The official podcast for Podiatry Systems, sharing research reviews and chatting to expert guests about clinical issues.
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Clinical Practice Insights - Creating a Framework For Seeing Patients - Managing Imposter Syndrome
11:21
11:21
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11:21
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.pain…
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Integrating Strength and Conditioning into Podiatry - A Panel Discussion
1:17:03
1:17:03
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1:17:03
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 p…
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CauseHealth Collaboration - A Chat with Osteopath Dr Oliver Thomson - Qualitative research and how we can use it to understand pain and the unique patient
1:15:36
1:15:36
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1:15:36
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 pai…
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Research Review - Isometric exercise for acute pain relief: is it relevant in tendinopathy management?
8:37
8:37
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8:37
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…
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CauseHealth Collaboration - A chat with Dr Mark Kargela - Looking beyond the textbook and treating the individual patient. Insights and examples
50:33
50:33
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50:33
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 use…
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Research Review - Lifetime occupation is not associated with radiographic osteoarthritis of the first metatarsophalangeal joint in a cohort study of UK women
9:21
9:21
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9:21
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 wha…
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Research Review - Does cartilage loss cause pain in osteoarthritis and if so, how much?
8:52
8:52
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8:52
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 lin…
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Research Review - Sticks and Stones: The Impact of Language on Musculoskeletal Rehabilitation
9:14
9:14
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9:14
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/sticksandsto…
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ANNOUNCEMENT! - Communication Course now open!
5:39
5:39
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5:39
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 y…
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Research Review - Relative Energy Deficiency in Sports (RED-S) - The IOC consensus statement
9:59
9:59
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9:59
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…
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Research Review - Orthopaedic Special Tests - A review of the literature by Chad Cook and Eric Hegedus
10:11
10:11
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10:11
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://tin…
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Clinicians Talk EBP - Adam Meakins + Ben Cormack - What is EBP?
1:00:41
1:00:41
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1:00:41
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 abo…
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Research Review - The influence of medial and lateral placement of orthotic wedges on loading of the plantar aponeurosis
10:17
10:17
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10:17
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/PFstrainpostingBy Podiatry Systems Pty Ltd
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Research Review - Back foot influence on dorsiflexion using three different positions of the weight bearing lunge test
8:54
8:54
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8:54
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…
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Research Review - Logical fallacies in the running shoe debate: let the evidence guide prescription
8:33
8:33
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8:33
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/footwearfallaciesBy Podiatry Systems Pty Ltd
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Research Review - Exploring integrated management for musculoskeletal and chronic health conditions
9:58
9:58
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9:58
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/eicfmBy Podiatry Systems Pty Ltd
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Research Review - Chronic Plantar Heel Pain is Principally Associated With Waist Girth (Systemic) and Pain (Central) Factors, Not Foot Factors: A Case-Control Study
9:58
9:58
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9:58
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/chpmsc1By Podiatry Systems Pty Ltd
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Research Review - 2018 Consensus statement on exercise therapy and physical interventions (orthoses, taping and manual therapy) to treat patellofemoral pain
14:07
14:07
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14:07
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/PFPSConsensusBy Podiatry Systems Pty Ltd
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Research Review - Patellofemoral Pain Syndrome: How to choose which patient may benefit from a foot orthoses
10:51
10:51
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10:51
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/PFPSOrthoses1 https://tinyurl.com/PFPSOrthoses2 https://tinyurl.com/PFPSOrthoses3 https://tinyurl.com/PFPSOrthoses4…
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Research Review - Foot Strengthening + Foot Orthotics vs Knee Exercises for Patellofemoral Pain
9:08
9:08
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9:08
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/orthoticsandstrengthPFPBy Podiatry Systems Pty Ltd
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Research Review - The Efficacy of foot orthoses in the treatment of individuals with patellofemoral pain syndrome - a systematic review
8:00
8:00
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8:00
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/OrthoticsPFPsysreviewBy Podiatry Systems Pty Ltd
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Research Review - Efficacy of heel lifts versus calf muscle eccentric exercise for mid-portion Achilles tendinopathy (HEALTHY): a randomised trial
13:42
13:42
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13:42
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, 2021By Podiatry Systems Pty Ltd
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Research Review - Management of plantar heel pain: a best practice guide informed by a systematic review, expert clinical reasoning and patient values
15:51
15:51
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15:51
Check-out Alex's thoughts on the latest plantar heel pain best practice guideFull paper (Open Access):https://tinyurl.com/PHPBPG2021By Podiatry Systems Pty Ltd
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CauseHealth Collaboration - Interview 4 - Putting it into practice, a chat with Physiotherapist Jack Chew
1:10:20
1:10:20
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1:10:20
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 con…
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CauseHealth Collaboration - Interview 3 - Philosophical Bias - Why 2 people can look at the same data and come to different conclusions with Dr Rani Lill Anjum and Dr Elena Rocca
1:07:40
1:07:40
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1:07:40
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 …
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CauseHealth Collaboration - Interview 2 - Summary by Alex Murray
22:15
22:15
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22:15
Alex summarises our second interview with CauseHealth and discusses how what he's learnt has impacted his clinical practice.By Podiatry Systems
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CauseHealth Collaboration - Interview 2 - What is dispositionism and why it is an effective way of approaching evidence in healthcare with Dr Anjum, Prof Kerry and Christine Price
1:11:53
1:11:53
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1:11:53
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 understan…
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CauseHealth Collaboration - Interview 1 - Summary by Alex Murray
18:55
18:55
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18:55
Alex summarises the key takeaways and his thoughts after doing our first interview.By Podiatry Systems
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CauseHealth Collaboration - Interview 1 - Challenges with applying evidence in healthcare with Dr Rani Lill Anjum, Prof Roger Kerry and Christine Price
1:09:12
1:09:12
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1:09:12
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.…
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