The Role of Ultrasound in Diagnosing Foot Problems

One of the key standards that most clinicians wish to accomplish is get the diagnosis of their client’s trouble correct. Until they get that appropriate, then conclusions regarding the best therapy can't be made and advice offered on the best treatment proposed. Normally any diagnosis had been based on the actual examination and also a look at the history of the issue and limited imaging such as an x-ray. When a diagnosis cannot be determined from that data, then it became a matter of following the client to observe the way the symptoms progress and then the diagnosis could become obvious. These days along with the basic and simple x-ray we've got much more sophisticated imaging approaches for example ultrasound that is making the diagnosis procedure far less difficult. An show of the podiatrists livestream, PodChatLive had been focused on the matter of diagnostic ultrasound to assist determine disorders in the foot.

In that episode of PodChatLive the hosts invited on Stuart Wildman to talk about his experiences by using diagnostic ultrasound. Stuart is a Physical Therapist, musculoskeletal Sonographer and Director of The Ultrasound Site Ltd based in the UK. They talked about some of the politics and training concerning ultrasound use, specifically what the benefits and restrictions of ultrasound tend to be, as well as the tissues and conditions that could be visualized around the foot and ankle with ultrasound. He is the Owner and Director of The Ultrasound Site Ltd that he launched in 2013. Stuart splits his time between Radiology and Physiotherapy in which he carries out both diagnostic and guided interventions in both places. He qualified from the University of Southampton in the UK in 2003 with a BSc in Physiotherapy, and continued to achieve an MSc in Advanced Neuromusculoskeletal Physiotherapy at The University of Hertfordshire and a Postgraduate Cert in MSK Sonography at Canterbury and the Christ Church University.

How did PodChatLive get started?

PodChatLive is the monthly live show for the continuing expert growth and development of Podiatry practitioners and other health professionals that might be interested in the issues discussed. The show is streamed live on Facebook and then is later added to YouTube right after being edited. Every live stream features a different person or collection of guests to go over a different topic every time. A wide range of subjects get discussed. Questions are answered live by the hosts and their guests while in the live stream on Facebook. There’s a podcast of each episode presented on iTunes and Spotify and the other usual podcast sites which get published after editing. They’ve created a significant following that keeps growing. PodChatLive is certainly one of many ways by which podiatry practitioners may get free continuing education hours or credits that are required in many countries to keep their professional registration.

Following the initial impromptu and unplanned stream from the kitchen following the hosts had dinner, the livestream was carried out by the hosts to determine if it might work. While using Zoom web seminar system, Craig Payne was in Melbourne and Ian Griffiths was in England. Craig and Ian planned to see if it may give good results. In this second show, they talked about the concept of supination resistance, touched on 2D Vs 3D gait analysis and were asked who our has to follow accounts were on social media. It was successful and the concept has continued to grow. However, there were some questions that got asked live that they did not know the answers to. This resulted in subsequent episodes having a different guest on each week who could answer the questions that the hosts could not answer. While they were initially done weekly, the episodes are now done on a monthly basis.

Why do podiatrists assess the vascualr status of the foot?

Among the more important functions which a podiatrist takes on might be to appraise the vascular or blood circulation status to the foot and lower limb to find out if people are vulnerable or not for poor healing due to the blood supply. If a person was at high risk for complications because of that, then steps should be undertaken to lessen that chance and safeguard the foot from problems, especially when they have diabetes. The weekly chat show for Podiatrists, PodChatLive devoted an entire episode to this topic. PodChatLive is a absolutely free continuing learning stream which goes live on Facebook. The intended market is podiatry practitioners employed in clinical practice, however the real audience include a lot of other health professionals as well. During the live there is lots of discussion and feedback on Facebook. Later on the edited video version is uploaded to YouTube and the podcast edition is added to the common platforms like Spotify and also iTunes.

In the stream on vascular complications and evaluation of the foot the hosts spoke with Peta Tehan, a podiatrist, and an academic at the University of Newcastle, Australia and with Martin Fox who is also a podiatrist and works in a CCG-commissioned, community-based National Health Service service in Manchester, UK where he provides earlier identification, analysis and best clinical management of individuals with suspected peripheral arterial disease. In the episode there were several real and helpful vascular gems from Martin and Peta. They talked about exactly what a vascular examination should look like in clinical practice, the need for doppler use for a vascular analysis (and frequent mistakes made), all of us listened to several doppler waveforms live (and appreciate how depending upon our ears alone is probably not perfect), and identified the need for great history taking and screening in individuals with known risk factors, notably considering that 50% of people with peripheral arterial probalems are asymptomatic.