In this episode, we talk about gait retraining in runners with James Dunne. James is a very well respected running coach and the owner of the Kinetic Revolution website and joined us to talk about why and when we might change someone’s running technique, and how we may go about doing it. It shouldn’t surprise anyone that an individual approach is key, and there are no blanket approaches. He also talks about the bidirectional relationship between running coach and Podiatrists.
About James Dunne:
James is a runner, sports rehabilitation therapist and coach from Norwich in the UK. He has a degree in sports rehabilitation. His aim is to help as many runners as possible run stronger, run injury free, and discover what they are truly capable of. James Dunne started Kinetic Revolution back in 2010 as a means of sharing what he learnt on his journey as an ex-pro rugby player working in the sports injury world, and becoming a marathon runner.
In this episode, we talk about the difference between mobilisations and manipulations, the possible mechanisms of effect of joint manipulations (bone/joint repositioning Vs neurophysiological response), the importance of the language used in front of our patients in the context of mobilisations and a bit more.
About Ted Jedynak:
Ted Jedynak has specialised exclusively in Manual Therapies for the lower limb since 1996. Ted and his wife created 3 Manual Therapies (MT) specialist clinics (2002 – 2012). Ted retired from clinical practice in 2012. He has been a mentor and trainer of health practitioners globally in Manual Therapies since 1996, and due to high demand, is now focusing on delivering online training via www.footmobilisation.com. Ted was a visiting Fellow and Clinical Consultant at Queensland University of Technology MSK Clinic (2012-13) plus Developer and Facilitator of the Manual Therapies Special Interest Group (Aust. Podiatry Association SA 2014-15).
About Ian Linane:
Ian Linane is a private practice podiatrist of over 20 years experience working in both his own and in multidisciplinary clinics. He is also the founder of Infigo Healthcare Education that runs a number of manual therapy courses. One of Ian’s goals with Infigo has been the provision of high quality, varied, hands-on rehabilitation training opportunities for podiatrists. To enable this Ian wrote three core manuals in manual therapy for podiatrists, gaining his professional body’s approval for them to be granted extended scope practice courses.
In this episode we speak to Consultant Podiatric Surgeon Ian Reilly about Injection Therapy. Ian discusses the evidence base for injection therapy not being perhaps what it could be, and the discourse between this and clinical outcomes. He also is refreshingly honest about how he uses it in his clinical practice in the context of a multi-modal approach to pathology. He tells us the top 3 conditions he injects, and the most common complications he encounters. Most importantly we spoke to Ian for 45 minutes and managed to refrain him to just one or two bad jokes, which for anyone who knows him well will agree is some feat.
About Ian Reilly:
Ian qualified as a Podiatric Surgeon in 1996 and has performed over 11,000 surgical procedures and approximately 6000 foot and ankle injections. He is a Fellow of the College of Podiatry (Surgery) and is on the Directorate of Podiatric Surgery Board of Examiners. He is an international adviser to IFAF, and co-authored the book Foot and Ankle Injection Techniques: A Practical Guide. He has surgical privileges at several hospitals within Northamptonshire and works both privately and within the NHS. His website can be found here.
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.
For more about who Craig Payne and Ian Griffiths are, please see the about page. For the episode from Ian’s kitchen that started this all, see this.
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