Episode Transcript
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(00:00):
Hello everybody, welcome back. Welcome back to the to the
podcast. I haven't done the podcast in a
while, so it's good fun to be here.
I've got Jim Carr with me. We're going to talk all about
our osteoarthritis Master class event, which as we record this
today being the 15th of October,it is in about four weeks and
one day my maths is correct. So we're getting close and we
(00:22):
just wanted to talk a little bitabout the event itself, how we
decided to sort of build it and go from there.
Really just to give you a bit ofinsights.
There will be ticket informationin the comments of podcast.
You can find that there. But if you just go on to any of
the Physio matters social media feeds, then you can find those
to, to, to get a ticket. Ticket's pretty cheap actually.
(00:44):
I'm 25 lbs. You get 8 webinars and
recordings for a whole month. So you don't have to miss any.
So really excited about that. The actual date, let's say what
the actual date is, is the 20 1st of November.
Let me get that correct. 21st ofNovember, it's a Thursday.
So if the 21st of November is not a Thursday, then I know I'm
wrong. Yeah, 21st of November, 6:00
(01:05):
till 9:00. So it's in the evening.
So it shouldn't impact any clinics.
Yeah, it's going to be really good.
Really excited about it, Jim, obviously welcome to in, in this
instance, just to the podcast here, but delighted to be making
this event alongside you is sortof a plan we've had for six or
eight months. We've been toying around with
this kind of idea. We've worked with you on a
(01:28):
couple of different projects nowwith EOS Active and we use a
couple of products in our clinicthat you that you have.
And I'd say we've we've done a little bit of education together
as well, which has been really good fun and I think really
useful. So just to start us off, I just
wanted to get your take on the event in general, sort of what
(01:50):
what lends you to this event? What kind of what do you want to
do this event for this osteoarthritis event?
And yeah, we'll go from there. Really.
Cool. Thanks.
But I don't know how you managedto introduce things so
specifically. I couldn't remember all of that
detail in my head of what you just regurgitated there, but
sorry. So yeah, it it, like you say,
(02:12):
it's been great sort of kicking this around for a little while.
It's something I've been keen todo my, my background over the
last 10 years has been in joint preservation and I see what I do
now, which mainly with the OS active is the joint injections
is an extension of that. I think if they fit into the
joint preservation discussion, you know, it's, it's, it's often
(02:37):
seen sometimes as someone's got away and they're really in a lot
of pain and they're just managing to, to sort of deal
with that up to joint replacement.
But I think there's a, you know,I think there's a position for
injection therapies completely all over.
So from the start of a way up tothat endpoint.
And I think it's, it's great to be able to discuss that within a
(02:59):
wider meeting and a wider discussion on, on well, when,
when it when can you do surgery,which is sort of joint sparing,
but it's dealing with different aspects that lead to arthritis.
When do you need to have a jointresurfacing arthroplasty type
surgery? And what, what leads to that in
the 1st place? And at what point can injection
(03:21):
therapy jump in? So I think, yeah, you know, I'm,
I'm excited about it because I think it, it, you know, from my
side with, with that's what we're trying to cover that whole
aspect and over we move of arthritis and, and, and why and
when and how. So, yeah, yeah, it's and like I
said, my, my background has beensort of looking at a lot of
those technologies. We're on a surgical sense over
(03:42):
the last few years. So it's a nice sort of little
venture back towards that for meas well.
That's really cool. Yeah.
No, it's really, I really like it.
There's two things for me. I think from what you've just
said about this event that I'm really excited about is the
there's the osteoarthritis side of things and then there's the
orthopaedic side of things. So from the osteoarthritis side
of things, I think that what we've seen from any air quotes,
(04:06):
evidence based point of view, certainly physiotherapy is where
we've seen that there was this sort of thought process that
there were two stages. There was the non surgical
stage, which was basically rehab, which would be for people
with low mild symptoms and earlyin the disease.
