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PodChatLive - Live Podiatry Discussion

PodChatLive - Live Podiatry Discussion

By 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.
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PodChatLive Episode 85 with Ian Reilly and David Gordon on Bunions
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.
59:38
October 9, 2020
PodChatLive Episode 84 with Bronnie Lennox Thompson on Why Do Patients Seek Care?
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!)
1:01:49
September 18, 2020
PodChatLive Episode 83 with Anna Boniface on Relative Energy Deficiency in Sport
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.
56:30
August 7, 2020
PodChatLive Episode 82 with Franco Impellizzeri on Problems with the acute:chronic workload ratio (Part 2)
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.
35:25
July 10, 2020
PodChatLive Episode 82 with Franco Impellizzeri on Problems with the acute:chronic workload ratio (Part 1)
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.
40:03
July 10, 2020
PodChatLive Episode 81 with Nadia Dembsky on Chilblains and 'COVID Toes'
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.
43:02
June 19, 2020
PodChatLive Episode 80 with Joseph Frenkel on Chilblains
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.
51:58
June 18, 2020
PodChatLive Episode 79 with Matt Klein on Running Shoe Appraisal
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.
54:54
May 21, 2020
PodChatLive Episode 78 with Paul Ingraham on Stretching
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.
1:00:31
April 30, 2020
PodChatLive: Episode 77 with Richard Blake [Inverted Orthotic Technique]
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.
59:55
April 23, 2020
PodChatLive Episode 76 on Paediatric Case Studies
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.
59:06
April 21, 2020
PodChatLive Episode 75 with Thomas Do Canto on Running Injury (History Taking)
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.
59:07
April 16, 2020
PodChatLive Episode 74 with Keith Rome [Gout]
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.
58:13
April 14, 2020
PodChatLive: Episode 73 on the COVID-19 Amputation Prevention Pathway
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.
59:18
April 9, 2020
PodChatLive: Episode 72 with Kate Atkin on Presentation Skills and Public Speaking
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
59:34
April 7, 2020
PodChatLive: Episode 71 on COVID-19 Professional Body Responses Part Two
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.
42:22
April 2, 2020
PodChatLive: Episode 71 on COVID-19 Professional Body Responses Part One
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.
40:02
April 2, 2020
PodChatLive Episode 70 with Sharon Rees [Pharmacology]
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.
53:59
March 31, 2020
PodChatLive: Episode 69 with Mike James on Online Consultations
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.
58:54
March 28, 2020
PodChatLive: Episode 68 with Talysha Reeve on Exercise Rehab
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.
1:00:50
March 27, 2020
PodChatLive: Episode 67 on the Supination Resistance Test
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.
58:59
February 28, 2020
Episode 66 with Michael Nitschke on 'To Infinity & Beyond (Injury?)'
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...?
58:38
January 24, 2020
Episode 65 with Jayishni Maharaj [Tibialis Posterior]
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).
48:11
December 19, 2019
PodChatLive: Episode 64 with Matthew Cotchett [Plantar Heel Pain]
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.
52:45
November 21, 2019
PodChatLive: Episode 63 with Alex Hutchinson [The Nike Shoe Controversy]
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.
54:53
October 25, 2019
PodChatLive: Episode 62 with Ivan Bristow [Podiatric Dermatology]
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.
53:37
October 18, 2019
PodChatLive: Episode 11 with James Dunne [Gait Retraining]
This weeks guest is James Dunne talking about gait retraining.
1:05:50
October 18, 2019
PodChatLive: Episode 12 with Martin McGeough and Artur Maliszewski [Foot Orthotics]
This weeks guests are Artur Maliszewski (Footwork Podiatric Laboratory) and Martin McGeough (Firefly Orthoses) about life at the orthoses labs.
58:35
October 18, 2019
PodChatLive: Episode 17 with Wesley Vernon and Jeremy Walker [Forensic Podiatry]
This weeks guests were Wesley Vernon and Jeremy Walker, talking about forensic podiatry.
1:03:02
October 18, 2019
PodChatLive: Episode 18 with Nathan White and Robert Brown [Cycling]
This weeks guests were Nathan White and Robert Brown talking about cycling.
