, including those with diabetes, respond well to manipulation and arthroscopic release. Residual motion deficits at discharge from treatment do not appear to affect longer-term clinical outcome.

Shaping the Future of Musculoskeletal Services Wednesday 8 June 2011 - London

2011-02-24T15:17:00.001Z

Shaping the Future of Musculoskeletal Services

A conference for primary care musculoskeletal practitioners

These are challenging times for those involved in the delivery of musculoskeletal care in the UK. But new challenges also present opportunities to improve the care we deliver to our patients.

Arthritis Research UK is keen to continue its support for clinicians working in musculoskeletal ‘special interest’ roles and musculoskeletal interface clinics and would like to invite you to shape the future of musculoskeletal services. We hope this one-day conference will serve as a forum to share ideas and best practice and also develop networks for peer support.

Key themes Commissioning and pathways, education, continuing professional development and appraisal.

Target audience GPwSIs, PwSIs, AHPs and specialist nurses working in musculoskeletal interface services.

Date Wednesday 8 June 2011

Venue Skinner’s Hall, Dowgate Hill, London

The full price will be £70 but we are offering a reduced rate of £50 for those who book before Monday 28th March. To reserve your place please complete an application form and return to Donna Lakin. A full programme and further details will be published in due course.

BASEM Education Diploma Revision Course

2011-02-17T14:37:00.001Z

A weekend exam preparation course for the Intercollegiate Faculty of Sport & Exercise Medicine's (FSEM) Diploma in SEM

Dates: Saturday 5th & Sunday 6th March, 2011

Venue: Bisham Abbey National Sports Centre, Buckinghamshire

BASEM is running a weekend preparation course covering parts one and two of the Faculty of Sport and Exercise Medicine (FSEM) Diploma exam in SEM. The course will feature, focused lectures and tutorials on key topics; practical sessions covering joint examination, basic life support, advanced trauma life support and communication skills; practice written paper (day 1) and OSCE (day 2); advice on exam technique and some pre course material including reading list, lecture notes and practice written questions for part 1. It is possible to attend day 1 (part 1) and/or day 2(part 2) as required.

More information including pricing and a booking facility for this course is available on the BASEM web site, www.basem.co.uk or by clicking here

Spinal Injections in Sports Medicine: Practical Fluoroscopic Cadaver Course Venue: University College London Hospital. Date: March 28th 2011

2011-02-08T17:09:00.000Z

Spinal Injections in Sports Medicine
28th March 2011

PROGRAMME
0815-0900 Registration
0900-0915 Introduction RC
0915-0950 Lecture: Overview of Lumbo-sacral anatomy including imaging JT
0950-1020 Lecture: Role of Spinal Injections in Sports Medicine RC
Break
1040-1210
Delegates break up into 4 groups and rotate between Tutors for 20 minute Mini-tutorials
Group 1 Prolotherapy – lumbar and sacroiliac/ blind and fluoroscopic SP
Group 2 Intra-articular facet, sacroiliac joint and hip injections JT
Group 3 Nerve root blocks UJ
Group 4 Caudal epidural (including palpation of sacral hiatus) RC
1210 – 1230 Panel Discussion (Q and A) - Picking the right patient for the right procedure
(all tutors – RC to chair)
Lunch
1315-1630 Cadaver lab
Delegates break up into 3 groups and rotate between Tutors for 1 hour practicals
There will be 3 prone and one supine cadaver with at least 2 fluoroscopes
Group 1 Prolotherapy (delegates practice with and without fluoroscope) SP
Group 2 Facet and Sacroiliac (with and without fluoroscope) JT
Group 3 Caudal Epidural UJ
Coffee break as required during afternoon
There will be a further cadaver in supine position where may be opportunity to try hip
injections whilst awaiting their turn elsewhere (RC)
TUTORS:
RC Robin Chakraverty
SP Simon Petrides
JT John Tanner
UJ Usamah Jannoun
Venues: UCH Education Centre, Euston Road & Rockefeller Building, University Street, London

Course Leader:
Dr. Robin Chakraverty MSc DipSEM DipMSMed MLCOM FFSEM (Ire)
Musculoskeletal & Sports physician, Medical Officer, UK Athletics.
Tutors:
Dr. John Tanner DM-SMed Dip.Sports.Med FFSEM (UK) Musculoskeletal & Sports physician
Dr. Simon Petrides DO Dip.Sports.Med. FFSEM (UK) DM-SMed Musculoskeletal & Sports physician
Dr. Usamah Jannoun DM-SMed MFSEM Dman Med DNeural Med Musculoskeletal & Sports physician
The Course will provide an overview of the use of spinal injections in musculoskeletal
and sports medicine, including: Caudal Epidural, Prolotherapy, Facet and Sacroiliac
Joint Injections.

There is a significant practical element to the course with demonstrations and handson
practical experience, aiming to teach safest practice using fluoroscopic control. In
addition there will be the opportunity to practice blind techniques with emphasis on
potential pitfalls and managing acute complications.

Cost: BIMM Members £400 NON Members £450.

For a booking form please contact Deena Harris
Phone: 0208 421 9910 Fax: 0208 386 4183
e-mail: info@bimm.org.uk Web: www.bimm.org.uk

Dr Bhavesh Kumar SEM Registrars reports from UKSEM 2010

2011-01-24T21:19:00.000Z

Impressions from UKSEM 2010

London hosted the inaugural UKSEM conference over 4 days from 24 – 27 October 2010. It was billed as Europe’s largest Sport and Exercise Medicine (SEM) conference, a world class multidisciplinary meeting for professionals with an interest or working directly in sports medicine, sports science, physical activity promotion and conditioning, and rehabilitation. It aimed to re-invigorate and re-position the BASEM conferences on the global map, and provide an occasion to demonstrate the growth of SEM in the UK, both in quality and quantity.

The word on the ground was one of massive approval. There was a genuine feel of a high quality international conference. Everything this year was ‘big’!

The Venue

The gigantic ExCel International Exhibition and Conference Centre played host, in London, the largest and most accessible city for national and international delegates. It felt like we had the whole arena to ourselves, though the Capital Suite was an intimate part of it, with ample space for a the 42 carefully chosen and relevant exhibitors, a decent quality spread of lunch and refreshments, and multiple break-away rooms surrounding the two main partitioned lecture halls.

The Delegates

Over 600 delegates from a variety of sports and exercise health related backgrounds in the NHS, military, elite sport and private sectors attended over the course of the 4-day program. In addition to many senior, experienced and well-recognised figures, it was fantastic to see a notable presence from undergraduates, some of whom submitted posters or gave oral presentations of their research. The majority of the SEM Registrars from around the country and many recently qualified SEM specialists saw this as an important forum to meet, network, learn, present, and be inspired. Some trainees took the opportunity to chair seminars and sessions on oral presentations of research.

The Format

Vying for attention were two main steams of parallel sessions in large lecture halls, a ‘GP Masterclass’ Day, oral presentations of research, as well as almost a hundred poster presentations, and a surprisingly interesting selection of exhibitors and sponsors. Essentially, there was something for everyone at every moment.

In between keynote lectures, many delegates were found jumping between adjacent parallel sessions to miss as little as possible, and it was almost impossible to choose only 2 from a superb selection of 9 workshops. The breadth of topics included ones on exercise physiology, immunology and metabolism, biomechanics, rehabilitation, complimentary therapies, rheumatology, sports medicine, and the role of certain technologies.

The 44 abstract presentations across two mornings each provided 10-minute résumés of their work. Categories covered the widest possible cross-section of basic science research, sport science and human strength and conditioning, sports medicine, exercise medicine and population health. This complimented almost a hundred posters on display. There were many contributions from young researchers as well as experienced consultants and full-time researchers, and prizes were given for the best ones in their categories. Thus there was ample encouragement for delegates to make a submission for next year!

With the risk of pulling delegates in too many directions, thus spreading them thinly in parts, it may be a consideration to take one leaf from the American conference (ACSM) model, and perhaps have an earlier start to the day, thereby giving an opportunity for interested delegates to attend the abstract presentation sessions without missing out on the main speakers.

If one felt tempted to take some physical exercise amongst all the cerebral overload, then there were offerings of running style analysis with video motion capture and tailored advice on footwear, as well as trials of anti-gravity treadmills, used to assist in gradual weight bearing rehabilitation, which are popular among the military and premier league clubs.

The Keynote Speakers

There’s no doubt that the most important ingredient in making UKSEM a world-class conference was the A-list speakers, with many of them being world leaders in their fields of special interest.

Professor Eddie Coyle from Texas gave the opening keynote lecture on the limits of human performance, based on his 3 decades of research and 125 publications. He talked about genetic and trainable factors, and gave us all hope, after declaring the likes of Lance Armstrong and Paula Radcliffe, having started with average physiological efficiency, have been able to develop this by around 1% per year. We can apparently expect a 1 hour 45 minute marathon in the next decade or two!

It was inspiring to have a high profile speaker like Lord Coe, who chaired the Olympic Bid Company that successfully brought London the 2012 Games, and with it subsequent funding for our Specialty training programmes. He spoke with fluency of his journey from being inspired to take to the track after watching the Olympic Games in 1968 at the age of 13, to his vision of the 2012 Olympics providing similar impetus to our children, thereby improving both physical and mental well-being, while empowering the youth “to make better life-decisions” generally. Perhaps an invitation to next years conference will provide an opportunity for him to divulge a little more about the Olympic legacy, as the 2012 Games draw closer and the economic state of the nation moves forward.

Professor Micheal Kjaer from Denmark attracted a large audience despite speaking just prior to the evening drinks reception at the close of the first day. He enlightened us with some of his cutting-edge work and ideas on tendinopathy, and key areas of future development.

We were provided insight into how Australia and America are each tackling their own physical inactivity epidemic, and lessons the UK could take note of. Professor Paul McCrory spoke of Australia’s ‘Life, be in it’ campaign and their use of ‘lifescripts’ to prescribe exercise in primary care. He alluded to the need to provide a core message to a clear market using a multimedia approach to reach out and achieve sustained physical activity and behaviour change. Professor William Haskel, who has been chairman of the Physical activity guidelines committee in the US, informed us of the vision of ‘Exercise is Medicine’, and their drive to make the details of the physical activity each patient takes per week a ‘Vital Sign’, which can provide a basis for monitoring and prescribing appropriate exercise.

Respected figures from the world of sports performance and training attracted most attention on the UKSEM twitter page! Mr Kelvin Giles came fresh from an Interview on BBC radio to give an energetic presentation of his concerns regarding the paltry amounts of heart rate-increasing activity being performed by children during each PE lesson. He argued passionately that current focus is too sport specific, and does not reach out to children of all abilities, address cardiovascular fitness nor movement efficiency. He suggested ‘five-in-five’ routines daily that involve a minute each of squatting, lunging, pushing, bracing and rotating for example, to produce functional gains in strength, stability, flexibility and posture that children can use as they get older, and reduce the risk of comorbidities setting in in middle age. Mr Vern Gambetta continued the theme of the need to incorporate functional training movements in Return to Sport Programmes after injury, as well as addressing risk factors for injury, and principals of prevention.

Edzard Ernst, professor of complimentary therapy, ran through an informative and comprehensive summery of decades years of research into the effectiveness of all manner of alternative therapies from homeopathy and hypnosis, to acupuncture and chiropractice. Despite being frequently sought by sportsmen and women of all abilities, he explained that there is little good quality evidence proving that many of these modalities work, and of course the curabo effect is difficult to account for in many cases, particularly where appropriate sham or placebo is difficult to produce.

Defence Rehabilitation

One parallel session on the entire third day held in one of the two main lecture halls was dedicated entirely to Defence Rehabilitation. Sessions covered clinical problems that are commonly encountered in the Army, their management and rehabilitation. Topics included injuries to nerves and the musculoskeletal system, rheumatologic disorders, imaging, the physical thermal demands of parachute training, and conflict rehabilitation in Afghanistan. There were also prizes given for abstract presentations.

GP Masterclass

This full day event was held in a separate seminar room on the second day, and was designed as a fairly comprehensive, highly relevant and enticing stand-alone event, attracting its own subscription fee. There seemed to be 50 or more delegates present at most times, though some of these were people from the main event who chose to sneak in to hear talks on interesting clinical and practical topics from senior figures.

For example, Dr Richard Budgett spoke about the medical preparations for London 2012. BASEM president Sir Malcolm Read answered the topic of ‘Doctor, am I fit to start an exercise class or run a marathon?’ The senior Irish Rugby team doctor Eanna Falvey gave his triangle approach to musculoskeletal anatomy, whilst the equivalent for the English RFU discussed ‘when can a patient return to sport after concussion?’ The CMO to the European PGA Golf Tour, Dr Roger Hawkes, covered upper limb problems in Golfers. Dr Phil Batty, who works with Blackburn Rovers FC as well as a local school, talked about sports injuries in children.

There were also talks on How to prescribe exercise, Managing common upper and lower limb complaints in primary care, Imaging sports injuries, and The perils of providing touchline, racing or pitch side cover.

Screening, Physical competence, rehabilitation and performance workshop

The final half-day on Saturday morning was primarily aimed at physiotherapists, strength and conditioning, and performance coaches, again attracting a separate fee. A world-renowned trio of coaches hosted. Mr Kelvin Giles delivered a practical guide to physical competency assessment and screening for injury prevention, and Mr Frans Bosch applied these principals to the example of running. Mr Vern Gambetta talked about high-level training and athletic development.

What was new?