And then it was surgery and there was sort of this split
(04:29):
diversion. And then what's it sort of
seemed to have happened recently, more recently is
people on surgical waiting listshave been given rehab and then
they are able to come off searchwaiting lists.
And then also they're obviously the advancements in surgery, but
also the advancement in technology as well.
So we've seen, you know, new types of braces which have been
helpful. We've also started to see these,
(04:51):
so the proliferation of, of moretypes of injectables, dare we
say things like PRP and that other conversation along with HA
steroids. You know, you've got variations
of options. And what we're starting to see,
know what I'm starting to see inpractice now is this, this
alteration, like you said, more of a continuum where you're
offering, offering these types of interventions throughout the
(05:12):
course of someone's disease process.
And what I'm really excited about from our event point of
view is being able to, we've, the talks we've got for this are
able to talk to those different parts of the continuum.
And I think that's going to givepeople a lot more options,
whereas I think previously we'vebeen a bit restrictive.
That makes sense. Yeah, I think, I think that's
(05:34):
spot on. And I think what I've realised
over the last year, you know, itwas sort of a, a growing buzz
thing with it within orthopedics.
But certainly getting to know that the sort of physio
community more the whole tree hub side, you know, it's just,
it's snowballing really in, in, in the datas there again, to
show that, you know, you, you docertain things as a sort of tree
(05:56):
hub towards a joint replacement.Your outcomes are better.
You know, if you're, if you are in pain and not able to do any
activity, your eventual joint replacement doesn't do as well.
And the longer you can wait for that joint replacement, the, the
the better the outcome as well. So I think it's all around sort
of staying active throughout that continuum.
(06:17):
You know, how do we manage it toto continue, you know, yeah, you
know, well-being, happy lifestyle, being able to do
everything we want to do. But just if you think, well, at
some point there's going to be an end stage to this and I want
the best outcome possible at that end stage.
I think that's an important factor as well.
And that's that. Like I say, it's non operative
management. You mentioned things like braces
(06:37):
and things that keep people active and definitely has a
part. And then obviously, like the
surgical things that are not joint sacrifice and surgeries,
you know, when should a patient consider things like that?
Can they can they save the joint?
You know, can they, you know, and again, that talks back to
what we a lot of the technology we used to do all around that
(06:59):
how didn't save the knee said joint, you know, and, and but
are we actually saving it? Are we just buy in as much time
as possible? And I think yeah, touching on
those discussions will be great.I'm really looking forward to.
It definitely I think it will belooking at the agenda as it is
in it's sort of it's still in its draft format, 99% there.
(07:21):
We're avoiding and people will notice we're avoiding saying any
specifics because we're just just waiting for it to get over
the line today essentially. But the what I really like about
looking down the agenda is how we should be able to give people
the options. So it felt very much before I
remember when, you know, if I goback 10 or 15 years in my
career, you'd be sort of like you've got two options.
(07:44):
You do this rehab or you have the surgery, you have a joint
replacement. And they're didn't really seem
to be that much of A of, of the options.
Whereas looking down, especiallythe sort of more orthopaedic
side of the agenda with the surgeons, they're providing
various options. Like you say, is it a joint
sparing operation? Is it a joint resurfacing
operation? And we know that the technology
(08:06):
there is improving and the duration of those surgeries is
much more extended. So you're just giving people
options. They're different points of
their life. That means they can make
informed choices with how they want to proceed as opposed to
this sort of binary, well, if you don't want surgery, you need
to do these options, these theseexercises.
And then as you say, then then there's these other types of
(08:28):
interventions we've got as well,injectables, the braces, so on
and so forth. That might be helpful.
And it really helps to offset some of the things that we're
seeing from a physiotherapy point of view, which is that the
specific interventions of exercise don't necessarily seem
that helpful in the grand schemeof things for an osteoarthritic
(08:49):
knee. They do a lot of things that are
beneficial. But if you look at a, let's take
the osteoarthritic knee and you go, here's a, here's someone
with an osteoarthritic knee. Here are some exercises to do.
