In this episode we were joined by Dr Doug Richie, DPM from his home in California to talk about The Richie Brace. It was introduced in the USA in 1996 and now 25 years later is sold in 7 countries. Doug talks us through what led him to invent and the brace, some clinical tips for when to consider it over standard custom made foot orthoses, the main pathologies it can be useful for and how simple it is to fill out the prescription form! He also plugged his new book “Pathomechanics of Common Foot Disorders” (see links below).
In this episode we chatted with Toronto based practitioner, Peter Guy about his 33 years experience to talk us through his matrix of common modifications for conditions such as peroneal tendinopathy, plantar fasciopathy, plantar plate/capsular issues and neuroma. He also gives us some of his tips for dealing with comfort/tolerance issues and orthoses for high heels.
This weeks guest was Simon Spooner. In this episode, we tried to highlight some of the limitations of foot orthoses research, and the way clinicians should be viewing all conclusions made in the context of said limitations. We talk about what “perfect” orthoses research may look like, the things we may want to ‘measure’ and the apparent discourse between the lab and the clinic. We discuss what ‘dosing’ is, and how it may help us answer questions which are currently unanswered. Simon’s connection for the first 10 minutes of so was a bit unstable but hang in there as it does sort itself out eventually!
About Simon Spooner:
Dr Simon Spooner qualified as a State Registered Chiropodist (Podiatrist) in 1991 from the University of Brighton. Simon went on to complete his PhD in Podiatry from the University of Leicester in 1997, which focussed on the causes and treatment of inherited foot problems. He has previously taught podiatry to students at University College, Northampton and Matthew Bolton College, Birmingham, and Plymouth. In 2002 Simon Spooner became the Head of the School of Podiatry at the University of Plymouth, where he developed the new degree curriculum. He is now the Director of Podiatry at Peninsula Podiatry where his specialties include sports medicine, foot orthotics, and paediatric and adult foot and gait abnormalities.
In this episode, we talked plantar pressures and pressure mapping with Bruce Williams
Dr Bruce Williams DPM is from Indiana, USA. Bruce is a Fellow of the American Academy of Podiatric Sports Medicine and owner of Breakthrough Podiatry in NorthWest Indiana. He utilises both in-shoe and pressure mat equipment within his clinic, has been doing so for almost two decades and published on this topic in peer reviewed academic journals. We discuss the centre of pressure (CoP), how pressure data influences Bruce’s clinical decision making, the pros and cons of in-shoe Vs mat technology and try to offer some guidance to those who may be considering adding this type of service to their practice.
In this episode we talked cycling with Nathan White and Robert Brown.
Rob Brown was former head Physio for the Orica-GreenEdge pro cycling team and now specialises in cycling analysis, injury and bike fit and Nathan White has worked closely with elite cyclists throughout Australasia and is co-founder of the custom made orthoses company Cobra9 Cycling Orthotics. In this episode we talked about what a bike fit consists of, the common foot problems cyclists present with (and the clinical reasoning behind managing them) and foot level interventions both within the shoe (orthoses) and external to it (at the interface with the cleat/pedal).
In this episode we talked with Artur Maliszewski (Footwork Podiatric Laboratory) and Martin McGeough (Firefly Orthoses) about life at the orthoses labs. We touched how they personally made the journey from graduating Podiatrists to lab owners, their labs involvement in research, the preferences of their customers with regards to negative impression capture (plaster of paris Vs laser scanning) and the infamous “lab discretion” box on orthoses prescriptions.
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.
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