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    094 - Alex Murray Making Sense of Pain Management

    enJuly 30, 2020

    About this Episode

    Alex Murray is a Canberra based Podiatrist working in private practice and the founder of the website Making Sense in Podiatry. He's passionate about helping other clinicians make sense of evidence and clinical practice with a core philosophy of exploring the complexity of human beings, embracing the uncertainty of clinical practice, and avoiding overly reductionist thinking.

    He has experience with both national and international athletes and recently transitioned to focusing primarily on helping the general population, and local athletes manage their pain and achieve their goals.

    On this episode we discuss:

    • The paradigm shift and changing the ways we think about not only our failures but also our successes.
    • Reductionism & Complexity
    • Guided problem solving: why different problems can be managed successfully in many ways
    • Having more treatment options make us better.
    • Pain Management and managing athletes.
    • Patient beliefs and previous experiences will determine their behaviours. 
    • The long-term benefits of understanding and listening to your patient's goals and how to encourage them back into their activity 

    "Reassurance is a great pain killer."

    Final Tip

    Listen: You need to listen before you begin to educate your patient. If you listen, you'll know everything that you need to address. You'll know what the patient's goal is, and you can take that information and apply it to them.

    With listening, we'll know what they're looking for, expecting, and what makes them fearful. Only then can we can reassure our patients. 

    Reflective Listening: Reflect what they're saying, so they can either correct us or agree with us. There needs to be a sense of collaboration. 

    If you have any questions after listening to this episode, please send me an email at tf@tysonfranklin.com, or you can contact Alex Murray via his website Making Sense in Podiatry, or his Facebook Page

    You'll find a list of  Alex's Reference Articles at the bottom of this page. 

    Podiatry Business Coaching & Mentoring

    If you want to own and operate a Thriving Podiatry Business, there are four vital pieces to the business puzzle.  

    • Marketing - You need a well thought out marketing strategy, not just more tactics. 
    • Systems - You need systems that will support your marketing strategy and your team.
    • Team - You need to develop a team culture that makes your work-life balance easier, not harder. 
    • Diary - Your diary needs to be structured in a way that maximises patient numbers and increases daily profits. 

    You have two choices: There's the slow approach, where you learn by trial and error and do everything yourself, or you can fast-track your education and business success with one-on-one business coaching and mentoring, or group coaching

    If you want to know more, please email me at tf@tysonfranklin.com, and we can set up a Zoom Call and have a quick chat to see if I can be of assistance.  

    ALEX'S REFERENCES

    THE ESSENTIAL PAIN PAPER

    Moseley, G. L. (2007). Reconceptualising pain according to modern pain science. Physical Therapy Reviews, 12(3), 169-178. doi: 10.1179/108331907X223010

     

    Pain papers:

    Atlas, L. Y., & Wager, T. D. (2012). How expectations shape pain. Neuroscience Letters, 520(2), 140-148. doi: https://doi.org/10.1016/j.neulet.2012.03.039

     

    Hainline, B., Turner, J. A., Caneiro, J. P., Stewart, M., & Lorimer Moseley, G. (2017). Pain in elite athletes—neurophysiological, biomechanical and psychosocial considerations: a narrative review. Br J Sports Med, 51(17), 1259-1264. doi: 10.1136/bjsports-2017-097890

     

    Harvie, D. S., Broecker, M., Smith, R. T., Meulders, A., Madden, V. J., & Moseley, G. L. (2015). Bogus visual feedback alters onset of movement-evoked pain in people with neck pain. Psychol Sci, 26(4), 385-392. doi: 10.1177/0956797614563339

     

    Rio, E., Moseley, L., Purdam, C., Samiric, T., Kidgell, D., Pearce, A. J., . . . Cook, J. (2014). The pain of tendinopathy: physiological or pathophysiological? Sports Med, 44(1), 9-23. doi: 10.1007/s40279-013-0096-z

     

    Testa, M., & Rossettini, G. (2016). Enhance placebo, avoid nocebo: How contextual factors affect physiotherapy outcomes. Man Ther, 24, 65-74. doi: 10.1016/j.math.2016.04.006

     

    Understanding complexity/complex systems theory:

    Bittencourt, N. F. N., Meeuwisse, W. H., Mendonça, L. D., Nettel-Aguirre, A., Ocarino, J. M., & Fonseca, S. T. (2016). Complex systems approach for sports injuries: moving from risk factor identification to injury pattern recognition—narrative review and new concept. Br J Sports Med, 50(21), 1309-1314. doi: 10.1136/bjsports-2015-095850