That's not really that effective.
It's building that in within a with a much wider treatment
program and that that then is isoff benefit.
(09:11):
So I really like the way the agenda shaping up.
I really like the speaker myth that we've got and I and I
really, really excited about it.The other thing I wanted to just
touch on was from the orthopaedic side of things, from
an event point of view, which was again, one of the reasons we
were keen to work with you on this, because you've got some of
that access is, is we've had drips and drabs in our events of
(09:34):
orthopaedics. We've never really had a, a a
lot of not the right term and phrase is it, but like a whole
dedicated section almost to, to a more orthopaedic interventions
for the physiotherapy audience. I just wanted to, if you comment
on just the, you know, that sideof things, how you come to the
to the decisions with with the topics we've chosen on that side
(09:57):
would be really interesting. It's a really good point.
I was just thinking there when you were talking one of the one
of the great things, and I don'tknow whether it's the, the
growth in private practice more,but the, the, the communication
and the working together betweenphysios and orthopaedic surgeons
seems to be, you know, growing and, and becoming more
commonplace and then understanding between the two.
And I think this event hits thatreally nicely where there's
(10:19):
something for both. And it's really does talk to
that, you know, that sort of thegroup of people that work in
physio group and orthopedic surgeons talking together to get
the best of the patient. It's not just focused on a
surgical point of view for an orthopedic surgeon.
This is what you do technically or this is an advancement.
And it's not just talking about what the physio does put it.
(10:41):
The real benefit I think is, youknow, both sets.
So picking up on what we're trying to get out of this event
and taking it forward as a groupof people.
And that I think that's definitely that's that's for me,
what's really interesting again,because of my background is just
seeing those two elements working together.
And I think that is it does showthat it gives the patient
(11:04):
ultimately more benefit, you know, and like I said, I don't
know, maybe you you can answer that Jack, whether that's a more
of a private practice scenario of, of that that, you know,
orthopaedic surgeons that are going more private based need to
lean on successful physio groupsto work with and partner with to
(11:25):
help them get the prehab right and to sort of work with them on
things like grace and injection therapies and put that package
together. Yeah, I think.
From my point of view, my experience is, is individuals,
some individuals are better at that than others.
Some, some morpheic surgeons arevery much the king of the castle
in their department and others are very, very keen to work with
(11:48):
physios and the the other way around.
So you see some physios who are really keen to work with the
orthopedic surgeons and others who will sort of go, oh, they're
going for surgery now, now it's not my problem and sort of dump
them off to the orthopedic surgeon.
So, So I think there's definitely, there's definitely
differences on an individual preference.
(12:08):
I think what is cool is this understanding of, like I say,
sort of calling this continuum maybe of where the patient sits
and working together is going tobe the, for the betterment of
the, of the, of the patient. And of course you've got other,
other professions in there as well to help sports exercise
(12:32):
medicine consultants are a good example of doing that and the
orthotists with the braces and so on and so forth.
So bringing in multiple opinionsand multiple options is, is
really good. I think it's kind of like as
sort of saying earlier, one of the exciting things is that no
longer is surgery the, the last option for these, for these
(12:55):
osteoarthritic joints, which I think it, no, no, there's
certainly was hard and fast. It was, but it certainly was
considered the last. Oh, right.
Oh, well, there's nothing else we can do for you go and get
your joint replaced. And I think that's changing.
So that makes things very exciting from a, from a teamwork
point of view is we've got different options there.
And that's what I'm sort of froma personal way of view, that's
(13:18):
what I'm keen to hear on, on, onthis event is that is, is those
options because the joint sparing surgeries are not up to
date on, on what's going on there.
And so I'm, I'm super keen on, on hearing that.
