Paul Graham is an Australian podiatrist who has been in private practice since 1987 with a special interest in musculoskeletal conditions. The focus of his practice has always been on comprehensive, evidence based examination and diagnosis of the underlying causes of presenting symptoms, to achieve the best possible outcome for each patient.
He has been using plantar pressure analysis as part of his clinical practice since first purchasing an Fscan Mat and in-shoe system in 1998. It was a steep learning curve to understand the data behind the colours and what they mean. At the time, this form of analysis was in its infancy in Australia, and the only way of gaining an appreciable understanding of what the data represented and how it could be used in clinical practice was gained through regular email and phone contact with a number of podiatrists in the U.S. who had been using the Fscan system for many years.
The most well-known of these practitioners is Dr Howard Dannenberg and through this relationship Paul grew to understand the relationship of sagittal plane movement and the importance of how the foot has a significant effect on the rest of the body. In fact Paul’s foundational knowledge of recording, data management and analysis came through Howard’s leadership and the plantar pressure case studies that were shared. This knowledge base was further augmented when Dr Bruce Williams DPM, a protégé of Howard’s training, visited Australia in 2004 and stayed with Paul in Geelong, working with and training him at Total Care Podiatry. In 2005, Paul was invited to Latrobe University to present on his clinical use of plantar pressure in orthotic correction design and prescription.
At this point, Paul was combining evidence-based examination and video gait assessment with plantar pressure analysis and, through this orthotic manufacture. The issue was that each part of the assessment used different equipment. In 2006 Paul moved to the Milletrex system, (forerunner of the Freestep software and Sensormedica hardware) as this combined all aspects of the diagnostic and manufacturing process.