CSM 2010--Foot and Ankle Focus
Hundreds of therapists turned out Friday morning for the Orthopaedics Section's presentation, "Examination and Intervention Strategies for Overuse Injuries of the Foot and Ankle," presented by Joshua Bailey, PT, DPT, OCS, CSCS, CPed, and Glenn Pfeffer, MD. Dr. Bailey, a therapist at Rehabilitation Associates of Central Virginia, spent extensive time discussing the treatment of runners and various factors that could lead to injuries. Among the conditions highlighted were Achilles tendonitis, posterior tibial tendon dysfunction, heel pain syndrome, shin splints, compartment syndromes, stress fractures and metatarsalgia. Improper shoe wear can be a leading cause of injury, Dr. Bailey noted. The impropriety may be specific to the activity, motion control requirements of the foot or shape of the foot. It may also be related to body weight or wearing the shoes for too long. To illustrate his point, Dr. Bailey noted the case of one of his patients who has been a runner for 35-40 years and only buys new running shoes every five years. The speaker emphasized that therapists should continue critical evaluation of the entire kinetic chain; compare open- and closed-chain findings; educate patients, coaches and referral sources; as well as utilize functional testing measures as pain continues to be a poor indicator.