And I think that should give us lots of really good options,
which is really cool. I think it's, you know, the
(13:39):
joint sparing options are, you know, that's been an area where
there's so many more things comeinto play in the last 10 years,
you know, like osteotomy in the UK, you know, realigning the,
the, the leg, you know, wasn't as commonplace in the last 10
years that that's really just become a, a, you know, very
commonplace. And most centres offer of
osteotomy, high tube osteotomy or distal femoral osteotomy.
(14:00):
Realignment is, is key. You know, it's kind of pointless
doing anything else if you don'thave the right alignment in your
leg. And it's an interesting one of,
you know, if you're doing that or you're repairing a meniscus
or you, you don't have arthritis, you have a cartilage
defect. So it's a localised cartilage
lesion, things like that. We know maybe there's a lag of
(14:21):
understanding of what are surgeons doing now and how do we
deal with them differently Because like you say, it's not
just the, do you have arthritis or do you not?
There's all these other things which lead on to arthritis like
torn meniscus and things. But in isolation, it's it's
obviously very different. We have every different way to
deal with them. Sometimes.
(14:41):
The thing is that it like you say, is it a bit of a lag in the
treatments that are going on in theatres?
Are they understood fully for the patient afterwards?
And and if, if events like this can sort of help, like you say,
raise a bit of awareness on all these other treatment algorithms
pathways to, to to treat a jointfor longevity that helps with
(15:03):
the rehab side. They're not.
That's great. Definitely.
And we're certainly not sure to people with osteoarthritis as
well. This from a from a physio
matters point of view, this is our first condition.
Specific events. So we've done joint specific,
we've done, we've done knee knees, we've done Shoal, we've
done upper limb, we've done spine and so forth.
(15:24):
This is the first condition specific which is it's a little
bit of a test. It's a little bit of a test of
what to see how people like it. But it's also obvious one to
choose with there being so many people with osteoarthritis and
the escalating number of people that are going to get
osteoarthritis over the next fewdecades.
That's not numbers going up. So we want we wanted to do that.
(15:48):
And it obviously lends itself from a, from an agenda writing
point of view. It's it's, it's reasonably
reasonably straightforward from my point of view, which I always
like keeping simple to me, whichis my preference, but I'm really
excited about it, really lookingforward to it.
I suppose last thing to do just for people who are listening is
Jim is it's EOS, active.co.uk isn't.
(16:12):
It. Lovely.
And so Jim, does there's injectables on there, which like
I said, we use in our in our clinic, but also other
educational materials on there as well, aren't there?
Yeah, yeah. We're trying to build as much of
that as I can. And that's definitely the goal
for us in 2025 is to add more and more educational content
kind of around what we're talking about here.
(16:33):
An understanding almost sometimes when when not to
inject, you know, like if you'vegot all meniscus, it's not
awake. That's not ideal for an
injection and things like that. So yeah, we we'll be building,
we'll be definitely building oureducation platform through next
year. Brilliant.
And then just to remind everybody, go and get your
tickets for this event. Find us on social media or if
(16:55):
you go physiohyphenmatters.com/events,
the tickets are there as well. You've got, well, I'd say 4
weeks ish to get that ticket andthen it comes with the
recording. So definitely the best option to
do. And yeah, and we'll, we'll see
you there. I think we're, we're well over
100 registered so far, which is probably ahead of schedule,
which is nice. So with there are tickets still
(17:17):
available, but I, I expect they might sell out, but we'll see.
We usually get pretty close on our events.
I think this one's going to be more popular.
So yeah, grab a ticket before they do go out.
And you, you're disappointed. No one wants to be disappointed.
Well, thanks. Thanks for joining me this
morning, Jim. And, and we'll be, we'll be
putting out the agenda. We'll be very soon.
(17:39):
And if not, by the time I edit this and it's gone out, then it
might already be out. You might be able to see it.
But yeah, the agenda will be out.
All that information and we'll, yeah, we'll see you at the
event. Fabulous.
