The Podiatry Systems Podcast

In this episode, Alex talks about an insight into how the common approach to musculoskeletal medicine can lead to imposter syndrome and some tips on how to create a framework to combat it.The idea for this episode was from insights of Laura Rathbone, Advanced Neuromusculoskeletal Physiotherapist and Pain Coach. Follow her on instagram: @laura.paincoachIf you want to follow Alex, you can find him on Instagram and FacebookIG: @makingsenseinpodiatryFB: @makingsensepodYou can also find Alex's upcoming courses.Live workshopsOnline Courses/Webinars

Join Podiatrist and Strength and Condition Coaches, Alex Murray, Patrick Doan, Angus McDonald and Tayla Forland as they talk about how they've integrated and improved their clinical practice by using the principles and lessons of Strength and Conditioning.They touch on topics such as:🏋️‍♂️ What is Strength and Conditioning as a concept and as a profession🧑‍⚕️ What are the principles of S+C and how they upgrade your clinical rehabilitation💡 How does an S+C mindset and approach differ from traditional rehabilitation🦵 How our clinical practice benefited after receiving S+C training💸 Financial benefits of being a strength and conditioning coach in addition to a PodiatristA recording of our online panel discussion. Find the full video here:www.podiatrysystems.com.au/sandcdiscussion

In this episode Alex chats with Dr Oliver Thomson, an Osteopath, researcher, university lectuerer and another communication and education partner for CauseHealth. They discuss Oliver's current roles as a qualitative researcher, university lecturer and clinician and how CauseHealth philosophy has helped him and how he understands musculoskeletal pain. They highlight in order to understand the patient in front of you, having an understanding of qualitative as well as quantitate research is imperative. Want to hear more from Oliver. Follow him on:Instagram @droliver_tTwitter @Dr_OliverT_PhD He is the host of the podcast, The Words Matter Podcast. Follow it on:Instagram @thewordsmatterpodcastTwitter @WordsClinical You can also learn more on his websites:https://www.wordsmatter-education.com/https://www.droliverthomson.com/ 

In this week's review, Alex looks into the use of isometric exercises in the management of tendinopathy and specifically its use for acute pain management. He talks about the lack evidence for isometrics, how he uses them in clinical practice as well as general tendon loading paradigms overall. The full article can be found here:https://tinyurl.com/isotendonpainrelief

In this episode Alex chats with Dr Mark Kargela, a Physical Therapist and another communication and education partner for CauseHealth. They discuss how and why Mark has been influenced his clinical practice, explore how it allows him to treat patients as individuals and present some examples from his clinical practice, including the language he uses to navigate these encounters! Want to hear more from Mark. Follow him on:Twitter and Instagram @MKargelaDPT Check out his education website/platform:www.modernpaincare.com

In this week's research review, Alex looks at another OA related paper, this time specifically in the 1st MTPJ. He discusses how this study finds that occupational activity or heel use isn't associated with increased risk of radiographic arthritis in the 1st MTPJ, the importance difference between radiographic and symptomatic OA in research and what this means for how we think about OA. Full article:https://tinyurl.com/1stMTPJOAOCCUPATION

In this week's research review, Alex explores the relationship between cartilage loss and osteoarthritis related pain.The focus in the management and prevention of future deterioration of osteoarthritis pain has focused around the concept of chondral surface protection and in some cases regeneration. However, there has never been an established link showing a definitive relationship between loss of cartilage leading to increased pain.This is the question this study looks to answer and it's an interesting one! Article link:https://tinyurl.com/cartilageOApain

This week's research review is on how language can impact musculoskeletal rehabilitation. Alex goes through the article by Mike Stewart, pointing out how our words have meaning and the reasons why they can cause both positive and negative impact on our rehabilitation. The article is open access and can be found here:https://tinyurl.com/sticksandstonesmsk

It's very exciting to announce that we've launched our new communication course! Do you want to take your consults to the NEXT LEVEL!?Our communication course teaches you how to: 👍 Get more patient buy-in to treatment plans 🗣 Improve your ability to communicate clearly and influentially 📙 Take better patient histories ❄️ Be more relaxed and enjoy your consults better www.podiatrysystems.com.au/communication/

In this week's research review Alex looks as the IOC consensus statement by  Mountjoy et all on Relative Energy Deficiency in Sport (RED-S). This is an important paper for all practitioners involved in the care of female athlete's, especially those participating in weight or aesthetic related sports. Full text:https://tinyurl.com/mountjoyreds

In this week's research review Alex takes a look at the literature surrounding orthopaedic special tests and whether they're realiable for use in clinical practice. He also highlights the similarity between the of overuse of orthopaedic special tests for decision making and the same trend in radiology and laboratory tests. Article links:https://tinyurl.com/overusespecialtestshttps://tinyurl.com/specialtestaccuracyhttps://tinyurl.com/orthopaedicexaminationbook

In the first episode of this new series, Alex talks to prominent Sports/MSK Physiotherapists Adam Meakins (The Sports Physio) and Ben Cormack (Cor-Kinetic) from the Better Clinician Project about what is evidence based practice. They delve into the myths and misconceptions about evidence based practice and deliver some simple take home messages about how you can become a more evidence based practitioner.

