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Conference ideas for MSK:UK the Podiatry SIG affiliated to Society of Chiropody and Podiatry

Discussion in 'United Kingdom' started by Jill Halstead, Jan 25, 2014.

  1. Jill Halstead

    Jill Halstead Member


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    Hi
    Emma Cowley and I welcome ideas and suggestions of speakers for the annual UK podiatry conference.

    We are the co-founders of MSK:UK.co.uk a SIG affiliated to the UK Society of Chiropodists and Podiatrists. We launched in March 2012 and support Podiatrists who are interested in MSK podiatry therapy. The group is includes all MSK interests including Biomechanics, Sports Medicine (led by Nat Padhiar) and extended scope practitioners (led by Steven Lowe).

    We are starting to plan the Sports Medicine and MSK slots for the Autumn conference so we would like to petition your recommendations to the conference organising committee.

    Thanks for your feedback

    Jill
     
  2. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    :welcome:

    Jill, I been on the 'committee' for a zillion different conferences over the years. Every time at the first mtg of the "committee" I always make the same statement to get my point across:
    Conferences are more expensive than textbooks; therefore, conferences have to be what the textbooks are not, otherwise people may as well just go and buy the textbook; therefore conferences have to be two things that textbooks don't have:
    1) They have to be fun (textbooks are boring)
    2) The content has to be what is not in the textbook (otherwise they might as well buy the book)

    I really try to hammer this point as I get frustrated with some other who want speakers to just regurgitate what is in the textbook .... what is the point?

    Start with (2): what is there that is not in the textbooks (yet)
     
  3. Jill Halstead

    Jill Halstead Member

    Thanks Craig,
    I completely agree, Emma and I try to ensure there is always something to learn that Pods can use immediately in their next clinic. Workshops seem to be the favourite and we always put a session on as part of the programme.
    In terms of themes or specific pathologies I would rather petition some ideas so that it's all a bit more democratic ;)
     
  4. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    Probably one of the hotter recent topics is 'tissue adaptation' vs 'offloading tissues' .... ie do away with foot orthotics and increase the ability of the tissues to take load...
     
  5. Jill Halstead

    Jill Halstead Member

    Thanks for the suggestion Craig... I welcome additonal suggestions from any UK pods, particularly those in MSK specialities...
     
  6. I believe that the future for podiatric musculoskeletal conferences should be for teaching the intricacies of the biomechanics and physiology of tissue mechanics such as teaching the concepts of stress, strain, stiffness, viscoelasticity, elastic vs plastic deformation and optimum loading of tissues to promote tissue health (Simon's ZOOS idea). Most podiatrists do not understand these concepts fully and unless podiatrists understand the mechanical characteristics of the structures they are treating in their patient's bodies, then they will not be able to fully comprehend what they are doing when they starting treating patients with orthoses, strapping, braces or immobilization casts.

    In addition, I believe musculoskeletal conferences should teach podiatrists the basics of mechanical modelling techniques so that they can better understand how various structures within the human foot and lower extremity will have either increased or decreased internal loading forces acting on and within them depending on the mechanical intervention chosen (i.e. different shoe design, different orthosis design, different strapping application, different brace design), on any changes in body weight and on any changes in weightbearing activity chosen by the individual (i.e.standing vs walking vs running vs cycling vs side to side sports vs etc). Basic engineering principles should be taught to all musculoskeletal clinicians so they can understand the ideas behind estimating internal loading forces on the structural components of the foot and lower extremity without having to surgically implant strain gauges into tendons, ligaments and bones and/or insert pressure sensitive films into the joints of their patients.

    I also can't agree with the idea that 'tissue adaptation' vs 'offloading tissues' should be the main focus of clinicians or that there should ever be a goal solely to do away with foot orthoses by working toward increase the ability of the tissues to take load any more than there should be a push toward doing away with eye glasses or contact lenses by working toward increasing the ability of the "strengthening" eyes to better focus light correctly on the retina.

    Rather, I believe the push in musculoskeletal podiatric specialists should be toward teaching the clinician how to best reduce pathologic loading forces with foot orthoses/strapping techniques/shoe modifications/exercises so that the tissues can heal sufficiently to take increased load and then possibly changing orthosis/strapping/exercise designs, or even eliminating orthoses all together, if the tissues have reached a point where they won't become injured. In other words, the goal shouldn't to eliminate orthoses but rather the goal should be to make the patient's symptoms resolve, improve their work/exercise capacity and prevent other injuries from occurring whether that means keeping the same orthoses in their shoes for 10 years, reducing foot orthosis correction over time with multiple orthosis adjustments or eliminating orthoses all together.

    Hope this helps.:drinks
     
  7. Craig Payne

    Craig Payne Moderator

    Articles:
    8
    I didn't say I agreed with the concept; I just said its a hot topic at the moment! Either we get with the program and understand what is going on or not.
     
