Sports Lectures

1
Sports Lectures

• Lecture 1 introduction role of sports
  podiatrist
• Lecture 2 Aetiology of overuse injuries
• Lecture 3 Assessment of the sports patient
• Lecture 4 Overuse injuries of the knee
• Lecture 5 Exercise induced leg pain

2
Sports Lectures

• Lecture 6 Sports injuries of the ankle
• Lecture 7 Sports injuries of the foot
• Lecture 8 Management strategies for sports
  injuries
• Lecture 9 Sports Footwear
• Lecture 10 Revision/ TBA

3
Sports Texts

• Brukner Khan 2nd Edition Clinical Sports
  Medicine 2001 McGraw Hill
• Subotnik Sports Medicine of the Lower Extremity
  2000 Churchill Livingstone
• Delee Drez Orthopaedic Sports Assessment
  volumes 1-3, 1995 Williams Wilkins
• OConnor Wilder Textbook of running medicine
  2001 McGraw Hill

4
Sports Journals

• American Journal of Sports Medicine
• British Journal of Sports Medicine
• Medicine Science in Sports Exercise
• International Journal of Sports Medicine
• Clinical Sports Medicine
• Journal of Orthopaedic Sports Physical Therapy

5
Overview Of Sports Podiatry
6
Learning Objectives

• Have a detailed understanding of the role of a
  podiatrist treating sports injuries
• Have an appreciation of the differences between
  working in a multi/interdisciplinary sports
  medicine team or as a sole practitioner

7
What Is A Sports Podiatrist?

• Fellow of the academy
• Consultant to amateur/ professional teams
• Postgraduate sports qualifications
• Keen athlete
• Armchair fan
• Advertising ploy

8
Medical Definition

• A podiatrist who can successfully diagnose
  skeletal lower limb mal-alignment related to an
  injury and provide appropriate orthotic
  management
• Peter Brukner, 1993

9
What Do You Need?

• Sound knowledge base
• Equipment?
• Multidisciplinary team/ network
• Sport enthusiast
• Patience of a saint

10
Sporting Statistics

• lt60 of all injuries occur below the hip
• Commonest acute injury is ankle sprain (Garrick,
  1977 Safron et al. 1999)
• Commonest tendon injury is to the Achilles
  (Marks, 1999 Anderson Hall, 1997)
• Commonest joint pathology is patellofemoral
• (Brukner Khan, 1993 McConnell, 1986)

11
What Should a Sports Podiatrist Do

• Make/ confirm the diagnosis
• Liaison as necessary
• Advise patient
• Treat with mechanical, physical, and chemical
  modalities as appropriate

12
Making the Diagnosis

• Thorough history
• Know your anatomy
• Appropriate test selection
• Specialist investigations

13
Making The Diagnosis
Physical Examination
Clinical History
Working Diagnosis
Specialist test(s)
DEFINITIVE DIAGNOSIS
14
Multidisciplinary Team

• Podiatrist
• Physiotherapist
• Surgeon
• Physician
• Radiologist
• Masseur

• Exercise physiologist
• Sports psychologist
• Nutritionist
• Osteopath
• Chiropractor
• Psychic healer

15
Patient Advice

• Activity modification
• Training basics
• Footwear
• Braces/ Strapping
• Self physical therapies

16
Mechanical Treatment

• Activity modification
• Padding
• Strapping
• Orthoses
• Cast immobilisation
• Footwear advice
• Footwear modification
• Braces
• Walkers

17
Physical Treatment

• Cold modalities
• Hot modalities
• Stretching exercises
• Strengthening exercises
• Ultrasound
• Shock wave therapy
• Massage
• Low level Laser therapy

18
Pharmacological Treatment

• NSAIDs
• LA
• Corticosteroid injection
• Creatine supplements
• etc

19
Knowledge Base

• Sports injuries
• Assessment techniques
• Know the sport
• Sporting technique
• Footwear
• Treatment options
• Referral options

20
Questions