Subscribe to our mailing list

* indicates required
Tales of educational development

Tales of educational development

My first introduction to steroid injection therapy was all the way back in 1997 on a visit to see Dr Tim Kilmartin.  I had qualified as a podiatric surgeon the year before and was in the process of setting up a unit in Cumbria, but to keep my eye in I organised a few visits to other teams while I was away from surgical practice.  One such visit was to Doncaster, where Tim had set up the service now run by his former trainee, Tony Wilkinson.  The day consisted of a busy outpatient clinic in the morning and a busy theatre list in the afternoon.  Tim did several corticosteroid injections (CSIs) in clinic, the first time I had seen a colleague perform these.  Tim was working under what we would refer to now as a Patient Specific Direction (PSD).

read more
Be a black box thinker

Be a black box thinker

The Black Box Thinker concept comes from incident data within aviation. Aircraft have a so-called Black Box, which happens to be orange, and even when disasters are fatal, events are recorded until the aircraft ceases to be a conveyance for travelling. Learning from the data stored in this so-called black box continues to be valuable after the event. However, the real value of the data can only come from sharing information openly without attributing blame. Beyond aviation, Syed points out, it is not about creating a literal black box but a willingness to investigate the lessons and exploit their value.

read more
Plantar Fasciitis and Surgery

Plantar Fasciitis and Surgery

John was a 47 year old patient who agreed to keep a diary after I operated on his chronic plantar fasciitis. Many reading this will shake their heads negatively – of course this is not necessary as we can treat PF conservatively. The story arises in 2017 and much conservative discussion was carried out.

read more
Engineering versus Biomechanics

Engineering versus Biomechanics

What makes Bioengineering, also known as Biomedical engineering, different from Podiatric Biomechanics is an insistence by Bioengineering on scientific engineering principles in research and practice. These are the same principles used to ensure that bridges stay up, ships float, or artificial hip joints work.

Podiatric Biomechanics on the other hand is far less rigorous in scientific methodology. This was most clearly demonstrated in the 1970’s by the profession when it enthusiastically, and almost

read more
Are chemicals enough for hypergranulation?

Are chemicals enough for hypergranulation?

As usual, Facebook (I won’t say which site) offers plenty of valuable discussion from members all around. The subject was hypergranulation and its management. Podiatric Surgeon Ian Reilly saw the trail of questions and answers and perhaps wondered why many respondents were unaware of Reilly and Burt’s 2021 article published in The Podiatrist.

read more
Professional Clinical Resources

Professional Clinical Resources

Professional clinical resources in this day of fast communication and publication is vital for the demands imposed on podiatrists. A number of colleagues in podiatry have authored professional materials referred to as ‘pull outs’ for the former journal-magazine of the Royal College of Podiatry. This article and clinical resources follows the backdrop of independent prescribing. CPD pull outs are used by the Institute of Chiropodists and Podiatrists offering key updates and so this medium is popular.

read more
Challenging NHS Evidence

Challenging NHS Evidence

The NHS collects massive amounts of data each year and of course, we know that sharing patient data is very topical presently when it comes to private companies. Hospital statistics are collected as episodes and usually are collected against codes; codes for procedures and codes for the providers of that service. One might expect data to be accurate and agree if collected independently. Mr Antony (Tony) Maher found a marked discrepancy in data capture between his podiatry database (College of Podiatry database for surgery (PASCOM-10 often abbreviated to P-10)  and that of the official collection agency, NHS Digital.

read more