Research-based presentations from leaders in their field brought us up to date on a number of topics, from The Science Behind Tendon Pathology (Prof. Michael Kjaer), The Role of Fascia in Injury, Proprioception and Soft Tissue Pain (Dr Robert Schleip), and Muscle Injury and Repair (Prof. Gordon Lynch), to exercise immunology and the impact of nutrition (Dr Neil Walsh) and sleep disruption (Mr Adam Harper-Smith).

The Chief Medical Officer to UK Athletics, Dr Paul Dijkstra, updated us on the approach and experiences of using Platelet-rich-plasma with UK Athletes, and gave us greater understanding of the factors that clinicians should take heed of when considering this novel therapy as a treatment option.

Professor Philip Conaghan talked about recent advances in the elusive cure for osteoarthritis, with mention of stem cells, and new biologic medications currently undergoing clinical trails that we hope will talk us forward.

Dr Eanna Falvey took us through a novel ‘triangle’ approach to assessing groin injures, ensuring that we consider the plethora of differential diagnoses when assessing this particular complex area.

There was also a session on cutting-edge frontiers and technological innovations, with Sponsors covering the potential of regenerative medicine for the treatment of sports injuries, and role of video technology in assessing movement.

Research

Good quality research underpins the evidence base and stature of all established medical specialties, and this message was emphasised with regularity at the conference.

The inspiration was provided by eye-opening talks from the multitude of Professors in showing what can be achieved and the directions we can take.

Encouragement to undertake research was given in unambiguous terms, most explicitly from Professor Greg Whyte of the Institute of Sports and Exercise Medicine, and Professor Alan Silman from Arthritis Research Campaign, who talked about Osteoarthritis and made us aware of funds available to support more cutting edge research ideas and grant applications for Arthritis.

An overview of current Hot topics in SEM was covered very neatly and succinctly by Professor Domhnall Macauley, by presenting his verdict of the top ten SEM publications in 2010. His selection drew little dispute, though a few nominations to add to the list. His top ten can be found at http://blogs.bmj.com/bmj/2010/11/25/domhnall-macauley-on-sports-medicines-top-ten/

The controversies

There were a couple of notable lectures that attracted spirited debate!

Professor of culture, media and sport, Ellis Cashmore spoke of the reasons why he believes that we should Stop testing and Start Legalising drugs in sport! His arguments included respecting sportsmen’s autonomy, and made parallels with vision correction measures and cash incentives in sport as being performance enhancing. Dr Mike Loosemore led the counter arguments as chairperson in a heated debate that could have gone on all day! In the end, the feeling was that Loosemore beat Cashmore on points at the very least!

Less heated, though stimulating well-founded discussion, was neurologist and sports physician Professor Paul McCrory’s lecture on Cognitive assessment of concussion. This focussed on the merits of different neurocognitive assessment tools for use at the pitch side and pre-event, treatment options in concussion, and the recommendations for time away from sport following concussion.

Prizes and Awards

If the quality of the conference itself wasn’t enough to entice the most reluctant, then the prizes on offer may have!

There were four prizes of £1000 to each of the best abstract presentations in their category. Congratulations go to the overall winner Mr Russ Coppack from DMRC Headley Court, who won an invitation to participate in the American College of Sports Medicine Conference in 2011.

Past winners of the UKADIS Malcolm Read Scholarship in SEM had an opportunity to present the findings of their proposals that landed them their prizes. The funds enabled travel abroad to centres of excellence and subsequent relay of their findings to interested parties in the UK. Dr Rick Seah spoke of his research proposal into novel injection therapies in the management of tendinopathy, and the challenges in attaining adequate power to conduct high quality research.

Perhaps less within most of our reach at this stage is the Sir Roger Bannister Medal. The winner this year was one of the forefathers of Sports Medicine in Britain, Professor Peter Sperryn. His achievements and services to SEM include organising the first BASM meeting in 1964, holding the roles of BASM Secretary, vice-chairman and vice-president, presidency of FIMS educational committee, being editor of the BJSM, and CMO of Track and Field Athletics.

The Social Events

There were two main social events in the evenings. The drinks reception with entertainment from the Chris Allard Band directly followed the close of play on day one. The vast majority of delegates stayed on to unwind and catch up following a fantastic educational day. The Conference Black tie dinner was a more formal affair on the evening of the second day, with around 150 delegates of all ages and backgrounds enjoying a quality 4-course meal with ample champagne and wine. I’ll always remember Sir Malcolm Read, our president, not wasting a moment in showing his encouragement and support for SEM whilst in the Gents! Whilst discussing Lord Coe’s speech, and how I would have liked to hear more about his vision beyond 2012, he replied “the future of the specialty is in your hands, take it and run with it!”

The Inspiration and Future

There is no doubt that this inaugural conference has inspired and provided a vision for all delegates, in particular the many students and junior health professionals, providing a benchmark on what the specialty does now, and how it can be furthered by us from now onwards.

It was great to see an abundance of both undergraduates, who show eagerness and desire to submerge themselves in SEM from a far earlier stage than many current BASEM members were able to, as well as many established SEM faces, some of whom are retired, though nevertheless still enthusiastic to learn. Their presence also provides considerable strength and support for our specialty, as well as inspiration.

As the specialty grows year on year, there will be an even greater presence and sense of community, more research will be conducted and ideas shared, and more avenues open for expansion. UKSEM 2011 is guaranteed to be even bigger and better. See you at the ExCel from 23rd -26th November 2011!

We pass our thanks to the BASEM committee and staff for their vision, and months of hard work in making UKSEM 2010 a big success.

Bhavesh Kumar
ST3 SEM, London Deanery

(Additional comments: I can only describe the aspects of the conference that I myself was able to experience. Regrettably it was not possible to mention all the speakers and sessions that helped make UKSEM the success it was.)

2011 Sainsbury's UK School Games Medical Officer Posts

2011-01-20T23:13:00.000Z

2011 Sainsbury's UK School Games Medical Officer Posts

The Sainsbury's UK Schools Games seeks to appoint medical and physiotherapy officers for the 2011 Games to be held in the host city of Sheffield, UK. The games will take place between 1st - 4th September 2011. Up to 2000 school age Elite & National squad athletes will compete in 10 sports in an accreditation only athlete village and multi-venue games.

Successful candidates will receive financial remuneration. Accommodation, subsistence and transport are provided during the games.

DUTIES:

· To attend a multidisciplinary orientation meeting on Saturday 4th June 2011 to enable familiarisation prior to the games. Attendance is compulsory for successful applicants. Candidates who cannot make this meeting are advised to consider their application.

· To be available to provide medical cover services from the opening ceremony to the closing ceremony of the games inclusive: 1st - 4th September. Initial attendance, registration and subsequent stand-down at medical HQ will precede and succeed these times but are subject to final confirmation.

· To attend briefings, and complete roles and responsibilities of a medical team officer as would be expected in a multi-sport accreditation games. This will include set up, active medical care at venues and HQ, and stand down at the end of the games.

· To keep appropriate medical records.

ESSENTIAL CRITERIA:

1) Professional Experience & Qualifications

· Current full registration with respective professional representative body (GMC or equivalent)

· 5 years post qualification (Doctor)

· To hold a current and valid certificate in emergency care (REMO, PSITCC, ALS, or ATLS or equivalent)

· Professional indemnity with a recognised provider of medical insurance e.g. MDU, MPS

2) Sport Experience

§ To be able to demonstrate a regular clinical commitment to sports medicine. This work must include ‘pitch-side’ competition, training, competition phases as well as clinic based work.

§ Working knowledge and experience of the World Anti-Doping Agency Code and workings of UKAD.

DESIRABLE CRITERIA

· Working towards a postgraduate qualification (Diploma or Masters degree) in Sport and Exercise Medicine.

· 3 years working within sport.

· Experience across a diverse range of sports.

· Experience of having worked at a multi-sport Games/holding camps with either an NGB or in an HQ medical team officer capacity.

GENERAL

· Appropriate, relevant and competent clinical techniques and clinical reasoning skills that take into account both injury management and performance enhancement in age specific athletes.

· A team player with experience of effective working within a multi-disciplinary environment.

· Professional, flexible and conscientious approach to work with good communication skills.

· Ability to perform under pressure.

How to apply:

Please email your CV and a covering letter briefly documenting essential and desirable criteria along with the contact details of 2 references, to Dr Luis Mendia, CMO, Sainsbury's UK School Games via the email address medical@ukschoolgames.com

Closing date: The closing date for applications is 5pm on Friday 11th February 2011. Short listed interview candidates will be contacted during the week beginning 14th February 2011 via email, confirmed by writing.

Interview dates: Interviews will be held in London on the 11th March 2011. Details of times will be released to successful applicants.

Interviews for short listed candidates will take place at the FastTrack Office, London. Any further enquiries should be directed to the above email or via the FastTrack telephone number 0207 593 5200. Unfortunately no alternative dates for interview will be offered.

Mandatory pre-games meeting: Saturday 4^th June - Sheffield

TWICKENHAM MATCH DAY PLAYER MEDICAL LEAD - Vacancy RFU

2010-12-03T09:57:00.000Z

TWICKENHAM MATCH DAY PLAYER MEDICAL LEAD

The Rugby Football Union wishes to appoint a Match Day Player Medical Lead for all matches played at Twickenham Stadium.

The medical practitioner appointed will personally provide immediate medical care for players and match officials and lead the venue medical team on the c. 22 match days at Twickenham each season. Matches range from Senior England Internationals to finals of County, University and Schools tournaments. Immediate match day medical care will be provided in conjunction with team medical staff, other venue medical room specialists and pitch side Paramedics.

This role is separate to that of medical provision to the crowd.

Candidates must have:

Full registration with the General Medical Council
Either a JCPTGP Certificate/CCT in GP or a CCT/CESR in SEM or a CCT/CESR in Emergency Medicine
Current Evidence of Level 2 (or above) Pre-Hospital Emergency Care Course Competencies (Pitch-side Trauma)
Care Course (PSITCC) Certificate/ other RCS ED approved Level 2 Pre-Hospital Emergency Care Course
Certificate are accepted as the Standard for Level 2 Competency)
Evidence of personally providing Pre-Hospital Emergency care in an elite collision sport match day environment(elite rugby union experience preferred)
Experience of assuring Clinical Governance standards
Experience of team leadership

Our commitment to you

The post will be offered initially for the period to 30 June 2012, for c. 22 days per year. A day rate of £350 to £700 is payable for duty days (depending on the length of the day), plus an annual retainer of £3,500.

To arrange a confidential discussion about this post, please e-mail the RFU Head of Sports Medicine, Simon Kemp, on simonkemp@rfu.com .

For an information pack including a full specification for the position, e-mail recruitment@therfu.com.

Applicants must submit a current CV, with a covering letter, to Lynn Graco, Human Resources Department, Rugby House, Twickenham Stadium, 200 Whitton Road, Twickenham, TW2 7BA, or via email to recruitment@therfu.com.

The closing date for applications is 23^rd December 2010. Shortlisted candidates will be notified on 5^thJanuary 201. Interviews will be held at Twickenham Stadium on 13^th January 2011. The first three games to be played at Twickenham in 2011 are the Six Nations games against Italy on Saturday 12^th February, France on Saturday 26^th February and Scotland on Sunday 13^th March. The successful applicant will be expected to be available for all of these three fixtures.

A full programme of fixtures for the rest of the 2011 season can be downloaded by clicking here:

The Criminal Records Bureau enhanced disclosure process applies to this post.

Infomed MSK US Courses

2010-10-18T16:59:00.007Z

Infomed Contact Details for MSK Ultrasound Courses

	Company Address: Infomed Research & Training Ltd Lancaster House 7 Elmfield Road Bromley Kent BR1 1LT
	Tel: +44 (0) 20 8123 0021 Fax: +44 (0) 20 8290 6917
	Email: conferences@infomedltd.co.uk

2nd London MSK Ultrasound Course

for Physiotherapists, General Practitioners, Sports Physicians and Sonographers. An intensive and practical day, just what you need, on the use of Ultrasound in assessment, diagnosis and intervention in patients with musculoskeletal injuries on Thursday 9 December 2010 at the Russell Square Conference Centre, Russell Square House, London

The London Foot and Ankle Ultrasound and Interventions Course

For Podiatrists, Sports & Exercise Physicians and General Practitioners on the use of imaging techniques in the assessment and treatment of foot and ankle disorders organised by Infomed Research & Training, on Friday 28 January 2011 at the Russell Square Conference Centre, Russell Square House, London

4th London Musculoskeletal Ultrasound Skills Course

An intensive and practical two day course on the use of Ultrasound in the assessment of musculoskeletal injuries on Monday 4 and Tuesday 5 April 2011 at the Russell Square Conference Centre, 10-12 Russell Square, London

Full details of the Infomed Courses and booking can be found here

The London Foot and Ankle Ultrasound and Interventions Course for Podiatrists, Sports & Exercise Physicians and General Practitioners

2010-10-18T16:50:00.000Z

The London Foot and Ankle Ultrasound and Interventions Course for Podiatrists, Sports & Exercise Physicians and General Practitioners
on the use of imaging techniques in the assessment and treatment of foot and ankle disorders. Preparing Clinicians to be Game ready.

organised by Infomed Research & Training, on Friday 28 January 2011,
at the Russell Square House, 10-12 Russell Square, London WC1B 5EH

For the Course programme and online booking options please visit the Course webpage

4th London Musculoskeletal Ultrasound Skills Course

2010-10-18T16:48:00.000Z

4th London Musculoskeletal
Ultrasound Skills Course

An intensive and practical two day course on the use of Ultrasound in the assessment
of MSK injuries organised by Infomed Research & Training, on Monday 4 and Tuesday 5 April 2011 at the Russell Square Conference Centre, 10-12 Russell Square, London WC1B 5EH

For the Course programme and online booking options please visit the Course webpage

2nd London MSK Ultrasound Course for Physiotherapists, General Practitioners, Sports Physicians and Sonographers

2010-10-18T16:45:00.001Z

2nd London MSK Ultrasound Course
for Physiotherapists, General Practitioners,
Sports Physicians and Sonographers

An intensive and practical day, just what you need, on the use of Ultrasound in assessment, diagnosis and intervention in patients with musculoskeletal injuries,

organised by Infomed Research & Training, on Thursday 9 December 2010,
at the Russell Square Conference Centre, 10-12 Russell Square, London WC1B 5EH

For the Course programme and online booking options please visit the Course webpage

Sports Shoulder Surgery Monday 8th & Tuesday 9th November 2010 at Scarman House, University of Warwick

2010-09-29T15:29:00.002Z

Sports Shoulder Surgery

Monday 8th & Tuesday 9th November 2010
at Scarman House, University of Warwick

Damian Griffin, Professor of Trauma & Orthopaedic Surgery at the  
University of Warwick, England, and Mr Steve Drew would like to make  
surgeons, doctors and physiotherapists aware of the forthcoming Sport  
Shoulder meeting on the 8th & 9th November, at the University's  
Scarman House conference centre.

