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PodChatLive - The Podiatry Podcast

PodChatLive - The Podiatry Podcast

By Ian Griffiths and Craig Payne

PodChatLive brings you weekly episodes covering the previous 7 days in Podiatry; stories from the mainstream/social media and newly published research papers of interest. Hosted by Podiatrists Ian Griffiths (UK) and Craig Payne (AUS).
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Currently playing episode

Episode 87 with Farrah Jawad [Vitamin D]

PodChatLive - The Podiatry PodcastDec 13, 2020

00:00
50:50
PodChatLive 119: The Bad Foot Clinic, Psoriatic Arthritis, Intrinsic foot muscle strengthening, and should we ultrasound scan all kids with Sever's?
Mar 26, 202423:45
PodChatLive 118: RED-D, Carbon plated shoe biomechanics, and Homeopathy nonsense
Mar 19, 202423:43
PodChatLive 117: Social media ‘experts’, pronated feet & back pain, running biomechanics & economy, and hair tourniquets
Mar 12, 202423:05
PodChatLive 116: Foot posture and pelvic dysfunction, Gait retraining changing foot pronation, and AFL stats over 20 years
Mar 05, 202423:35
PodChatLive 115: Treadmill familiarisation, diabetic foot ulcers & antidepressants, health seeking behaviour after being in a study, and running alone Vs running with others
Feb 27, 202422:18
PodChatLive 114: Venous disease & arch height, and the effect of toe stimulation on the genitals
Feb 20, 202423:16
PodChatLive 113: More Morton's neuroma research is needed, MSK pain and the weather, and are high heels actually good for you?
Feb 13, 202424:19
PodChatLive 112: Foot types not predicting injury risk (again), bunions influencing nail health, and are corns really verrucas?
Feb 06, 202422:17
PodChatLive 111: Leg length discrepancies and research paper retractions hitting a record high
Jan 30, 202423:14
PodChatLive 110: Distracted gait, no more fluoroquinolones and a brand new review on running injury
Jan 23, 202421:36
PodChatLive Episode 109: The death of the seated calf raise and over confident running shoe company claims
Jan 16, 202419:47
PodChatLive Episode 108: Does barefoot walking cure heel pain?
Jan 09, 202421:43
PodChatLive Episode 107: New Years running tip, Footballers sock holes, and what is Foot-Spine Syndrome?
Jan 02, 202421:39
PodChatLive Episode 106: The BMJ Christmas article special
Dec 19, 202322:03
PodChatLive Episode 105: Sperm shoes, Nocebo effects and Electrotherapies in children
Dec 12, 202321:07
PodChatLive Episode 104: The New Balance arch support company and foot surgery turf wars
Dec 05, 202321:25
PodChatLive Episode 103: Is diabetic foot screening worth it, and the Epidemiologist's bathtub
Nov 28, 202321:44
PodChatLive Episode 102: Big running injury data, how long do running shoes last and navicular variance
Nov 21, 202320:03
PodChatLive Episode 101: The correct way to pronounce Saucony, and Chlorhexidine Vs Povodine-iodine
Nov 15, 202321:38
PodChatLive Episode 100: Podiatry fraud, Nike baby shoes and a new way to assess arch height
Nov 08, 202325:10
PodChatLive Episode 99 with Peta Tehan and Martin Fox [Vascular Podiatry]

PodChatLive Episode 99 with Peta Tehan and Martin Fox [Vascular Podiatry]

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.

Feb 25, 202256:19
PodChatLive Episode 98 with Cathy Bowen [Getting Published in a Journal]

PodChatLive Episode 98 with Cathy Bowen [Getting Published in a Journal]

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.

Jan 26, 202259:02
PodChatLive Episode 97 with the Running Shoe Geeks

PodChatLive Episode 97 with the Running Shoe Geeks

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

Dec 17, 202101:08:15
PodChatLive Ep96 - Psyche of the Injured Athlete

PodChatLive Ep96 - Psyche of the Injured Athlete

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.

Oct 15, 202159:22
Episode 95 with Lauren Welte [Windlass Mechanism]

Episode 95 with Lauren Welte [Windlass Mechanism]

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.

