What can podiatrists do for cyclists?

PodChatLive is the regular monthly live chat for the continuing education of Podiatry practitioners as well as other health professionals that will be involved. The show is hosted by Craig Payne from Melbourne, Australia and Ian Griffiths from England, United Kingtom. The show goes out live on Facebook after which is later revised and transferred to YouTube so more people can access it. Each livestream features a different guest or selection of guests to talk about a different subject each month. Queries can be placed live throughout the Facebook stream and replied to live by the hosts and guests. The audio edition is released as a PodCast on iTunes and also Spotify and the other conventional podcast resources. They have attained a significant following among podiatrists and that is improving. PodChatLive can be considered one way by which podiatrists will get free qualified professional development hours or continuing medical education credits.

Episode eighteen of the show looked at bicycling and podiatry and associated topics. The guests were the physical therapist, Robert Brown and the podiatrist, Nathan White. Rob Brown was the past charge Physio for the Orica-GreenEdge professional cycling group and today specializes in cycling evaluation, injury and bike fit. Nathan White has worked closely with numerous elite cyclists all over Australasia and is the co-founder of the made to order orthoses business Cobra9 Cycling Orthotics. In the episode on cycling they discussed exactly what a bike fit includes and just how necessary the bike fit is to prevent injury and improve cycling efficiency. They also talked about the frequent foot problems cyclists present with and the clinical reasoning in regards to dealing with them. This was crucial because of the nature of the bicycling footwear as well as the bio-mechanics of bicycling which is so different to running and walking. They additionally had an deatailed conversation regarding the foot level interventions both inside the footwear (orthoses) and external to it (on the interface with the cleat and pedal).

How does osteoarthritis affect the foot?

Osteoarthritis is becoming an increasingly common problem in society today, especially as the population gets older. Any joint in the body can be affected. The impact of that osteoarthritis is more acutely felt on the weightbearing joint and none more so than the foot. We need the foot to move around on so if that is affected then the impacts on the quality of life can be significant. A recent episode of PodChatLive was devoted to the topic of osteoarthritis and the foot. PodChatLive is a live stream on Facebook with two hosts who have on a guest each week to discuss a range of topics. It is later available as a podcast and uploaded to YouTube.

In the episode on osteoarthritis, they talked with Jill Halstead about the definition of osteoarthritis and, more importantly, the use and type language used around the word. They talked about the prevalence of osteoarthritis affecting the foot and the relation that it has to load and what the the treatment options of its manifestation in the foot are. Dr Jill Halstead is a podiatrist in the United Kingdom and has worked in the field of foot osteoarthritis for over 10 years mostly at the University of Leeds with Professors Redmond, Keenan and other leading rheumatologists. She began her work in 2007 as part of her master’s thesis which looked at midfoot osteoarthritis and Charcot’s foot and published her first paper in this field in 2010. Since then she completed her PhD in 2013 which looked at midfoot pain and the role of foot orthoses in prodromal osteoarthritis. Jill was able to expand this model to radiographic midfoot osteoarthritis. Her main interest is in the clinical presentation of midfoot osteoarthritis, what are the functional biomarkers of foot osteoarthritis, what is the relationship between MRI outcomes and pain and the clinical interventions  for osteoarthritis with foot orthoses.