The conference is aimed at Clinicians who treat young patients with  
Sports related shoulder injuries. There will be a strong bias towards  
the surgical treatment of these injuries and will also be exploring  
the most modern thinking on the diagnosis, management and  
rehabilitation of these injuries.

Topics that will be covered include Glenohumeral and AC Joint  
Instability, Rotator Cuff Injuries, Biceps injuries and the management  
of chondral defects in the young athlete.

Convened by Steve Drew & Prof Damian Griffin, Faculty includes: Joe de  
Beer, SA, Giacomo Delle Rose Italy, Len Funk, UK,  Andrew Wallace,  
UK,  Giuseppe Porcellini, Italy,  Matthias Zumstein, Switzerland,  
Nicola Phillips, UK, Steve Corbett, Emilio Calvo, Spain, Julie  
McBirnie UK, Graham Tytherleigh- Strong, UK plus many more.


Prices for the 2-day course including overnight accommodation at the  
conference venue are £295 for Trainees and £495 for Consultants.

Full details and an on line booking form can be found at

http://www.sportsshouldersurgery.org/

Should you require any further details, please do not hesitate to  
contact me on 01476 860759 or email: info@sportsshouldersurgery.org

Medical Indemnity For Sports Medical Specialists

2010-09-07T15:19:00.000Z

SEMPRIS has been developed specifically in response to the restrictive guidelines, policy endorsements and selective membership criteria recently applied by the medical defence organisations to doctors treating professional sports men and women .

What are the restrictive guidelines, policy endorsements and selective membership criteria?

With effect from renewal after June 2010:

1. The MDU will not indemnify members for any damages, claimants' costs and/or defence costs which relate to a claim against them by:

• the employer, agent or sponsor of a sports person who is an individual patient;

• any club, team or organisation for, with or under which a sports person who is an individual patient plays a sport; or

• the organiser or owner of any sporting event in or for which a sports person who is an individual patient plays a sport.

2. The MDU cover will not extend to treatment provided outside the UK (for example if the team is touring). Members will need to contact the MDU if they intend to accompany the team abroad, before they travel, and the MDU will then determine whether discretionary assistance might be extended to each trip.

With effect from April 2008:

1. The MPS does not provide indemnity for doctors who are employed by, or contracted to, a Premiership Football Club.

2. Specialists/consultants should:
• not enter into a written or oral contract with an employer to treat employees for reward

• only accept referrals from other healthcare professionals not from clubs directly

• address any professional fee notes to the patient and not the employer

• review any existing relationship with an employer of a patient very carefully

SEMPRIS has been specifically developed to provide cover in these circumstances and to allow participating members to continue to practice in a manner that is compatible with the unique demands and expectations of professional sport.

For more information please visit http://www.sempris.co.uk/ or Telephone: +44 (0) 208 770 0333

Case of the Month ?

2010-09-01T23:06:00.000Z

Dear Docs, I am going to run a case of the month series on the blog and will need your help.

Basically if you have seen something interesting please send details of the case to me either by emailing me direct or via the blog submit clinical case facility. The AMSSM did this some time ago and I really think its a good idea.

In our case however it will be good to include some images too.

Now I understand from speaking to some of you bloggers you may feel a little nervous about interacting with others on this group and feeling others may judge you. Well 99.99% of us on here are very friendly and supportive and yes we all look at each others posts and think OMG sometimes but thats life.

Rather have something to say than hide away :)

Suggested format for case of the month

History:

Physical Exam:

Initial Differential Diagnosis based on the History and Physical:

Diagnostic studies:

Final Diagnosis: Based on imaging and clinical

Treatment and Outcome:

Discussion:

References:

Heres a little bit of something for everyone on the list

2010-08-28T18:34:00.000Z

1. Osteoarthritis Cartilage. 2010 Aug 3.
Autologous chondrocyte implantation for the treatment of cartilage lesions:

randomized control trials assessed in a systematic review.
Vasiliadis HS, Salanti G.

Orthopaedic Sports Medicine Center, Department of Orthopaedics, School of

Medicine, University of Ioannina, Greece; Molecular Cell Biology and Regenerative

Medicine, Sahlgrenska University Hospital, Gothenburg University, Sweden.

2. Dis Mon. 2010 Jul;56(7):436-42.

Blood-borne infections and the athlete.

Gutierrez RL, Decker CF.
Division of Infectious Diseases, Department of Internal Medicine, National Naval
Medical Center, Bethesda, Maryland, USA.
3. Phys Sportsmed. 2010 Jun;38(2):126-32.
Chronic exertional compartment syndrome of the leg in athletes: evaluation and management.
Gill CS, Halstead ME, Matava MJ.
Chronic exertional compartment syndrome (CECS) is a well-known cause of activity-related lower leg pain in both athletes and nonathletes. In contrast to acute compartment syndrome, CECS is generally not related to trauma, and is often suspected in the outpatient setting by primary care physicians, podiatrists, sports medicine clinicians, and orthopedic surgeons. The diagnosis of CECS is often overlooked because patients avoid or withdraw from exacerbating physical activities instead of seeking treatment for their symptoms from a health care professional. A thorough history and physical examination of an individual with activity-related lower leg pain is necessary for correct diagnosis to occur.
Appropriate diagnostic testing with measurement of intracompartmental pressures reliably confirms the diagnosis of CECS. Nonoperative treatments of CECS rarely leads to complete resolution of symptoms or an individual's ability to return to previous levels of recreational or athletic activity. Fasciotomy of the involved compartments can reliably lead to resolution of pain and the ability to return to previous activities within 6 weeks.

4. Curr Probl Pediatr Adolesc Health Care. 2010 Aug;40(7):170-83.
Common lower extremity injuries in the skeletally immature athlete.
Grady MF, Goodman A.
Sports Medicine and Performance Center, Children's Hospital of Philadelphia, King of Prussia, PA, USA.

Lower extremity musculoskeletal pain is a common complaint in the adolescent athlete. During rapid growth, several common biomechanical changes occur that may predispose to overuse injury. Unlike fractures, most of these office-based sports medicine complaints are initially evaluated by the primary care provider. This review discusses several of the most common complaints and briefly discusses some clinically significant conditions that masquerade as common injuries. The article discusses only the injuries unique to the growing athlete. The article's goal is to help develop a framework for the pediatric clinician to evaluate common complaints and formulate a plan that includes simple stretches and physical therapy recommendations.

5. Curr Probl Pediatr Adolesc Health Care. 2010 Aug;40(7):154-69.
Concussion in the adolescent athlete.
Grady MF.
Sports Medicine and Performance Center, Children's Hospital of Philadelphia, King of Prussia, PA, USA.

Concussion in the adolescent athlete is a common sports and recreation injury.Traditional management of concussion in this age group has focused on sport return-to-play decisions. However, new research on mild traumatic brain injury has dramatically changed the management of concussion. During the acute healing phase, physical and cognitive rest are crucial for healing. In the school-aged athlete, new concepts, such as complete brain rest, have made school management decisions as important as sport return-to-play decisions. Despite tremendous improvements in the understanding of concussion, most of the research has been done in young adults. The lack of prospective studies in early adolescent student athletes limits definitive management recommendations. This article reviews the current understanding of the epidemiology, pathophysiology, and clinical presentation of concussion and discusses the unique factors involved in clinical management of concussion in the adolescent student-athlete.

6. Phys Sportsmed. 2010 Jun;38(2):133-45.
Conservative treatment modalities and outcomes for osteoarthritis: the concomitant pyramid of treatment.
Langworthy MJ, Saad A, Langworthy NM. Michael J. Langworthy MD 1 Amira Saad MD 2 Nadia M. Langworthy MD 3 1Battle
Creek Orthopaedics and Sports Medicine Clinic Battle Creek MI 2Michigan State
University East Lansing MI 3University of Michigan Ann Arbor MI Correspondence:
Michael J. Langworthy MD Battle Creek Orthopaedics and Sports Medicine Clinic
6417 N. 39th St. Augusta MI 49012. Tel: 269-209-5066 Fax: 269-969-6283 E-mail: lcdrlang@aol.com.

This article reviews current treatment algorithms for the conservative treatment of hip and knee osteoarthritis. The available treatment options for osteoarthritis (physical therapy, medical therapeutics, steroid injections, nutraceuticals, hyaluronic acid injections, acupuncture, pulsed electrical stimulation, and topical ointments) are compared to determine efficacy in the treatment of pain and return of function in the osteoarthritic joint. A literature review was conducted to determine combinations of appropriate concomitant therapy. Based on the available literature, we conclude that an early transition to multimodal and concomitant therapy is the most efficacious approach to decrease pain and improve joint function in the osteoarthritic hip and knee.
7. Knee Surg Sports Traumatol Arthrosc. 2010 Jul 22.
Evidence of accumulated stress in Achilles and anterior knee tendons in elite badminton players.
Boesen AP, Boesen MI, Koenig MJ, Bliddal H, Torp-Pedersen S, Langberg H.
Institute of Sports Medicine, Bispebjerg Hospital and Center for Healthy Aging,
Faculty of Health Sciences, University of Copenhagen, Bispebjerg Bakke 23, 2400,

Copenhagen NV, Denmark, boesenanders@hotmail.com.

Tendon-related injuries are a major problem, but the aetiology of tendinopathies is unknown. In tendinopathies as well as during unaccustomed loading, intra-tendinous flow can be detected indicating that extensive loading can provoke intra-tendinous flow. The aim of present study is to evaluate the vascular response as indicated by colour Doppler (CD) activity in both the Achilles and patella tendon after loading during high-level badminton matches.The Achilles tendon was subdivided into a mid-tendon, pre-insertional, and insertional region and the anterior knee tendons into a quadriceps-, patella- and tuberositas region. Intra-tendinous flow was measured using both a semi-quantitative grading system (CD grading) and a quantitative scoring system (CF) on colour Doppler. Intra-tendinous flow in the Achilles and anterior knee tendons was examined in fourteen single players before tournament and after 1st and 2nd match, respectively on both the dominant and non-dominant side. All players had abnormal intra-tendinous flow (Colour Doppler >/= grade 2) in at least one tendon in at least one scan during the tournament. At baseline, only two of the 14 players had normal flow in all the tendons examined. After 1st match, tendencies to higher intra-tendinous flow were observed in both the dominant patella tendon and non-dominant quadriceps tendon (P-values n.s.). After 2nd match, intra-tendinous flow was significant increased in the dominant patella tendon (P = 0.009). In all other locations, there was a trend towards a stepwise increase in intra-tendinous flow. The preliminary results indicate that high amount of intra-tendinous flow was found in elite badminton players at baseline and was increased after repetitive loading, especially in the patella tendon (dominant leg). The colour Doppler measurement can be used to determine changes in intra-tendinous flow after repetitive loading.

8. Curr Sports Med Rep. 2010 Jul-Aug;9(4):195-201.
Exercise is medicine: a historical perspective.
Berryman JW.
Department of Bioethics and Humanities and Adjunct, Department of Orthopaedics and Sports Medicine, School of Medicine, University of Washington, Seattle, WA 98195, USA. berryman@u.washington.edu

Much of the early information about exercise and medicine appeared in the ancient, medieval, and Renaissance medical literature in the context of the "six things nonnatural." These were the things that were under everyone's own control, directly influenced health, and became the central part of the new "physical
education" movement in the early 19 century in the United States. They were known then as the "Laws of Health." Until the early 1900s, "physical education" was dominated by physicians who specialized in health and exercise. However, physical education changed to a games and sports curriculum led by coaches who introduced competition and athletic achievement into the classroom. As that happened, physicians disappeared from the profession. Through the last half of the twentieth century, as exercise became more central to public health, the medical community began to view exercise as part of lifestyle, a concept embracing what was once called the "six things nonnatural."

