PodChatLive - Live Podiatry Discussion: Recent Episodes
Ian Griffiths and Craig Payne
PodChatLive is a weekly video live stream of podiatry discussions with Podiatrists, Ian Griffiths and Craig Payne. The video goes out live on Facebook and is available on YouTube after that. The audio version is available as a podcast.
PodChatLive 131: Determinants of diabetic foot complications & a new review on non-surgical management of big toe arthritis
Contact us: getinvolved@podchatlive.com
Links from this week:
Italian Olympian breaks high-jump record before faking injury, jokingly pulling springs from shoe
What are the most effective treatments for arthritis of the big toe, excluding surgery?
The Risk of the Aggravation of Diabetic Foot According to Air Quality Factors in the Republic of Korea
Correlation between time in range and diabetic foot in patients with type 2 diabetes mellitus
Want stronger, toned calves? Introducing the Muscle Runner
PodChatLive 130: Celebrity foot injuries, flat feet & muscle strength, choosing running shoes, and how the UK treat ingrown toenails
Contact us: getinvolved@podchatlive.com
Links for todays episode:
Pseudoscience is easy to identify if you examine their claims
Revolutionary New Insoles Combine Five Forms Of Pseudoscience
How do runners select their shoes?
The relationship between flat foot and lower limb muscle strength in teenage basketball athletes
A survey of the treatment and management of ingrown toenails by UK podiatrists: A cross-sectional survey
PodChatLive 129: Beighton threshold for hypermobility in children, wax baths for plantar fasciitis, and pes planus & hip arthroplasty
Contact us: getinvolved@gmail.com
Links from today:
Rod Dixon winning the 1983 NY Marathon
Variability of joint hypermobility in children: a meta-analytic approach to set cut-off scores
Effects of cassava wax bath as a new therapeutic approach on patients with plantar fasciitis
Planovalgus Foot Deformity in Patients Undergoing Total Hip Arthroplasty Is Associated with Increased Risk of Falls, Implant-Related Complications, and Revisions
PodChatLive 128: A more modern approach to manual therapy, a new paper on supination resistance, and running with CLASS
Contact us: getinvolved@podchatlive.com
Links for this episode:
Exploring the relationship between the supination resistance test and the effects of foot orthoses on the foot and ankle biomechanics
A modern way to teach and practice manual therapy
Viability of Structured Gait Retraining for Improving Clinical Outcomes Following Running-related Injury
PodChatLive 127: Goal setting & shared decision making with children, Foot & leg pain in cerebral palsy, and CBD for pain?
Contact us: getinvolved@podchatlive.com
Links from todays episode:
Child-led goal setting and evaluation tools for children with a disability: A scoping review
Foot and lower leg pain in children and adults with cerebral palsy
Cannabidiol (CBD) Products for Pain: Ineffective, Expensive, and With Potential Harms
PodChatLive 126: Swearing with patients in clinic, foot strength not reducing running injury risk, and the mediterranean diet & diabetic foot ulcers
Contact us: getinvolved@podchatlive.com
Links from this episode:
Can Swearing Be Professional and Patient-Centered?
Hip and core exercise programme prevents running-related overuse injuries in adult novice recreational runners
Outrunning the grim reaper: longevity of the first 200 sub-4 min mile male runners
Exploring the influence of dietary habits on foot risk in type 2 diabetes patients
PodChatLive 125: Patients own knowledge about Rheumatoid arthritis, insole materials & heat, and foot pressure with bunions
email us at: getinvolved@podchatlive.com
Links for this episode:
Vibrant Bloom Bondi L
Assessment of rheumatoid arthritis patients' knowledge about foot problems related to their illness and foot care practice
Effectiveness of footwear and foot orthoses in reducing medial metatarsophalangeal joint pressure in women with hallux valgus
Analyzing the Thermal Characteristics of Three Lining Materials for Plantar Orthotics
PodChatLive 124: Running is good for you, high heels can be bad for you, and another study looking at insoles for plantar fasciitis
Contact us on getinvolved@podchatlive.com
Links for this episode:
Role of insole material in treatment of plantar fasciitis
Health Benefits of Different Sports: a Systematic Review and Meta-Analysis of Longitudinal and Intervention Studies Including 2.6 Million Adult Participants
Transient pain and discomfort when wearing high-heeled shoes
PodChatLive 123: Reducing adolescent football injuries, psychological factors & pain, and knee arthroplasty & bunions
Message us: getinvolved@podchatlive.com
Links from this episode:
What if flat feet were…normal?
Shoe technology reduces risk of diabetic foot ulcers
What your running shoes say about you
PSYCHOLOGICAL FACTORS SHOW LIMITED ASSOCIATION WITH THE SEVERITY OF ACHILLES TENDINOPATHY
Efficacy of a new injury prevention programme (FUNBALL) in young male football (soccer) players
Eligibility for knee arthroplasty is associated with increased risk of acquired hallux valgus
PodChatLive 122: What questions to ask patients with achilles tendinopathy, LLD & abdominal pain, and foot typing (again)
Contact us: getinvolved@podchatlive.com
Links from this episode:
Parietal abdominal pain with lower leg discrepancy: a case report
Forefoot Morphotypes in Cavovarus Feet: A Novel Assessment of Deformity
Are we asking the right questions to people with Achilles tendinopathy?
The Nocebo Effect: When Words Make You Sick
PodChatLive 121: Podiatrist burnout, anatomical variation and bad laser science
Contact us: getinvolved@podchatlive.com
Links for this episode:
NHS - MDC - Video 5- Child foot examination - 3.4.24
Asics’ Pearl-Covered GT-2160 Sneakers Will Sell for up to $30,000
Comparison of High-intensity Laser Therapy with Extracorporeal Shock Wave Therapy in the Treatment of Patients with Plantar Fasciitis
Variation in the origin of the plantar aponeurosis and its relationship to the origin of the abductor hallucis muscle
Burnout in podiatrists associated with individual characteristics, workplace and job satisfaction
PodChatLive 120: Ice bath update, unsurprising achilles research finding, and running shoe drop in kneecap pain sufferers
contact us: getinvolved@podchatlive.com
Links from this Episode:
Title change for podiatric surgeons is one of 14 recommendations to improve safety
Acute effects of negative heel shoes on perceived pain and knee biomechanical characteristics of runners with patellofemoral pain
Powys podiatrist stored hundreds of medical records at home
Asymmetric running is associated with pain during outdoor running in individuals with Achilles tendinopathy in the return-to-sport phase
Throwing cold water on muscle growth
PodChatLive 119: The Bad Foot Clinic, Psoriatic Arthritis, Intrinsic foot muscle strengthening, and should we ultrasound scan all kids with Sever's?
