Foot and ankle injuries can be overwhelming for new sports medicine learners due to the complex network of bones, muscles, tendons, ligaments and joints. Dividing the anatomy into the ankle joint, hindfoot, midfoot, and forefoot can be helpful. Learning the intricate anatomy is the first step in understanding what structures are located where, making it easier to narrow down the differential diagnosis. Foot and ankle injuries are common in the majority of sports, and learners need to become f...
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Foot and ankle injuries can be overwhelming for new sports medicine learners due to the complex network of bones, muscles, tendons, ligaments and joints. Dividing the anatomy into the ankle joint, hindfoot, midfoot, and forefoot can be helpful. Learning the intricate anatomy is the first step in understanding what structures are located where, making it easier to narrow down the differential diagnosis. Foot and ankle injuries are common in the majority of sports, and learners need to become f...
Foot and ankle injuries can be overwhelming for new sports medicine learners due to the complex network of bones, muscles, tendons, ligaments and joints. Dividing the anatomy into the ankle joint, hindfoot, midfoot, and forefoot can be helpful. Learning the intricate anatomy is the first step in understanding what structures are located where, making it easier to narrow down the differential diagnosis. Foot and ankle injuries are common in the majority of sports, and learners need to become f...
Millions of individuals will have persistent symptoms following an acute COVID-19 infection requiring post COVID-19 rehabilitation. Common symptoms include fatigue, decreased activity tolerance, cognitive dysfunction (brain fog), shortness of breath, and pain. This leads to decreased ability to complete activities of daily living, return to work or school and affects quality of life. There are many terms for post COVID-19 condition including long COVID (proposed by patients in May 2020) and ...
What role does physical activity have in optimizing brain health and function? There is strong evidence for exercise as a protective factor for dementia. This should include reaching the Canadian Physical Activity / World Health Organization Guidelines including strength training, balance exercises and aerobic activity. Exercise induces neurogenesis, addresses cardiovascular risk factors, decreases depression and anxiety and is associated with larger brain regions such as the hippocampus. ...
This episode deals with something we all do every day, sleep! Sleep is now seen as an active, restorative experience intended to optimize our functioning while awake, rather than a passive process. Sleep is closely tied with mood and pain, and plays an important role in cognition, emotional regulation, injury, function, and chronic disease. Sleep difficulties are incredibly prevalent and fatigue frequently accumulates over time – the concept of sleep debt. Though generally 8 hours per nigh...
Welcome to Season 3! Three new residents will be co-hosting this season alongside Dr. Ali Rendely. PGY1: Dr. Chris Wavell PGY4: Dr. Melissa Weidman PGY4: Dr. Natalie Daly Episode one focuses on nutrition and physical activity through the decades. How do patients optimize nutrition and physical activity as they age? It’s hard to “out nutrition” inactivity, but exercise is the forgiver of many sins! The recommended dietary allowance (RDA) is 0.8 g protein per kg of body...
In this episode, we review all of the episodes from this season and highlight our favourite clinical pearls, while adding some new ones! A huge thank you to all of our guests for sharing their knowledge and time. To recap: Low back pain with Dr. Stuart McGill Diet and Sports Nutrition with Jennifer Sygo Exercise is Medicine with Rob Bertelink Sport Concussions with Drs. Alex Francella and Scott Shallow Lower extremity injuries with Dr. Tim Rindlisbacher Physical Activi...
The Tokyo Olympics mark the debut of new sports include karate, sport climbing and skateboarding, among others. In this episode, we discuss common injuries sports medicine physicians see when treating patients that participate in these sports. In sport climbing, upper extremity injures account for 80-90% of all injuries. Specifically, hand and finger injuries are exceptionally common. So common, that the injury has been named climber’s finger. In a distant second, shoulder injuries including ...
This episode is for all women of childbearing years and all of the healthcare practitioners who provide care to these patients! The new CSEP Physical Activity throughout Pregnancy Guidelines provide evidence around the benefits and safety of being active throughout pregnancy, for both mother and baby. Physical activity is now seen as a critical part of a healthy pregnancy. Following the guidelines can reduce the risk of pregnancy-related illnesses such as depression by at least 25%, and the ...
Lower extremity injuries occur in all sports and high profile athletes draw attention to such injuries. This episode delves into 3 of the most talked about lower extremity injuries in the last years. Using these athletes as a starting point, this episode discusses the differential diagnosis, assessment, work up and rehabilitation plans for lower body sports injuries. We start with the hip dislocation sustained by now NFL player Tua Tagovailoa. Posterior hip fracture dislocations are rel...