9. Clin Sports Med. 2010 Jul;29(3):459-76.
Exertional collapse in the runner: evaluation and management in fieldside and office-based settings.
Childress MA, O'Connor FG, Levine BD.
Department of Family and Sports Medicine, DeWitt Army Community Hospital, Fort Belvoir, VA, USA. Marc.childress@amedd.army.mil

Exertional collapse is a commonly encountered phenomenon among runners, particularly in the setting of long distances and extreme environments. Although exertional collapse is generally a benign event occurring in an exhausted finisher at race completion, the multifactorial nature of this disorder creates a broad differential diagnosis. The ability of the sports provider to appropriately recognize and treat these various potential concerns is critical, because collapse may represent several life-threatening conditions. It is especially challenging to determine the appropriate course of evaluation and management of collapse in the context of a mass participation event. This article presents a discussion of the etiology and pathophysiology of collapse as well as strategies for the effective assessment and treatment of collapsed runners, whether in the fieldside setting or in an outpatient office-based environment.

10. J Fam Pract. 2010 Aug;59(8):437-44.
Give your sports physicals a performance boost.
Womack J.
Family Medicine and Community Health, University of Medicine and Dentistry of New
Jersey - Robert Wood Johnson, New Brunswick, NJ, USA. E-mail: womackja@umdnj.edu.

Cover the 12 components of the preparticipation physical evaluation (PPE) recommended by the American Heart Association to screen young athletes for potentially life-threatening cardiovascular disease. Perform a genitourinary exam as part of the PPE for young men; assess young women for the criteria associated with the female athlete triad. Perform auscultation while the patient is squatting and while doing the Valsalva maneuver to determine whether any murmurs you detected on examination are associated with hypertrophic cardiomyopathy.

11. Dis Mon. 2010 Jul;56(7):404-6.
Infectious diseases in the athlete: an overview.
Decker CF.Uniformed Services University of the Health Sciences, Division of Infectious Diseases, Department of Internal Medicine, National Naval Medical Center, Bethesda, Maryland, USA.

12. Curr Sports Med Rep. 2010 Jul-Aug;9(4):191-3.
New innovations in sports medicine: good for the patient or good for the pocketbook?
Johnson RJ.
Department of Family Medicine and Community Health, University of Minnesota,
Minneapolis, MN, USA. johnson1947@gmail.com
13. Sports Med. 2010 Sep 1;40(9):729-46.
A 'plane' explanation of anterior cruciate ligament injury mechanisms: a systematic review.
Quatman CE, Quatman-Yates CC, Hewett TE.
Cincinnati Children's Hospital Research Foundation, Sports Medicine Biodynamics
Center and Human Performance Laboratory, Cincinnati, Ohio, USA.

Although intrinsic and extrinsic risk factors for anterior cruciate ligament (ACL) injury have been explored extensively, the factors surrounding the inciting event and the biomechanical mechanisms underlying ACL injury remain elusive. This systematic review summarizes all the relevant data and clarifies the strengths
and weaknesses of the literature regarding ACL injury mechanisms. The hypothesis is that most ACL injuries do not occur via solely sagittal, frontal or transverse plane mechanisms. Electronic database literature searches of PubMed MEDLINE (1966-2008), CINAHL (1982-2008) and SportDiscus(R) (1985-2008) were used for the systematic review to identify any studies in the literature that examined ACL injury mechanisms. Methodological approaches that describe and evaluate ACL injury mechanisms included athlete interviews, arthroscopic studies, clinical imaging and physical exam tests, video analysis, cadaveric studies, laboratory tests (motion analysis, electromyography) and mathematical modelling studies. One hundred and ninety-eight studies associated with ACL injury mechanisms were identified and provided evidence regarding plane of injury, with evidence supporting sagittal, frontal and/or transverse plane mechanisms of injury. Collectively, the studies indicate that it is highly probable that ACL injuries are more likely to occur during multi-planar rather than single-planar mechanisms of injury.

14. Ann N Y Acad Sci. 2010 Jul;1201:121-8.
Redefining the role of mitochondria in exercise: a dynamic remodeling.
Bo H, Zhang Y, Ji LL.
Tianjin Key Laboratory of Exercise Physiology and Sports Medicine, Department of
Health and Exercise Science, Tianjin University of Sport, Tianjin, China.

Exercise induced adaptations in muscle are highly specific and dependent upon the type of exercise, as well as its frequency, intensity, and duration. Mitochondria are highly dynamic organelles. Fusion and fission reactions lead to a continuous remodeling of the mitochondrial network, which range from reticulum of elongated and branched filaments to collections of individual organelles. Mitochondrial network dynamics are sensitive to various physiological and pathological stimuli,and mitochondrial morphological changes are no epiphenomena, but central to cell function and survival. There is a strong correlation between mitochondrial
network morphology, dynamic-related protein, and energy metabolism. It is expected that alteration in cellular energy status during exercise can also be achieved through mitochondrial network dynamics. In this review, we describe mitochondrial network remodeling response to acute and endurance exercise, which is accompanied by bioenergetics and redox regulation. In addition, potential mechanisms for metabolic and redox signaling involved in mitochondrial dynamic regulation are also reviewed.

15. Dis Mon. 2010 Jul;56(7):407-13.
Respiratory tract infections in athletes.
Lin L, Decker CF.
Infectious Diseases Service, Department of Internal Medicine, Walter Reed Medical Center, Washington, DC, USA.

16. J Bone Joint Surg Am. 2010 Aug 4;92(9):1842-50.
The rising incidence of acromioplasty.
Vitale MA, Arons RR, Hurwitz S, Ahmad CS, Levine WN.
Center for Shoulder, Elbow and Sports Medicine, Department of Orthopaedic Surgery, New York-Presbyterian Medical Center, Columbia University, 622 West 168th Street, PH-1117, New York, NY 10032, USA. wnl1@columbia.edu

BACKGROUND: Acromioplasty is considered a technically simple procedure but has become controversial with regard to its indications and therapeutic value.
METHODS: Two complementary databases were used to ascertain the frequency of acromioplasty over a recent span of time. In Part A, the New York Statewide Planning and Research Cooperative System (SPARCS) ambulatory surgery database was searched from 1996 to 2006 to identify all ambulatory surgery acromioplasties as well as all orthopaedic ambulatory surgery procedures. In Part B, the American Board of Orthopaedic Surgery (ABOS) database was searched from 1999 to 2008 to identify all arthroscopic acromioplasties as well as all orthopaedic procedures.
RESULTS: Part A revealed that in 1996 there were 5571 acromioplasties in New York
State, representing a population incidence of 30.0 per 100,000. In 2006 there were 19,743 acromioplasties, representing a population incidence of 101.9 per 100,000. Over these eleven years, the volume of acromioplasties increased by 254.4%, compared with only a 78.3% increase in the volume of all orthopaedic
ambulatory surgery procedures. In 2006, as compared with 1996, patients were 2.4 times more likely to have an acromioplasty compared with all other orthopaedic ambulatory procedures (p < 0.0001). Part B revealed that, in 1999, a mean of 2.6 arthroscopic acromioplasties were reported per candidate for Board certification. In 2008 a mean of 6.3 arthroscopic acromioplasties per candidate were reported. Over these ten years, the mean number of arthroscopic acromioplasties reported increased by 142.3%, compared with only a 13.0% increase in the mean number of all orthopaedic surgery procedures. In 2008, as compared with 1999, candidates were 2.2 times more likely to report an arthroscopic acromioplasty compared with all other orthopaedic procedures (p < 0.0001). CONCLUSIONS: There has been a substantial increase in the overall volume and the population-based incidence of acromioplasties in recent years on both the state and national levels in theUnited States. The reasons for this increase have yet to be determined and are likely multifactorial, with patient-based, surgeon-based, and systems-based factors all playing a role.

17. Scand J Med Sci Sports. 2010 Jul 29.
Sever's injury; treat it with a heel cup: a randomized, crossover study with two insole alternatives.
Perhamre S, Lundin F, Norlin R, Klässbo M.
Centre of Sports Medicine in Värmland, Karlstad, Sweden.

Sever's injury (apophysitis calcanei) is considered to be the dominant cause of heel pain among children. Common advice is to reduce physical activity. However, our previous study showed that application of insoles reduced pain in Sever's injury without having to reduce physical activity. The purpose of this study was to test which of the two insoles, the heel wedge or the heel cup, provided best pain relief during sport activity in boys with Sever's injury (n=51). There was crossover design in the first randomized part of the study. In the second part,the boys, 9-14 years, chose which insole they preferred. There was a reduction in
odds score for pain to a fifth (a reduction of 80%) for the cup compared with the wedge (P<0.001). When an active choice was made, the heel cup was preferred by >75% of the boys. All boys maintained their high level of physical activity throughout. At 1-year follow-up, 22 boys still used an insole and 19 of them reported its effect on pain as excellent or good (n=41).

18. Phys Ther Sport. 2010 Aug;11(3):99-103. Epub 2010 Jul 24.
Short and mid-term results of a comprehensive treatment program for longstanding adductor-related groin pain in athletes: a case series.
Weir A, Jansen J, van Keulen J, Mens J, Backx F, Stam H.
The Hague Medical Centre (MCH), Department of Sports Medicine, Burg Banninglaan
1, 2262 BA, Leidschendam, The Netherlands. a.weir@mchaaglanden.nl

OBJECTIVE: To evaluate short and mid-term results of active physical therapy in athletes with longstanding groin pain. DESIGN: Case series. SETTING: Primary care physical therapy practice. PARTICIPANTS: A total of 44 athletes suffering longstanding adductor-related groin pain. INTERVENTION: A combination of passive (joint mobilization) and active (exercises) physical therapy interventions. MAIN OUTCOME MEASUREMENTS: Return to (the same level of) sports, restriction in sports, and recurrence. RESULTS: Directly after treatment, return to the same level and type of sport was successful in 38 athletes (86%), and without symptoms in 34 athletes (77%). At 6.5-51 months follow up, 10/38 (26%) of those that returned to sports had experienced a relapse; 22 (50%) athletes were able to participate in sports without any restrictions at the mid-term follow-up.
CONCLUSIONS: For athletes with longstanding groin pain, short term results of physical therapy seem positive, whereas mid-term results are moderately positive. The risk for recurrence is high.

19. Dis Mon. 2010 Jul;56(7):414-21.
Skin and soft tissue infections in the athlete.
Decker CF.
Uniformed Services University of the Health Sciences, Division of Infectious
Diseases, Department of Internal Medicine, National Naval Medical Center, Bethesda, Maryland, USA.

20. Br Med Bull. 2010 Aug 14.
Sport injuries: a review of outcomes.
Maffulli N, Longo UG, Gougoulias N, Caine D, Denaro V.
Centre for Sports and Exercise Medicine, Barts and The London School of
Medicine and Dentistry, Mile End Hospital, 275 Bancroft Road, London E1 4DG, UK.

Injuries can counter the beneficial aspects related to sports activities if an athlete is unable to continue to participate because of residual effects of injury. We provide an updated synthesis of existing clinical evidence of long-term follow-up outcome of sports injuries. A systematic computerized literature search was conducted on following databases were accessed: PubMed, Medline, Cochrane, CINAHL and Embase databases. At a young age, injury to the physis can result in limb deformities and leg-length discrepancy. Weight-bearing joints including the hip, knee and ankle are at risk of developing osteoarthritis (OA) in former athletes, after injury or in the presence of malalignment, especially in association with high impact sport. Knee injury is a risk factor for OA. Ankle ligament injuries in athletes result in incomplete recovery (up to 40% at 6 months), and OA in the long term (latency period more than 25 years). Spine pathologies are associated more commonly with certain sports (e.g. wresting, heavy-weight lifting, gymnastics, tennis, soccer). Evolution in arthroscopy allows more accurate assessment of hip, ankle, shoulder, elbow and wrist intra-articular post-traumatic pathologies, and possibly more successful management. Few well-conducted studies are available to establish the long-term follow-up of former athletes. To assess whether benefits from sports participation outweigh the risks, future research should involve questionnaires regarding the health-related quality of life in former athletes, to be compared with the general population.

21. J Sci Med Sport. 2010 Sep;13(5):471-2. Epub 2010 Jul 31.
What's popular in sports medicine and sports science research?
Kolt GS.

2nd Congress of European College of Sport & Exercise - London

2010-08-26T16:09:00.000Z

2nd Congress of European College of Sport & Exercise

Physicians&12th Scientific Conference in SEM,
Centre for Sports and Exercise Medicine
Queen Mary University of London

Date: 9th - 11th September 2010

Venue: Bancroft Building, Queen Mary
University of London

Topics:

Scientific Presentations by MSc Students inSport and Exercise Medicine
Ultrasound Scanning in Sports Medicine
Gene, Stem Cells and Sports Medicine
Guidelines on Anti-Doping
2012 London Olympic and Paralympic Games
Exercise Induced Leg Pain in Sport
Muscle and Tendon Injuries in Sports
Knee Problems in Sports Medicine
Sports Nutrition
Academic Programmes in Sports Medicine
Biological Therapies in Sports Medicine
Sports Cardiology and Pre-Participation
Cardiovascular Evaluation

Social Events: th September 2010 - Pub crawl followed y curry

10th September 2010 - Black tie dinner at the House of Lords

academia.bbmuk@bbraun.com

www.aesculap-academia.co.uk

(MSK CATS) - MSK or Sports Physician Required

2010-08-26T12:39:00.000Z

Vale Health Ltd. is seeking to recruit additional fully-qualified and experienced musculoskeletal physicians to join its existing clinical team on a part-time, sessional and self-employed basis.
The Company is a business partner of Buckinghamshire PCT and holds a rolling contract to provide musculoskeletal clinics to NHS patients at ten venues throughout Buckinghamshire, the principal objective being to offer patients the most appropriate treatment to meet their needs as close as possible to their home.