1:08:09
October 18, 2019
PodChatLive: Episode 9 with Ian Reilly [Injection Therapy]
This weeks guest was Ian Reilly, talking about injection therapy.
56:44
October 18, 2019
PodChatLive: Episode 27 with Simon Spooner [Foot Orthotic Dosing]
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!
57:01
October 18, 2019
PodChatLive: Episode 61 with Nina Lansdowne [Content Marketing]
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).
57:52
September 13, 2019
Episode 60 with Cynthia Formosa & Alfred Gatt [Podiatry in Malta]
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. 
48:44
August 9, 2019
PodChatLive: Episode 59 with Dave Cashley [Manual Therapy]
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.
1:00:21
July 12, 2019
PodChatLive: Episode 58 on Motivational Interviewing (Part Two)
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.
33:27
June 6, 2019
PodChatLive: Episode 58 on Motivational Interviewing (Part One)
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.
30:05
June 6, 2019
Episode 57 with Luke Kelly [Intrinsic Muscles]
 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'.  
51:45
May 10, 2019
PodChatLive: Episode 56 with Tim Gabbett [Load Management]
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" 
52:06
April 4, 2019
PodChatLive: Episode 55 with Sarah Carter and Catherine Crabb [Ballet]
 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. 
59:24
March 15, 2019
PodChatLive: Episode 54 with Rod Whiteley [Research Methods](Part Two)
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.
42:20
February 7, 2019
PodChatLive: Episode 54 with Rod Whiteley [Research Methods](Part One)
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.
39:28
February 7, 2019
PodChatLive: Episode 53 with Chris Napier [Running Shoes]
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?
1:01:09
January 10, 2019
PodChatLive: Episode 52 with Helen Banwell [Paediatric Flatfoot]
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.
52:44
November 29, 2018
PodChatLive: Episode 51 on Patellofemoral Pain
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.
33:28
November 22, 2018
PodChatLive: Episode 50 (Part Two) [The 50th Celebration Episode]
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.
43:29
November 16, 2018
PodChatLive: Episode 50 (Part One) [The 50th Celebration Episode]
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.
40:00
November 16, 2018
Episode 49 with Peter Guy [Foot Orthotic Modifications]
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.
55:39
November 9, 2018
Episode 48 with Debbie Turner [Rheumatology]
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.
57:00
November 1, 2018
PodChatLive Episode 47 with Stacey Meardon [Injury Risk Factors]
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.
53:52
October 25, 2018
PodChatLive Episode 46 with Steven Subotnick [Podiatric Sports Medicine]
In this weeks episode we chatted with Steven Subotnick about Podiatric Sports Medicine
50:59
October 18, 2018
PodChatLive: Episode 45; The Physiotherapy Episode
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.
1:02:38
October 11, 2018
PodChatLive: Episode 44 with Annette Davis [Footwear and Falls]
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.
53:15
October 4, 2018
PodChatLive: Episode 43 on Podiatry and Golf
In this episode we discuss the golf swing, the use of foot orthotics in golf and pseudoscience.
44:04
September 27, 2018
PodChatLive: Episode 42 on Video Marketing for Podiatry
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).
58:52
September 21, 2018
PodChatLive: Episode 41 with Ben Cormack [Exercise Rehab & Movement]
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).
57:59
September 13, 2018
PodChatLive: Episode 40 with Rich Willy [Running Biomechanics and Tissue Capacity]
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.
58:14
September 7, 2018
PodChatLive: Episode 39 with Dylan Morrissey [Shockwave Therapy]
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.
58:43
August 31, 2018
PodChatLive: Episode 38 with Nina Davies [Paediatric Gait]
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
54:14
August 24, 2018
PodChatLive: Episode 37 with David Armstrong [The Diabetic Foot]
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.
1:01:58
August 16, 2018
PodChatLive: Episode 36 with Jarod Hall [Communication & History Taking]
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.
56:29
August 2, 2018
PodChatLive: Episode 35 with Ryan McCallum [X-ray Interpretation]
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?
