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.
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 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.
About Nina Davies:
Nina Davies qualified with a BSc(Hons) in Podiatry from Huddersfield University and a Masters degree in Podiatric Clinical Biomechanics from Staffordshire University. Nina holds a clinical lead post within the NHS, specialising in musculoskeletal podiatry with her clinical work focusing on paediatrics and which involves clinical pathway development, service improvement and contributing to the delivery of training and mentorship. She is also a visiting lecturer at Staffordshire University delivering a module in paediatric podiatry at post graduate level.
In this weeks episode we talked with Alicia James about the latest thoughts on calcaneal apophysitis (Severs disease). We talked about the issues of it it should be called “severs disease” or “calcaneal apophysitis” and what are the evidence-based methods to treat it.
About Dr Alicia James BPod, MHlth Sci(Pod), PhD
Alicia is a podiatrist who has worked in public multidisciplinary clinics assessing and treating paediatric foot and lower leg conditions. Alicia is currently Head of Podiatry at Peninsula Health, Director at Kingston Foot Clinic and Children’s Podiatry.
Alicia has a strong commitment to the podiatry profession, being a director on the APodA (Vic) board, past president of the APodA(Vic), past chair of the Victorian Paediatric Podiatry Special Interest group and was awarded the Jennifer O’Meara Award early in 2010. She is also a credentialed Paediatric Podiatrist as awarded by the Australian Podiatry Council. She is one of the five podiatrists in Australia who have achieved this.
Alicia was recently awarded her PhD. Her research involved undertaking a large clinical trial of treatment options for calcaneal apophysitis (Severs disease) in children.
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.
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