The service has been running extremely successfully for the past two years and the Company now needs to recruit additional physicians to meet increasing demand.

Candidates must be medically qualified, possess a post-graduate degree in musculoskeletal/sports medicine and, ideally, have a proven track-record of relevant experience. Exceptionally, newly qualified (MSK) graduates could be offered a period of mentoring by our MSK Clinical Lead.

We believe this is an exciting opportunity for GPs to develop their skills in this specialised field of medicine to meet the anticipated high demand in the future.

Further information can be obtained by contacting:

John Butler
Commercial Director
Vale Health Ltd.
John.butler2@nhs.net
07831 395602

BASEM + ASICS Congress November

2010-08-26T12:34:00.000Z

Formerly the BASEM Conference, this year has taken on a new direction with the aim

to become, in conjunction with our partner ASICS, the European equivalent to ACSM by

2012. 2010 offers a 4 day programme from 24th -27th November 2010 with dual stream

recorded presentations, 30 speakers from 6 countries and joined by the Defence

Medical Services Rehabilitation Conference on the 26th, themes including Performance

Physiology, Exercise immunology, Sports Injury, The Spine, Stem Cell technology,

Innovations, Functional Rehabilitation following injury and Physical Competencies.

We have 6 abstract prizes of £1000 each and an overall expenses paid trip to ACSM

for the best submission. A fantastic location in the UK's most advanced Conference

venue the ICC at ExCeL.

Sport and Exercise Medicine Indemnity Scheme

2010-08-26T12:16:00.000Z

SEMPRIS is the Sports and Exercise Medicine Professional Indemnity Scheme – a new and comprehensive indemnity scheme for all doctors involved in the treatment and care of professional sportsmen and women.

In addition to standard medical defence organisation membership benefits. SEMPRIS also provides the most comprehensive medico-legal support and indemnity available from any insurer or medical defence organisation in the UK.

SEMPRIS brings together a wealth of experience including medico-legal advisers, insurers and sports governing bodies, and has been developed to overcome the gaps in indemnity provided by the medical defence organisations for doctors involved in the treatment of professional sports persons.

All GMC registered medical practitioners can apply for membership of SEMPRIS.

SEMPRIS has been developed to cover all aspects of your practice not just sports related work. It includes non-sport related independent practice and professional issues not covered by NHS indemnity.

Further information about SEMPRIS, membership, medico-legal advisory services, and the indemnity insurance policy is available on the pages of this website or by contacting us directly.

Telephone: +44 (0) 208 770 0333
Email: info@sempris.co.uk
www.sempris.co.uk

Dry needling for spinal stenosis

2010-08-17T10:36:00.000Z

Not sports medicine however a number of us do see spinal patients too on this group. I thought this article was of interest.

Please take a look here at the article and figures and feedback to the group your thoughts. Needle position simiar to TFESI however more lateral approach.

Provisional PDF

Sports Medicine Physician Required Dublin

2010-08-13T09:19:00.000Z

Sports & Exercise Medicine Physician

In 2007 Sports Surgery Clinic (SSC) in Dublin was founded to cater for athletes and the active public of all ages. The purpose-built hospital boasts state of the art diagnostic, surgical and rehabilitation facilities.

The Sports Medicine department at SSC provides a secondary referral service to General Practitioners and allied health professionals as well as a tertiary referral service to other specialist services such as Orthopaedics, Respiratory Medicine and Cardiology. The successful applicant will be required to work within the department as an independent Sports Physician.

Clinical Responsibilities:

1. Provision of clinical sessions to Sports Surgery Clinic in the disciplines of:

• Acute Sports Injury including management of acute fracture

• Chronic Sports Injury

• Musculoskeletal assessment

• Sports and general health screening clinics

• Exercise Prescription and performance optimisation

2. Injury investigation (including radiological interpretation), management and rehabilitation.

3. Participation in regular in-service, research, audit and journal club meetings.

4. Participation in educational symposia arranged by SSC for other health professionals and the general public.

The frequency of such sessional input to be agreed with the Medical Director, but could be expected to amount to at least eight clinical sessions (morning, and or afternoon) per week.

The position requires the individual to work in close conjunction within an interdisciplinary team including Orthopaedics, Radiology, Physiotherapy, Cardiology and Respiratory Medicine.

Applicants must be of good standing on the IMC Medical Register. While Speciality recognition in SEM would be viewed favourably, previous experience working with a professional or elite sport is essential. A minimum requirement would be that the applicant:

• Hold a Postgraduate Diploma or MSc in Sport and Exercise Medicine

• Be a Member or Fellow of the Faculty of Sport and Exercise Medicine

• Able to show evidence of ongoing CPD in SEM

• Hold appropriate medical indemnity insurance including Sport and Exercise Medicine

• Possess excellent communication as well as personal organisational skills.

Excellent remuneration package available for suitable candidate.

If you are interested in this position please send your CV to eannafalvey@sportssurgeryclinic.com

http://www.sportssurgeryclinic.com/

England RFU U 18 Team Physician

2010-08-10T16:07:00.000Z

ENGLAND U18 TEAM DOCTOR

The Rugby Football Union is looking to appoint a new team doctor to lead the medical care for the England U18 Rugby team.

The person appointed will have full responsibility for the medical care of the U18 England side during all training camps, tours and tournaments. A significant part of this role is to liaise with rugby and medical staff within the rugby academies and rugby playing schools to monitor the welfare of the England squad on a regular basis, for which excellent communication and personal organisation skills are essential.

Candidates must have:

    * Full registration with the General Medical Council

    * MSc or Diploma in Sport and Exercise Medicine

    * Either JCPTGP Certificate/CCT in GP or CCT/CESR in SEM

    * Fellowship of the Faculty of Sports and Exercise Medicine (FFSEM) preferred

    * Minimum 3 years substantial part-time or full time experience within elite level rugby union as a team doctor

    * A reputation for clinical excellence in the field of rugby medicine

    * Excellent communication and relationship building skills as a team leader

Our commitment to you: This is a fixed term, self-employed position for the period to 30 June 2012. The day rate for England duty is £395 and the post attracts an annual retainer of £10,000.

To apply: To arrange a confidential discussion about this post, please e-mail the RFU Head of Sports Medicine, Simon Kemp on simonkemp@rfu.com. For an information pack, e-mail recruitment@therfu.com.

Applicants must submit your CV, with a covering letter, to Lynn Graco, Human Resources Department, Rugby House, Rugby Road, Twickenham, TW1 1DS, or email recruitment@therfu.com.

Closing date for applications is 27 August 2010. Short- listed candidates will be notified no later than 4 September and interviews will be held on the morning of 13 September 2010 at Rugby House, Twickenham. The successful candidate would be expected to be available for …...

The Criminal Records Bureau enhanced disclosure process applies to this post.

International Association for Dance Medicine and Science (IADMS)

2010-06-30T17:15:00.000Z

20th Annual Meeting

Thursday – Saturday, 28 – 30 October 2010

Birmingham, UK

Overview

The 20th Annual Meeting of the International Association for Dance Medicine and Science (IADMS) will be held Thursday-Saturday, 28 - 30 October 2010 in Birmingham, UK. The 20th Annual Meeting will be followed by workshops on Sunday, 31 October 2010. The venue will be the Birmingham Hippodrome. The meeting will be hosted by the University of Wolverhampton and the Birmingham Royal Ballet. The Annual Meeting and workshops are open to both IADMS members and non-members.

http://www.iadms.org/associations/2991/files/info/IADMS_2010_Conference_Schedule.pdf

Aldershot Town Football Club (Coca-Cola League Division 2) - 1ST Team SEM Physician

2010-06-17T09:34:00.000Z

Aldershot Town Football Club is seeking an experienced sports and exercise physician for a part-time position as Team Physician.

The successful applicant will be required to provide SEM support to the 1ST Team, Reserves and Academy players, have excellent clinical assessment and treatment skills, communication skills, and a strong work ethic.

Previous experience working with a professional Football team would be advantageous. The position requires the individual to work in close conjunction within an inter-disciplinary team including an excellent experienced Physiotherapist and ‘Strength and Conditioning’ Coach.

Responsibilities will include:

a. Regular interaction with the medical team members and communication with CEO and 1st Team Manager.

b. To provide Emergency Pitch-side cover for all Home Games

c. Diagnose and treat injuries.

d. Liaise with External Medical agencies.

e. Perform Pre-signing Medicals.

f. Health Screening of Players.

g. Instrumental in developing Medical Policy and procedures.

The successful applicant must:

1. Be of good standing on the GMC GP Register, or the GMC Specialist Register

2. Hold a Postgraduate Diploma or MSc in Sport and Exercise Medicine

3. Be a Member or Fellow of the Faculty of Sport and Exercise Medicine

4. Have previous experience as a team doctor within Professional sport, preferably football.

5. Able to show evidence of ongoing CPD, in accordance with the FA Rules, and annual medical appraisal in the major speciality of their work portfolio

6. To be in-date for a pitch-side immediate trauma care course (FA Resuscitation + Emergency Aid Certification or equivalent)

7. Hold appropriate medical indemnity insurance including Sport and Exercise Medicine

8. Possess excellent communication as well as personal organisational

skills.

All interested parties should submit a cover letter briefly explaining

their suitability for this position and return electronically along

with an electronic copy of your CV by 30 June 2010 to:

bgreen@theshots.co.uk

Aldershot Town Football Club

The Recreation Ground
High Street
Aldershot
Hampshire
GU11 1TW

Club Telephone: 01252 320211
Fax 01252 324347

Aldershot Town Football Club is an Equal Opportunities Employer and is

committed to safeguarding and promoting the welfare of children. The

club expects all staff to share this commitment.

Opportunity for MSK / SEM Physicians - Buckinghamshire

2010-06-17T09:30:00.000Z

MUSCULOSKELETAL COMMUNITY ASSESSMENT AND TREATMENT SERVICE

(MSK CATS)

Vale Health Ltd. is seeking to recruit additional fully-qualified and experienced musculoskeletal physicians to join its existing clinical team on a part-time, sessional and self-employed basis.

The Company is a business partner of Buckinghamshire PCT and holds a rolling contract to provide musculoskeletal clinics to NHS patients at ten venues throughout Buckinghamshire, the principal objective being to offer patients the most appropriate treatment to meet their needs as close as possible to their home.

The service has been running extremely successfully for the past two years and the Company now needs to recruit additional physicians to meet increasing demand.

Candidates must be medically qualified, possess a post-graduate degree in musculoskeletal/sports medicine and, ideally, have a proven track-record of relevant experience. Exceptionally, newly qualified (MSK) graduates could be offered a period of mentoring by our MSK Clinical Lead.

We believe this is an exciting opportunity for GPs to develop their skills in this specialised field of medicine to meet the anticipated high demand in the future.

Further information can be obtained by contacting:

John Butler

Commercial Director

Vale Health Ltd.

John.butler2@nhs.net

07831 395602

Sports Medicine Physician Everton Football Club - Apply Now

2010-06-15T09:16:00.000Z

SPORTS MEDICINE PHYSICIAN

Everton Football Club is looking for an experienced Sports Medicine Physician to support the First Team playing squad on a part-time basis. As part of a skilled and experienced medical team the successful candidate will play a vital role in all medical matters associated with its professional players.

Main responsibilities for the role include:

Daily interaction with medical and sport science support staff, as well as regular communication with senior football management on all medical matters

Attend training sessions and all First Team games to provide emergency cover, home and away

Diagnosis and treatment of injuries

Liaison with external medical agencies

Medical pre-signing

Health screening of players

Instrumental in developing medial policies and procedures

As well as possessing exceptional injury diagnosis and treatment skills the candidate must be prepared to integrate and become part of a hard working and dedicated inter-disciplinary support team.

The successful candidate must have first class medical and sports medicine qualifications and significant experience of working as a sports physician within elite team sports, ideally professional football.