51:56
July 26, 2018
PodChatLive: Episode 34 with Forgotten Feet
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.
51:42
July 26, 2018
PodChatLive: Episode 33 with Jonathan Heath [Podiatry Hive]
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.
54:10
July 26, 2018
PodChatLive: Episode 32 with Mandy Abbott [Podiatry at Sporting Events]
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!)
35:25
July 26, 2018
PodChatLive: Episode 31 on Podiatry in Football (Soccer)
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.
58:46
July 26, 2018
PodChatLive: Episode 30 with Seth O'Neill [Achilles Tendinopathy]
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.
1:01:35
July 26, 2018
PodChatLive: Episode 29 with Podiatrists from the AFL
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.
1:00:10
July 26, 2018
PodChatLive: Episode 28 with Alicia James [Calcaneal apophysitis / Severs disease]
This weeks guest was Alicia James and we talked all about the latest thoughts around calcaneal apophysitis (Severs disease).
43:40
July 26, 2018
PodChatLive: Episode 26 with Howard Dananberg [Sagittal Plane Theory]
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.
53:41
July 25, 2018
PodChatLive: Episode 25 with Stuart Wildman [Diagnostic Ultrasound]
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).
1:02:46
July 25, 2018
PodChatLive: Episode 24 on Professional Associations
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.
54:03
July 25, 2018
PodChatLive: Episode 23 with Jill Halstead [Osteoarthritis]
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.
1:05:16
July 25, 2018
PodChatLive: Episode 22 with Robert Issacs [Pseudoscience]
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.
1:00:06
July 25, 2018
PodChatLive: Episode 21 with Adam Meakins [Manual Therapy]
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
51:50
July 25, 2018
PodChatLive: Episode 20 discussing the i-Fab Conference
This week we were joined by Bruce Williams to discuss what went on at the iFab Conference from New York.
44:47
July 25, 2018
PodChatLive: Episode 19 with Bruce Williams [Pressure Mapping]
This weeks guest was Bruce Williams talking about plantar pressure mapping and measurement in podiatry.
53:32
July 25, 2018
PodChatLive: Episode 16 with Izzy Moore [Running Economy]
This weeks guest was Izzy Moore, talking about running economy.
53:07
July 22, 2018
PodChatLive: Episode 15 with Greg Dower [Business]
This weeks guest was Greg Dower from myFootDr.
56:15
July 22, 2018
PodChatLive: Episode 14 with Peta Tehan and Martin Fox [Vascular]
This week the guests were Martin Fox and Peta Tehan, talking about peripheral vascualr disease.
54:54
July 22, 2018
PodChatLive: Episode 13 with Jill Woods [Social Media]
This weeks guest is Jill Woods discussing everything social media.
59:21
July 22, 2018
PodChatLive: Episode 10 with Ted Jedynak and Ian Linane [Manual Therapy]
This week's guests are Ted Jedynak and Ian Linane, talking about manual therapy.
53:26
July 22, 2018
PodChatLive: Episode 8 with Mike Stewart [Pain Science]
This weeks guest is the pain expert, Mike Stewart.
56:44
July 22, 2018
PodChatLive: Episode 7 with Belinda Longhurst [Dermatology]
This weeks guest was Belinda Longhurst talking about podiatry and dermatology.
40:26
July 17, 2018
PodChatLive: Episode 6 with Kevin Kirby [Foot Biomechanics]
This weeks guest is Kevin Kirby and we talked about his approach to biomechanics.
39:03
July 17, 2018
PodChatLive: Episode 5 with Emma Cowley [Academia]
This weeks guest was Emma Cowley.
38:19
July 17, 2018
PodChatLive: Episode 4 with Cylie Williams [Paediatrics]
This weeks guest is Cylie Williams talking about paediatric related issues
40:27
July 17, 2018
PodChatLive: Episode 3 with Chris Bishop [Gait analysis]
This weeks guest was Chris Bishop where we talked about gait analysis.
44:14
July 17, 2018
Episode 2: The Second Episode
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.
24:50
July 17, 2018
Episode 1: The Very First Episode
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.
22:09
July 17, 2018