Contact us on getinvolved@podchatlive.com
Links from this episode:
The Bad Foot Clinic
Foot Involvement in Psoriatic arthritis
The impact of intrinsic foot muscle strengthening exercises in asymptomatic athletes with normal foot structure
Youth Athletes with Sever's Disease Exhibit Altered Achilles Tendon Ultrasound Characteristics
Speedland carbon plates
PodChatLive 118: RED-D, Carbon plated shoe biomechanics, and Homeopathy nonsense
Message us on getinvolved@podchatlive.com
Links for this episode:
Tennessee podiatrist convicted in $4M foot bath fraud scheme
Relative energy deficiency in dance (RED-D): a consensus method approach to REDs in dance
Injury and performance-related running biomechanics in advanced footwear technology compared to minimalist footwear
Facilitating Healing in Diabetic Foot Ulcers Using Homeopathy in a Multi-Disciplinary Integrative Approach
Reebok unveils lightweight Floatride Space Boot for astronauts
PodChatLive 117: Social media ‘experts’, pronated feet & back pain, running biomechanics & economy, and hair tourniquets
Email us: getinvolved@podchatlive.com
Links from this episode:
The Relationship Between Running Biomechanics and Running Economy
Effects of physical interventions on pain and disability in chronic low back pain with pronated feet
Hair-thread Tourniquet Syndrome
Yusuke Nishiyama running
TYR Valkyrie Elite Carbon Runner
Ron Hill
PodChatLive 116: Foot posture and pelvic dysfunction, Gait retraining changing foot pronation, and AFL stats over 20 years
Contact us: getinvolved@podchatlive.com
Links from this episode:
Gait retraining targeting foot pronation
Pelvic floor muscle strength and dysfunctions in women with pes planus
Osaga running shoes
Shots at goal in Australian football
PodChatLive 115: Treadmill familiarisation, diabetic foot ulcers & antidepressants, health seeking behaviour after being in a study, and running alone Vs running with others
Message us on: getinvolved@podchatlive.com
In this episode:
Trump Sneakers’ Red Soles Risk Louboutin Trademark Infringement
Association between antidepressants and the risk of diabetic foot ulcers and amputation in antidepressant-naïve type 2 diabetes mellitus patients
Time to stability of treadmill running kinematics in novel footwear with different midsole thickness
Does children’s healthcare seeking change after participation in a musculoskeletal study?
Running together influences where you look
Contact us on getinvolved@podchatlive.com
Links mentioned in this episode:
Can you beat this photo of James?
Impact Of Static Foot Disorders On The Conservative Treatment Success In Chronic Venous Disease Patients Without Wounds
Toe stimulation improves tactile perception of the genitals
What to know about the debut of Trump's $399 golden
PodChatLive 113: More Morton's neuroma research is needed, MSK pain and the weather, and are high heels actually good for you?contact us: getinvolved@podchatlive.com
Links from today's episode:
Jacqueline Simoneau
Habitually wearing high heels may improve user walking economy in any footwear
Treatments for Morton's neuroma
Come rain or shine: Is weather a risk factor for musculoskeletal pain?
PodChatLive 112: Foot types not predicting injury risk (again), bunions influencing nail health, and are corns really verrucas?Email us on getinvovled@podchatlive.com
Links for this episode:
Strengthening the relationship between intractable plantar keratosis and human papillomavirus
Cross-sectional study of the prevalence of hyperextension of the first metatarsophalangeal joint and its relationship to onycholysis in women with hallux valgus
Predictors of Running-Related Injury Among Recreational Runners: A Prospective Cohort Study of the Role of Perfectionism, Mental Toughness, and Passion in Running
PodChatLive 111: Leg length discrepancies and research paper retractions hitting a record high
Contact us: getinvolved@podchatlive.com
Links mentioned in this episode:
More than 10,000 research papers were retracted in 2023 — a new record
Retraction Watch blog
Retraction: Intraosseous Calcaneal Lipoma Misdiagnosed as Plantar Fasciitis
Leg length discrepancy is not a risk factor for plantar fasciitis
PodChatLive 110: Distracted gait, no more fluoroquinolones and a brand new review on running injury
Contact: getinvolved@podchatlive.com
Links for this episode:
Is this the most expensive regular running shoe?
Does listening to audiobooks affect gait behavior?
Distracted Walking
Fluoroquinolone antibiotics
Do Exercise-Based Prevention Programs Reduce Injury in Endurance Runners?
Email us at getinvolved@podchatlive.com
Links from this episode:
'Ballistic Podiatry:' Moments From the GOP Debate
New 'innovative' running shoe from Ampla
Who Killed the Ampla Fly, the World’s Most Innovative Running Shoe?
Triceps surae muscle hypertrophy is greater after standing versus seated calf-raise training
Please email us on getinvolved@podchatlive.com if you know which running shoe brand made the first running shoe with the carbon plates.
Links to articles discussed:
Frequency of Plantar Heel Pain
Barefoot walking is beneficial for plantar heel pain
New Years running tip, Footballers sock holes, and what is Foot-Spine Syndrome?
Links:
Foot Spine Syndrome "RAFFET Syndrome"
The reason why footballers cut holes in their socks
Laser running shoes with no toe box
Using wearable technology data to explain recreational running injury
PodChatLive Episode 106: The BMJ Christmas article special
Links:
How to make flat foot worse?
BMJ Christmas archive
The case of the disappearing teaspoons
Toxicological analysis of George’s marvellous medicine
Testing the validity of the Danish urban myth that alcohol can be absorbed through feet
Quantifying the benefits of inefficient walking: Monty Python inspired laboratory based experimental study
Contact us on getinvolved@podchatlive.com
Links:
Are patients picking up what we are putting down? Considering nocebo effects in exercise for musculoskeletal pain
Practitioners preference in using electrotherapy to treat paediatric lower limb conditions
Gravity Defyer
Sperm Logo
FTC suing Gravity Defyer footwear
Links from the episode:
New Balance heritage
60 Minutes Episode on Podiatric Surgery (not available in all countries)
60 Minutes story (not available in all countries)
The impact of pre-operative mental health on outcomes of foot and ankle surgery
Links talked about:
Cultural values: can they explain self-reported health?
