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.
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.
In this episode we were 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!
In this episode we took a deep dive into hallux valgus with two consultants; podiatric surgeon Mr Ian Reilly (Ian Reilly) and orthopaedic surgeon Mr David Gordon (The Bunion Doctor). 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.
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!)
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.
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
The second part of our chilblains double-header focused on these skin manifestations alongside the current global pandemic, specifically the chilblains (ie COVID toes), 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 of ‘COVID toes’.
In this episode we were joined by the Podiatrist, 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.
About Joseph Frenkel:
Joseph Frenkel is a podiatrist in Melbourne, Australia having completed both a Bachelor of Podiatry and a Master of Science with a specialty in Wound Healing and Tissue Repair. Joseph has also completed a Professional Diploma of General Dermatology. Joseph has over 15 years clinical experience in all areas of Podiatry and has worked extensively across private practices, aged care facilities and hospitals. His most recent role is Consultant Podiatrist at the Skin Health Institute where he works with a team of Dermatologists to manage complex nail problems. In addition to his clinical work, Joseph Frenklel holds academic positions at several Universities where he provides clinical supervision and part-time lecturing. He also has regular speaking engagements at seminars, workshops and conferences and mentors Podiatry graduates.
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. Audio Podcast of Episode 79:
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