P3 - Progressive Podiatry Project

🚨 LIVE PLANTAR HEEL PAIN WORKSHOP 🚨

James Ferrie and I have been working on some huge CPD projects behind the scenes, and this October we're running our first one in Melbourne.

🌏 Melbourne, Victoria
📆 October 11th 2025
💡 More info: link in bio

Hybrid education designed to help you excel in musculoskeletal practice.

Our live session includes;
🔹Clinical Assessments
🔸 Functional Assessments
🔹Point-of-Care Ultrasound (POCUS)
🔸Shockwave (ESWT)
🔹Taping
🔸Footwear Recommendations & Orthoses Prescription
🔹Case Discussions & Treatment Planning

Footwear wear testing, sponsored by Brooks
Practical sessions sponsored by OPC Health

Online modules:
▪️Clinical History-Taking
▫️Risk Factors & Injury Drivers
▪️Biopsychosocial Lens
▫️Atypical Heel Pain Presentations
▪️Active vs Passive Therapies
▫️Dry Needling, Massage, Mobilisations etc..
▪️Shockwave
▫️Exercise Therapies
▪️Developing Your Management Plan

We look forward to seeing you there!

Early bird, save 15% EXPIRES IN

New CPD from &

This brilliant educational session is your August CPD in your GFM: Gait | Footwear | Movement monthly subscription.

Jackson covers;

▫️Common problems clinicians experience when rehabilitating injured clients.

▫️Applying strength & conditioning principles to your rehabilitation practice.

▫️Knowing your patient & knowing their sport.

▫️Getting from rehab more to performance mode.

A great session with tonnes of clinical insights.

I hope you're looking forward to the full performance online course as much as we are!

GFM, to find out more & sign-up - link in bio.

When you see a client who presents with a musculoskeletal pathology, how much of your plan focuses on restoring function as opposed to simply reducing pain?

In some instances, passive therapies can certainly play a role in opening the Therapeutic Window (shortest possible explanation to the TW = calm sh*t down, build sh*t up - G.Lehman).

When we hyper-focus on symptom management and don't have a plan to bridge the capacity gap we can be inadvertently setting a client up for a boom-bust cycle.

How?
If the injury developed as a result of the individual not having sufficient load-tolerating capacity and our management focuses on;
a) Reducing pain
b) Not engaging in meaningful movement relating to restoring & building their functional capacity for X activity.

Once the individual's symptoms have eased and they are given the green light to return to X activity, they may have already lost a degree of functional capacity, in addition to possibly not having enough to begin with.

Bridging the capacity gap is how we reduce the risk of an individual sliding down the slope to injury...

Grab your free rehab resource to help guide you through the exercise prescription process.

Download your Movement Prescription Blueprint from the LINK IN BIO

Sometimes WE are the barrier to successful rehab outcomes.

Want to learn more?

1-on-1 movement mentoring is available for you
or
Online course links in bio 

What would your top tips be?

Yesterday, a podiatry colleague posted a great question on Linkedin; "If you're a business owner in healthcare, what is one thing you wish you knew when you went into business ownership?"

🤔 My thoughts were;

"As soon as you open your business, run it like you're going to sell it.
That is, make sure you develop processes for everything and document it.

Even if you don't sell your business, you'll have to outsource tasks.

Anything you have to do more than once in running the business, document the process.

And do it all in the early days when you have time!

By the time you're needing to outsource it, you usually are already pushed for time and it's an added stress.

Make it as easy as possible to hand the task over to whoever you hire to do it (VA, admin, other clinicians you hire etc)"

Great topic Sarah, it really got me thinking of a lot of things. It was hard to choose the top 1.

2 Day Lower Limb Musculoskeletal Rehabilitation Workshop | 4th-5th May 2025

It was an honour to work with JATAC presenting this workshop to an amazing group of therapists.

Especially given that I'm in the process of continuing the great work has achieved with JATAC over the last 3 decades.

Added bonus was nerding out in the university research & performance centres 🤓

I look forward to seeing what the next few decades have in-store with this education collaboration 🇯🇵

Diagnostic domains considered important in the assessment for Achilles tendinopathy.
Based on Malliaras et al, 2025

💥 Four diagnostic domains were deemed ESSENTIAL and reached consensus
Pain location | 93%,
Pain during activity | 97%,
Tests that provoke pain | 87%,
Palpation to assess pain | 83%.

Original post: https://lnkd.in/gG_Unbfv

Dorsal Midfoot Interosseous Compression Syndrome (DMICS) – Kirby, 1997

Clinical Presentation
Pain Location:
Most commonly over the metatarsal-cuneiform, navicular-cuneiform, or metatarsal-cuboid joints.
Less frequently in talo-navicular or calcaneo-cuboid joints.

Pain Triggers
Often worsens with weightbearing, particularly just before heel-off or during propulsion in walking.

May be exacerbated by barefoot or flat shoes.
Can be relieved by wearing heels or heeled shoes.
(but I've seen the opposite occur too)

Trauma History: Usually absent, although symptoms mimic post-traumatic midfoot pain.

Physical Examination
Tenderness: Discrete tenderness along dorsal joint lines (not over tendons).
Swelling: Typically none plantarly; minimal dorsally in severe cases.

Key Finding:
No pain with dorsiflexion of forefoot on rearfoot.
Significant pain with plantarflexion of forefoot on rearfoot (i.e. positive Forefoot Plantarflexion Test).
This test is often considered the most sensitive indicator for DMICS.

Pathophysiology
Caused by chronic excessive interosseous compression forces (ICF) across dorsal midfoot joints, leading to:

Three contributing forces during late midstance:
1. Axial loading via tibia and ankle joint.
2 Achilles tension creating a rearfoot plantarflexion moment, promoting arch flattening.
3. Ground reaction force at forefoot causing a dorsiflexion moment.
These forces result in arch flattening, increasing dorsal joint compression.

Exacerbated by:
Increased body weight
Low-heeled shoes
Limited ankle dorsiflexion
Weak plantar ligaments and intrinsic/extrinsic foot muscles

Treatment

Inflammation Reduction:
Shoe modifications to offload the dorsal midfoot.
Ice, NSAIDs, corticosteroid injections.
Severe cases: Cam-walker boot for 3–6 weeks.

Mechanical Correction:
Stretching Achilles tendon.
Use of heel lifts or higher heeled shoes.
Most effective: Well-contoured, stiff prescription orthoses to support medial and lateral longitudinal arches.
Temporary padding or insoles can serve as a trial before custom orthoses.

👍 Like
📨 Share
🔒 Save