Incidence vs prevalence and the epidemiologist’s bathtub
A new declaration for feet's sake: Halving the global diabetic foot disease burden from 2% to 1% with next generation care
Twitter thread on diabetic foot screening
Links:Running-Related Injuries among more than 7000 runners in 87 different countries: The Garmin-RUNSAFE Running Health Study
Get off on the right foot: Shedding light on the complex evolution of our “support structures” as bipedal creatures
How Long Do Super Shoes Last? Here’s What the Latest Data Says
Ian Vassallo Hagi - Politician and Podiatrist from Malta
PodChatLive Episode 101: The correct way to pronounce Saucony, and Chlorhexadine Vs Povodine-iodine
Notes:
Unboxing and pronouncing Saucony
Pronounce Saucony
Comparing the efficacy of chlorhexidine and povidone–iodine in preventing surgical site infections
Goodbye Chlorhexidine?
Brad Wenstrup
Podiatry fraud, Nike baby shoes and a new way to assess arch height
ABC episode on podiatry fraud in Australia
Nike shoe press release on baby shoe
Email us: getinvolved@podchatlive.com
In episode 14 back in March 2018 (nearly 4 years and 85 episodes ago) we were joined by Dr Peta Tehan from the University of Newcastle, Australia, and Mr Martin Fox from Manchester, UK to talk about lower limb vascular assessment. It remains one of our most popular episodes to date, so we thought we'd invite them back on to give us an update on Vascular Podiatry. What has changed in the last 4 years? Why should we all be doing femoral pulse checks and toe pressures as standard? And if your patient demographic is >60years old are you as familiar as you NEED to be with the 3P's of PAD assessment? Hope you enjoy the episode.
In this episode we were joined by Prof Cathy Bowen (Lead of the Foot & Ankle Research programme at Southampton University, Chair of the Research Committee for the Royal College of Podiatry, and Editor-in-Chief for JFAR) to talk about the timeline of a journal article, from the moment you think you have an idea for one, until the moment you are reading it in black and white. How do you choose what journal to submit to? What's the deal with ethical approval? How can you maximise your chances of not getting rejected? What does the peer review process look like? All this information and more.
In this episode we were joined by "The Running Shoe Geeks": Podiatrists and old friends of PodChatLive Michael Nitschke (Nitta, Episode 66) and Thomas Do Canto (TDC, Episode 75), along with Australian long distance runner, running coach, owner of The Running Company Ballarat and host of The Inside Running Podcast Julian Spence. We geeked out about the best shoes of this year, what shoes looks best in the pub, and what new releases we can look forward to next year
In this episode we were joined by Dr Laura Miele who has over 30 years experience in the sport, fitness and education industry. She played Division I basketball at Arizona State; was Tight End for the Arizona Caliente, of the Women’s Professional Football League; and was also a New York Golden Gloves semi-finalist in 2004. She holds a PhD in Psychology (with emphasis in Sport & Exercise), and is author of the book 'Psyche of the Injured Athlete: The Unspoken Truths'. In this episode she described the psychology of injury, including concepts such as identity loss, the mental component of recovery, and how we as clinicians can be more mindful of discussions we are having with injured athletes.
In this episode we were joined with Dr Lauren Welte who is a postdoc fellow at Queens University in Canada, and completed her PhD in Mechanical Engineering, where she heavily focused on the function of the human foot. She shared with us what the Windlass Mechanism is (and the reverse Windlass Mechanism), a contemporary understanding of it Vs some traditional beliefs about it, what we still do not know about it (and future work planned to investigate it). We attempted to discuss some more applicable/clinical considerations, such as the Jacks test, the influence of footwear/foot orthoses and its (alleged) link with pathology.
In this episode we were joined with Dr David Klyne. David is a research fellow at UQ focusing on understanding the physiology of pain and the complex mechanisms that drive its persistence. Sleep is one of the most important factors to our physical and mental wellbeing. David takes us through just what an important (and bidirectional) relationship there is between pain and sleep, and gives us some pragmatic tips on how to enquire about a patients sleep hygiene and practices, what good sleep does and doesn't look like. Whether you are an MSK specialist or work in the Diabetes Centre, this is more important than you may think it is.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode we were joined by Rani Lill Anjum & Alex Murray. Rani is a research fellow and leader for the Centre for Applied Philosophy of Science at the Norwegian University of Life Sciences. She is also the PI for CauseHealth, a project focused on rethinking causality, complexity and evidence in health sciences. Alex is a Podiatrist based in Canberra. He is the Director of Podiatry Systems, a company dedicated to producing high quality CPD for Podiatrists, and is a communication/education partner of CauseHealth. They both joined us to muse about how confident we can/should be about the causes and effects we see in clinic, the context within which we should view the conclusions of RCTs, and how we should embrace patient uniqueness and complexity when formulating management plans.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode we were joined by Rani Lill Anjum & Alex Murray. Rani is a research fellow and leader for the Centre for Applied Philosophy of Science at the Norwegian University of Life Sciences. She is also the PI for CauseHealth, a project focused on rethinking causality, complexity and evidence in health sciences. Alex is a Podiatrist based in Canberra. He is the Director of Podiatry Systems, a company dedicated to producing high quality CPD for Podiatrists, and is a communication/education partner of CauseHealth. They both joined us to muse about how confident we can/should be about the causes and effects we see in clinic, the context within which we should view the conclusions of RCTs, and how we should embrace patient uniqueness and complexity when formulating management plans.
In this episode we were joined by Dr Doug Richie, DPM from his home in California to talk about The Richie Brace. It was introduced in the USA in 1996 and now 25 years later is sold in 7 countries. Doug talks us through what led him to invent and the brace, some clinical tips for when to consider it over standard custom made foot orthoses, the main pathologies it can be useful for and how simple it is to fill out the prescription form! He also plugged his new book "Pathomechanics of Common Foot Disorders" (see links below).