Thank you very much.
Hello everybody, welcome back. Welcome back to the to the
podcast. I haven't done the podcast in a
while, so it's good fun to be here.
I've got Jim Carr with me. We're going to talk all about
our osteoarthritis Master class event, which as we record this
today being the 15th of October,it is in about four weeks and
one day my maths is correct. So we're getting close and we
(00:22):
just wanted to talk a little bitabout the event itself, how we
decided to sort of build it and go from there.
Really just to give you a bit ofinsights.
There will be ticket informationin the comments of podcast.
You can find that there. But if you just go on to any of
the Physio matters social media feeds, then you can find those
to, to, to get a ticket. Ticket's pretty cheap actually.
(00:44):
I'm 25 lbs. You get 8 webinars and
recordings for a whole month. So you don't have to miss any.
So really excited about that. The actual date, let's say what
the actual date is, is the 20 1st of November.
Let me get that correct. 21st ofNovember, it's a Thursday.
So if the 21st of November is not a Thursday, then I know I'm
wrong. Yeah, 21st of November, 6:00
(01:05):
till 9:00. So it's in the evening.
So it shouldn't impact any clinics.
Yeah, it's going to be really good.
Really excited about it, Jim, obviously welcome to in, in this
instance, just to the podcast here, but delighted to be making
this event alongside you is sortof a plan we've had for six or
eight months. We've been toying around with
this kind of idea. We've worked with you on a
(01:28):
couple of different projects nowwith EOS Active and we use a
couple of products in our clinicthat you that you have.
And I'd say we've we've done a little bit of education together
as well, which has been really good fun and I think really
useful. So just to start us off, I just
wanted to get your take on the event in general, sort of what
(01:50):
what lends you to this event? What kind of what do you want to
do this event for this osteoarthritis event?
And yeah, we'll go from there. Really.
Cool. Thanks.
But I don't know how you managedto introduce things so
specifically. I couldn't remember all of that
detail in my head of what you just regurgitated there, but
sorry. So yeah, it it, like you say,
(02:12):
it's been great sort of kicking this around for a little while.
It's something I've been keen todo my, my background over the
last 10 years has been in joint preservation and I see what I do
now, which mainly with the OS active is the joint injections
is an extension of that. I think if they fit into the
joint preservation discussion, you know, it's, it's, it's often
(02:37):
seen sometimes as someone's got away and they're really in a lot
of pain and they're just managing to, to sort of deal
with that up to joint replacement.
But I think there's a, you know,I think there's a position for
injection therapies completely all over.
So from the start of a way up tothat endpoint.
And I think it's, it's great to be able to discuss that within a
(02:59):
wider meeting and a wider discussion on, on well, when,
when it when can you do surgery,which is sort of joint sparing,
but it's dealing with different aspects that lead to arthritis.
When do you need to have a jointresurfacing arthroplasty type
surgery? And what, what leads to that in
the 1st place? And at what point can injection
(03:21):
therapy jump in? So I think, yeah, you know, I'm,
I'm excited about it because I think it, it, you know, from my
side with, with that's what we're trying to cover that whole
aspect and over we move of arthritis and, and, and why and
when and how. So, yeah, yeah, it's and like I
said, my, my background has beensort of looking at a lot of
those technologies. We're on a surgical sense over
(03:42):
the last few years. So it's a nice sort of little
venture back towards that for meas well.
That's really cool. Yeah.
No, it's really, I really like it.
There's two things for me. I think from what you've just
said about this event that I'm really excited about is the
there's the osteoarthritis side of things and then there's the
orthopaedic side of things. So from the osteoarthritis side
of things, I think that what we've seen from any air quotes,
(04:06):
evidence based point of view, certainly physiotherapy is where
we've seen that there was this sort of thought process that
there were two stages. There was the non surgical
stage, which was basically rehab, which would be for people
with low mild symptoms and earlyin the disease.