     

    Stern, B. D., Hegedus, E. J., & Lai, Y. C. (2020). Injury prediction as a non-linear system. Phys Ther Sport, 41, 43-48. doi: 10.1016/j.ptsp.2019.10.010

     

    Biopsychosocial model of health

    Engel, G. L. (1977). The need for a new medical model: a challenge for biomedicine. Science, 196(4286), 129-136. doi: 10.1126/science.847460

    Engel, G. L. (1980). The clinical application of the biopsychosocial model. Am J Psychiatry, 137(5), 535-544. doi: 10.1176/ajp.137.5.535

     

     

    Muscloskeletal Pain/Injury:

    Caneiro, J. P., Roos, E. M., Barton, C. J., O'Sullivan, K., Kent, P., Lin, I., . . . O'Sullivan, P. (2020). It is time to move beyond ‘body region silos’ to manage musculoskeletal pain: five actions to change clinical practice. Br J Sports Med, 54(8), 438-439. doi: 10.1136/bjsports-2018-100488

     

    Lewis, J., & O’Sullivan, P. (2018). Is it time to reframe how we care for people with non-traumatic musculoskeletal pain? Br J Sports Med, 52(24), 1543-1544. doi: 10.1136/bjsports-2018-099198

    Lin, I., Wiles, L., Waller, R., Goucke, R., Nagree, Y., Gibberd, M., . . . O’Sullivan, P. P. B. (2020). What does best practice care for musculoskeletal pain look like? Eleven consistent recommendations from high-quality clinical practice guidelines: systematic review. Br J Sports Med, 54(2), 79-86. doi: 10.1136/bjsports-2018-099878

     

    Shared Decision Making:

    Hoffmann, T. C., Lewis, J., & Maher, C. G. (2020). Shared decision making should be an integral part of physiotherapy practice. Physiotherapy, 107, 43-49. doi: https://doi.org/10.1016/j.physio.2019.08.012

     

    Clinical Decision Making:

    Simpkin, A. L., & Schwartzstein, R. M. (2016). Tolerating Uncertainty - The Next Medical Revolution? N Engl J Med, 375(18), 1713-1715. doi: 10.1056/NEJMp1606402

     

    Walton, D. M. (2019). The critical skill of asking why? An endorsement of critical reflection in physiotherapy research and practice. Musculoskelet Sci Pract, 41, iv-v. doi: 10.1016/j.msksp.2019.04.005

     

    Zou, K., Wong, J., Abdullah, N., Chen, X., Smith, T., Doherty, M., & Zhang, W. (2016). Examination of overall treatment effect and the proportion attributable to contextual effect in osteoarthritis: meta-analysis of randomised controlled trials. Ann Rheum Dis, 75(11), 1964-1970. doi: 10.1136/annrheumdis-2015-208387

     

    Communication:

     

    Soklaridis, S., Hunter, J. J., & Ravitz, P. (2014). Twelve tips for asking and responding to difficult questions during a challenging clinical encounter. Med Teach, 36(9), 769-774. doi: 10.3109/0142159x.2014.916782

     

    Zolnierek, K. B. H., & Dimatteo, M. R. (2009). Physician communication and patient adherence to treatment: a meta-analysis. Medical care, 47(8), 826-834. doi: 10.1097/MLR.0b013e31819a5acc

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    You can visit my website, www.tysonfranklin.com, for more information or use my ONLINE CALENDAR to schedule a free thirty-minute Zoom meeting. 

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    He initially studied optometry but had to leave because of colour blindness and astigmatism, so he transferred and got a degree in Anatomy and Human Biology.

    After completing his first degree, he decided to study chiropractic. In his final year, he became disillusioned because he felt they did not address the lower limb, especially limb length discrepancies, and how this would affect long-term treatment outcomes for patients. Elan thought, surely you should start at the bottom and work your way up.

    He mentioned his concerns to a lecturer who said that's how you make your money. 

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    If you would like to reach out to Elan Silver, his email address is elan@silverpodiatry.com.au and if you have any questions about this episode, you can contact me at tyson@podiatrylegends.com

    DO YOU THINK DIFFERENTLY FROM THE AVERAGE PODIATRIST? 