In this episode we review concussion, a large and nuanced topic. There are 200,000 concussions annually in Canada, making concussion knowledge required for coverage of all sports. To gain an understanding of sport related concussions refer to the consensus statement on concussion in sport (the 5th international conference on concussion in sport held in Berlin, October 2016) It is helpful to think of concussion management in 3 phases: acute, subacute and chronic In the acute phase, a sideline ...
Physical activity can help prevent and manage chronic diseases such as heart disease, depression and diabetes, but it is not a one size fits all measure. We need to tailor the intervention to the patient, as we would a drug. Check out Exercise is Medicine Canada’s prescription pad – a way to provide a personalized prescription to each of your patients and increase compliance. Rob Bertelink, Cardiac Rehab Supervisor at the Toronto Rehabilitation Institute Rumsey Centre and registered Kinesiolo...
Jennifer Sygo is a dietitian, sports nutritionist, author, and speaker specializing in nutrition for prevention and performance. Jen discusses how to help athletes optimize their diets to maximize their performance. She explains how to personalize dietary advice including how to counsel patients on dietary deficiencies, high risk diets and how to eat for sport performance. She gives a phenomenal overview of relative energy deficiency in sport (RED-S), a highly complex and nuanced topic. Final...
Low back pain is one of the most common clinical conditions seen in outpatient clinics by family physicians, physiatrists and allied health practitioners It affects so many people and can be quite debilitating Dr. Stuart McGill is a world renowned back pain clinician and research, with over 30 years experience In this episode he helps teach Dr. Alex McDougall, physiatry resident, how to approach patients with low back pain For more information on Dr. McGill and to learn more about...
Hi! I am Dr. Ali Rendely, a physical medicine and rehabilitation physician at UHN’s Toronto Rehab Institute I am an MSK physiatrist doing both inpatient and outpatient work and have an outpatient sports medicine practice. Season 2 will sound a little bit different than season 1 as we add more voices including family medicine residents, physiatry residents and sports medicine fellows. Each episode will continue to centre around a specific MSK topic. We will have a round table discussion with m...
Dr. Jane Thornton imparts more wisdom for residents and then our incoming Season Two host, physiatrist Dr. Ali Rendely gives us her highlights from each of the preceding episodes. Be sure to keep an eye out for Season Two!
This week's episode features guest expert Marc Rizzardo. Marc is a registered international sport physical therapist located in Burnaby, British Columbia. He has worked with Olympic athletes and was the Chief Therapist with the Canadian Medical Teams at the 2012 London Olympics, 2010 Vancouver Olympics and the 2007 Rio de Janeiro Pan Am Games. Also checkout these links: https://www.slideshare.net/PedMenCoach/fifa-11-warmup-to-prevent-injuries http://www.yrsa.ca/fifa-11.html https://c...
This week we are joined by Dr. Melissa Corso, a Sports Specialist Chiropractor and Certified Strength and Conditioning Coach. Check out these resources: Core Back Tool https://cep.health/clinical-products/low-back-pain/ The Centre for Effective Practice (CEP) has developed tools and education modules to help primary care physicians and nurse practitioners better manage patients who suffer from low back pain. This work builds from the Ministry of Health and Long-Term Care (MOHLTC) Lo...
This week we are joined by Dr. Roz Lougheed Simpson talking about medial knee pain. Dr. Lougheed Simpson is a sport and exercise medicine physician who practices at the Cleveland Clinic Canada. She is also a physician for the Ryerson University and Centennial College varsity athletes. Dr. Lougheed Simpson obtained her Doctor of Medicine and completed her residency in family medicine at the University of Toronto, where she was a co-chief resident at the Scarborough Health Network site. She com...
This episode we are joined by Ryan Crotin to discuss elbow pain. Ryan is the Director of Performance Integration with the Los Angeles Angels of Major League Baseball, a certified strength and conditioning specialist, and a registered strength and conditioning coach. He also has his Interdisciplinary PhD in Biomechanics and Exercise Physiology. Ryan offers some great info on elbow injuries specific to baseball.
This week our guest Dr. Steven Macaluso will be adressing shoulder pain. Dr. Macaluso is an associate professor with the Schulich School of Medicine and Dentistry at Western University in the Department of Physical Medicine & Rehabilitation and a consultant physiatrist on the Stroke and MSK Rehabilitation units. Dr. Macaluso is also the program director for the post graduate program in the Department of Physical Medicine and Rehabilitation. He offers some great expertise you don't want to...
Foot and ankle injuries can be overwhelming for new sports medicine learners due to the complex network of bones, muscles, tendons, ligaments and joints. Dividing the anatomy into the ankle joint, hindfoot, midfoot, and forefoot can be helpful. Learning the intricate anatomy is the first step in understanding what structures are located where, making it easier to narrow down the differential diagnosis. Foot and ankle injuries are common in the majority of sports, and learners need to become f...