To apply for this role, please forward your CV and an accompanying cover letter

to vacancies@evertonfc.com

Closing date: Monday 5 July 2010

International Sports Medicine 20 -21 July 2010, The Rose Bowl, Leeds

2010-06-01T21:35:00.000Z

International Sports Medicine, Science and Performance Conference
highlighting Innovations in elite sport and the Commonwealth Games
20 -21 July 2010, The Rose Bowl, Leeds

Please contact Mr Barry Hill for a booking form
E: barryghill@hotmail.com M: 07968 586 855

International Sports Medicine, Science and Performance Conference 20 -21 July 2010, The Rose Bowl, Leeds

2010-06-01T21:28:00.000Z

To deliver a high level International Sports Medicine, Science and Performance Conference with a programme that will bring together national and international experts, alongside those who work in the world of elite sport – highlighting Innovations in Elite Sport and the build up to the 2010 Commonwealth Games and beyond

Current Conference Schedule:

Day One Tuesday 20 July 2010

0815Commercial Exhibition Open

Refreshments & Registration

0845 Welcome Address : Dr Lisa Hodgson

0900Keynote Address : Prof Alan Hodson Leeds Met Uni

0930Keynote : Dr Mike Turner “The sports medicine & science Team”

1015Refreshments

1045Risk management in team sports Dr Colin Fuller

Fingers & Fears: Injury & the role of self efficacy in performance rock climbing

Mr Gareth Jones (LMU)

Physical competencies & player development - Background and Rationale Mr Kelvin Giles (LMU)

1125Change over rooms

1130Keynote : Sportsmen’s Groin-Diagnosis and Therapy “minimal repair technique”

Dr Ulrike Muschaweck, Hernia Centre, Munich Football

1200Q&A Dr Ulrike Muschaweck

1215Change over rooms

1220Posterior Ankle Impingement Dr Nick Peirce Cricket

Biomechanics, Fatigue & Injury Carlton Cooke TBC (LMU)

1300Lunch

1400Practical Workshops - 45 minutes each

Practical Kinesiotaping Company Demonstration

Hip pathology & rehabilitation Prof Ernest Schilders (LMU)

Illustrations of Assessment Mr Kelvin Giles

1445Change over rooms

1450Practical Kinesiotaping Company Demonstration

The sporting hip and groin Mr Mark Young ECB

Illustrations of Exercise Progression Mr Kelvin Giles

1535 Refreshments

1605Keynote: Medico legal aspects and doping in Cricket Mr Iain Higgins , Company Lawyer ICC, Dubai

1645 Keynote: Injury Audits in Elite Professional Football Prof Jan Ekstrand, Sweden

1725 Panel Q&A Mr Iain Higgins and Prof Jan Ekstrand

1745 Day 1 Close

1830 Conference Dinner at Rose Bowl

Day Two Wednesday July 21st 2010

0830Commercial Exhibition Open

Refreshments & Registration

0900Keynote Mr Glenn Hunter “Innovations in Team Sports Performance – exploring possibilities”

0950Change over rooms

1000Workshop Innovations in Sport - making it happen Mr Glenn Hunter

Workshop Innovations in Sport – making it happen Mr Paul Francis

1100Refreshments

Practical commercial innovations or time to visit exhibition

1130Commercial innovation 1Commercial innovation 2Commercial innovation 3

1230Lunch

1330Keynote Dr Mike Loosemore “The Commonwealth Games”

1425Change over rooms

1430CW Science Topic 1 tbc Prof Greg Whyte

CW Medical Topic 1 tbc Dr Eleanor Tillott

CW Performance Topic 1 tbc Don Parker

1515Refreshments

1545CW sport 1 – Performance Dr Rob Chakraverty

CW sport 2 – Cycling Dr Roger Palfreeman

CW sport 3 – Gymnastics Julie Sparrow

1630 Change over rooms

1635 Closing Address: Mr Chris Hudson, Prof Alan Hodson and Dr Lisa Hodgson

1645 Conference Close

Chief Medical Officer - Archery

2010-05-19T13:05:00.000Z

Chief Medical Officer (CMO) Archery GB
Remuneration TBC (*approx 5 days per annum)

Location - Home Based

Occasional visits- Lilleshall National Sport Centre UK
Job Description

Working toward British success at the London 2012 Olympic Games, there has never been a more exciting time to work in British sport.

Based at the Lilleshall National Sports Archery Centre, Nr Telford, Archery GB is the National Governing Body for the Olympic and Paralympic sport of archery and is going through nothing short of a revolutionary change as we embark on one of the most exciting times in the history of our sport. The GB programme, preparing Britain’s Olympic and Paralympic Archery team, is managed by Archery GB through the Archery Performance Unit.

As a critical part of the continued growth, we are inviting applications for the role of CMO. The position is a part time post dedicated to supporting and monitoring Britain’s archers toward international success in the short and long term.

The Grand National Archery Society (“GNAS”), which trades under the Archery GB name, is the governing body for the sport of archery in Great Britain and Northern Ireland. The national governing body serves eight Regional Societies, 1200 Clubs, and approximately 31,000 members.

GNAS is a company limited by guarantee which operates as a members’ association on sound business principles. It trades as Archery GB and is affiliated to the International Archery Federation (“FITA”).

Role Requirements The role of Chief Medical Officer will involve:

• Overseeing identified archers medical care and in accordance with patient confidentiality report on their health and fitness status

• Work in close collaboration with key medical staff to monitor, co-ordinate and track all referrals through the Athlete Medical Care Scheme, EIS or BUPA system

• Integrate medical services into the multi disciplinary science and medicine team

• Educate archers and coaches on prevention of injury/illness, anti-doping and drug-related issues

• Work with the Performance Unit on anti-doping in line with UK Sport, WADA and FITA requirements/practices

• Work with colleagues to develop an understanding of good medical practice and preparation for performance

Meetings will be held at least once a quarter and more frequently if required.

*Conference Calls may supplement face to face meetings.

*Time commitment: approximately 5 days per annum

Personal Skills

To meet the service requirements interested parties should be able to demonstrate:

• Knowledge and experience in elite athlete care/high performance sports, ideally archery

• Current certificate of registration of the GMC and current membership of a medical defence organisation

• Membership/Fellowship of the Faculty of Sports and Exercise Medicine, Diploma/MSc in Sports/Exercise Medicine, and evidence of continuing medical education in sport and exercise medicine

• Detailed knowledge/experience of doping rules and procedures, emergency skills (CPR, ALS), and delivery of musculo-skeletal medicine

• Previous experience of working with children and young people.

How to apply

Please send your CV and letter of application to: Hollie Jones
hollie.jones@archerygb.org

For informal/confidential discussions surrounding this position please contact

Sara Symington, Performance Director of Archery GB via email sara.symington@archerygb.org
or mobile 07809863549

Closing Date
Monday 14th June 2010
Interview Date tbc

Pubic Inguinal Pain Syndrome - Sports Hernia ?

2010-05-11T10:48:00.000Z

G. Campanelli

Received: 28 September 2009 / Accepted: 4 December 2009 / Published online: 6 January 2010

Sports hernia (SH) is a controversial condition which presents

itself as chronic groin pain. It is responsible for signiWcant

time away from work and sports competition, with

an incidence of between 0.5 and 6.2% [1–3]. Groin injury is

common in soccer and ice hockey players, but SH can be

encountered in a variety of sports, and even in normally

physically active people [1, 3]. For this reason, we think

that it is more appropriate to speak of pubic inguinal pain

syndrome (PIPS).

Over the past decade, the number of sports-related

injuries has increased as a function of increased athletic

activities, and the demand for an early return to work and

competitive sports puts pressure on the doctor for immediate

diagnosis and treatment [1–3].

The anatomy involved, diagnostic criteria and treatment

modalities are inconsistently described in the medical,

surgical and orthopaedic literature. In fact, there is no

evidence-based consensus available to guide the decisionmaking,

and most of the studies are level IV investigations

[1, 3, 4].

Click on the enclosure link for article

The groin triangle: a patho-anatomical approach to the diagnosis of chronic groin pain in athletes.

2010-05-11T10:42:00.002Z

Br J Sports Med. 2009 Mar;43(3):213-20. Epub 2008 Nov 19.

Falvey EC, Franklyn-Miller A, McCrory PR.

Centre for Health, Exercise and Sports Medicine, School of Physiotherapy, Faculty of Medicine, Dentistry and Health Sciences, The University of Melbourne, Victoria, Australia. e.falvey@mac.com

Abstract

Chronic groin pain is a common presentation in sports medicine. It is most often a problem in those sports that involve kicking and twisting movements while running. The morbidity of groin pain should not be underestimated, ranking behind only fracture and anterior cruciate ligament reconstruction in terms of time out of training and play. Due to the insidious onset and course of pathology in the groin region it commonly presents with well-established pathology. Without a clear clinical/pathological diagnosis, the subsequent management of chronic groin pain is difficult. The combination of complex anatomy, variability of presentation and the non-specific nature of the signs and symptoms make the diagnostic process problematical. This paper proposes a novel educational model based on patho-anatomical concepts. Anatomical reference points were selected to form a triangle, which provides the discriminative power to restrict the differential diagnosis and form the basis of ensuing investigation. This paper forms part of a series addressing the three-dimensional nature of proximal lower limb pathology. The 3G approach (groin, gluteal and greater trochanter triangles) acknowledges this, permitting the clinician to move throughout the region, considering pathologies appropriately.

A systematic review of the literature on the effectiveness of exercise therapy for groin pain in athletes.

2010-05-11T10:39:00.000Z

Sports Med Arthrosc Rehabil Ther Technol. 2009 Mar 31;1(1):5.

Machotka Z, Kumar S, Perraton LG.

Centre for Allied Health Evidence, University of South Australia, North Terrace, Adelaide, South Australia, 5000, Australia. saravana.kumar@unisa.edu.au.

Abstract

ABSTRACT: BACKGROUND: Athletes competing in sports that require running, changes in direction, repetitive kicking and physical contact are at a relatively higher risk of experiencing episodes of athletic groin pain. To date, there has been no systematic review that aims to inform clinicians about the best available evidence on features of exercise interventions for groin pain in athletes. The primary aim of this systematic review was to evaluate the available evidence on the effectiveness of exercise therapy for groin pain in athletes. The secondary aim of this review was to identify the key features of exercise interventions used in the management of groin pain in an athletic population. METHODS: MEDLINE, CINAHL, PubMed, SPORTSDiscus, Embase, AMED, Ovid, PEDro, Cochrane Controlled Trials Register and Google Scholar databases were electronically searched. Data relating to research design, sample population, type of sport and exercise intervention was extracted. The methodological evaluation of included studies was conducted by using a modified quantitative critical appraisal tool. RESULTS: The search strategy identified 468 studies, 12 of which were potentially relevant. Ultimately five studies were included in this review. Overall the quality of primary research literature was moderate, with only one randomised controlled trial identified. All included studies provided evidence that an exercise intervention may lead to favourable outcomes in terms of return to sport. Four of the five studies reviewed included a strengthening component and most utilised functional, standing positions similar to those required by their sport. No study appropriately reported the intensity of their exercise interventions. Duration of intervention ranged from 3.8 weeks to 16 weeks. All five studies reported the use of one or more co-intervention. CONCLUSION: Best available evidence to date, with its limitations, continues to support common clinical practice of exercise therapy as a key component of rehabilitation for groin pain in athletes. Overall, the available evidence suggests that exercise, particularly strengthening exercise of the hip and abdominal musculature could be an effective intervention for athletes with groin pain. Literature provides foundational evidence that this may need to be in the form of progressive exercises (static to functional) and performed through range. There is currently no clear evidence regarding the most effective intensity and frequency of exercise, because of a lack of reporting in the primary literature.

The inguinal release procedure for groin pain: initial experience in 73 sportsmen/women.

2010-05-11T10:37:00.000Z

Br J Sports Med. 2009 Aug;43(8):579-83. Epub 2009 Jan 21.

Mann CD, Sutton CD, Garcea G, Lloyd DM.

Department of Surgery, University Hospitals of Leicester, Leicester Royal Infirmary, Leicester, UK. chris.mann@doctors.org.uk

Abstract

OBJECTIVE: To assess the impact of the laparoscopic inguinal release procedure with mesh reinforcement on athletes with groin pain. DESIGN: Prospective cohort study. SETTING: Private sector. PATIENTS: Professional and amateur sportsmen/women undergoing the inguinal release for groin pain. MAIN OUTCOME MEASUREMENTS: Change in patient's symptoms, functional limitation and time to resuming sporting activity following surgery. RESULTS: 73 sportsmen/women underwent laparoscopic inguinal release in the study period, 37 (51%) of whom were professionals. 95% were male with a median age of 30 years. Following operation, patients returned to light training at a median of 1 week, full training at 3 weeks (professionals-2 weeks) and playing competitively at 4 weeks (professionals-3 weeks). 74% considered themselves match-fit by 4 weeks (84% of professionals). Following surgery, there was a highly significant improvement in frequency of pain, severity of pain and functional limitation in both the whole cohort and professional group. 88% reported a return to full fitness at follow-up, with 73% reporting complete absence of symptoms. 97% of the cohort thought the operation had improved their symptoms. CONCLUSIONS: This study shows that the laparoscopic inguinal release procedure may be effective in the treatment of a subgroup of athletes with groin pain.

Adductor-related groin pain in recreational athletes: role of the adductor enthesis, magnetic resonance imaging, and entheseal pubic cleft injections.

2010-05-11T10:34:00.002Z

J Bone Joint Surg Am. 2009 Oct;91(10):2455-60.

Schilders E, Talbot JC, Robinson P, Dimitrakopoulou A, Gibbon WW, Bismil Q.

Department of Orthopaedics, Bradford Royal Infirmary, Duckworth Lane, Bradford BD9 6RJ, England. e.schilders@btopenworld.com

Abstract

BACKGROUND: Adductor dysfunction can cause groin pain in athletes and may emanate from the adductor enthesis. Adductor enthesopathy may be visualized with magnetic resonance imaging and may be treated with entheseal pubic cleft injections. We have previously reported that pubic cleft injections can provide predictable pain relief at one year in competitive athletes who have no evidence of enthesopathy on magnetic resonance imaging and immediate relief only in patients with findings of enthesopathy on magnetic resonance imaging. In this follow-up study, we attempted to determine if the same holds true for recreational athletes. METHODS: We reviewed a consecutive case series of twenty-eight recreational athletes who had presented to our sports medicine clinic with groin pain secondary to adductor longus dysfunction. A period of conservative treatment had failed for all of these athletes. The adductor longus origin was assessed with magnetic resonance imaging for the presence or absence of enthesopathy. All patients were treated with a single pubic cleft injection of a local anesthetic and corticosteroid into the adductor enthesis. The patients were assessed for recurrence of symptoms at one year after treatment. RESULTS: On clinical reassessment five minutes after the injection, all twenty-eight athletes reported resolution of the groin pain. Fifteen patients (Group 1) had no evidence of enthesopathy on magnetic resonance imaging, and thirteen patients (Group 2) had findings of enthesopathy on magnetic resonance imaging. At one year after the injection, five of the fifteen patients in Group 1 had experienced a recurrence; these recurrences were noted at a mean of fourteen weeks (range, seven to twenty weeks) after the injection. Four of the thirteen patients in Group 2 had experienced a recurrence of the symptoms at one year, and these recurrences were noted at a mean of eight weeks (range, two to nineteen weeks) after the injection. Overall, nineteen (68%) of the twenty-eight athletes had a good result following the injection. Of the remaining nine athletes, two were treated successfully with repeat injection; therefore, overall, twenty-one (75%) of the twenty-eight athletes had a good result after entheseal pubic cleft injection. CONCLUSIONS: Most recreational athletes with adductor enthesopathy have pain relief at one year after entheseal pubic cleft injection, regardless of the findings on magnetic resonance imaging. There were similarities between this group of recreational athletes and the competitive athletes in our previous study, in that the adductor enthesis was the source of pain and entheseal pubic cleft injection was a valuable treatment option. The main difference was that, in this group of recreational athletes, magnetic resonance imaging evidence of adductor enthesopathy did not correlate with the outcome of the injection.

