Get ready for an insightful discussion on the Pod of Inquiry! Our next episode features James Ferrie, a musculoskeletal podiatrist who specializes in complex heel pain conditions.

We will be diving deep into:

  • Common causes of chronic heel pain beyond plantar fasciitis
  • Innovative treatments for stubborn heel issues
  • When conservative care isn’t enough – exploring surgical options
  • His comprehensive approach to resolving heel pain

Whether you’re a clinician seeking deeper understanding or a patient struggling with heel issues, this episode offers invaluable expertise.

Essentials of Diagnostic Ultrasound

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Show Notes from this episode

James Ferrie is a Sports and Musculoskeletal Podiatrist from Australia. He is dedicated to finding the root cause of pain and providing practical solutions to help his patients live pain-free.

James has completed post-graduate training in ultrasound and fluoroscopy-guided foot and ankle procedures with the Interventional Orthobiologics Foundation (USA). He is also certified in lower extremity musculoskeletal diagnostic ultrasound.

James regularly lectures on Diagnostic Ultrasound & Extracorporeal Shockwave Therapy (ESWT). He is a specialist instructor of the Swiss DolorClast® Shockwave therapy and clinical instructor of diagnostic ultrasound for Zedu, where he has developed clinical courses. He is also an international Point-of-Care Ultrasound Certification Academy™ (POCUS) ambassador and has been a consultant within the custom orthotic and 3D printing sectors. 

James Ferrie
Musculoskeletal Podiatrist
B. Pod. (La Trobe), PG Cert Adv Pharm; Mem. A. Pod. A

Dr. Barrett 1:09

My guest today is James Ferrie, a musculoskeletal podiatrist from Australia.

James Ferrie 18:14

Discusses imaging modalities.

Dr. Barrett 18:15

Talks about his integration of ultrasonograpy into patient care.

James Ferrie 18:25

The changing terminology.

Dr. Barrett 18:28

It's like the astronomer who would never look through a telescope.

James Ferrie 18:32

The benefits of ultrasound:  cost effective, safe, no ionizing radiation and repeatable and dynamic.

Dr. Barrett 19:00

Talks about BPC-157, and the zones of the plantar fascia.

James Ferrie 19:07

How it has changed his practice.

Dr. Barrett 19:13

The dogma of the old orthopedic literature that says you have to treat this for a minimum of six months to a year with conservative therapy.  Gives us his take on conservative care for plantar fasciosis.

James Ferrie 25:50

Begins his case presentation.

Dr. Barrett 25:51

Talks about examination of infracalcaneal fat pad.

James Ferrie 26:15

Discusses how he evaluates the fat pad with sonography.

Dr. Barrett 26:44

Talks about his experience with irregular plantar calcaneal osseous morphology. NOT THE HEEL SPUR!!!

James Ferrie 27:22

Delineates the calcaneal morphology.

Dr. Barrett 30:06

Go look at this episode on YouTube to see the great images.

James Ferrie 30:53

Degrees of pathology seen with ultrasound guided infiltration.  pathology.

Dr. Barrett 36:51

Without the infracalcaneal fat pad your brain would shake like a golf ball in a mayo jar.

James Ferrie 37:12

Gets deep in the weeds here about fat pad and chronic heel pain.

Dr. Barrett 42:02

What do you what would you attribute that increased loading rate to but that'd be a limb late inequality?

James Ferrie 42:17

More imaging from his case presentation.

Dr. Barrett 48:34

Discusses the Li and Muhleman study.

James Ferrie 50:26

I think that's yeah, spot on.

Dr. Barrett 51:12

When you cut the "spur" out they get better because you had to cut the plantar fascia to get the "spur" out.  Not because you took out the evil doer!!!

James Ferrie 52:08

Talks about some of the large trials in research.

Dr. Barrett 53:45

90% of all medical literature is just nonsense.