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    My coaching clients do not have big egos; they are quiet achievers and like to fly under the radar, but they do want to evolve their podiatry businesses into something special, something they can be proud of and say, "This is mine".

    If this sounds like you, we should talk.

    You can visit my website, www.tysonfranklin.com, for more information or use my ONLINE CALENDAR to schedule a free thirty-minute Zoom meeting. 

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    Final Tip

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    Consider subscribing to Jason's weekly newsletter - One Thing Better.

    If you have any questions about this episode, you can contact me at tyson@podiatrylegends.com

    DO YOU THINK DIFFERENTLY FROM THE AVERAGE PODIATRIST? 

    If you do, I want to let you know you’re not alone, and most of my coaching clients feel the same way, which is why they chose to work with me over a larger cookie-cutter coaching company.

    My coaching clients do not have big egos; they are quiet achievers and like to fly under the radar, but they do want to evolve their podiatry businesses into something special, something they can be proud of and say, “This is mine”.

    If this sounds like you, we should talk.

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    After we talk, you will have more clarity on what is best for you and your business. 

    Podiatry Legends Podcast
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    311 - How I Chose My Employer (Part 2)

    311 - How I Chose My Employer (Part 2)

    PART 2 does not disappoint and is once again full of more TRUTH BOMBS for employers looking to employ new graduates. If you missed out on employing a new graduate this year, you need to listen to what they have to say. 

    Your job ads are letting you down. 

    In this and last week's episodes, I interview eight recent graduates (four per episode), all of whom have gained employment for 2024, and they openly share their thoughts about the podiatry employment landscape. 

    Part 2 Podiatry Guests:

    1. Emmanuel Clironomos
    2. Mitchell Phillips
    3. Josh Taylor
    4. Evelyn Liu 
    5. Written Anonymous Submission 

    I asked six simple questions:

    1. Where did you look for podiatry job opportunities?
    2. Was there anything in an ad that immediately put you off?
    3. How many interviews did you have?
    4. If you rejected certain offers, why, and what made you say YES to the position you're starting in 2024?
    5. What aspects of podiatry do you like most?
    6. Was money a deciding factor?

    I concluded each interview by asking them to offer some advice to employers wanting to employ a new graduate in the future. 

    If you have any questions about this episode, you can contact me at tyson@podiatrylegends.com

    Do You Think Differently from the Average Podiatrist?  

    If you do, I want to let you know you're not alone, and most of my coaching clients feel the same way, which is why they chose to work with me over a larger cookie-cutter coaching company. 

    My coaching clients do not have big egos; they are quiet achievers and like to fly under the radar, but they do want to evolve their podiatry businesses into something special, something they can be proud of and say, "This is mine". 

    If this sounds like you, we should talk. You can visit my website, www.tysonfranklin.com or follow the link below to my calendar, where you can easily schedule a free 30-minute Zoom call with me.

    I guarantee that after we talk, you will have far more clarity on what is best for you and your business.

    ONLINE CALENDAR LINK https://calendly.com/tysonfranklin/podmeeting30

    Podiatry Legends Podcast
    enJanuary 25, 2024

    310 - How I Chose My Employer (Part 1)

    310 - How I Chose My Employer (Part 1)

    This episode is full of TRUTH BOMBS? For the past few years, I have heard podiatrists in Australia complain about a shortage of podiatrists and trying to employ a new graduate is becoming ever more difficult because of higher-than-average salary expectations and other crazy demands. 

    Here's the truth - your job ads are letting you down. 

    In this and next week's episodes, I interview eight recent graduates (four per episode), all of whom have gained employment for 2024, and they openly share their thoughts about the podiatry employment landscape. 

    Part 1 Podiatry Guests:

    1. Tejus Menon
    2. Nigel Kelly
    3. Oli Jones
    4. Anonymous

    I asked six simple questions:

    1. Where did you look for podiatry job opportunities?
    2. Was there anything in an ad that immediately put you off?
    3. How many interviews did you have?
    4. If you rejected certain offers, why, and what made you say YES to the position you're starting in 2024?
    5. What aspects of podiatry do you like most?
    6. Was money a deciding factor?

    I concluded each interview by asking them to offer some advice to employers wanting to employ a new graduate in the future. 

    Make sure you don't miss next week's episode. 

    If you have any questions about this episode, you can contact me at tyson@podiatrylegends.com

    Do You Think Differently from the Average Podiatrist?  