And then it was surgery and there was sort of this split
(04:29):
diversion. And then what's it sort of
seemed to have happened recently, more recently is
people on surgical waiting listshave been given rehab and then
they are able to come off searchwaiting lists.
And then also they're obviously the advancements in surgery, but
also the advancement in technology as well.
So we've seen, you know, new types of braces which have been
helpful. We've also started to see these,
(04:51):
so the proliferation of, of moretypes of injectables, dare we
say things like PRP and that other conversation along with HA
steroids. You know, you've got variations
of options. And what we're starting to see,
know what I'm starting to see inpractice now is this, this
alteration, like you said, more of a continuum where you're
offering, offering these types of interventions throughout the
(05:12):
course of someone's disease process.
And what I'm really excited about from our event point of
view is being able to, we've, the talks we've got for this are
able to talk to those different parts of the continuum.
And I think that's going to givepeople a lot more options,
whereas I think previously we'vebeen a bit restrictive.
That makes sense. Yeah, I think, I think that's
(05:34):
spot on. And I think what I've realised
over the last year, you know, itwas sort of a, a growing buzz
thing with it within orthopedics.
But certainly getting to know that the sort of physio
community more the whole tree hub side, you know, it's just,
it's snowballing really in, in, in the datas there again, to
show that, you know, you, you docertain things as a sort of tree
(05:56):
hub towards a joint replacement.Your outcomes are better.
You know, if you're, if you are in pain and not able to do any
activity, your eventual joint replacement doesn't do as well.
And the longer you can wait for that joint replacement, the, the
the better the outcome as well. So I think it's all around sort
of staying active throughout that continuum.
(06:17):
You know, how do we manage it toto continue, you know, yeah, you
know, well-being, happy lifestyle, being able to do
everything we want to do. But just if you think, well, at
some point there's going to be an end stage to this and I want
the best outcome possible at that end stage.
I think that's an important factor as well.
And that's that. Like I say, it's non operative
management. You mentioned things like braces
(06:37):
and things that keep people active and definitely has a
part. And then obviously, like the
surgical things that are not joint sacrifice and surgeries,
you know, when should a patient consider things like that?
Can they can they save the joint?
You know, can they, you know, and again, that talks back to
what we a lot of the technology we used to do all around that
(06:59):
how didn't save the knee said joint, you know, and, and but
are we actually saving it? Are we just buy in as much time
as possible? And I think yeah, touching on
those discussions will be great.I'm really looking forward to.
It definitely I think it will belooking at the agenda as it is
in it's sort of it's still in its draft format, 99% there.
(07:21):
We're avoiding and people will notice we're avoiding saying any
specifics because we're just just waiting for it to get over
the line today essentially. But the what I really like about
looking down the agenda is how we should be able to give people
the options. So it felt very much before I
remember when, you know, if I goback 10 or 15 years in my
career, you'd be sort of like you've got two options.
(07:44):
You do this rehab or you have the surgery, you have a joint
replacement. And they're didn't really seem
to be that much of A of, of the options.
Whereas looking down, especiallythe sort of more orthopaedic
side of the agenda with the surgeons, they're providing
various options. Like you say, is it a joint
sparing operation? Is it a joint resurfacing
operation? And we know that the technology
(08:06):
there is improving and the duration of those surgeries is
much more extended. So you're just giving people
options. They're different points of
their life. That means they can make
informed choices with how they want to proceed as opposed to
this sort of binary, well, if you don't want surgery, you need
to do these options, these theseexercises.
And then as you say, then then there's these other types of
(08:28):
interventions we've got as well,injectables, the braces, so on
and so forth. That might be helpful.
And it really helps to offset some of the things that we're
seeing from a physiotherapy point of view, which is that the
specific interventions of exercise don't necessarily seem
that helpful in the grand schemeof things for an osteoarthritic
(08:49):
knee. They do a lot of things that are
beneficial. But if you look at a, let's take
the osteoarthritic knee and you go, here's a, here's someone
with an osteoarthritic knee. Here are some exercises to do.
