Member to Member - Practical Case Studies
Thursday 25th June 2020
9 – 12 pm Rotorua Events Centre
This is a member only workshop where PodiatryNZ members will share tips and secrets on their experiences and current practices. This session will use real examples on aspects of NZ podiatry practice.
Topic: Redefining the patient jigsaw puzzle with the help of technology
Everything centres on the patient. The theory, the science, the research are nothing; have no meaning, without the patient and their pain, injury or dysfunction.
Start with the patient in front of you and start building your jigsaw around them. Place the pieces that fit and discard the ones that don’t. To even begin to place your jigsaw pieces, you need to understand the shape of each piece and how it fits and interacts with the pieces around it. This is the art. The jigsaw pieces are your knowledge areas, the theoretical models, the clinical assessment, the history, the data and the management goals. In this presentation you will navigate the mountains of data that make up the presenters clinical world and draw meaningful conclusions to ensure the best possible outcomes for patients.The presenter will cover the technology used in the clinic and what it brings to patient care.
Topic: What’s the Pointe
The biomechanical expectations placed on a teenage dancer are worlds away from those placed on a non-dancer. For the dancer, the management of injuries and return-to-activity can be a nightmare. It is therefore important to have a basic understanding of the requirements of dance and the potential issues health professionals can face. This is a case study of a classical ballet dancer with a right foot injury sustained while dancing on pointe.
On assessment the dancer did not have adequate lower limb strength to be on pointe in the first place. Compounding this, the pointe shoes were both too long and too wide – a perfect storm for midfoot damage. With a tailored treatment plan of strength training and better footwear the dancer returned to full training within a month of the initial appointment and is now better educated on how to self-manage future concerns.
Topic: Posterior Tibial Tendon Dysfunction (PTTD)
Is a common but potentially destructive condition affecting up to 8% of the population. Conservative management of this problem is the mainstay of treatment. To ensure good outcomes early diagnosis and intervention is essential. As is the case in all tendinopathy conditions the appropriate treatment should be targeted at the appropriate stage of the pathological cycle.
Rehabilitation exercises and orthotic considerations are central to good outcomes and pain relief in this condition however bracing and footwear modifications are often also required for the long-term more advanced management of this problem.
Footwear modifications should be considered standard part of podiatry treatment options and a good understanding of the implications around these are required to implement successfully.
We will have a brief look at the outcome studies for conservative management of this condition and present an insight for a case review involving both orthotic and footwear modification.
This workshop will provide 3 hours of Professional Learning CPD for the Podiatrists Registration Board .