Manual therapy has become to some degree controversial in recent years. Manual therapy frequently covers the therapy methods of manipulation and mobilization. That debate is based about the not having enough high-quality research which actually demonstrates it works. That doesn't imply that this doesn't work, it just suggests that the standard of the research that backs up its usage is not very good. Another matter which is making it controversial is if it will work, then what makes it help. Historically it had been the sensational cracking noise like a joint is put back into position. All the evidence right now points too that isn't just how it helps and it in all likelihood works through some form of pain interference process giving the impression the pain is improved. None of this is entirely clear and much more scientific studies are ongoing in an attempt to resolve this issue. This presents a difficulty for clinicians who use these kinds of mobilization and manipulation approaches and want to make choices on how to assist their patients clinically yet still always be evidence based with their work.
A freshly released episode of the podiatry livestream, PodChatLive attempted to consider these sorts of challenges with regards to manual therapy for foot disorders. In this particular edition the hosts interviewed Dave Cashley whom presented his personal experience both from his several years of clinical practice and his own research on manual therapy. His research has been about its use for Morton's neuroma which is coming across as encouraging. Also, Dave voices his view on a lot of the criticisms which have been aimed at mobilization and manipulation. Dave is a podiatrist and a highly regarded international presenter and lecturer. He is a fellow with the Royal College of Physicians and Surgeons and has published several papers on podiatric manual therapy in the journals in recent times. During his career, Dave has dealt with professional sportsmen, elite sports athletes, world champions, worldwide dancing troups along with the British armed forces.
There's a weekly livestream called PodChatLive for the ongoing professional growth and education of Podiatry practitioners as well as other health professionals which may be keen on the foot and associated topics. The show is broadcast live on Facebook and then it's modified to enhance the product quality and then transferred to YouTube in order to reach a bigger audience. Each episode features a different guest or number of guests to go over a unique subject in each stream. Issues are answered as they are posted on Facebook by the hosts and guests during the stream on Facebook. There's also a PodCast version of each stream available on iTunes as well as Spotify and the other common podcast services that gets published following the initial livestream. They have created a large following that keeps getting more popular. PodChatLive can be regarded as one way in which podiatry practitioners could easily get free professional improvement hours or continuing education credits.
The plethora of subject areas is rather diverse. In the second episode while the reasoning behind the show was still being produced, the two hosts were asked a live question that they didn't feel experienced enough to answer, therefore for the following show they had on their first guest which was actually the start of the PodChatLive format. That first invitee was Chris Bishop from Adelaide in Australia who is a specialist for the 3D analysis of gait or the assessment of the way that people run or walk making use of sophisticated systems. The edition reviewed the key benefits of and drawbacks of these systems for use by podiatry practitioners and the expenses involved with establishing a facility to complete a high level 3D analysis of gait. The problem of how much the setup costs in relationship to the improvement in clinical outcomes was an important part of that discussion. Chris was certainly a valuable guest and helped the hosts to check the structure of getting a guest on remotely during a live episode.
PodChatLive is the monthly livestream hosted on Facebook for the ongoing education of Podiatry practitioners and others that will be curious about the topics that the show addresses. Whilst the stream is broadcast live at Facebook the recorded version is at a later time added to YouTube. Every episode features a different guest or number of guests to go over a unique theme every time. Questions are addressed live by the hosts and experts in the live episode on Facebook. There's even a audio version of each show offered on iTunes and Spotify and the other traditional podcast sites. They've already acquired an important following that keeps increasing. PodChatLive is seen as one of many means by which podiatrists could get free professional improvement points, hours or credits.
One of the most popular and contentious stream which they did has been the episode with the physiotherapist, Adam Meakins where they discussed precisely what manual therapy is and what effects they have plus more precisely what he believes which it doesn’t do, which is why he perceives it “sucks”. Additionally they discussed themes for example subluxed cuboids, pelvic balance, trigger points as well as palpation pareidolia. A few preceding livestream along with other experts were pro manual treatment and this ended up being absolutely an anti-manual therapy episode. Considered alongside one another these lives can give those a very good report about the advantages and disadvantages of the arguments for and against the usage of manual treatments in clinical practice. Plenty of this comes down to the caliber of the evidence and just how you prefers to spin that research to back up whatever you decide to or might not believe in. Adam Meakins is a physio in the UK where he works as an expanded Scope Practitioner both in the NHS as well as the private market situated in and around Hertfordshire, England. He runs the Sports Physio site along with a number of courses of instruction for physical therapists. He is known for a leading social media profile, commonly arguing manual treatment topics.