Tag Archives: podiatry

Understanding the pain sciences

PodChatLive is the regular livestream for the regular professional growth and development of Podiatry practitioners as well as other people who could be interested in all the different topics which each episode covers. It is hosted by Craig Payne from Melbourne, Australia and Ian Griffiths from England, United Kingdom. The show is broadcast live on Facebook and after that is later transferred to YouTube. Each live show has a different person or selection of guests to debate a unique area of interest every time. Questions have been answered live by the hosts and guests during the livestream on Facebook. There is also a PodCast recording of every episode found on iTunes and Spotify and the various other common podcast options. They’ve gained a considerable following which happens to be growing. The livestream could be considered one of the methods in which podiatrists could easily get free professional development hours.

In episode 8, they discussed the advancements in the pain sciences and the complexity of pain with the physical therapist and pain educator, Mike Stewart. The idea became apparent that it is vital for all of us to understand pain better than we have in the past and physicians ought to get the skills to efficiently convey this to their clients. The conversation determined that pain is a individual experience. It is an output of the mind in response to actual or perceived threat which has the goal of safeguarding us and getting us to switch our behaviour. Pain is contextual and it is influenced by a number of factors. Mike Stewart is a physical therapist that works as a Spinal Clinical Specialist for East Kent Hospitals University Foundation NHS Trust in the United Kingdom. He works full-time as a clinician with over 15 years of experience managing complex, chronic pain problems. Additionally, he is a committed practice-based instructor devoted to providing evidence-based education and learning to a wide array of health care professionals, such as podiatry practitioners. Mike is presently carrying out an MSc in Clinical Education at the University of Brighton in the United Kingdom. He runs the Know Pain courses all over the world.

Why are plantar pressures so important?

Plantar pressure measurement is a technique that is becoming more and more employed in clinical assessments. It can be helpful to assess for things like just how much stress there exists underneath the foot, which may be important to determine in those with diabetes mellitus that are vulnerable to a foot wound. Plantar pressures can also be used to help determine how people walk and how pressure shifts throughout the gait cycle. This can be useful information to assist podiatrists prescribe and design foot orthotics. This is such an fundamental subject that an episode of the live, PodChatLive ended up being focused on this. PodChatlive is a Facebook live which has 2 hosts along with a different invitee on every show where they explore issues of significance to podiatry as well as related issues. It's also submitted to YouTube and as an audio podcast.

In that episode, they spoke plantar pressures and pressure mapping together with Dr Bruce Williams DPM from Indiana, USA. He is a Fellow and previous President of the American Academy of Podiatric Sports Medicine and who owns Breakthrough Podiatry in NorthWest Indiana and has substantial experience on plantar pressure measurements, pressure mapping as well as their interpretation and clinical application. Bruce makes use of both the in-shoe method and pressure mat devices in his center and has been doing so for nearly two decades now. He is well published on this subject in peer reviewed academic journals, so is in a position to talk about this theme. In the episode of PodChatLive they discussed what the centre of pressure is and the way it can be used clinically to understand what is happening. They also talked about just how pressure data affects his clinical decision making, particularly foot orthotic prescribing. They discussed the advantages and disadvantages of in-shoe as opposed to the mat technologies and then try to offer some guidance to those who might be thinking about introducing this type of service to their practice.