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Sports Lectures. Lecture 1: introduction & role of sports podiatrist Lecture 2: Aetiology of overuse injuries Lecture 3: Assessment of the sports patient Lecture 4: Overuse injuries of the knee Lecture 5: Exercise induced leg pain. Sports Lectures. Lecture 6: Sports injuries of the ankle

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Sports Lectures

  • Lecture 1: introduction & role of sports podiatrist

  • Lecture 2: Aetiology of overuse injuries

  • Lecture 3: Assessment of the sports patient

  • Lecture 4: Overuse injuries of the knee

  • Lecture 5: Exercise induced leg pain


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Sports Lectures

  • Lecture 6: Sports injuries of the ankle

  • Lecture 7: Sports injuries of the foot

  • Lecture 8: Management strategies for sports injuries

  • Lecture 9: Sports Footwear

  • Lecture 10: Revision/ TBA


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Sports Texts

  • Brukner & Khan 2nd Edition “Clinical Sports Medicine” 2001 McGraw Hill

  • Subotnik “Sports Medicine of the Lower Extremity” 2000 Churchill Livingstone

  • Delee & Drez “Orthopaedic Sports Assessment” volumes 1-3, 1995 Williams & Wilkins

  • O’Connor & Wilder “Textbook of running medicine” 2001 McGraw Hill


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Sports Journals

  • American Journal of Sports Medicine

  • British Journal of Sports Medicine

  • Medicine & Science in Sports & Exercise

  • International Journal of Sports Medicine

  • Clinical Sports Medicine

  • Journal of Orthopaedic & Sports Physical Therapy



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Learning Objectives

  • Have a detailed understanding of the role of a podiatrist treating sports injuries

  • Have an appreciation of the differences between working in a multi/interdisciplinary sports medicine team or as a sole practitioner


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What Is A Sports Podiatrist?

  • Fellow of the academy

  • Consultant to amateur/ professional teams

  • Postgraduate sports qualifications

  • Keen athlete

  • Armchair fan

  • Advertising ploy


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Medical Definition

“A podiatrist who can successfully diagnose skeletal lower limb mal-alignment related to an injury and provide appropriate orthotic management”

Peter Brukner, 1993


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What Do You Need?

  • Sound knowledge base

  • Equipment?

  • Multidisciplinary team/ network

  • Sport enthusiast

  • “Patience of a saint”


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Sporting Statistics

  • <60% of all injuries occur below the hip

  • Commonest acute injury is ankle sprain (Garrick, 1977; Safron et al. 1999)

  • Commonest tendon injury is to the Achilles (Marks, 1999; Anderson & Hall, 1997)

  • Commonest joint pathology is patellofemoral

    (Brukner & Khan, 1993; McConnell, 1986)


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What Should a Sports Podiatrist Do

  • Make/ confirm the diagnosis

  • Liaison as necessary

  • Advise patient

  • Treat with mechanical, physical, and chemical modalities as appropriate


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Making the Diagnosis

  • Thorough history

  • Know your anatomy

  • Appropriate test selection

  • Specialist investigations


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Making The Diagnosis

Physical

Examination

Clinical

History

Working Diagnosis

Specialist test(s)

DEFINITIVE

DIAGNOSIS


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Podiatrist

Physiotherapist

Surgeon

Physician

Radiologist

Masseur

Exercise physiologist

Sports psychologist

Nutritionist

Osteopath

Chiropractor

Psychic healer

Multidisciplinary Team


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Patient Advice

  • Activity modification

  • Training basics

  • Footwear

  • Braces/ Strapping

  • Self physical therapies


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Mechanical Treatment

  • Activity modification

  • Padding

  • Strapping

  • Orthoses

  • Cast immobilisation

  • Footwear advice

  • Footwear modification

  • Braces

  • Walkers


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Physical Treatment

  • Cold modalities

  • Hot modalities

  • Stretching exercises

  • Strengthening exercises

  • Ultrasound

  • Shock wave therapy

  • Massage

  • Low level Laser therapy


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Pharmacological Treatment

  • NSAID’s

  • LA

  • Corticosteroid injection

  • Creatine supplements

    etc


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Knowledge Base

  • Sports injuries

  • Assessment techniques

  • Know the sport

  • Sporting technique

  • Footwear

  • Treatment options

  • Referral options



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