Articles and clinical information from Clinician Portal

Look out for my new series on ‘my foot journey’ available from Amazon

Articles and Clinical Information. During development of my new website many articles have been removed but may still be available if readers wish to contact Rob at

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Latest publications from  Busypencil Communications Ltd



Amazon kindle publication. Morton’s Neuroma e-book (£2.62 picture of lady on front) and now printed version released February 2018 (£15.77) in colour (picture of foot


Free leaflets for podiatry practices for Morton’s Neuroma


Send you address, name and e-mail me to

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Reflective Podiatric Practice

This is a new publication from Busypencilcase Communications Ltd. The newsfeed articles are based on past and current practice introducing stories from the past about professional development. The articles below are available for purchase as PDF £2.50 and printed £4.00 to those not signed up.

To sign-up mail ‘sign me up’ to You must be registered with the HCPC.

Progress through the Art of Communication:Image and branding March 2018

A story called ‘In the Shadow of Hippocrates’: A look back in history April 2018

Learning from History: Podiatric surgery development from its conception May 2018

In the Shadow of Hippocrates:The dawning of the PGD.June 2018


Facing the Facts, Shaping the Future – a draft health and care workforce strategy for England to 2027



The effect of sedation with Midazolam on daycare foot surgery

Sedation has a profound effect on the quality of podiatric foot surgery and foot pain treatment. This work has taken four years to bring to the public although represents some 15 years of experience by leading podiatric surgeon David Tollafield. We all know blood pressure can be improved when we are anxious but this is the first podiatric study covering use of Midazolam with senior anaesthetist Dr Nike Akinwale. Articulo is a Spanish Podiatric Journal (English version).

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Complex Regional Pain Syndrome and foot surgery

This is a condition which is under reported and often misdiagnosed. Burning foot pain was once described by a sufferer as think of pain experienced when putting your hand in a bucket of scalding water without the ability to take it out. Such descriptions must bring home to clinicians and patient alike the potential for this condition to alter one’s way of life. The condition however is not always as severe but early diagnosis is critical. We aim for a diagnosis within three months if not faster but other conditions can mimick the potential symptoms and signs. This makes CRPS a tough condition to judge.


CLINICAL EVIDENCE:Basal wedge osteotomy v Lapidus fusion for hallux valgus

David Tollafield reviews his base wedge osteotomy for severe bunion pain as part of his reflective practice awareness using PASCOM-10 data