Hi all I am currently working within a small nhs podiatry dept as a biomechanics lead , obviously we have long wait lists approx 5 months and I have been asked to find solutions for this wait list problem as we will be entering into an 18wk pathway plan in the next few months. I know many users are NHS workers and I would like feedback on something that we have been asked to do.
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We have noted a lot of referrals from GPs etc for heel pain/ plantar faciitis, and I mentioned that gastrosoleus stretches is part of our general treatment plan (along with others). To get the wait list down I have been asked to look into running education classes for stretching exercises for heel pain. I mysef don't think this would be a great idea as I think it is clinically wrong to introduce any treatment regeme without assessment first?
In my experience hitting heel pain with anumber of modalities ie strapping, insoles, stretching, possibly accupuncture and steroid injection seems to give the best outcome but obviously the focal point to the treatment is a comprehensive assessment and working diagnosis.
There are of course many different causes ie systemic, neural and mechanical and I feel it would be hard to differentiate without assessment, not to mention the inaccuracies of the actual referral?
Any thoughts would be appreciated
thanks
Bartypb
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