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Sports Lectures
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Sports Lectures

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  1. 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

  2. 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

  3. 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

  4. 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

  5. Overview Of Sports Podiatry

  6. 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

  7. What Is A Sports Podiatrist? • Fellow of the academy • Consultant to amateur/ professional teams • Postgraduate sports qualifications • Keen athlete • Armchair fan • Advertising ploy

  8. 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

  9. What Do You Need? • Sound knowledge base • Equipment? • Multidisciplinary team/ network • Sport enthusiast • “Patience of a saint”

  10. 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)

  11. What Should a Sports Podiatrist Do • Make/ confirm the diagnosis • Liaison as necessary • Advise patient • Treat with mechanical, physical, and chemical modalities as appropriate

  12. Making the Diagnosis • Thorough history • Know your anatomy • Appropriate test selection • Specialist investigations

  13. Making The Diagnosis Physical Examination Clinical History Working Diagnosis Specialist test(s) DEFINITIVE DIAGNOSIS

  14. Podiatrist Physiotherapist Surgeon Physician Radiologist Masseur Exercise physiologist Sports psychologist Nutritionist Osteopath Chiropractor Psychic healer Multidisciplinary Team

  15. Patient Advice • Activity modification • Training basics • Footwear • Braces/ Strapping • Self physical therapies

  16. Mechanical Treatment • Activity modification • Padding • Strapping • Orthoses • Cast immobilisation • Footwear advice • Footwear modification • Braces • Walkers

  17. Physical Treatment • Cold modalities • Hot modalities • Stretching exercises • Strengthening exercises • Ultrasound • Shock wave therapy • Massage • Low level Laser therapy

  18. Pharmacological Treatment • NSAID’s • LA • Corticosteroid injection • Creatine supplements etc

  19. Knowledge Base • Sports injuries • Assessment techniques • Know the sport • Sporting technique • Footwear • Treatment options • Referral options

  20. Questions