  8. Barefoot running was also a hot topic a few years ago with people like Irene Davis, PhD saying that her goal was to get all her patients out of orthotics by using gait retraining. I know you don't agree with the concept, Craig, but this may be the next battle we have. I agree with you that it is not only good to know what is happening in other medical circles but also think we need to emphasize that we must be proactive at holding our ground against those who want to undermine what we, as a profession, have been doing, and doing very well, for the last half century or more for our patients.
     
  9. Jill Halstead

    Jill Halstead Member

    I think this thread has detracted from the main question.
    I was thinking more simply about pathology based management - maybe MTSS or peroneal syndrome??
    However in light of your suggestions (Kevin and Craig) it may be helpful to introduce conditioning concepts and rehabilitation.
     
  10. N.Knight

    N.Knight Active Member

    Hi Jill,

    I am a MSK Podiatrists in the Hampshire, topics I often get asked to talk about to GPs, Branch meetings, Personal Trainers are

    Exercises induced leg pain, plantar plate injuries and the management in clinic, running shoes and the evidence and how do common MSK pathologies present, with the aim to provide people with skills to use in the clinic the next day.

    Speaking about PRP was a hot topic, however has died off as the evidence is not there yet.

    I can not add any more that what Kevin has said already.

    Thanks,

    Nick
     
  11. Jill Halstead

    Jill Halstead Member

    Cheers Nick...
     
  12. Ian Linane

    Ian Linane Well-Known Member

    I think the Liverpool MSK slot at the conference provided a good practical in terms of the neuro assessment techniques. Good for a couple of reasons:

    1 it provided some hands on element which lent itself to having a taster of the skill
    2 it possibly stimulated/allowed people to think outside their usual framework

    Perhaps a simple practical topic could be that of functional exercise for rehabilitation. (sorry if you have already covered this before). It could suit the MSK slot as it is simple to demonstrate and for a group to practice on the day. They can also take it to work the next day.
     
  13. DrBob

    DrBob Active Member

    Hi Jill, Just a couple of points. First, I looked for the MSK website but it seems to be in suspension (or did I not locate the correct site)?

    Second, this thread seems to demonstrate a repetitious behaviour. There is a clear desire by members of the profession for "something". That suggests, to me, that "something" is missing, something substantial? I think that the thing that is missing, has to be radically different AND useful. We need to move to a new level. What I see in this thread is that the enthusiasts who keep repeating their approach and their ideas have not yet delivered that "something"? So, regarding a conference, I think you should ask if anyone has anything new to contribute? You might find that, out there somewhere, there is someone who has something new..?
    Kind regards,
    DB
     
  14. Jill Halstead

    Jill Halstead Member

    DrBob,
    Apologies about mskuk.co.uk
    We are trying to set up a new host at the moment. If you would like to join we would welcome any UK pods. Message me for more details.
    I was hoping to consult the masses and deliver that the public want.
    So please if you have any thoughts I welcome them.

    Best wishes

    Jill
     
  15. DrBob

    DrBob Active Member

    Hi Jill,
    When and where do you expect the conference will be?
    I'm sure there will be ideas. Keep an eye on you email...
    Kind regards,
    DB
     
  16. Ian Linane

    Ian Linane Well-Known Member

    Hi Bob

    I cannot tell if you are based in the UK or attend the Society conference but, in case you are not familiar with the conference set up, I hope the following is useful.

    Last year the MSK section of the conference had two slots. One hour in the programme ( around 45 mins of lecture and feed back). Towards the end of that day there was an MSK:UK extra meeting, around an hour, that was given to practical training (or a practical introduction to a skill, in this instance it was neurodynamics. Again there is probably about 45 mins of practical time for this). The MSK section is therefore a couple of small slots in the larger and broader educational conference and not a conference in itself. Thought this might be useful to know.
     
  17. Jill Halstead

    Jill Halstead Member

    DrBob
    If you are in the UK the college of podiatrists national confernce is in Bournemouth 13-15 November 2014.
    As the special interest group we get 2 x 1hour speaker slots and a workshop. The content of which is open to debate.
    Hope this helps
    Jill
     
  18. DrBob

    DrBob Active Member

    Hi Ian,
    Yes, I am in the UK, although I haven't been to a podiatry conference in the UK for a number of years, so thank you for the information. I see that Jill has also posted a reply and she says that the conference will be in Bournemouth this year, which would be very convenient. I would like to meet up with some of the MSK folks prior to that, if possible...
    Thank you all,
    DB
     
  19. bartypb

    bartypb Active Member

    Hi jill, hope you are well

    Ideas:
    Neural tension in lower limb
    Case studies with how to differentially diagnose 'common' msk pathology, ie tendon injuries compared to muscle compared to bone. This is always interesting to new mskers!
    Different corrections with insoles for different foot postures i.e.Skives v's posting

    These are just some of the requests that I get on a bio rotation

    Cheers bartypb ( marc 3rd partner in crime from that last night in Liverpool)
     
  20. Jill Halstead

    Jill Halstead Member

    Thanks or your suggestions bartypb....
    More like partypb... Lol
    No late nights at Bounmouth... It just isn't a party town ;)
     
  21. bartypb

    bartypb Active Member

    We'll see!!!!!
     
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