Topics for talk to Physiotherapists

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I have been invited to speak to a group of Physiotherapists on Podiatry/biomechanics. It is only a brief talk but they want to know when they should refer to a Podiatrist (I'm also keen to hear from them when they think Podiatrists should refer to them but that is another matter).

My brain initially says refer anything directly foot/ankle related & of a chronic nature. I should probably also include knee & hip complaints of a chronic nature. But then what specific things e.g. LLD, gait assymetry. Any thoughts appreciated.

 

Re: Talk to Physios

Gday

You said chronic knee complaints ie: after having seen physio for wks/months and still not having attained satisfactory outcome. Prob better for pt if you are part of the Tx picture early on in the piece for some complaints.

PFPS, may be treated concurrently with physical therapy from Physio. There is enough good quality research now to support use of orthosis/ or even temp wedging, padding to existing innersoles for this condition with more on the way soon from UQ study involving Vasyli vs Physio Tx = same outcome (All though Im not 100% on this as it hasnt been released yet). So best outcome, and most cost effective Tx maybe to treat using Pod + Physio intervention early rather than later.
Medial Compartment O/A - Lateral wedging

Thats all I can rattle off top of my head in addition to other common stuff you have already raised.

Good luck with presentation

MrT

 

Re: Talk to Physios

I’d probable raise issues of improving foot and leg stability with orthotic treatments and the physio’s assistance in rehabilitating PT, PL pelvic stability, tight adductors and week external rotators.