Aug 21, 202153:09
PodChatLive Episode 94 with David Klyne [Relevance of Sleep]

PodChatLive Episode 94 with David Klyne [Relevance of Sleep]

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.

Jul 08, 202157:43
PodChatLive Episode 93 with Rani Lill Anjum & Alex Murray [Causation in Podiatry] Part 2

PodChatLive Episode 93 with Rani Lill Anjum & Alex Murray [Causation in Podiatry] Part 2

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.

May 28, 202139:52
PodChatLive Episode 93 with Rani Lill Anjum & Alex Murray [Causation in Podiatry] Part 1

PodChatLive Episode 93 with Rani Lill Anjum & Alex Murray [Causation in Podiatry] Part 1

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.

May 28, 202150:00
PodChatLive Episode 92 with Doug Richie [The Richie Brace]
Apr 29, 202153:11
PodChatLive: Episode 91 with Joe Brooks [Mental Health, a Podiatrists Story]

PodChatLive: Episode 91 with Joe Brooks [Mental Health, a Podiatrists Story]

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.

Mar 12, 202158:03
PodChatLive: Episode 90 with Ebonie Vincent & Brad Schaeffer [My Feet are Killing Me]

PodChatLive: Episode 90 with Ebonie Vincent & Brad Schaeffer [My Feet are Killing Me]

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.

Feb 05, 202128:45
PodChatLive Episode 89 with Peter Malliaras [Talking Tendons]

PodChatLive Episode 89 with Peter Malliaras [Talking Tendons]

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.


Jan 22, 202158:18
Episode 88 with the Doctors of Running on the Best Running Shoes of 2020

Episode 88 with the Doctors of Running on the Best Running Shoes of 2020

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.

Dec 20, 202001:04:24
Episode 87 with Farrah Jawad [Vitamin D]

Episode 87 with Farrah Jawad [Vitamin D]

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.

Dec 13, 202050:50
PodChatLive Episode 86 with Christian Barton on Knee Pain in Runners

PodChatLive Episode 86 with Christian Barton on Knee Pain in Runners

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!

Nov 12, 202001:01:09
PodChatLive Episode 85 with Ian Reilly and David Gordon on Bunions

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.

Oct 09, 202059:39
PodChatLive Episode 84 with Bronnie Lennox Thompson on Why Do Patients Seek Care?

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!)

Sep 18, 202001:01:49
PodChatLive Episode 83 with Anna Boniface on Relative Energy Deficiency in Sport

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.

Aug 07, 202056:30
PodChatLive Episode 82 with Franco Impellizzeri on Problems with the acute:chronic workload ratio (Part 2)

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.

Jul 10, 202035:25
PodChatLive Episode 82 with Franco Impellizzeri on Problems with the acute:chronic workload ratio (Part 1)

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.

Jul 10, 202040:04
PodChatLive Episode 81 with Nadia Dembsky on Chilblains and 'COVID Toes'

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.


Jun 19, 202043:02
PodChatLive Episode 80 with Joseph Frenkel on Chilblains

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.


Jun 18, 202051:58
PodChatLive Episode 79 with Matt Klein on Running Shoe Appraisal

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.

May 21, 202054:54
PodChatLive Episode 78 with Paul Ingraham on Stretching

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.


Apr 30, 202001:00:31
PodChatLive: Episode 77 with Richard Blake [Inverted Orthotic Technique]

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.

Apr 23, 202059:56
PodChatLive Episode 76 on Paediatric Case Studies

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.

Apr 21, 202059:07
PodChatLive Episode 75 with Thomas Do Canto on Running Injury (History Taking)

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.

Apr 16, 202059:08
PodChatLive Episode 74 with Keith Rome [Gout]

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.

Apr 14, 202058:13
PodChatLive: Episode 73 on the COVID-19 Amputation Prevention Pathway

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.

Apr 09, 202059:18
PodChatLive: Episode 72 with Kate Atkin on Presentation Skills and Public Speaking
Apr 07, 202059:34