The controversy of treating the achilles tendon

PodChatLive is the regular live chat for the continuing education of Podiatrists and other health professional interested in the foot and lower limb. It is broadcast live on Facebook after which a recorded version is later uploaded to YouTube. It is hosted by Craig Payne from Melbourne, Australia and Ian Griffiths from England, United Kingdom. Every live episode features a different person or group of guests to go over a different but related topic each time. Questions are typically responded to live by the hosts and guests throughout the live episode on Facebook. There is and audio version as a PodCast version of every single show available on iTunes as well as Spotify and the other usual podcast portals. They’ve developed a huge following which keeps increasing. PodChatLive can be considered one of the ways by which podiatrists can usually get free professional development credits, point or hours that is often needed to keep their clinical practice registration.

In one of the more popular episodes they chatted with the physiotherapist, Seth ONeil about Achilles tendinopathy. It was popular as Achilles tendinopathy is so common but is often poorly treated and there are several aspects of it treatment that are controversial and poorly understood. The purpose of the episode was to address those issues. In the episode they talked about whether this is an inflammatory condition or a degenerative condition or even if it could be both. They talked about how Seth assesses posterior ankle pain in clinic, which is not always due to Achilles tendinopathy. Seth also gave his thoughts on imaging appropriateness and timing and also why isometrics may not be the silver bullet for pain relief that so many promote it as being. Seth also hypothesed on how advice and education should probably out rank injection and shockwave therapy as being more effective.

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