That's not really that effective.
It's building that in within a with a much wider treatment
program and that that then is isoff benefit.
(09:11):
So I really like the way the agenda shaping up.
I really like the speaker myth that we've got and I and I
really, really excited about it.The other thing I wanted to just
touch on was from the orthopaedic side of things, from
an event point of view, which was again, one of the reasons we
were keen to work with you on this, because you've got some of
that access is, is we've had drips and drabs in our events of
(09:34):
orthopaedics. We've never really had a, a a
lot of not the right term and phrase is it, but like a whole
dedicated section almost to, to a more orthopaedic interventions
for the physiotherapy audience. I just wanted to, if you comment
on just the, you know, that sideof things, how you come to the
to the decisions with with the topics we've chosen on that side
(09:57):
would be really interesting. It's a really good point.
I was just thinking there when you were talking one of the one
of the great things, and I don'tknow whether it's the, the
growth in private practice more,but the, the, the communication
and the working together betweenphysios and orthopaedic surgeons
seems to be, you know, growing and, and becoming more
commonplace and then understanding between the two.
And I think this event hits thatreally nicely where there's
(10:19):
something for both. And it's really does talk to
that, you know, that sort of thegroup of people that work in
physio group and orthopedic surgeons talking together to get
the best of the patient. It's not just focused on a
surgical point of view for an orthopedic surgeon.
This is what you do technically or this is an advancement.
And it's not just talking about what the physio does put it.
(10:41):
The real benefit I think is, youknow, both sets.
So picking up on what we're trying to get out of this event
and taking it forward as a groupof people.
And that I think that's definitely that's that's for me,
what's really interesting again,because of my background is just
seeing those two elements working together.
And I think that is it does showthat it gives the patient
(11:04):
ultimately more benefit, you know, and like I said, I don't
know, maybe you you can answer that Jack, whether that's a more
of a private practice scenario of, of that that, you know,
orthopaedic surgeons that are going more private based need to
lean on successful physio groupsto work with and partner with to
(11:25):
help them get the prehab right and to sort of work with them on
things like grace and injection therapies and put that package
together. Yeah, I think.
From my point of view, my experience is, is individuals,
some individuals are better at that than others.
Some, some morpheic surgeons arevery much the king of the castle
in their department and others are very, very keen to work with
(11:48):
physios and the the other way around.
So you see some physios who are really keen to work with the
orthopedic surgeons and others who will sort of go, oh, they're
going for surgery now, now it's not my problem and sort of dump
them off to the orthopedic surgeon.
So, So I think there's definitely, there's definitely
differences on an individual preference.
(12:08):
I think what is cool is this understanding of, like I say,
sort of calling this continuum maybe of where the patient sits
and working together is going tobe the, for the betterment of
the, of the, of the patient. And of course you've got other,
other professions in there as well to help sports exercise
(12:32):
medicine consultants are a good example of doing that and the
orthotists with the braces and so on and so forth.
So bringing in multiple opinionsand multiple options is, is
really good. I think it's kind of like as
sort of saying earlier, one of the exciting things is that no
longer is surgery the, the last option for these, for these
(12:55):
osteoarthritic joints, which I think it, no, no, there's
certainly was hard and fast. It was, but it certainly was
considered the last. Oh, right.
Oh, well, there's nothing else we can do for you go and get
your joint replaced. And I think that's changing.
So that makes things very exciting from a, from a teamwork
point of view is we've got different options there.
And that's what I'm sort of froma personal way of view, that's
(13:18):
what I'm keen to hear on, on, onthis event is that is, is those
options because the joint sparing surgeries are not up to
date on, on what's going on there.
And so I'm, I'm super keen on, on hearing that.