For more on the Richie Brace:
https://www.richiebrace.com/index.php/providers-home-page.html
To Purchase Doug's book: Book Depository(free world wide shipping)
Amazon.com
Amazon.uk
Amazon.ca
In this episode we were totally honoured to be joined by Joe Brooks (Podiatrist, Director of APodA Australia and Beyond Blue speaker) from his home in Tasmania and listen to his personal account of how he has suffered with anxiety and depression. He discussed some of the signs that may suggest getting help would be sensible, how important it is to have that difficult first conversation, and some of his own experiences and coping mechanisms than continue to this day. An inspirational man.
In this episode we were joined by Dr Brad from the East coast and Dr Ebonie from the West coast about the hit TLC show My Feet Are Killing Me. We chatted about how they came to be on the show, the process a patient who is being seen on TV goes through, and some of our favourite real time Twitter comments whilst the show is airing. Follow Ebonie and Brad over on Instagram, and check out the show on TLC, Discovery+ and Really (UK). There were a number of technical difficulties in this brief episode but it was loads of fun talking to them.
In this episode we were joined by Dr Peter Malliaras, Associate Professor at Monash University and world renowned expert in tendinopathy who gave us his insight into what they key risk factors are for developing a tendon problem, clinical symptoms that help diagnose a tendinopathy, what we should be calling them (even though inflammation is still probably a part of the picture), and what good and bad management might look like.
In this episode we were joined by the “Doctors of Running” (Matt Klein, Nathan Brown & David Salas) to have one final nerd out for the year about some of the shoes 2020 brought us, with special shouts to Atreyu for a new subscription model (and a really fun shoe), Saucony for crushing it with their Endorphin range, Nike's Infinity React (which defintely decreases your injury by 52%), and of course the two muscle cars that have been battling it out for WR's in the Nike Aphafly and Adidas Adizero Adios Pro. We also ask the Doctors what their favourite shoes are and why, and what we should all be excited about looking forward into 2021.
In this episode we were joined by Dr Farrah Jawad who is a Consultant in Musculoskeletal, Sport & Exercise Medicine at Pure Sports Medicine in London (and within the NHS), has worked extensively in elite sport, and has undertaken research at the Royal Ballet looking at seasonal variation in Vitamin D levels among its dancers. We talked about how important Vitamin D is, how common insufficiency is, where we can source Vitamin D, and its link with foot and ankle pathology.
In this episode we are joined by Christian Barton. Christian is a Physiotherapist who completed his PhD in patellofemoral pain and is now a post-doctoral researcher at LaTrobe University, Associate Editor at the BJSM, leads the TREK and GLA:D initiatives and also works in private practice where he specialises in knee pain in runners. He talked through how to differentiate between the most common knee complaints we see, the importance of not ignoring the psychosocial factors during the history taking, the evidence behind foot orthoses for PFP, hip level rehabilitation/exercises and what good and bad management of knee pain may look like in general. He also touched on load management, training habits and gait retraining. Some serious ground covered in this hour!
In this episode we took a deep dive into hallux valgus with two consultants; podiatric surgeon Mr Ian Reilly and orthopaedic surgeon Mr David Gordon. They shared how they perform a clinical work up for a bunion, along with the answers they give to to the most common patient questions (What is a bunion? What causes bunions? Will it get worse and over what time period?) They each perform hundreds of operations a year, but differ in their approach to this (open surgery Vs minimally invasive/keyhole) so we discussed this, along with some of the most common non-surgical management options for bunions as well. Hope you enjoy.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode we were joined with Dr Bronnie Lennox Thompson and we discussed some of the beliefs that underpin when and why a person seeks care, and why a clinician should take the time to investigate this and also make sure the check their own assumptions. Bronnie also touched on why pain reduction/resolution is not always the primary goal, and discussed her research which looked into how some individuals live well with pain whilst others do not. This episode gestures toward the importance of history taking, motivational interviewing, pain science and human psychology (as as such has immediately become Ian's favourite episode!)
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode we were joined by Physiotherapist and elite runner Anna Boniface to talk about RED-S. She discusses what it is, and the myriad of health implications on multiple body systems along with the performance implications which contributed to the renaming/evolution of this condition from its previous moniker; the female athlete triad (not to mention that males are not immune either!) Anna also covered the key, and often sensitive, questions to ask (about weight, periods and libido) and gave some tips for how to ask them. She also shared with us her own personal story of being diagnosed with it around the time she earnt her vest to represent England in the marathon. Finally, she highlighted how to manage this complex condition within the MDT.
In this episode we welcomed Dr Franco Impellizzeri, Professor in Sport and Exercise Science at Medicine at University of Technology Sydney (UTS). He is an incredibly accomplished researcher with hundreds of publications in the field of sports science and injury mechanisms. He has been one of the most outspoken critics of the acute:chronic workload ratio (ACWR) and the concept of ‘training load error’ and he spoke passionately about what the flaws with it are, why he feels it should be discontnued, and what a better way to monitor load may be.
In this episode we welcomed Dr Franco Impellizzeri, Professor in Sport and Exercise Science at Medicine at University of Technology Sydney (UTS). He is an incredibly accomplished researcher with hundreds of publications in the field of sports science and injury mechanisms. He has been one of the most outspoken critics of the acute:chronic workload ratio (ACWR) and the concept of ‘training load error’ and he spoke passionately about what the flaws with it are, why he feels it should be discontinued, and what a better way to monitor load may be.
The second part of our chilblains double-header focused on these skin manifestations alongside the current global pandemic, and what the changing and emerging evidence is telling us (currently). We were joined by Nadia Dembskey, who obtained her Bachelors and Masters degrees from the University of Johannesburg, sits on the Podiatry Association of South Africa National Executive Committee and has just submitted her PhD proposal to investigate this exact phenomena.
In this episode we were joined by Joseph Frenkel. Joseph has 15 years clinical experience, a professional diploma in Dermatology and a Masters degree in Wound Healing & Tissue Repair. In this episode he was kind enough to walk us through everything we need to know about Chilblains, including the pathophysiology, the clinical manifestations, management and (as always) the importance of a history taking, with an emphasis on the key things which may raise the index of suspicion of the lesion in front of you being a Chilblain.
