In this episode of the Silvates Podcast, Silvan is joined by osteopaths and educators Lazarus Nono and Krutika Patel, who bring almost three decades of experience in practice and osteopathic education.

Together, we reflect on how the profession has changed since they graduated, from the way osteopathy is taught to the growing influence of social media and technique-focused content. We discuss whether today's graduates are better prepared for practice, the importance of mentorship after university, and why confidence can quickly disappear when you're suddenly alone in a treatment room with a patient.

Our conversation also explores what may have been lost as osteopathic education has evolved and developing the confidence to assess and treat the whole person rather than simply focusing on the painful area.

Lazarus and Krutika discuss why understanding foot biomechanics matters, how dysfunction at the foot may influence the rest of the kinetic chain, and why, as Lazarus puts it, “if you're not assessing it, you're guessing.”

We hear about their Core Manual Techniques CPD, why they chose to begin with the foot, and their aim to help osteopaths and other manual therapists revisit the fundamentals, develop their clinical reasoning and become more confident practitioners.

The Biomechanics of the Foot workshop will be held on Sunday 27th September 2026 in London.

Find out more on: wwww.core-mt.co.uk

Follow CoreMT in instagram: coremanualeducation

Listen to the podcast here:

Apple podcast:

Spotify podcast:

Watch here: https://youtu.be/uu5ZS4WNRqY

Chapters

00:00 Introduction to Osteopathy and Its Evolution

02:53 Changes in Practice and Teaching Methods

05:33 Communication Skills in Osteopathy

09:08 The Importance of Mentoring for New Graduates

14:23 Curriculum Changes and Gaps in Education

19:07 Blind Spots in Osteopathic Practice

23:59 The Role of Foot Biomechanics in Treatment

33:07 The Importance of Continuing Professional Development (CPD) in Osteopathy

37:20 Understanding the Foot: A Foundation for Treatment

39:53 Target Audience for CPD: Who Can Benefit?

40:16 Practical Applications: What to Expect After CPD

44:59 The Role of Intellect in Osteopathy

53:13 Key Takeaways: Inquisitiveness and Confidence in Practice