Adductor tenotomy: its role in the management of sports-related chronic groin pain.

2010-05-11T10:33:00.002Z

Arch Orthop Trauma Surg. 2009 Dec 24.

Atkinson HD, Johal P, Falworth MS, Ranawat VS, Dala-Ali B, Martin DK.

Department of Trauma and Orthopaedics, University College London Medical School, North Middlesex University Hospital, Sterling Way, London, N18 1QX, UK, dusch1@gmail.com.

Abstract

PATIENTS AND METHODS: Chronic adductor-related groin pain in athletes is debilitating and is often challenging to treat. Little is published on the surgical treatment when conservative measures fail. This single center study reviews the outcomes of 48 patients (68 groins) who underwent percutaneous adductor tenotomy for sports-related chronic groin pain. Questionnaire assessments were made preoperatively and at a minimum follow-up of 25 months. RESULTS: Mean pre-injury Tegner activity scores of 8.8 reduced to 6.1 post-injury and these improved to 7.7 following surgery (p < 0.001). Sixty percent of patients regained or bettered their pre-injury Tegner activity scores after the adductor surgery; however, mean post-surgical Tegner scores still remained lower than pre-injury scores (p < 0.001). No patient had been able to engage in their chosen sport at their full ability pre-operatively, and 40% had been unable to participate in any sporting activity. The mean return to sports was at 18.5 weeks postoperatively, with 54% returning to their pre-injury activity levels, and only 8% still unable to perform athletic activities at latest follow-up. Seventy-three percent patients rated the outcome of their surgery as excellent or very satisfactory, and only three patients would not have wished to undergo the procedure again if symptoms recurred or developed on the opposite side. No patients reported their outcome as worse. A 78.1% mean improvement in function and an 86.5% mean improvement in pain were reported, and these two measures showed statistically significant correlation (p = 0.01). Groin disability scores improved from a mean of 11.8 to 3.9, post-operatively (p < 0.001). Bruising was seen in 37% of procedures, 3 patients developed a scrotal hematoma and 1 patient had a superficial wound infection. One patient developed recurrent symptoms following re-injury 26 months post-surgery, and fully recovered following a further adductor tenotomy. CONCLUSIONS: Adductor tenotomy provides good symptomatic and functional improvement in chronic adductor-related groin pain refractory to conservative treatment.

Minimal Repair technique of sportsmen's groin: an innovative open-suture repair to treat chronic inguinal pain.

2010-05-11T10:31:00.002Z

Hernia. 2010 Feb;14(1):27-33.

Muschaweck U, Berger L.

Hernia Center Dr. Muschaweck, München, Germany. UM@hernien.de

Abstract

BACKGROUND: Sportsmen's groin, also known as sportsman's hernia, sports hernia, (athletic) pubalgia or athletic hernia, especially in professional sportsmen, is a difficult clinical problem, and may place an athlete's career at risk. It presents with acute or chronic inguinal pain exacerbated with physical activity. So far, the diagnostic criteria and treatment modalities are inconsistently described and there is no evidence-based consensus available to guide decision-making. OBJECTIVES: We developed an innovative open suture repair, called the "Minimal Repair" technique. With this technique, the defect of the posterior wall of the inguinal canal is not enlarged, the suture is nearly tension-free and the patient can, therefore, return to full training and athletic activity within the shortest time. METHODS: In September 2008, we started a prospective cohort study to evaluate the outcome of patients undergoing operations under the Minimal Repair technique for sportsmen's groin. Between September 2008 and May 2009, 129 patients were included in the study and were questioned at entry and 4 weeks after the operation. The primary endpoints were time to complete freedom of pain and time to resumption of exercise and sport. Here, we present the results observed 4 weeks after operation under the Minimal Repair technique. RESULTS: At enrollment, all but three patients reported a significant restriction of physical activities due to severe groin pain (median duration of pain 142 days, interquartile range [IQR] 57-330 days). Four weeks after operation under the Minimal Repair technique, 96.1% had resumed training (median 7 days, IQR 5-14 days). At this time, there was a full return to pre-injury sports activity levels in 75.8% (median 18.5 days, IQR 11.75-28 days). Focusing on the group of professional athletes, 83.7% had returned to unrestricted sports activities (median 14 days, IQR 10-28 days). In this subgroup, the median time to complete pain relief was 14 days (IQR 6-28 days). DISCUSSION: The surgical treatment of sportsmen's groin is common practice when non-surgical treatment has failed over a period of 6 weeks or more. However, there is no evidence-based data on the type of treatment. A wide variety of techniques with and without mesh are being performed. So far, laparoscopic repair is believed to enable a faster recovery and return to unrestricted sports activities. Our results, however, show that the outcome after operation under the Minimal Repair technique is very fast, without exposing the patient to possible risks related to mesh insertion or laparoscopic procedures. CONCLUSION: The Minimal Repair technique is an effective and safe way to treat sportsmen's groin.

Resting thickness of transversus abdominis is decreased in athletes with longstanding adduction-related groin pain.

2010-05-11T10:29:00.000Z

Man Ther. 2010 Apr;15(2):200-5. Epub 2010 Jan 13.

Jansen J, Weir A, Dénis R, Mens J, Backx F, Stam H.

University Medical Center Utrecht, Department of Rehabilitation and Sport Medicine, Utrecht, The Netherlands. jjansen4@umcutrecht.nl

Abstract

The purpose of the study was to compare thickness of the transversus abdominis (TA) and obliquus internus (OI) muscles between athletes with and without longstanding adduction-related groin pain (LAGP). Forty two athletes with LAGP and 23 controls were included. Thickness of TA and OI were measured with ultrasound imaging on the right side of the body during rest. Relative muscle thickness (compared to rest) was measured during the active straight leg raise (ASLR) left and right, and during isometric hip adduction. TA resting thickness was significantly smaller in injured subjects with left-sided (4.0+/-0.82mm; P<0.001) or right-sided (4.3+/-0.64mm; P=0.015) groin complaints compared with controls (4.9+/-0.90mm). No significant differences between patients and controls in TA or OI relative thickness during the ASLR and isometric hip adduction were found (all cases P>/=0.15). In conclusion, TA resting thickness is smaller in athletes with LAGP and may thus be a risk factor for (recurrent) groin injury. This may have implications for therapy and prevention of LAGP. Copyright 2009 Elsevier Ltd. All rights reserved.

The short-term effects of high volume image guided injections in resistant non-insertional Achilles tendinopathy

2010-05-10T09:43:00.000Z

Journal of Science and Medicine in Sport
Volume 13, Issue 3, May 2010, Pages 295-298

doi:10.1016/j.jsams.2009.09.007 \| How to Cite or Link Using DOI Copyright © 2009 Sports Medicine Australia Published by Elsevier Ltd	Cited By in Scopus (0)
Permissions & Reprints

Original paper

The short-term effects of high volume image guided injections in resistant non-insertional Achilles tendinopathy

Joel Humphrey ^a, Otto Chan^b, Tom Crisp^a^,^b, Nat Padhiar^a^,^b, Dylan Morrissey^a, Richard Twycross-Lewis^a, John King^b and Nicola Maffulli^a^,^,

^a Centre for Sports and Exercise Medicine, Mile End Hospital, London, UK
^b Department of Imaging, The London Independent Hospital, London, UK

Received 16 January 2009;

revised 24 September 2009;

accepted 25 September 2009.

Available online 27 November 2009.

Abstract

We investigated neovascularisation, tendon thickness and clinical function in chronic resistant Achilles tendinopathy following high volume image guided injections (HVIGI). The subjects involved 11 athletes (mean age 43.5 years ± 11.6, range 22–59) with resistant tendinopathy of the main body of the Achilles tendon for a mean of 51.4 months (±55.56, range 4–144) who failed to improve with an eccentric loading program (mean 11.8 months ± 2.6, range 8–16). The morphological features, neovascularisation and maximal tendon thickness were assessed with power Doppler ultrasound. Clinical function was measured with the Victorian Institute of Sports Assessment-Achilles tendon (VISA-A) questionnaire. All the tendinopathic Achilles tendons were injected with 10 mL of 0.5% bupivacaine hydrochloride, 25 mg of hydrocortisone acetate, and 40 mL of 0.9% NaCl saline solution under real time ultrasound guidance. All outcome measures were recorded at baseline and after a short-term follow-up (mean 2.9 weeks, range 2–4). The results showed a statistically significant difference between baseline and 3-week follow-up in all the outcome measures after HVIGI. The grade of neovascularisation reduced (3–1.1, p = 0.003), the maximal tendon diameter decreased (8.7–7.6 mm, p < 0.001), and the VISA-A scores improved (46.3–84.1, p < 0.001). In conclusion, HVIGI for resistant tendinopathy of the main body of the Achilles tendon is effective to improve symptoms, reduce neovascularisation, and decrease maximal tendon thickness at short-term follow-up.

Keywords: Tendinopathy; Non-operative management; Peritendinous injection; Ultrasound

Article Outline

1. Introduction
2. Methods
3. Results
4. Discussion
5. Conclusion
Practical implications
Conflict of interest
Ethical standards
Acknowledgements
References

Corresponding author.

Favorable outcomes after sonographically guided intratendinous injection of hyperosmolar dextrose for chronic insertional and midportion achilles tendinosis.

2010-05-09T15:23:00.000Z

AJR Am J Roentgenol. 2010 Apr;194(4):1047-53.

Ryan M, Wong A, Taunton J.

Experimental Medicine Programme, University of British Columbia, Allan McGavin Sports Medicine Centre, John Owen Pavilion, 3055 Westbrook Mall, Vancouver, BC, Canada V6T 1Z3. mryan76@gmail.com

Abstract

OBJECTIVE: The objective of our study was to report on changes in the short-term sonographic appearance and 2-year follow-up for pain outcomes in a large patient population with chronic Achilles tendinosis who underwent sonographically guided dextrose injections. SUBJECTS AND METHODS: One hundred eight tendons (86 midportion and 22 insertional) from 99 patients experiencing pain for greater than 6 months at either the Achilles tendon insertion or midportion were included in the study. Gray-scale (5-12 and 7-15 MHz) and color Doppler sonography examinations preceded the injection procedure using a 27-gauge needle administering a net 25% dextrose-lidocaine solution intratendinously. Structural features of each tendon and presence of neovascularity were noted. Visual analog scale (VAS) items were recorded at baseline, posttest, and 28.6 months follow-up. RESULTS: A median of five (range, 1-13) injection consultations were needed for each patient, spaced 5.6 +/- 3.1 (SD) weeks apart. There was a significant improvement in pain scores for both midportion (rest: 34.1 +/- 27.7-3.3 +/- 7.4, activities of daily living (ADL): 50.2 +/- 25.6-9.5 +/- 16.2, and sport: 70.7 +/- 23.3-16.7 +/- 22.0) and insertional (rest: 33.0 +/- 26.5-2.7 +/- 6.0, ADL: 51.3 +/- 25.4-10.0 +/- 16.3, and sport: 69.6 +/- 24.5-17.7 +/- 29.1) patients from baseline to follow-up for all VAS items. There were reductions in the size and severity of hypoechoic regions and intratendinous tears and improvements in neovascularity. CONCLUSION: Dextrose injections appear to present a low-cost and safe treatment alternative with good long-term evidence for reducing pain from pathology at either the insertion or midportion of the Achilles tendon.

Liverpool FC - Full Time 1st Team Physician

2010-05-08T10:04:00.000Z

LIVERPOOL FOOTBALL CLUB - 1st Team Physician

Liverpool Football Club is seeking an experienced sports and exercise physician for a full time position as Team Physician. The successful applicant will report to Dr Peter Brukner, Head of Sports Medicine and Sports Science, and will be involved in the care of the first team squad including training and match days.

The successful applicant will have outstanding clinical assessment and treatment skills, outstanding communication skills, and will need to possess a very strong work ethic. They will need be familiar with and comfortable working in the unique environment of an elite professional sporting team. They will need honesty, directness and discretion and perhaps above all, they will need to be able to work well as part of a structured medical and sports science team.

The successful applicant must:

• Be of good standing on the GMC GP Register, or the GMC Specialist Register

• Hold a Postgraduate Diploma or MSc in Sport and Exercise Medicine

• Be a Member or Fellow of the Faculty of Sport and Exercise Medicine

• Have at least two or more years experience as a team doctor at an elite level of sport, preferably football

• Be able to show evidence of ongoing CPD, in accordance with the FA Rules, and annual medical appraisal in the major speciality of their work portfolio

• Have passed a pitch-side immediate trauma care course in the last year (FA Resuscitation + Emergency Aid Certification or equivalent)

• Hold appropriate medical indemnity insurance including Sport and Exercise Medicine

• possess excellent communication as well as personal organisational skills.