In this episode we were joined by Matthew Klein who is a Physical Therapist based in California and is currently studying for his PhD. He runs 70-100 miles per week and has a 5k PB of 14:45 and a marathon PB of 2:32:44. He co-owns the brilliant Doctors of Running website and we spent the hour as three shoe nerds would - just talking shoes! How should we appraise shoes? What features matter (or don't)? How can we take our improved understanding of shoe design features and apply that pragmatically to the patients/athletes we see in clinic? And what do Craig and legendary basketball coach Phil Jackson have in common? All this and more.
Paul Ingraham is a Vancouver science journalist and creator of PainScience.com, a website about the science of pain, injury, treatment, and rehab with about a million monthly readers. In this episode he discussed the reasons people ritualistically stretch (beliefs about flexibility, injury reduction, improving performance etc) and the whether the scientific literature backs them up. He also made reference to certain structures which are biomechanically awkward/impossible to stretch, some of the sensory adaptations/neurology that may be involved, and whether stretching is indeed as beneficial as it society believes it to be.
In this episode we were joined by Richard Blake from his home in San Francisco for a trip down memory lane back to 1981 and the genesis of his inverted orthotic technique. He talks us through the responses he got from Drs Root & Weed when he began inverting devices by 25 degrees or more, the response he got from JAPMA when he submitted his first paper on it, and how by 1983 Dr Root was one of his biggest supporters. Rich stated the most he has ever inverted a device was 70 (seventy) degrees, and also how one of his fresh faced young students by the name of Kevin Kirby was part of the group that helped him at the time.
For this epsiode we assembled a superb panel of paediatric specialists from the UK and Australia. We were joined by Dr Cylie Williams (Associate Professor at Monash University, guest on episode 04), Dr Alicia James (who was on our hugely popular episode 28 talking about her Calcaneal Apophysitis research) and Antoni Caserta (currently completing his PhD in the field of toe walking) from Australia. From the UK we had Nina Davies (Education officer of the Childrens Podiatry Special Advisory Group who covered Paediatric Gait back in episode 38), James Welch (Vice Chair of the Childrens Podiatry Special Advisory Group who joined us as a guest presenter for episode 50) and Matthew Hill (completing his PhD in children’s footwear at the Centre for Biomechanics and Rehabilitation Technologies Staffordshire University). We briefly talked about podopaediatric services during the current global pandemic, online consultations in paediatrics and the early evidence emerging for skin manifestions of the feet associated with COVID-19. We then discussed 3 paediatric cases: A 6 year old idiopathic toe walker, and 18 month old with 'curly toes' and a 12 year old with asymptomatic "flat feet" who had been told they needed foot orthoses.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode we were joined by Sports Podiatrist (and 2:14 marathoner) Thomas Do Canto to talk through his approach to taking a thorough history from an injured runner. Given the current global climate it is reasonable to assume there may be an increase in running injury rates: The Running "Coverload" Injury Phenomena - Griffiths (2020). Combine this with more remote/online consultations (where we may have to prioritise the subjective over the objective) and it should become clear why taking a good history from a runner is so important. Thomas talked us through his 4 page form which he sends to all runners for them to fill out before the consultation; and the rationale behind many of the questions on there and how they may really help him formulate a provisional diagnosis and management plan before he has even met the patient.
In this episode we were joined by JFAR editor in chief Professor Keith Rome to be taken on a deep dive of Gout. What is gout, and what important comorbidities should be considered? What is Pseudo-gout? How might it clinically present in acute and chronic contexts? Are blood tests helpful? What theories explain its prevalence in the 1st MTPJ, and should we consider it as a differential of midfoot pain more than we do? Along with a discussion on its management this is an hours revision we'd recommend to clinicians of all levels of experience.
Foot in Diabetes UK (FDUK) have recently developed a COVID-19 Amputation Prevention Pathway with the goal of getting all Podiatrists and lower limb clinicians comfortable and confident calling out the two biggest risks for immediate amputation - severe infection and ischaemia - to help triage skills and knowing when to generate urgent referral requests. We were joined by Mike Edmonds (Consultant Physician and FDUK Honorary President), Martin Fox (Vascular Specialist Podiatrist), Paul Chadwick (Clinical Director of College of Podiatry), Naseer Ahmad (Consultant Vascular Surgeon) and Emma McConnarchie as a Private practitioner representative.
Live podiatry chats with Craig Payne and Ian Griffiths. Association, Masters degree in Applied Positive Psychology, PhD candidate studying Imposter Syndrome and World Debating Champion - thoughts and prayers for Kate's husband!!) She is also the Author of the book "The Presentation Workout". She took us through the journey of a good presentation, from preparing both the presentation (with tips for how slides should look) and yourself (mentally), delivering the talk with a strong and powerful opening and conclusion, why you should NEVER apologise during a talk, and how to handle difficult questions. Hope you enjoy.
Kate's book can be purchased here:
Amazon (UK) https://amzn.to/34up49r
Amazon.com https://amzn.to/3dXEmrv
In this episode we welcomed Steve Jamieson (CEO of the College of Podiatry, UK) and Nello Marino (CEO of the Australian Podiatry Association) to discuss the strange and unprecedented situation we have all found ourself in in recent times due to the current global pandemic. We discussed what their daily lives currently look like, how they are trying to support their members, their understanding of what their members greatest concerns are and also the support they are giving all members through this time. It is clear that individuals are responding differently due to variance in their working situations and also their own mindset and approach to such a situation; so when you combine this with an evolving understanding of what we are actually dealing with on a global scale it is unsurprising that there are no black and white answers.
In this episode we welcomed Steve Jamieson (CEO of the College of Podiatry, UK) and Nello Marino (CEO of the Australian Podiatry Association) to discuss the strange and unprecedented situation we have all found ourself in in recent times due to the current global pandemic. We discussed what their daily lives currently look like, how they are trying to support their members, their understanding of what their members greatest concerns are and also the support they are giving all members through this time. It is clear that individuals are responding differently due to variance in their working situations and also their own mindset and approach to such a situation; so when you combine this with an evolving understanding of what we are actually dealing with on a global scale it is unsurprising that there are no black and white answers.
