The Role of Podiatry in Cycling

PodChatLive is the periodic live chat for the continuing education of Podiatry practitioners as well as other people that whom might be included. PodChatLive is hosted by Craig Payne from Melbourne, Australia and Ian Griffiths from England, United Kingtom. The stream goes out live on Facebook after which is later modified and uploaded to YouTube so more people have access to the episode. Each livestream consists of a different guest or number of guests to talk about a unique subject each episode. Queries can be posted live during the Facebook stream and replied to live by the Ian and Craig and guests. The audio version is published as a PodCast on iTunes and also Spotify and the other usual podcast platforms. They've gained a considerable following among podiatry practitioners that's escalating. PodChatLive can be viewed as a great way by which podiatrists could get free qualified professional development time or continuing medical learning credits.

Episode eighteen of the series looked at bicycling and podiatry and associated issues. The guests were the physical therapist, Robert Brown and the podiatrist, Nathan White. Rob Brown was the past charge physical therapist for the Orica-GreenEdge professional cycling group and now specializes in bicycling analysis, injury and cycle fit. Nathan White has worked closely with many elite cyclists throughout Australasia and is the co-founder of the tailor made orthoses company Cobra9 Cycling Orthotics. In the PodChatLive on bicycling they described what a bike fit includes and how necessary the bike fit will be to prevent injury and improve bicycling efficiency. In addition they described the common foot problems bicyclists present with and also the clinical thinking pertaining to managing them. That was crucial due to the dynamics of the bicycling footwear and the biomechanics of bicycling which is very distinct to running and walking. They also had an deatailed dialogue about the foot level treatments both inside the shoe (orthoses) and external to it (on the interface with the cleat and pedal).

What is PodChatLive?

PodChatLive is a regular live show for continuing education for Podiatrists. The show is broadcast live on Facebook after which is later added to YouTube. Each episode has a different invitee or group of guests to go over a unique subject each episode. Queries are replied to live by the hosts and guests through the show on Facebook. Additionally there is a PodCast audio version of every show available on iTunes and Spotify and the other common podcast sources. They have developed a great following that keeps growing. PodChatLive can be regarded as one of many ways in which podiatrists might get free continuing education points.


In the very first event that started everything, it was 100 % improvised and a spur of the moment thing to do. One of the hosts, Craig Payne from Melbournein Australia found himself in England, UK for 2 days whilst on the way home from conferences in Spain and Portugal with not much to do. While there he dropped in at Ian Griffith’s home and whilst chatting after a meal they discovered neither of them had actually streamed a Facebook Live so decided to try it and see what happens. They did a livestream chat from Ian’s home. Inspite of the quite “amateur” and absolutely “unrehearsed” character of the live stream, it was met with amazingly favourable comments and so they got some deep thinking requests through the livestream. So that they started pondering if there is some mileage in doing a thing like this on a regular basis. And so a regular show came to be to eventually be known as, PodChatLive. In this PodChatLive, Craig speaks about and reveals which has been the research paper that altered his thinking probably the most, plus they chat about junk science, pseudoscience, research translation. Some other issues come up were issues on what is wrong with cuboid syndrome – we know it whenever we see it, but its difficult to define. Additionally, they talked about Craig’s preferred international airport to have breakfast in.

How to use ultrasound to diagnose foot problems?

On the list of essential principles that most doctors want to do will be have the diagnosis of their patient's condition correct. Before they get that appropriate, then decisions regarding the best therapy shouldn't be made and guidance offered for the best course of action advised. Historically any diagnosis was based on the physical assessment plus a overview of the background of the problem and minimal imaging such as an x-ray. In case a diagnosis cannot be determined coming from that information, this became an issue of following the individual to check out the way the symptoms progress and therefore the diagnosis may become more clear. Nowadays in addition to the basic and easy x-ray we now have a great deal more state-of-the-art imaging methods which include ultrasound which is making the diagnosis method so much easier. An show of the podiatry livestream, PodChatLive was dedicated to the issue of diagnostic ultrasound to help examine problems in the foot.

In that episode of PodChatLive the hosts had on Stuart Wildman to speak about his experiences with the use of diagnostic ultrasound. Stuart is a Physio, musculoskeletal Sonographer and Director of The Ultrasound Site Ltd based in the UK. They spoke of some of the politics and also training concerning ultrasound usage, just what the benefits and restrictions of ultrasound are, and the tissues and disorders which might be seen around the foot and ankle with ultrasound. He is the Owner and Director of The Ultrasound Site Ltd that he created in 2013. Stuart splits his time between Radiology and Physical Therapy where he does both diagnostic and guided interventions in both settings. He qualified from the University of Southampton in the United Kingdom in 2003 with a BSc in Physiotherapy, and went on to achieve an MSc in Advanced Neuromusculoskeletal Physiotherapy at The University of Hertfordshire and a PostGrad Cert in MSK Sonography at Canterbury and the Christ Church University.

Shockwave therapy for Podiatrists

Shock wave therapy is a treatment product that was initially introduced into clinical practice in 1980 as a remedy for breaking down renal system stones. Ever since then it has today typically been used as a technique for soft tissue conditions and to induce the development of bone. Shock waves are generally higher strength sound waves produced under water using a high current blast. In musculoskeletal disorders you can use them to produce fresh blood vessel development and also to promote the making of growth factors just like eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) together with PCNA (proliferating cell antinuclear antigen). Consequently this leads to the improvement of the supply of blood and also to an increase in cell growth which will help healing. A newly released edition of the podiatry live, PodChatLive was spent talking about shock wave treatment for podiatrists.

In that particular episode of PodChatLive they chatted with Consultant Physio, academic and investigator Dylan Morrissey about how good the evidence foundation for shockwave therapy is and just how robust the methods which is generally applied within this kind of study. He in addition discussed just what foot as well as ankle disorders shockwave is usually used for and frequently used for and whether there are any crucial contraindications or pitfalls connected with shock wave's use. Dr Dylan Morrissey is a physio with over 25 years’ experience of employed in sports and exercise medicine. He accomplished his MSc at University College London in the UK in 1998 and then a PhD in 2005 at King’s College London, United Kingdom. Dylan is these days an NIHR/HEE consultant physical therapist and clinical reader in sports medicine and musculoskeletal physiotherapy at Bart’s and the London National Health Service trust / BL School of Medicine and Dentistry, QMUL. Dylan has obtained more than £5m in research funding and has published in excess of sixty peer-reviewed full papers. Dylan's primary research pursuits are shockwave and tendon issues, science interpretation as well as the link between movements and pathology.