Foot Capsule Disorders - Palpation & FMT

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Found this looking for something else.

For those undertaking the Black arts of FMT might be something for you.


Foot Capsule Disorders

 

Hi Mike

Thanks for this.

I recognise a number of varied discipline techniques and possibly a bit of Kaltenbourn foot assessment things in there which is good to see.

When it comes to the anterior / posterior mobs of the inferior and superior fibular head I still find Paul Conneely's methods the most simple and the most easily controlled / applied.

 

Hi Ian have you done Ted course ?

Is it the same technique - Ted´s technique is pretty simple and effective, I know the distal/inferior is slightly different in the finger usage - ie ted teachers use of fingers rather than the bent finger.

 

Hi Mike

No I haven't done Ted's course though I am aware of some of the influences behind it such Hiss and some chiropractic elements. I did train in Hiss's approach some years ago which was useful in a number of ways but as it has not been the road I have pursued for manual therapy, therefore, I suspect Ted's skills in that approach are much better than mine. I do occassionaly utilise some aspects of it though.

Over the years I have very much gone down the more physio oriented mobilisation road based around Maitland and Cyriax techniques both for soft tissue and joint work, which make up a reasonable part of my work (especially soft tissue). Occassionally I will also pull on Mulligans Mobilisation with Movement (MWM's - particularly when you want to do active mobilisation) when neccesary.

When teaching any kind of mobs that I do I usually advise people to become very familiar with what they are doing and then learn other ways becoming exposed to different approaches as they are all useful at some point.

There are so many ways to skin the manual therapy cat, hence learn other ways. This also applies with the superior and inferior fibular head. In essessence (for the inferior fibula head) if you want to reduce stiffness of anterior motion, you support the fibular posteriorly with a your fingers, preventing its movement, whilst externally rotating the whole low limb. It requires no strength or effort and is very comforatable for the patient. The reverse is done to reduce stiffness posteriorly. Bearing in mind that motion here is meant to be relatively small (compared to other joints) this approach allows great control.

Occassionally, thenar eminence approaches are necessary. To achieve vertical motion of the fibular I revert to Maitland.

 

Thanks Ian still dipping my toes in the water with some good success.

 

Hi Mike
Keep at it. It becomes increasingly very rewarding in the end.

Whilst soft tissue and joint mobs can be stand alone treatments in themselves it is great to reach a point where occassionally you bring bmx knowlege together with soft tissue mobs/joints mobs and rehab skills and orthoses for one person.