In this episode, we talk about the complexity of pain with physiotherapist and pain educator, Mike Stewart. It is crucial for us to understand pain better than we have historically (and be able to effectively communicate this to our patients). We conclude that pain is a personal experience; an output of the brain in response to real or perceived danger with the goal of protecting us and getting us to modify our behaviour. It is contextual and influenced by numerous factors. Clearly, this has implications for our history taking, the language we use (or don’t use) and ultimately our management of MSK pathology.
About Mike Stewart:
Mike is a physiotherapist who works as a Spinal Clinical Specialist for East Kent Hospitals University Foundation NHS Trust. He is a full-time clinician with over fifteen years of experience managing complex, persistent pain conditions. In addition, he is a dedicated practice-based educator committed to providing evidence-based education to a wide variety of health professionals. Mike is currently undertaking an MSc in Clinical Education at the University of Brighton. Mike runs the Know Pain courses around the world. Both Craig and Ian have attended this course.
In this very popular episode we were joined by Belinda Longhurst where we covered the latest for treating onychomycosis and plantar warts, and talked about pseudoscience within Dermatology and how and why aqueous cream and tea tree oil really have no place whatsoever in modern day evidence informed practice.
We also covered some clinical gems such as a checklist for spotting malignant lesions, how the lions share of what appears to be anhidrosis may well be fungal and much more!
About Belinda Longhurst:
Belinda qualified as a Chiropodist from the Sheffield Institute of Chiropodists and Podiatrists in 2003, Belinda then studied for a higher degree and graduated from the University of Southampton in 2007, where she was awarded a first-class BSc (Hons) degree in Podiatry, with a distinction in clinical practice.
Belinda has worked as a private practitioner since 2003 and was also employed as an NHS Podiatrist at Andover War Memorial Hospital post-graduation. She acts as peer reviewer for a variety of professional journals and advisor for private health insurance patient information pages.
As a Member of the British Dermatological Nursing group, her area of special interest is podiatric dermatology and has frequently presented her published work at both national and international conferences.
In this episode, Dr Kevin Kirby, DPM talks about his seminal paper on rotational equilibrium, tissue stress theory, Morgan’s meat pie theory and also his opinion on whether any knowledge of Root Theory is needed to assess and successfully treat our patients.
About Kevin Kirby DPM:
Dr. Kevin A. Kirby, DPM graduated from the California College of Podiatric Medicine in 1983 and completed his first year surgical residency at the Veteran’s Administration Hospital in Palo Alto, California. He spent his second post-graduate year doing the Fellowship in Podiatric Biomechanics at CCPM where he also earned his MS degree.
Dr. Kirby has authored or co-authored 28 articles in peer-reviewed journals, has authored or co-authored five book chapters, and has authored four books on foot and lower extremity biomechanics and orthosis therapy, all of which have been translated into Spanish language editions. He has invented the Subtalar Joint Axis Palpation Technique, the Anterior Axial Radiographic Projection, the Supination Resistance Test, the Maximum Pronation Test and the Medial Heel Skive and Lateral Heel Skive Techniques. He has also created and developed the Subtalar Joint Axis Location and Rotational Equilibrium Theory of Foot Function and has co-developed the Subtalar Joint Equilibrium and Tissue Stress Approach to Biomechanical Therapy of the Foot and Lower Extremity. He has lectured internationally on 43 occasions and has also lectured extensively throughout the United States.
Dr. Kirby is a member of the editorial advisory board for the Journal of the American Podiatric Medical Association and is currently an Adjunct Associate Professor in the Department of Applied Biomechanics at the California School of Podiatric Medicine. Dr Kevin A Kirby, DPM has had a full time podiatric biomechanics and surgical practice in Sacramento, California for over 32 years.
In this episode, Emma Cowley talks about how she juggles academia, PhD studies, private practice and faculty positions and gives her insight into undergraduate students and social media. She tells us about her favourite paper of 2017 and also how bright the future for Podiatric conferences is looking. There’s a bit about logical fallacies thrown in too.
About Emma Cowley:
Emma qualified as a podiatrist from the University of Southampton in 1995 and worked during the first ten years of her career as a general podiatrist, then as musculoskeletal clinical lead in the NHS. She then undertook a role as a lecturer at Staffordshire University before moving to the University of Plymouth in 2003. She qualified to masters level in clinical biomechanics and corticosteroid injection therapy, and her main fields of research include the effects of running on the biomechanics of the foot and ankle, and the effects of high heels on gait and posture.
Emma is an elected member of the Board of Trustees of the Arthritis and Musculo-skeletal Alliance (ARMA), Vice-Dean of the Directorate of Podiatric Medicine of the College of Podiatry and a Fellow of the Royal College of Physicians and Surgeons of Glasgow (Podiatric Medicine), the College of Podiatry (Podiatric Medicine), and the Higher Education Academy. She is also a Chartered Scientist, Regional Advisor to the Royal College of Physicians and Surgeons of Glasgow, and co-chair of MSK:UK, the largest special advisory group of the College of Podiatry.
She is regularly invited to speak at conferences both nationally and internationally, and is also the director of 4D Podiatry.
In this episode Chris Bishop goes deeper into the topic we briefly touched on in Episode 2 – 3D gait analysis. Are the comparisons made with 2D analysis valid? Is it worth the outlay and will it change clinical outcomes? This and more.
About Chris Bishop:
Chris has over 10 years clinical experience as a podiatrist and has a PhD in lower limb biomechanics. He studied podiatry at UniSA, and as a new graduate worked in Whyalla, South Australia in both the country health service and with the Royal Flying Doctors Service. After 12 months, Chris relocated back to Adelaide in 2007 to pursue research and his interest in sports medicine and biomechanics. After working as a consultant sports podiatrist at Leading Edge Physical Therapy for five years whilst completing his research degrees, Chris founded The Biomechanics Lab in 2012.
In this episode, Cylie Williams talks about the Great Foundations project she is now involved in, the top 3 clinical gems when seeing a paediatric patient and also her more recent work in research translation. See the discussion on Facebook.
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.
This is the very first episode that started it all.
Craig Payne found himself in England for 2 days whilst on the way back home from conferences in Spain and Portugal. Whilst there he dropped in at Ian Griffith’s house and whilst chatting after dinner they realised neither of them had ever recorded a Facebook Live so decided to give it a go. Despite the “amateur” and “unrehearsed” nature of the live stream, it was met with surprisingly positive feedback so they began wondering if there was some mileage in doing it more regularly. And thus, PodChatLive was born.
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.
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