Rheumatology and the Foot

The foot is simply like any other part of the body and can be affected by any of the many different types of arthritis. Rheumatology is the healthcare speciality which deals with all of the different arthritis conditions. In regards to the foot there are plenty of podiatry practitioners which have a specialised interest in rheumatology or the arthritis conditions that affect the foot. One of such specialists is Professor Debbie Turner, PhD who is the Director of Academic Program for Podiatric Medicine at the Western Sydney University. Debbie has been fairly recently a guest on the Facebook live, PodChatLive to talk about podiatry and rheumatology. PodChatLive is a regular live stream which has on a selection of different experts to discuss a number of topics of meaning to podiatry and the foot. In this chat with Debbie Turner she gave the listeners a taste of precisely what the role of a Podiatrist inside a specialist Rheumatology service should be structured. Debbie discussed the disorders generally observed in the foot in rheumatology services and her procedure for the examination and treatments for these patients. She also presented some great suggestions for clinicians that do not work within Rheumatology, but may very well be neglecting problems because of their capability to masquerade as musculoskeletal concerns.

Debbie Turner first qualified as a podiatrist in 1996 and has always worked clinically as well as developed a skilled scope of clinical practice in the aspects of gait study and imaging. She obtained an Arthritis Research UK academic fellowship in 2007 after which commenced training in musculoskeletal ultrasound and also injection therapy of the foot. The utilization of an integrated imaging in addition to alignment approach to managing chronic illnesses including diabetes and inflammatory joint disease continues to be the main objective of her investigation work. Debbie has published frequently in the field of rheumatology and has helped to set up capacity in podiatry investigation as a result of PhD guidance.

How should a runners run?

A recently widely used solution to take care of overuse injuries which are prevalent in runners is to use gait retraining. This is modifying how a runner runs using a totally different style. It's a good idea when you get an overuse injury from running one way, then modify the method you run. There's still a lot to be found out about carrying this out, however it is becoming a lot more common and a lot of health professionals as well as running technique instructors are utilizing this to help runners. There is a recently available episode of PodChatLive which was devoted to the subject. PodChatLive is a livestrem for podiatrists and other health care professionals hosted by Craig Payne from Australia and Ian Griffiths from England. They go live on Facebook with a brand new guest weekly. The taped edition is next uploaded to YouTube and a audio edition is in addition available.

In the episode of PodChatLive on running techniques in runners Ian and Craig discussed with this with James Dunne. James is an extremely well respected running coach and the owner of the Kinetic Revolution to aid runners with their coaching and gait retraining. In the episode they spoke of why then when we would want to alter someone’s running technique, and how a health professional might go about doing this. It shouldn’t surprise anyone that an individual strategy is crucial, and there are no blanket methods. One size will not fit all. They brought up the bidirectional and symbiotic relationship between running coachs and Podiatry practitioners. James is a runner, a sports rehab therapist and running coach from Norwich in the United Kingdom. James has a degree in sports rehabilitation. He started the Kinetic Revolution coaching website back in 2010 as a method of spreading just what he mastered on his journey being an ex-pro rugby player to working in the sports injury community, and to him transforming into a marathon runner.

Shock wave therapies for foot problems

Shockwave therapy is a treatment equipment which was initially introduced into clinical practice back in 1980 as a strategy for breaking apart kidney stones. Since that time it's currently typically been used as a method for soft tissue disorders and to activate the development of bone tissue. Shock waves are generally higher strength soundwaves made under water utilizing a high current explosion. For musculoskeletal problems they are utilised to induce new blood vessel formation and to stimulate the making of growth factors just like eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) in addition to PCNA (proliferating cell antinuclear antigen). Eventually this may lead to the development of the supply of blood and also to an increase in cell proliferation which supports healing. A current episode of the podiatry chat show, PodChatLive was spent speaking about shock wave therapies for podiatrists.