This week Alex looks into whether medial or lateral forefoot and rearfoot posting influences the amount of strain on the plantar fascia with some interesting results! Full paper:https://tinyurl.com/PFstrainposting

Do you do the weightbearing lunge test as part of your musculoskeletal exam? Have a look at Alex's review of this new paper highlighting how the results from this test can change with different back foot position and the implications on how you perform this test! Full article:https://tinyurl.com/BFWBLT

This week we talk about footwear prescription with this paper by Chris Napier and Rich Willy on the current science guiding footwear prescription.Full paper here:https://tinyurl.com/footwearfallacies

This week Alex looks at an article discussing the link between chronic health and musculoskeletal conditions and whether we need to be considering integrated management. Full article:https://tinyurl.com/eicfm

This week Alex talks about an article which questions whether the focus of chronic plantar heel pain should just be the foot. Article link:https://tinyurl.com/chpmsc1

Alex finishes off his series of reviews on patellofemoral pain syndrome discussing the consensus statement for the use of exercise therapy and physical interventions in the management of the condition. Article link:https://tinyurl.com/PFPSConsensus

This research review synthesises for 4 studies trying to find out how we can choose which patients with patellofemoral pain would benefit from foot orthoses. It's not as easy as it would seem! Article links:https://tinyurl.com/PFPSOrthoses1https://tinyurl.com/PFPSOrthoses2https://tinyurl.com/PFPSOrthoses3https://tinyurl.com/PFPSOrthoses4 

Alex looks into an article to see whether foot strength and foot orthotics are a more effective treatment strategy than knee focused exercises. Spoiler, the article's title overstates the study's findings. Article link:https://tinyurl.com/orthoticsandstrengthPFP

Alex discusses a systematic review looking into the effectiveness of foot orthoses in the treatment of patellofemoral pain, exploring the lack evidence available and how we can make the best decisions despite this. Article link:https://tinyurl.com/OrthoticsPFPsysreview

This week's review is on heel lifts vs a calf raise exercise program for achilles tendinopathy!Full article:https://tinyurl.com/liftvsexerciseachilles2020 Original review date: May 4th, 2021

Check-out Alex's thoughts on the latest plantar heel pain best practice guideFull paper (Open Access):https://tinyurl.com/PHPBPG2021

In this episode Alex chats with Jack Chew, a Physiotherapist and another communication and education partner for CauseHealth.They discuss how and why Jack has been implementing CauseHealth ideas into his clinical practice. They also bust the myth that these ideas are only for 'complex' patients, spending most of their chat talking about injury contributors in high performance athletes, strength and conditioning and the problems associated with decision making for athletes in team sports. Want to hear more from Jack. Follow him on twitter @JackAChew, or check out his other projects!Physio Matters Podcast (https://physio-matters.com/)Therapy Live Online Conference (https://therapy-live.co.uk/)MSK Reform (https://mskreform.org.uk/)

In our third interview with CauseHealth, we discuss philosophical bias, i.e. how the way we think the world works influences how we read and understand research and results. This helps us explain why we can have quite fierce expert disagreement, results that don't always match a study's conclusion and important considerations for how we design and therefore interpret research.

Alex summarises our second interview with CauseHealth and discusses how what he's learnt has impacted his clinical practice.

In our second interview with CauseHealth, we discuss dispositionism, their approach to evidence based medicine and how it can help us solve a lot of the issues we face with evidence based medicine. We talk about how evidence that looks for one single cause of pain usually fails to see all the factors that are relevant, how we can use this understanding to better understand evidence, why we shouldn't just do RCTs and how we can be evidence-based when there's no evidence!

Alex summarises the key takeaways and his thoughts after doing our first interview.

Welcome to the first episode of our collaboration with CauseHealth, where we discuss the challenges with applying evidence based medicine. We go through all the issues such as why evidence doesn't often match what we see in clinical practice, why guidelines seem to fail our patients and set the scene for how we can solve these problems.