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.
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.
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.
In this episode we were joined in this episode by Kate Atkin (Fellow of Professional Speaking 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.
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.
About Sharon Rees:
Dr Sharon Rees PhD who is an Associate Professor in Therapeutics & Prescribing at London South Bank University, and began her career as a Podiatrist. She has been involved with teaching therapeutics and prescribing for over 10 years, working at several Universities, including Queen’s University Belfast and the University of Nottingham in the UK. As an experienced medical educator, Dr Sharon Rees is involved in the delivery and development of university teaching, research, continuing professional development, as well as National and International conference speaking.
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.
About Mike James:
Mike James has a Masters Degree in Physiotherapy and Bachelors degrees in Sports Rehabilitation and Sports Science. He is a former military Physical Training Instructor who has spent over 20 years working with novice to elite endurance athletes. He has a long career as an endurance athlete completing over 100 marathons and ultra-marathons, 14 Ironman Triathlon and many other ultra-distance events. He is Director of The Endurance Physio, providing treatment to athletes and education for clinicians working with endurance athletes.
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.
About Talysha Reeve:
Talysha Reeve gained her B.App.Sc.(Podiatry) from UWS in 2007 and has a Graduate Certificate in Clinical Rehabilitation from Flinders Univeristy (2015) as well as a Cert IV in Fitness. Talysha has been practicing and working exclusively in sports & musculoskeletal for the last 10years. She owned her own biomechanical & musculoskeletal podiatry clinic in NSW for a little over 6 years however sold the practice last year to relocate to Adelaide to advance career & begin delivering podiatry CPD courses/workshops/lectures in the area of assessment & management of musculoskeletal conditions & movement-based therapies.
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.
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