In this episode we talked to Dr Sharon Rees who is an Associate Professor in Therapeutics & Prescribing at London South Bank University, and began her career as a Podiatrist. She clarifies the difference between administering, supplying and prescribing drugs, talks through the list of drugs accessible via the POM certificate most graduate Podiatrists hold and what a commitment but worthwhile consideration doing an independent prescribing course would be. She also explained why certain drugs must be taken before or with food, busted the myth about drinking alcohol and taking antibiotics and reminded us of some of the common (arthralgia, myalgia) and less common (tendon pathology) side effects of certain drug groups.
In this episode we were joined by Mike James to talk about online consultations. This was a really useful episode for those who have recently starting doing (or are considering doing) online consultations. We covered some of the legal aspects, the options available technology wise, things to put in place preparation wise beforehand, and then what a consultation may look like (both subjectively and objectively). Without doubt a fundamental shift in mindset/approach is required from all parties, but a global pandemic is a pretty reasonable motivator for change.
In this episode we talked with Talysha Reeve about the considerations Podiatrists should have when providing rehabilitation clinically, how important clinical reasoning is, and whether "just getting strong" was good enough. We also covered the pragmatic approach to rehab in the real world; talking through biopsychosocial considerations, patient adherence, behaviour change and how well rehabilitation lends itself to online/remote consultations.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode were joined by Kevin Kirby, Sean MeBride and Simon Spooner to discuss the lifetime of the supination resistance test, from the genesis of the manual supination resistance test (and how to perform it), through the all published research on the test and the various supination devices that have been designed to quantify it. We also talk about the imperfections and limitations of the supination resistance test, and what research is still needed regarding it.
In this episode we talk with Michael Nitschke ("Nitta") about the holy grail - running shoes that might reduce injury rates. In the week that Nike release the Infinity React we discuss the marketing behind the shoe, the study behind the marketing and take a deeper dive into the world of running shoes and their relationship/influence on injuries. How should (can?) we prescribe shoes to reduce injury? Is it all just about comfort? Will we ever actually know what we are doing...?
In this episode we do some revision of the structural anatomy of the Tibialis Posterior muscle and tendon unit, and discuss what Jayishni Maharaj studied for her PhD with regard to its function, role in energy absorption and influence on STJ energetics. We discuss the correlation with foot posture and foot mobility, and also some of the management strategies we often use (footwear advice, foot orthoses and strengthening/exercise) along with one which many may not be aware of (increasing step width).
In this episode with are joined by Matt Cotchett who has published extensively within the field of plantar heel pain, and in this episode we tackle the topic of terminology (fasciitis Vs fasciopathy Vs PHP), the associated psychological variables, dry needling, and the best evidence based practice/approach to treating heel pain in clinic.
In this episode we had great fun with Alex Hutchinson talking about the running shoe/s which appears to have moved the needle more than any other shoe in history; the Nike Vaporfly/Next%/Alphafly. Do they come good on their marketing promise of improving runners by 4% (and what does that actually mean)? Where does the line between innovation and 'shoe doping' get drawn? Are they only for elite runners? All this and more.
In this episode we chat with Dr Ivan Bristow. Ivan is one of the leading Podiatric Dermatologists and we were delighted to talk to him about Dermatoscopes, Woods lights, the 5-minute fungus test, the best emollients and anti-fungals for the feet and of course take little trips down memory lane to when Ivan taught Ian at University around 18 years ago.
This weeks guests are Artur Maliszewski (Footwork Podiatric Laboratory) and Martin McGeough (Firefly Orthoses) about life at the orthoses labs.
This weeks guests were Wesley Vernon and Jeremy Walker, talking about forensic podiatry.
This weeks guest was Simon Spooner. In this episode we tried to highlight some of the limitations of foot orthoses research, and the way clinicians should be viewing all conclusions made in the context of said limitations. We talk about what "perfect" orthoses research may look like, the things we may want to 'measure' and the apparent discourse between the lab and the clinic. We discuss what 'dosing' is, and how it may help us answer questions which are currently unanswered. Simon's connection for the first 10 minutes of so was a bit unstable but hang in there as it does sort itself out eventually!
In this episode we were joined by Nina Lansdowne from Word Prescription to talk about content and got some great information from here about what good and bad content is, tips on what your website homepage and biography/about us pages should look like, ideas for blogs and newsletters and importantly how not to break the law and get on the wrong side of the authorities (in Australia).
In this episode we welcome two titans of Maltese Podiatry who talk to us about studying in Malta (which given the climate and the low fees seems like a very attractive opportunity) and showcase some of the huge research output they have been involved in concerning the diabetic foot (and why you may want to think about toe pressures rather than the ABPI, and also think about treating yourself to a thermal camera). Loads of great slides throughout this one so will work better as a video than a podcast! Let us know if the thought of a Masters degree from the University of Malta intrigues you and you want Cynthia or Alfred's contact details.
Live podiatry chats with Craig Payne and Ian Griffiths. In this episode Dave gives his experience (both from his years of clinical practice and his research) on manual therapy; with particular comment on its use for intermetatarsal neuroma. He also voices his opinion on some of the criticisms of manual therapy - namely that the effects are short term, and that it can promote fragility, dependance and a reduction in self efficacy.
In this episode we talked about "the language of behaviour change" and asked our guests why this is important for all Podiatrists. Why don't some patients just do what we tell them (the so called 'difficult patient') and what approaches may be beneficial to take in such cases? Have a listen for a brief introduction to MI, and why (and how) it should be viewed as a patient centred collaborative approach rather than simply a tool to get people to do what you tell them to. Loads of great resources were mentions; see the comments below for links. Our guests were Dr Joanne Paton from Plymouth University, Jodi Binning from Glasgow Caledonian University, and Andrew Hill who is doing his PhD at The University of Bath.
In this episode we talked about "the language of behaviour change" and asked our guests why this is important for all Podiatrists. Why don't some patients just do what we tell them (the so called 'difficult patient') and what approaches may be beneficial to take in such cases? Have a listen for a brief introduction to MI, and why (and how) it should be viewed as a patient centred collaborative approach rather than simply a tool to get people to do what you tell them to. Loads of great resources were mentions; see the comments below for links. Our guests were Dr Joanne Paton from Plymouth University, Jodi Binning from Glasgow Caledonian University, and Andrew Hill who is doing his PhD at The University of Bath.