And I think that should give us lots of really good options,
which is really cool. I think it's, you know, the
(13:39):
joint sparing options are, you know, that's been an area where
there's so many more things comeinto play in the last 10 years,
you know, like osteotomy in the UK, you know, realigning the,
the, the leg, you know, wasn't as commonplace in the last 10
years that that's really just become a, a, you know, very
commonplace. And most centres offer of
osteotomy, high tube osteotomy or distal femoral osteotomy.
(14:00):
Realignment is, is key. You know, it's kind of pointless
doing anything else if you don'thave the right alignment in your
leg. And it's an interesting one of,
you know, if you're doing that or you're repairing a meniscus
or you, you don't have arthritis, you have a cartilage
defect. So it's a localised cartilage
lesion, things like that. We know maybe there's a lag of
(14:21):
understanding of what are surgeons doing now and how do we
deal with them differently Because like you say, it's not
just the, do you have arthritis or do you not?
There's all these other things which lead on to arthritis like
torn meniscus and things. But in isolation, it's it's
obviously very different. We have every different way to
deal with them. Sometimes.
(14:41):
The thing is that it like you say, is it a bit of a lag in the
treatments that are going on in theatres?
Are they understood fully for the patient afterwards?
And and if, if events like this can sort of help, like you say,
raise a bit of awareness on all these other treatment algorithms
pathways to, to to treat a jointfor longevity that helps with
(15:03):
the rehab side. They're not.
That's great. Definitely.
And we're certainly not sure to people with osteoarthritis as
well. This from a from a physio
matters point of view, this is our first condition.
Specific events. So we've done joint specific,
we've done, we've done knee knees, we've done Shoal, we've
done upper limb, we've done spine and so forth.
(15:24):
This is the first condition specific which is it's a little
bit of a test. It's a little bit of a test of
what to see how people like it. But it's also obvious one to
choose with there being so many people with osteoarthritis and
the escalating number of people that are going to get
osteoarthritis over the next fewdecades.
That's not numbers going up. So we want we wanted to do that.
(15:48):
And it obviously lends itself from a, from an agenda writing
point of view. It's it's, it's reasonably
reasonably straightforward from my point of view, which I always
like keeping simple to me, whichis my preference, but I'm really
excited about it, really lookingforward to it.
I suppose last thing to do just for people who are listening is
Jim is it's EOS, active.co.uk isn't.
(16:12):
It. Lovely.
And so Jim, does there's injectables on there, which like
I said, we use in our in our clinic, but also other
educational materials on there as well, aren't there?
Yeah, yeah. We're trying to build as much of
that as I can. And that's definitely the goal
for us in 2025 is to add more and more educational content
kind of around what we're talking about here.
(16:33):
An understanding almost sometimes when when not to
inject, you know, like if you'vegot all meniscus, it's not
awake. That's not ideal for an
injection and things like that. So yeah, we we'll be building,
we'll be definitely building oureducation platform through next
year. Brilliant.
And then just to remind everybody, go and get your
tickets for this event. Find us on social media or if
(16:55):
you go physiohyphenmatters.com/events,
the tickets are there as well. You've got, well, I'd say 4
weeks ish to get that ticket andthen it comes with the
recording. So definitely the best option to
do. And yeah, and we'll, we'll see
you there. I think we're, we're well over
100 registered so far, which is probably ahead of schedule,
which is nice. So with there are tickets still
(17:17):
available, but I, I expect they might sell out, but we'll see.
We usually get pretty close on our events.
I think this one's going to be more popular.
So yeah, grab a ticket before they do go out.
And you, you're disappointed. No one wants to be disappointed.
Well, thanks. Thanks for joining me this
morning, Jim. And, and we'll be, we'll be
putting out the agenda. We'll be very soon.
(17:39):
And if not, by the time I edit this and it's gone out, then it
might already be out. You might be able to see it.
But yeah, the agenda will be out.
All that information and we'll, yeah, we'll see you at the
event. Fabulous.
Thank you very much.
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