All interested parties should submit a cover letter briefly explaining why you are suitable for this position and return electronically along with an electronic copy of your CV by 20 May 2010 to:

recruitment@liverpoolfc.tv - Please as the subject put in Team Physician.

Liverpool Football Club is an Equal Opportunities Employer and is committed to safeguarding and promoting the welfare of children. The club expects all staff to share this commitment.

Medical Director - Medical Director for IMG Mass Participation Events

2010-05-07T13:33:00.002Z

Job Spec – Medical Director for IMG Mass Participation Events

London Triathlon
Blenheim Triathlon
Run to the Beat

This freelance consultant role involves working principally on the largest and most complex events of the portfolio, as well as giving advice and support on IMG’s International events. The UK based events are namely:

The London Triathlon – the largest triathlon in the world (13,000 entrants)

The Blenheim Triathlon (5,500 entrants)

Run to the Beat – London’s music half marathon (17,000 entrants)

The events include all abilities ranging from Olympic athletes through to thousands of participants experiencing triathlons for the first time. The role will receive the full support from the core full time IMG MPS team.

IN BRIEF – the role will include:

a targeted number of office days to include pre and post event meetings
recruitment, selection and coordination of the core medical team
management of all different event medical resources including the medics, equipment, additional medical support agencies (ambulances, paramedics etc.)
ensure that the Event medical strategy is continually monitored and developed throughout the year
collation of necessary medical equipment
collation and analysis of post event reports
ultimately ensuring that the delivery of a world class medical service is in place for thousands of competitors

IN DETAIL – Structure prior to each Event:

produce and update the medical strategy document
update and produce templates of Event medical records
attend agreed number of meetings organised in relation to an Event
keep the Event Medics informed of all relevant details pertaining to the Event and the medical strategy document

Structure during each Event:

briefing of core medical staff
management and deployment of core medical staff
co-ordination of 3rd parties (ambulances and paramedics etc.)
undertake and lead appropriate number of medical meetings with relevant medical parties
collate all medical report cards
ensure the strategy set out in the medical strategy document is being implemented by the Event Medics
in cases of Critical Incidents, provide sufficient information on the specific case in consultation with event Medics involved in the incident and attend relevant formal meetings and enquiries

Structure after each Event:

deliver a medical audit report, defining number, timings, nature and location of medical incidents during the Event
attend and present at the post Event de-brief meeting with IMG and other relevant parties
in cases of Critical Incidents provide sufficient information on the specific case in consultation with event Medics involved in the incident and attend relevant formal meetings and enquiries
Selected applicants will be asked to visit The Blenheim Triathlon (June 5/6) after which time they will be invited to attend an interview. Successful applicants will then be asked to shadow the current Medical Director at the London Triathlon and Run to the Beat. If this isn’t possible, an alternative can be arranged. Re-numeration to be discussed.

For further information please contact: Nick Rusling, Managing Director

Email -Nick.Rusling@imgworld.com

Sports Dr / A+ E Dr Needed asRugby 7's Medical Officer Sunday May 9th RICHMOND ATHLETIC GROUND, KEW FOOT RD, RICHMOND

2010-04-28T13:56:00.000Z

Paul Goss Email paulg@body-logic.co.uk

Body Logic Health Ltd

We require a doctor with sports or A+E experience to help with a 7's rugby

tournament on Sunday the 9th May, from 9.30 through till the conclusion at around

5.30. There are 24 teams playing in the event with a maximum of four games on at any

one time, you will also have a Chartered Physiotherapist (with sport or rugby

experience) and 4 St John's 1st Aiders at the event, who will also have an

ambulance. The local ambulance service and hospital (Kingston Hospital) will also be

informed of the event taking place.
You will be required to bring with you an appropriate sports trauma medical bag, with

the medication suitable for dealing with on field sporting injuries and medical problems. We will then reimburse you for the medication used. The physiotherapist will have an appropriate medical 1st aid bag with taping, and St John's will have the correct spinal boards, collars and splits for the event.

Remuneration for the day will be £300, plus medication required to be used. I will

also need a written report of injuries treated and course of action taken to assist

us in running the event.

Please contact;

Paul Goss at paulg@body-logic.co.uk

Body Logic Health Ltd
Chartered Physiotherapists
Battersea Streatham
190 Battersea Park Road 6
8 Streatham Hill
London London
SW11 4ND SW2 4RD

020 7738 8712
020 8674 3799
http://www.body-logic.co.uk/

info@body-logic.co.uk

International Sports Medicine, Science and Performance Conference highlighting Innovations in elite sport and the Commonwealth Games 20 - 21 July 2010, The Rose Bowl, Leeds

2010-04-27T12:12:00.000Z

International Sports Medicine, Science and Performance Conference
highlighting Innovations in elite sport and the Commonwealth Games 
20 -21 July 2010, The Rose Bowl, Leeds

Conference Aims:

To deliver a high level International Sports Medicine, Science and Performance
Conference with a programme that will bring together national and international
experts, alongside those who work in the world of elite sport – highlighting
Innovations in Elite Sport and the build up to the 2010 Commonwealth Games and
beyond
                                                                                              (ECB)
 
Current Conference Schedule:
 
Day One Tuesday 20 July 2010


0815

Commercial Exhibition Open

Refreshments & Registration


0845

Welcome Address : Dr Lisa Hodgson


0900

Keynote Address : Prof Alan Hodson Leeds Met Uni


0930

Keynote : Dr Mike Turner “The sports medicine & science Team”


1015

Refreshments


1045

Risk management in team sports 
Dr Colin Fuller

Fingers & Fears: Injury & the role of self efficacy in performance rock climbing
Mr Gareth Jones (LMU)

Physical competencies & player development - Background and Rationale
Mr Kelvin Giles


1125

Change over rooms


1130

Keynote : Sportsmen’s Groin-Diagnosis and Therapy “minimal repair technique”
Dr Ulrike Muschaweck, Hernia Centre, Munich Football


1200

Q&A Dr Ulrike Muschaweck


1215

Change over rooms


1220

Posterior Ankle Impingement 
Dr Nick Peirce Cricket

Biomechanics, Fatigue & Injury
Carlton Cooke TBC (LMU)


1300

Lunch


1400

Practical Workshops - 45 minutes each


1400

Practical Kinesiotaping Company Demonstration

Hip pathology & rehabilitation
Prof Ernest Schilders (LMU)

Illustrations of Assessment
Mr Kelvin Giles


1445

Change over rooms


1450

Practical Kinesiotaping Company Demonstration

The sporting hip and groin Mr Mark Young ECB

Illustrations of Exercise Progression
Mr Kelvin Giles


1535

Refreshments


1605

Keynote: Medico legal aspects and doping in Cricket
Mr Iain Higgins , Company Lawyer ICC, Dubai


1645


Keynote: Injury Audits in Elite Professional Football
Prof Jan Ekstrand, Sweden


1725

Panel Q&A Mr Iain Higgins and Prof Jan Ekstrand


1745

Day 1 Close


1830

Conference Dinner at Rose Bowl


Day Two Wednesday July 21st 2010

0830

Commercial Exhibition Open

Refreshments & Registration


0900

Keynote Mr Glenn Hunter “Innovations in Team Sports Performance – exploring
possibilities”


0950

Change over rooms


1000

Workshop Innovations in Sport  - making it happen
Mr Glenn Hunter

Workshop Innovations in Sport – making it happen
Mr Paul Francis


1100

Refreshments


Practical commercial innovations or time to visit exhibition


1130

Commercial innovation 1

Commercial innovation 2

Commercial innovation 3


1230

Lunch


1330

Keynote Dr Mike Loosemore “The Commonwealth Games” 


1425

Change over rooms


1430

CW Science Topic 1 tbc
Prof Greg Whyte

CW Medical Topic 1 tbc
Dr Eleanor Tillott

CW Performance Topic 1 tbc
Don Parker


1515

Refreshments


1545

CW sport 1 - Performance
Dr Rob Chakraverty

CW sport 2 - Cycling
Dr Roger Palfreeman

CW sport 3 – Gymnastics
Julie Sparrow


1630

Change over rooms


1635

Closing Address: Mr Chris Hudson, Prof Alan Hodson and Dr Lisa Hodgson


1645

Conference Close

Contact Barry Hill
E: barryghill@hotmail.com M: 07968 586 855

Emergency Management Sports Trauma Course 11+12 June 2010

2010-04-18T18:21:00.000Z

Manchester United Academy Doctor - Vacancy

2010-04-15T09:07:00.000Z

Manchester United is one of the world’s most successful football clubs. We’ve won 18 League Championships, 3 European Cups and much more besides. With an estimated global support of 330 million (that’s 5% of the world’s population), it’s clear to see that we’re a great place to work.
We are searching for a Doctor on a self-employed consultancy basis from July 2010 to provide Sports Medical support to the Schoolboy Academy players (Under 9-16 Squads).

Reporting to the Club Doctor the successful applicant will be charged with the responsibility of delivering the Pre-participation Screening Programme and providing first-line support to Academy Physiotherapists for injury investigation/management and advising on health issues relevant to athletic training and development in an elite sporting environment.

The anticipated usual weekly commitment during the season is 2 x 2 hour sessions at Academy training venues (on Saturday mornings plus 1 early evening weekday session) for injury assessment/management and occasional screening medicals plus an additional small number of full/half days during the pre-season period when screening requirements are highest.

A degree of flexibility with regard to availability will be essential.

Applicants should possess a recognised qualification in Sports & Exercise Medicine together with broad clinical experience relevant to the role. Adequate medical indemnity cover is an essential requirement. Remuneration will be in accordance with current BMA rates for private Sports Medical/Occupational Health services.
Engagement will be subject to a satisfactory CRB Disclosure, references and medical check.
'An Equal Opportunities Employer'

Closing date: Friday 30 April 2010

Post Title: Academy Doctor

Rate of Pay: Self Employed Consultant

Accountable to: Club Doctor

Purpose
To provide Sports Medical support to the Schoolboy Academy players (Under 9-16 Squads) at Manchester United Football Club.

Key Responsibilities The key responsibilities of the post are:-

1. To deliver the Pre-participation Screening Programme and providing first-line support to Academy Physiotherapists for injury investigation/management and advising on health issues relevant to athletic training and development in an elite sporting environment.
2. To liaise with other club physiotherapists, club doctor, club paramedical consultants and external healthcare professionals for the adequate provision of suitable medical care for the Manchester United Academy Playing Staff.
3. To liaise with football coaches and strength and conditioning coaches regarding the availability of players for football training, game selection, strength and conditioning programmes.
4. To ensure that full medical records are kept for all Manchester United Academy Playing Staff utilising the Club Medical Records system .
5. Attend relevant courses in order to ensure that a high standard of education is maintained and to keep a diary of continuing professional development.
6. The position will be based at the Trafford Training Centre, Carrington.
7. At all times strictly observe, conform to and comply with the rules, laws, regulations, bye-laws, orders, directions, requirements and decisions of the Football Association, Football Association Premier League Limited, Football League Limited, Lancashire Football Association, Manchester County Football Association and any other association, league or body of which Manchester United Football Club Limited may at any time be a member.

Customer Service
Identify and meet the needs of colleagues and our customers, focusing on initiating and welcoming contact and communication whilst striving to deliver first class customer service. Recognise potential complaint situations and make effective steps to avoid and/or resolve these situations.

Self Development
To undertake any necessary internal or external training sessions in accordance with the Company’s Performance and Development Review Policy and to take personal responsibility to seek opportunities to develop yourself and to realise your own potential.

To assist with the provision of the training and development of colleagues as required.

Team Work
Ensure effective communication within your work team and actively offer support and guidance as necessary.

Security / Stock Control
Ensure compliance with all of the Company’s security, stock control, loss prevention and key holder procedures.

Equal Opportunities and Harassment
Ensure understanding, awareness and compliance with the Company’s Equal Opportunities and Harassment Policies.

Hours of Work
As required. The anticipated usual weekly commitment during the season is 2 x 2 hour sessions at Academy training venues (on Saturday mornings plus 1 early evening weekday session) for injury assessment/management and occasional screening medicals plus an additional small number of full/half days during the pre-season period when screening requirements are highest.

This document is a guide only. The employee must undertake any other duties as may be reasonably assigned by the Club Doctor or Football Club Management from time to time.

To applyfor this position please click here

8.30 am	Registration, tea and coffee
9.00 am	Introduction and welcome
9.05 am	Mental toughness research and application: Implications for endurance performers
	Professor Sheldon Hanton, Professor of Sport Psychology, University of Wales Institute Cardiff
9.45 am	Overheating: Managing heat stroke effectively
	Dr Francis O'Connor, Associate Professor, Uniformed Services University, USA, Medical Director for the Consortium on Health and Military Performance, President Elect, American Medical Society for Sports Medicine
10.25 am	Limits to endurance performance: Lessons from the animal kingdom
	Professor Alan Wilson, Professor in Locomotor Biomechanics, Royal Veterinary College
11.05 am	Tea and coffee break
11.40 am	Debate - marathon running and the heart: Can you have too much of a good thing?
	Dr Andre la Gerche, University of Leuven, Belgium and Professor Sanjay Sharma, St George's Hospital Medical School
12.40 pm	Completion of evaluation forms and close of meeting