Richard Keating

First Contact Practitioner - Podiatry. Rural Northamptonshire PCN. BUCs Novice Lightweight Boxing Champion 2014.

[Richard Keating @richardmkeating]

Great fun learning at the Injections and aspirations workshop @RoyColPod

[David Russell @mrdavid_russell]

Are you involved in the management of diabetic (painful) neuropathy? The research team at Imperial would love your input into a survey of clinical practice to guide future research @vs_foot @footindiabetes @DiabetesUK @FootcareNetwork
https://t.co/NDUuEVO0Lv

[Richard Keating @richardmkeating]

Thank you to @ECarterDCHS @FJBlackman for putting on a great event #FCPMidlandsConference2023 I was pleased to have been asked to present today on the role of podiatry and thoroughly enjoyed discussing with other FCP's potential value of making these roles more common place.

[Richard Keating @richardmkeating]

@ECarterDCHS @lawrenceambros1 @Cherry_Linds @HalsteadDr @HilltopPod @helenbranthwai1 Thank you for having me to do the talk. I'm glad that people have found it informative.

[Lawrence Ambrose RCPod @lawrenceambros1]

In Derby today for a multi-professional #MidlandsFCPConference2023 @richardmkeating is representing the Podiatry profession, explaining the skill set that First Contact Podiatrists bring to Primary Care #SavingLimbsSavingLives

[Richard Keating @richardmkeating]

@consultantPT @stephen_patt @StMarys_CAPS @StMarys_SandC What exactly are you using this for Uzo ? It looks similar to equipment I would use for performing Ankle-Brachial pressure indexes for quantifying severity of arterial disease. I'm curious to know what you're using it for in your job role.

[Royal College of Podiatry @RoyColPod]

The Royal College of Podiatry (RCPod) has today published new evidence showing the effectiveness of MSK podiatry services across the four nations of the UK, detailing the changes MSK services can make to patients' health, function, and quality of life.
https://t.co/Vl4qHjmJUp

[Richard Keating @richardmkeating]

@consultantPT @kostas_koul @ROHNHSFT @ROHKnowledgeHub Congratulations @kostas_koul. Best wishes on your wedding day.

[Adrianne Phebey @PhysioPhebes]

Very exciting to see my blog published on the Male and Female Athlete Triad website this morning!

https://t.co/vpoMGOYspn

[Richard Keating @richardmkeating]

@PhysioPhebes @honest_physio Plantar heel pain as described could be caused by : heel pad atrophy,Tarsal tunnel syndrome , skin lesions, Baxter's neuropathy, plantar fasciopathy.

Given the first step morning pain it is likely to be PF IMO however the limitations of 280 characters is the history will be less

[Richard Keating @richardmkeating]

@PhysioPhebes @honest_physio Baxter's neuropathy would be unlikely to present with post static dyskinesia.

Pain would be along the course of the lateral plantar nerve and the character of pain is more associated with typical nerve symptoms. Baxter's won't show on MRI but sometimes associated features will.

[Richard Keating @richardmkeating]

@honest_physio Whether that be USGI, ESWT, Biomechanical assessment for Orthoses etc I think nailing the diagnosis with some certainty is key for heel pain patients.

[Richard Keating @richardmkeating]

@honest_physio I would arrange a baseline X-ray to rule anything sinister given the constant pain at rest and also arrange for the patient to have a diagnostic ultrasound. If the problem is a fasciopathy the fascia will show up chronically thickened so you can then investigate your next options

[Richard Keating @richardmkeating]

My bristle nose pleco doing her best dragon leaving a cave impression. #aqaurium #relaxing #photography

[Richard Keating @richardmkeating]

@consultantPT So what will you do ? Get them in. Ultimatey that will cause you to have more appointments than would be necessary in my opinion. Wasted contacts, wasted appointment time, wasted effort. I don't think patient choice is everything imo, it could be the enemy of productivity.

[Richard Keating @richardmkeating]

@consultantPT I agree patient input and choice is ideal. I cannot however see virtual making sense long term from an assessment perspective. So many consults end up with you thinking "Gosh I wish I could put my hands on that joint and assess"

[Richard Keating @richardmkeating]

@AbigailKPuttock @Footsurgeryexp Has done a few videos on it. Unfortunately outcomes for cartiva implant are reported as not so good and "I think" in a recent lecture he said over 30% went on to fusion. The implant commonly gets embedded back into the base of the 1st met if I remember correctly

[NCD Podiatry @NCDPodiatry]

We said farewell to our final year students today, marks still to be ratified by OU, so no classifications given today, but what a bright future they all have ahead of them. @NCDPodiatry @PodiatryCareers @CollegePodiatry

[Richard Keating @richardmkeating]

@Marcusboden I'm currently watching Money Heist on Netflix which was originally recorded in Spanish and we watch it dubbed in English. The lips and words don't match. Could be they only have it in another language and dubbed in English?

[Richard Keating @richardmkeating]

@Marcusboden