Injection Therapy for Foot Conditions

Making use of injection therapy to treat a wide range of musculoskeletal ailments is commonly done. But there is a lot of controversy regarding just when was a good time to use it. For instance, should injections be utilized early in the acute stage or afterwards once the issue is much more persistent. An episode of the livestream talk stream for Podiatry practitioners called PodChatLive was dedicated to this very subject and the issues that surrounded the application of injections for musculoskeletal conditions in general and in the feet in particular. PodChatLive is a live stream which goes out on Facebook so the 2 presenters as well as their guest will reply to questions. After the live show, the recording is then submitted to YouTube and the podcast version is made offered as a Podcast. It's free and greatly followed by podiatry practitioners.

On the episode on bone and joint injections they discussed with the Consultant Podiatric Surgeon, Ian Reilly. He and the hosts talked about how the evidence foundation intended for injection therapy is probably not being exactly what it could possibly be, and the underpinnings of this absence of evidence and clinical outcomes. Ian was furthermore refreshingly honest regarding how he makes use of it in his clinical practice in the context of a multidimensional approach to orthopedic disorders. Ian likewise outlined the top three conditions that he injects on a regular basis, as well as the commonest problems he encounters when doing that. Ian Reilly qualified as a Podiatric Surgeon in 1996 and has now done over 13,000 surgical procedures and also over 6000 foot and ankle injections. Ian is a Fellow of the College of Podiatry (Surgery) and is also on the Directorate of Podiatric Surgery Board of Examiners. Ian has co-authored the book Foot and Ankle Injection Techniques: A Practical Guide that's been selling nicely for several years. He has surgical rights at several hospitals within Northamptonshire in the UK and works both privately and inside the National Health Service.

What is the use of shockwave therapy for foot problems?

Shockwave therapy is a treatment machine which was first launched into clinical practice in 1980 as a strategy to splitting up renal stones. Since then it has now typically been utilized as a strategy for soft tissue issues and to stimulate the development of bone. Shock waves are generally higher strength sound waves produced under water utilizing a high voltage explosion. In orthopedic conditions they are utilised to stimulate fresh blood vessel development and to stimulate the making of growth factors for instance eNOS (endothelial nitric oxide synthase), VEGF (vascular endothelial growth factor) and also PCNA (proliferating cell antinuclear antigen). Eventually this may lead to the improvement of the blood flow and to an increase in cell growth which will help healing. The latest episode of the podiatry chat show, PodChatLive was spent discussing shock wave therapy for podiatry practitioners.

In this occurrence of PodChatLive they chatted with Consultant Physical Therapist, academic and investigator Dylan Morrissey about how exactly good the evidence base for shock wave therapies is and how robust the methods which is typically applied within such investigation. Dylan furthermore spoke of what foot and ankle disorders shockwave is going to be indicated to treat and commonly used for and if there are actually any important contraindications or dangers related to shockwave’s use. Dr Dylan Morrissey is a physiotherapist with well over 25 years’ experience of doing work in sports and exercise medicine. Dylan finished the MSc at University College London in the UK in 1998 and a Doctor of Philosophy in 2005 at King’s College London. Dylan is these days 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 backing and he has authored in excess of 60 peer-reviewed full publications. Dylan's primary research interests are shockwave and tendon issues, research translation and also the link between movement and symptoms.

What do Podiatrists do?

A podiatrist is a person who has a great deal of training in the treatment of foot problems. They have extensive knowledge of how the feet work, and this knowledge can be used to help with everything from arthritic pain to sports injuries. A podiatrist can diagnose conditions such as plantar fasciitis and psoriatic arthritis by conducting tests on the affected areas of the foot. They can also provide orthotic and prosthetic shoes and can treat fungus infections in the toe. A podiatrist can also be found in a doctor's office, as they are often referred to as "podiatrists"orthopedists" in certain situations. The term "podiatrist" means "to the foot". They are often treated as specialists in their field, but they do not necessarily receive additional training in the area of feet and orthopedics. Some people refer to their specialty as "foot issues" instead of referring to it as "orthopedics".

The primary role of a podiatrist is to evaluate and treat any specific foot condition. Some of these conditions may include; tendinitis, heel spurs, bursitis, carpal tunnel syndrome, and bunions. Some common foot conditions that are treated by a podiatrist include, but are not limited to; toe disorders, foot pain, chronic pain, bunion formation, styes, tendonitis, tendon rupture, and bunions. They can perform all types of foot examinations and evaluations including; arthralgia (nerve irritation), tendonitis, bursitis, bruise, heel spurs, plantar fasciitis, corns, calluses, calve sprain, heel pain, herniated, infected, heel spur, meniscal tear, miscalpital tear, tennis elbow, and toe disorders. These conditions can result in pain, discomfort, or impairment. The podiatrist can also help to provide symptom relief for a variety of conditions, ranging from bunion formation to tendinitis to foot injury.

Podiatrists can prescribe medications, and many of them offer their patients a foot care kit, which they can use at home to maintain and heal their feet. Podiatrists and surgeons can also perform surgery in cases where surgery is necessary, or in cases where anesthesia is needed to relieve pain and inflammation. They often recommend exercise for their patients. This can range from simple exercises for the feet to more complicated ones such as toe strengthening and fitness programs for the feet. The podiatrist will conduct a comprehensive evaluation to determine the need for physical therapy, so their advice should be sought carefully.

Podiatrists use very advanced equipment, and their practices often involve using special footwear, pads, splints, and even rubber casts for some procedures. The foot can be injured in many different ways, and the podiatrist will treat the problem accordingly. In other cases, the podiatrist may perform a procedure that is only meant to be performed by another doctor, or the patient may get a splint and eventually find a need for surgery. They are trained to diagnose and treat a wide variety of foot problems. For this reason, they are frequently called upon to provide health care for sports injuries, and in other instances, they may be referred to for treatment of more complex conditions such as tendonitis. With a great deal of training, experience, and knowledge, the podiatrist can help their patients to find relief for their foot conditions.

Exercise Rehabilitation of Foot Injuiries

Exercise programs are quite essential for our own health and wellbeing and also to help in the treatment from traumas and also accidents. Applications really need to be individualised to each person, dependant upon their aims and also ambitions and also their ability to accomplish exercises and get used to them. Having this done wrong might lead to an outcome that is lower than desirable. Finding the right guidance at the correct time during a rehab technique is very important, especially coming from those who are capable of providing this. It was so important that an episode of PodChatLive for podiatrists was about the topic. PodChatLive is a monthly live show which goes out on Facebook as well as YouTube along with as an audio podcast. The 2 hosts of the livestream interview and speak to a new guest weekly.

In this instance of PodChatLive they talked with the sports therapist, Ben Cormack from the UK. They outlined what Ben feels are the critical factors to a effective rehabilitation plan and the main reasons why they may fail. There was some simple advice on with how we may advocate self-efficacy and how to empower and motivate our clients to obtain better final results. Most of all they discussed the evidence foundation behind strength work and the differences between strength and load tolerance. Ben Cormack carries a passion for getting people moving and making use of and comprehending motion as an important method to assist others. He in the beginning originated from a fitness background and then went on to study Sports therapy and gained wide experience within the fields of rehab, pain science and movement during the last twenty years. Ben owns and operates the Cor-Kinetic company which is an educative company using modern research into pain, motion as well as neuro sciences to provide a reasoning process along with therapy expertise. The business supplies instructional services for the National Health Service, sports groups and educational institutions in addition to individual health professionals.