In this episode we welcomed Dr Luke Kelly who has published extensively in the field of plantar intrinsic foot muscle function. Listen to him talk about the spring-like function of the human foot, and why it is false to assume a flatter foot is a "weaker" foot. He also explains why he is personally NOT a fan of the 'short foot exercise' (and the exercise he favours instead) and why strengthening the intrinsic muscles will never make the medial longitudinal arch 'higher'.
In this episode we were delighted to welcome Dr Tim Gabbett who consults across numerous elite sporting domains worldwide and talk about load management. He talks about what load actually is, how people respond to it and how it can be progressed safely. A great analogy of 'beer tolerance' is discussed, along with what the acute to chronic workload ratio is and how it can be calculated. The biggest application of this for clinicians is clearly how it should influence their history taking of injured atheltes/patients (asking about previous weeks load along with psyhosocial factors that may influence load capacity), and how they can advise their patients monitor their own load in a free and easy way (by multiplying their weekly intensity by volume and frequency). We also touched on the limitations of the "10% rule"
This weeks guests, Sarah Carter and Catherine Crabb are both lecturers at UWA in Perth and joined us at 4am their time to talk about the foot in ballet. We touched on whether "hypermobility" is necessary to be a dancer (you may be surprised), the most common injuries seen (85% of ballet injuries are in the lower leg) and the differences between male and female dancers. We also discussed the ballet shoe and the crazy things dancers do to them, and the need for a 'pointe assessment' and what it may entail.
In his episode we talked with Rod Whiteley about why it is important for ALL clinicians to read papers (and be confident doing so), and hopefully imparted some tips on how to read a paper along the way. We touched on p values (and why 0.05 is not the magic number), confidence intervals, reliability, number needed to treat (NNT) and the minimal clinically important difference (MCID). And if there was one key takeaway for everyone: learn about effect sizes.
In his episode we talked with Rod Whiteley about why it is important for ALL clinicians to read papers (and be confident doing so), and hopefully imparted some tips on how to read a paper along the way. We touched on p values (and why 0.05 is not the magic number), confidence intervals, reliability, number needed to treat (NNT) and the minimal clinically important difference (MCID). And if there was one key takeaway for everyone: learn about effect sizes.
In this episode Dr Chris Napier: Physiotherapist and Associate Professor at the University of British Columbia (and 2:33 marathoner) summarises his recent BJSM editorial on the logical fallacies in the running shoe debate, and we talk about how runners (both uninjured and injured) should choose shoes, what the evidence tells us (and doesn't yet tell us), how much focus and attention running shoes seem to get (and whether this is warranted), and is it just all about comfort?
In this, the final episode of 2018, we talked to researcher, lecturer and private practitioner Helen Banwell about the symptomtic Vs asymptomatic flatfoot in children (and discussed when to 'treat' Vs when not to), the possible importance of asking about family history, conservative Vs surgical management, dealing with worried and anxious parents and orthoses prescription habits for the younger patient.
In this episode with chatted with the physiotherapists, Simon Lack and Brad Neal and the Podiatrist, Alice Corbett about patellofemoral pain, proximal and distal influences and how to choose an intervention.
To celebrate hitting 50 episodes we has a selection of numerous previous guests on to catch up and chat with. We also invited two of our most popular audience members, "Tobes and JW" to guest host with us and ask questions, and they were great. A longer and (much) less serious episode than usual, which was immense fun and a bit of a shambles. Enjoy.
To celebrate hitting 50 episodes we has a selection of numerous previous guests on to catch up and chat with. We also invited two of our most popular audience members, "Tobes and JW" to guest host with us and ask questions, and they were great. A longer and (much) less serious episode than usual, which was immense fun and a bit of a shambles. Enjoy.
In this episode we chatted with Toronto based practitioner, Peter Guy about his 33 years experience to talk us through his matrix of common modifications for conditions such as peroneal tendinopathy, plantar fasciopathy, plantar plate/capsular issues and neuroma. He also gives us some of his tips for dealing with comfort/tolerance issues and orthoses for high heels.
In this episode Prof Debbie Turner joined us (on her birthday!) and gave us a taste of the role of a Podiatrist within a specialist Rheumatology service, the pathologies commonly seen and her approach to the assessment and management of these patients. She also gave some great tips for clinicians who don't work within Rheumatology, but may well be missing conditions due to their ability to masquerade as musculoskeletal issues.
In this episode Stacey talks us through some of her research which has looked at biomechanical risk factors for injury, step width modification for MTSS and ITB issues, and also some clinical pearls to think about when someone presents in your clinic with a suspected bone stress injury. For the really nerdy, we even briefly talked about the 'free moment' and its potential relevance to injury.
In this episode we welcomed a great panel of physiotherapists in Hamish Vickerman, Tom Goom, Neil Meigh and Kevin Nordanger to talk about how Podiatry and Physiotherapy can/should work together, the overlap between professions, the preconceived notions we have about each others professions and more.
In this episode we talked with Annette Davis and discussed what the evidence tells us (and doesn't tell us) about footwear and falls, explains the role of the Podiatrist in screening for falls risk and how to communicate effectively regarding this (making a reasonably solid case for all individuals of a certain age to be risk assessed regardless of why they are attending clinic to see you) and also the talks about the reasons that older individuals choose certain shoes and the challenges this can bring to the Podiatrist-patient interactions.
In this episode we discuss the golf swing, the use of foot orthotics in golf and pseudoscience.
In this episode we welcomed Dave James (The Foot and Leg Magician), Melissa Zacharia (Pod Fit Podiatry) and Jonathan Tomines (The Toe Bro) to offer their thoughts and experiences on generating Podiatry videos. We talked through some of the biggest barriers and concerns people have before starting, and the potential benefits (to both the individual and the profession) of doing them. We also touched on how to do them (equipment required), where we should be looking for our inspiration for generating them and how do deal with negative feedback (remember; having haters is a privilege).
In this episode we talked with Ben Cormack. We talked about what he believes are the key components to a successful rehab programme (and why they may fail), along with how we promote self efficacy, empower and motivate our patients and the evidence base behind strength work (and the differences between strength and load tolerance).
In this episode we talked with the physical therapist Richard Willy. Rich explains what tissue capacity is, what he looks for during a gait analysis, the benefits and pitfalls of 'wearables', and how footwear may fit into the whole picture. He also summarised the key differences between treadmill and overground running, with good take homes for clinicians who analyse their athletes on the treadmill and then extrapolate that to the outside world.
