In this episode we were joined by JFAR editor in chief Professor Keith Rome to be taken on a deep dive of Gout. What is gout, and what important comorbidities should be considered? What is Pseudo-gout? How might it clinically present in acute and chronic contexts? Are blood tests helpful? What theories explain its prevalence in the 1st MTPJ, and should we consider it as a differential of midfoot pain more than we do? Along with a discussion on its management this is an hours revision we’d recommend to clinicians of all levels of experience.
To celebrate hitting 50 episodes we had a selection of numerous previous guests on to catch up and chat with. We also invited two of our most popular audience members, “Tobes” and “JW” to guest host with us and ask questions, and they were great. A longer and (much) less serious episode than usual, which was immense fun and a bit of a shambles. Enjoy.
In this episode with chatted with Prof Debbie Turner who gave us a taste of the role of a Podiatrist within a specialist Rheumatology service, the pathologies commonly seen and her approach to the assessment and management of these patients. She also gave some great tips for clinicians who don’t work within Rheumatology, but may well be missing conditions due to their ability to masquerade as musculoskeletal issues.
About Debbie Turner:
Professor Debbie Turner, PhD is the Director of Academic Program for Podiatric Medicine at the Western Sydney University. Since graduating in 1996 she has always worked clinically and developed a specialist scope of practice in the areas of gait analysis and imaging. Debbie gained an Arthritis Research UK academic fellowship in 2007 and undertook training in musculoskeletal ultrasound and injection therapy to support research activities. The application of an integrated imaging and biomechanical approach to understanding chronic diseases including diabetes and inflammatory joint has been the focus of research activity. She has published extensively in the field of rheumatology, helped to build capacity in podiatry research through PhD supervision and I am currently working on a number of research studies where ultrasound is a fundamental component of the work.
In this episode we talked with Jill Halstead about the definition of (and terminology and language used around) osteoarthritis, along with its prevalance, relation to load and the treatment options of its manifestation in the human foot.
About Jill Halstead:
Dr Jill Halstead is a podiatrist and has worked in the field of foot osteoarthritis (OA) for over 10 years at the University of Leeds with Professor Redmond, Keenan and leading rheumatologists. She began her work in 2007 as part of her master’s dissertation looking at midfoot OA and Charcot and published her first paper in this field in 2010.
Since completing her PhD in 2013 examining midfoot pain and the role of foot orthoses in prodromal OA, Jill has expanded this model to radiographic midfoot OA. Jill is interested in the clinical presentation of midfoot OA, functional biomarkers of foot OA, the relationship between MRI outcomes and pain and clinical interventions with foot orthoses and injection therapy.
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