In that particular occurrence of PodChatLive they discussed with the expert Physiotherapist, academic and researcher Dylan Morrissey about how good the evidence base for shockwave treatments are and how solid the methodology that is quite often utilized in such research. Dylan also discussed just what foot and ankle disorders shock wave is used for and frequently used for and whether you will find any critical advisable limitations or pitfalls connected with shockwave’s use. Dr Dylan Morrissey is a physical therapist with over 25 years’ experience of employed in sports and exercise medicine. He completed the Master of Science at University College London in the United Kingdom in 1998 and a PhD in 2005 at King’s College London, uk. Dylan is currently an NIHR/HEE consultant physical therapist and clinical reader in sports medicine and MSK physiotherapy at Bart’s and the London National Health Service trust / BL School of Medicine and Dentistry, QMUL. He has accumulated more than £5m in research financing and has written in excess of 60 peer-reviewed full papers. His main research pursuits are shock wave and tendon issues, research translation along with the link involving movement and symptoms.

What is the Role for a Podiatrist in a Sports Team?

Probably the most favorite sports in Australia is Australian Rules Football (AFL). To those outside Australia it is regarded as relatively odd because they have observed no sport similar to it, but are in awe of just what marvelous athletes those who play the sport at the professional elite level can be. It's a entirely professional men's competition of Australian rules football and has been enjoyed for over a hundred years. It began in the state of Victoria, but now some other states have teams in what is now regarded as a national league. The 18 professional teams which compete in the AFL spend heavily in the sports sciences and also sports medicine to get the most from the players in each club. The podiatrists with each club has a podiatrist associated to help manage the foot injuries and footwear needs of the athletes. The function of Podiatry practitioners in the AFL in Australia is considered a model of how sports medicine team could be included in professional squads worldwide.

For one of the episodes of the podiatry relevant livestream, PodChatLive the hosts spoke with 5 of the podiatrists related to Australian Rules Football clubs to discuss the world leading template for Podiatry inside an elite sports competition and the emerging function of the recently formed, AFL Podiatry Association. The Podiatrists which were on this show ended up Ben Holland from the North Melbourne Kangaroos, Emma Poynton from the Western Bulldogs, c from the Hawthorn Hawks, Todd Brown with the Geelong Cats and Tom May with the Adelaide Crows. They described the needs of AFL and how this impacts the athletes along with what the prevalent injuries observed. There was a good conversation concerning the footwear used and the issues that can bring. There was also a conversation of the preseason assessment process that is typically used in the 44-man teams. The livestream was sent out live on Facebook, but is also now available on YouTube.

Vascular Assessment of the Feet

One of the most essential roles that a podiatrist plays will be to assess the vascular or blood flow condition to the feet and lower limb to ascertain if patients are in danger or not for inadequate healing as a result of supply of blood. If a person is at high risk for complications because of that, then steps really need to be used to decrease that chance and safeguard the foot from problems, particularly when they've got diabetes mellitus. The regular livestream for Podiatrists, PodChatLive dedicated an entire episode to that issue. PodChatLive is a free continuing learning stream which goes live on Facebook. The expected market is podiatry practitioners doing work in clinical practice, however the real target audience include a lot of other health care professionals too. Throughout the live there is lots of discussion and commentary on Facebook. Eventually the recorded video version is published to YouTube and the podcast version is added onto the most common platforms like Spotify and iTunes.

In the stream on vascular issues and evaluation of the foot the hosts spoke with Peta Tehan, a podiatrist, and an academic at the University of Newcastle, Australia and also with Martin Fox who's also a podiatrist and works in a CCG-commissioned, community-based National Health Service service in Manchester, UK where he provides earlier identification, diagnosis and best clinical therapy for individuals with diagnosed peripheral arterial disease. During the episode there was several real and beneficial vascular pearls from Martin and Peta. They talked about exactly what a vascular review should look like in clinical practice, the need for doppler use for a vascular evaluation (and common errors made), all of us listened to several doppler waveforms live (and recognize how counting on our ears alone most likely are not ideal), and recognized the importance of good history taking and screening in individuals with known risk factors, especially given that 50% of people with peripheral arterial disease have no symptoms.