In this episode we talked with Consultant Physiotherapist, academic and researcher Dylan Morrissey about the evidence base for shockwave therapy, the robustness of the methodology often employed within such research, what foot/ankle pathologies shockwave is indicated for and whether there are any key contraindications or risks associated with its use.
In this episode we talked with paediatric specialist Nina Davies and talked about protocols for assessing the paediatric patient, how under estimated Developmental Coordination Disorder is (and when to be thinking about this rather than just thinking about a clumsy child), the in-toeing child (causes and treatments) and also how important it is to try and be goal/activity orientated and focus on participation in activity rather than searching to "correct" or "fix" things in the developing human
In this episode we welcomed Dr David Armstrong, DPM, PhD and we talked about how the worlds diabetic population is third only to China and India, and that during the length of this episode alone 198 amputations would have occured worldwide, and 565 people would have died from complications associated with Diabetes. We talk about what we as Podiatrists can try to do about this, how we communicate with and educate our patients, David's approach to neuropathic assessment, and how Diabetic foot ulcers are not unlike training load injuries.
In this episode we welcomed Physical Therapist Jarod Hall on to talk us through what his history taking looks like, the language he uses (and tried to avoid), how he asks about the complex topic of pain and the importance he places on educating those sitting across from him in his clinic office.
In this episode Consultant Podiatric Surgeon Ryan McCallum joined us to talk all things X-Ray; How do you get started in requesting them from a legal point of view? When is requesting an X-Ray appropriate? What views are commonly requested (and why)? Non-weightbearing or weight-bearing X-Rays? What are the ABCS of X-Ray reporting?
In this episode we talk to the amazing 'board' of Forgotten Feet (Debi, Lydia, Sarah, Belinda & Dave) who now oversee over 50 clinics UK wide which provide completely free care for the Homeless. Listen to their experiences so far and how you can get involved/volunteer, donate or help in other ways.
This weeks guest was Jonathan Heath from the Podiatry Hive.
As CEO at The Hive, Jono Heath leads a team of professionals who are all intent on transforming practitioners into successful business owners. He has presented business training workshops and webinars to thousands of private practice owners and believes passionately in helping people find the “why” in what they do, in both their business and personal life. Jono has a particular interest in how to communicate the benefits of excellent healthcare. In this episode he explains what The Hive is, how it supports clinicians, and what drives people to seek our coaching or mentoring services.
This week we welcomed Mandy Abbott who is a lecturer at Glasgow Caledonian University, Clinical Director for Special Olympics GB and was Lead Podiatrist for the Commonwealth Games in 2014, the European Games in 2015, and the World Indoor Athletics in 2018. She talked about how best to prepare yourself for being part of a multidiscplinary team at a big games/event (read up on acute injury management and make sure you know your strapping), the sort of things which Podiatry tends to manage at such events, and the personal/professional value in doing such events (and it's not financial!)
This week, we talked about the challenges of treating footballers, 'hacks' for designing orthoses for football boots, the "value" of pre-season screening of the lower limb, and the science of how boots interact with differing surfaces.
This weeks guest was Seth O'Neill on Achilles tendinopathy. We talked about whether this is an inflammatory condition or a degenerative condition (or both), how Seth assesses posterior ankle pain in clinic, his thoughts on imaging appropriateness and timing, why isometrics may not be the silver bullet for pain relief and how advice and education should probably out rank injection and shockwave therapy.
This weeks guests were Podiatrists associated with AFL football teams: Ben Holland [North Melbourne Kangaroos], Emma Poynton [Western Bulldogs], Nicki Quigley [Hawthorn Hawks], Todd Brown [Geelong Cats] and Tom May [Adelaide Crows]. We discussed the demands of AFL and the common injuries seen, the footwear worn and the challenges it brings and the screening process adopted within the 44-man squads.
This weeks guest was Alicia James and we talked all about the latest thoughts around calcaneal apophysitis (Severs disease).
This weeks guest was Howard Dananberg. In this episode Howard tells us how he first starting thinking about sagittal plane mechanics in the context of 'functional hallux limitus' and how this influenced his practice over the last three decades.
This weeks guest was Stuart Wildman, Stuart is an Extended Scope Physiotherapist, MSK Sonographer and Director of The Ultrasound Site Ltd. In this episode we talked about some of the politics and training regarding ultrasound use, the benefits and limitations of ultrasound, and the tissues/pathologies that can be visualised around the foot and ankle (with some cool images/case studies).
In this episode we welcome representatives from three professional associations: Katrina Pratt; President - Australian Podiatry Association. Matthew Fitzpatrick; Provost - College of Podiatry. Ben Lamb; Chairman - Podiatry New Zealand. We discussed the differences between the sizes of the three (yet the rather similar challenged faced) and touched on the bidirectional responsibilities (of the oranisations to the members, and the members to the organisations), the level 'engagement' from all parties, and where the professional bodies may see themselves in 5 years time.
This weeks guest was Jill Halstead and we talked about the definition of (and terminology and language used around) osteoarthritis, along with its prevalance, relation to load and the treatment options of its manifestation in the human foot.
This weeks guest was Robert Issacs. We discussed why critical thinking, biases, and why having the ability and desire to question/critique everything we read is crucial to improving the entire profession of Podiatry. We talk about common logical fallacies and errors in thinking, and highlight the behaviours seen from certain individuals when they are questioned or challenged.
This weeks guest was Adam Meakins and talk about what manual therapy is, what effects it has (and doesn't have), and why he thinks it sucks. We also touch on subluxed cuboids, pelvic equilibrium, trigger points and palpation
This week we were joined by Bruce Williams to discuss what went on at the iFab Conference from New York.
This weeks guest was Bruce Williams talking about plantar pressure mapping and measurement in podiatry.
This week the guests were Martin Fox and Peta Tehan, talking about peripheral vascualr disease.
Craig had been playing around with the Zoom software and this was our first attempt at seeing if this concept had some mileage despite the 10,000 miles and 11 hour time difference between us. We talked about supination resistance, touched on 2D Vs 3D gait analysis and were asked who our must follow accounts were on social media.
In this episode Craig reveals the research paper which changed his thinking the most, and we chat about pseudoscience, research translation, why cuboid syndrome is like pornography and his favourite airport to eat breakfast in.