    If you do, I want to let you know you're not alone, and most of my coaching clients feel the same way, which is why they chose to work with me over a larger cookie-cutter coaching company. 

    My coaching clients do not have big egos; they are quiet achievers and like to fly under the radar, but they do want to evolve their podiatry businesses into something special, something they can be proud of and say, "This is mine". 

    If this sounds like you, we should talk. You can visit my website, www.tysonfranklin.com or follow the link below to my calendar, where you can easily schedule a free 30-minute Zoom call with me.

    I guarantee that after we talk, you will have far more clarity on what is best for you and your business.

    ONLINE CALENDAR LINK https://calendly.com/tysonfranklin/podmeeting30

    Podiatry Legends Podcast
    enJanuary 19, 2024

    309 - Medical Mission Work in Honduras with Dr Jessica Knight DPM

    309 - Medical Mission Work in Honduras with Dr Jessica Knight DPM

    Podiatry Business Coaching - https://bit.ly/podiatrybusinesscoaching

    Dr Jessica Knight, DPM, is a foot and ankle surgeon at Northwest Community Medical Group, Chicago, where she specialises in limb lengthening, deformity correction, and limb salvage of the lower extremities.

    When she is not in private practice, she volunteers and does medical mission work in Honduras for the treatment of children with congenital birth abnormalities such as club foot, coalitions, and fibular hemimelia.

    This episode is a very inspiring story about balancing your career and family life, learning to say YES when an opportunity arises, and putting your ego aside for the greater good.

    If you have any questions about this episode, you can contact me at tyson@podiatrylegends.com

    Do You Think Differently from the Average Podiatrist?  

    If you do, I want to let you know you’re not alone, and most of my coaching clients feel the same way, which is why they chose to work with me over a larger cookie-cutter coaching company. 

    My coaching clients do not have big egos; they are quiet achievers and like to fly under the radar, but they do want to evolve their podiatry businesses into something special, something they can be proud of and say, "This is mine". 

    If this sounds like you, we should talk. You can visit my website, www.tysonfranklin.com or follow the link below to my calendar, where you can easily schedule a free 30-minute Zoom call with me.

    I guarantee that after we talk, you will have far more clarity on what is best for you and your business.

    ONLINE CALENDAR LINK https://calendly.com/tysonfranklin/podmeeting30

     

    Podiatry Legends Podcast
    enJanuary 12, 2024

    308 - Dr Jeffrey Jensen Dean of the Arizona College of Podiatric Medicine

    308 - Dr Jeffrey Jensen Dean of the Arizona College of Podiatric Medicine

    Dr Jeffrey Jensen is the Dean of the Arizona College of Podiatric Medicine. In this episode, we discuss his remarkable career, including his wound care research at Barry University, product development and how he came to have 14 United States Patents related to innovations addressing diabetic foot ulcer offloading, post-surgical care, fracture care and antimicrobials.

    He is also the host of the Deans Chat Podcast, where he discusses all things podiatric medicine. 

    On this episode, we also discuss:

    • Being a student at the California College of Podiatric Medicine. 
    • Podiatric Education
    • Podiatric Research
    • Product Development and protecting your intellectual property. 
    • THE 3% RULE - A rule every podiatrist needs to know if they want to get ahead in their career.  

    Podiatry Business Coaching Done Differently

    Do you think differently from the average podiatrist and sometimes feel like you don’t fit in? I did, and I want to let you know you’re not alone. And most of my coaching clients feel the same way, which is why we work so well together.

    If you want to evolve your podiatry business in 2024 and do not want to be a member of a cookie-cutter coaching company, let’s talk.

    You can visit my website, www.tysonfranklin.com, for more information or use my ONLINE CALENDAR to schedule a free thirty-minute Zoom meeting. 

    After we talk, you will have more clarity on what is best for you and your business. 

    "I was a frustrated business owner for five years until I started working with Tyson. He helped me transform my business in a matter of months, resulting in an instant increase in revenue and the ability to attract and retain top quality podiatrists. Over the past three and a half years, working with Tyson has changed my life drastically. I was able to take time off to start a family, triple my business revenue, and finally achieve work-life balance. I highly recommend Tyson to anyone who is looking for a business coach."

     - Jessica Haydock (Sole Focus Podiatry, Toowoomba)

    YouTube

    Have you checked out my YouTube Channel – TYSON E FRANKLIN

    Podiatry Legends Podcast
    enJanuary 04, 2024