PodChatLive - The Podiatry Podcast

In this episode we talked about "the language of behaviour change" and asked our guests why this is important for all Podiatrists. Why don't some patients just do what we tell them (the so called 'difficult patient') and what approaches may be beneficial to take in such cases? Have a listen for a brief introduction to MI, and why (and how) it should be viewed as a patient centred collaborative approach rather than simply a tool to get people to do what you tell them to. Loads of great resources were mentions; see the comments below for links. Our guests were Dr Joanne Paton from Plymouth University, Jodi Binning from Glasgow Caledonian University, and Andrew Hill who is doing his PhD at The University of Bath.

In this episode we talked about "the language of behaviour change" and asked our guests why this is important for all Podiatrists. Why don't some patients just do what we tell them (the so called 'difficult patient') and what approaches may be beneficial to take in such cases? Have a listen for a brief introduction to MI, and why (and how) it should be viewed as a patient centred collaborative approach rather than simply a tool to get people to do what you tell them to. Loads of great resources were mentions; see the comments below for links. Our guests were Dr Joanne Paton from Plymouth University, Jodi Binning from Glasgow Caledonian University, and Andrew Hill who is doing his PhD at The University of Bath.

 In this episode we welcomed Dr Luke Kelly who has published extensively in the field of plantar intrinsic foot muscle function. Listen to him talk about the spring-like function of the human foot, and why it is false to assume a flatter foot is a "weaker" foot. He also explains why he is personally NOT a fan of the 'short foot exercise' (and the exercise he favours instead) and why strengthening the intrinsic muscles will never make the medial longitudinal arch 'higher'.  

In this episode we were delighted to welcome Dr Tim Gabbett who consults across numerous elite sporting domains worldwide and talk about load management. He talks about what load actually is, how people respond to it and how it can be progressed safely. A great analogy of 'beer tolerance' is discussed, along with what the acute to chronic workload ratio is and how it can be calculated. The biggest application of this for clinicians is clearly how it should influence their history taking of injured atheltes/patients (asking about previous weeks load along with psyhosocial factors that may influence load capacity), and how they can advise their patients monitor their own load in a free and easy way (by multiplying their weekly intensity by volume and frequency). We also touched on the limitations of the "10% rule" 

 This weeks guests, Sarah Carter and Catherine Crabb are both lecturers at UWA in Perth and joined us at 4am their time to talk about the foot in ballet. We touched on whether "hypermobility" is necessary to be a dancer (you may be surprised), the most common injuries seen (85% of ballet injuries are in the lower leg) and the differences between male and female dancers. We also discussed the ballet shoe and the crazy things dancers do to them, and the need for a 'pointe assessment' and what it may entail. 

In his episode we talked with Rod Whiteley about why it is important for ALL clinicians to read papers (and be confident doing so), and hopefully imparted some tips on how to read a paper along the way. We touched on p values (and why 0.05 is not the magic number), confidence intervals, reliability, number needed to treat (NNT) and the minimal clinically important difference (MCID). And if there was one key takeaway for everyone: learn about effect sizes.

In his episode we talked with Rod Whiteley about why it is important for ALL clinicians to read papers (and be confident doing so), and hopefully imparted some tips on how to read a paper along the way. We touched on p values (and why 0.05 is not the magic number), confidence intervals, reliability, number needed to treat (NNT) and the minimal clinically important difference (MCID). And if there was one key takeaway for everyone: learn about effect sizes.

In this episode Dr Chris Napier: Physiotherapist and Associate Professor at the University of British Columbia (and 2:33 marathoner) summarises his recent BJSM editorial on the logical fallacies in the running shoe debate, and we talk about how runners (both uninjured and injured) should choose shoes, what the evidence tells us (and doesn't yet tell us), how much focus and attention running shoes seem to get (and whether this is warranted), and is it just all about comfort?

In this, the final episode of 2018, we talked to researcher, lecturer and private practitioner Helen Banwell about the symptomtic Vs asymptomatic flatfoot in children (and discussed when to 'treat' Vs when not to), the possible importance of asking about family history, conservative Vs surgical management, dealing with worried and anxious parents and orthoses prescription habits for the younger patient.

In this episode with chatted with the physiotherapists, Simon Lack and Brad Neal and the Podiatrist, Alice Corbett about patellofemoral pain, proximal and distal influences and how to choose an intervention.