Evaluation and Treatment of Foot and Ankle Pathomechanics

Course Outline

This intermediate, two-day, evidence-based continuing education course provides the clinician with practical and useful knowledge for evaluation and treatment of dysfunctions related to the foot and ankle. This course provides an exciting format for foot and ankle education. Dr. Bailey, integrates assessments across several areas of specialization including joint mobilization, flexibility, strengthening activities and pedorthics. Lower extremity biomechanical alignment, pathomechanics and differential diagnosis are thoroughly addressed throughout the two days and form the foundation for evidence based treatment options.

Laboratory sessions will enable the participants to learn static and functional evaluation and screening techniques. Individualized attention is provided so the participants can enhance manual techniques in palpation, motion testing, and soft tissue mobilization/manipulation. Treatment plans for pre and post op management, plantar fasciitis, posterior tibial tendon dysfunction, as well as forefoot disorders such as metatarsalgia are discussed in detail. Pedorthics instruction focuses on the indications for foot orthotics and specific shoe recommendations.

The course manual provides written descriptions, illustrations, selected post/preoperative protocols, evaluation forms as well as examples of suggested treatments. Case studies and group discussions will be utilized to ensure that the participant can implement learned techniques in the clinical setting. The skills learned in this course will have immediate application within the clinical environment.


Course Objectives

• Utilize a systematic approach to lower extremity biomechanical evaluation.
• Determine normal and pathological lower extremity function.
• Recognize common clinical entities of the foot and ankle through differential diagnostic processes.
• Formulate and implement a comprehensive foot and ankle therapeutic exercise program.
• Identify normal and abnormal accessory motion of ankle, rearfoot, and forefoot.
• Implement appropriate mobilization techniques to enhance joint range of motion.
• Determine when foot orthotic therapy is an indicated treatment.
• Understand common surgical techniques of the foot and ankle and their relationship to postsurgical rehabilitation.
• Provide rationale for appropriate differential diagnosis for rearfoot, forefoot and ankle pathology.

Schedule of instruction

  Day One   Day Two
7:30 8:00 Registration 8:00 9:45 Diagnosis and Pathology
8:00 8:20 Course Overview    
8:20 8:40 Review of Gait   • Differential diagnosis of midfoot/ forefoot pathology
- posterior tibial tendon
- cuboid subluxation
- metatarsalgia
- others
  • Plane terminology
  • Gait terminology
  • Range of motion required during gait
8:40 9:30 Anatomy/Joint Function 9:45 10:00 Break
  • Bony topography 10:00 12:00 Continued Diagnosis and Pathology
  • Expected range of motion   • Differential diagnosis of - ankle pathology
- lateral ankle sprains
- high ankle sprains
- peroneal tendonitis
- others
• Osteo/Arthrokinematics
9:30 9:45 Break
9:45 11:00 Lower Extremity
Biomechanical Alignment
  • Biomechanical nomenclature
  • Theoretical norms 12:00 12:45 Lunch (On Your Own)
  • Comparison of normal
/pathological 		12:45 1:30 Foot and Ankle Treatments/ Protocols
11:00 12:30 Foot and Ankle Pathomechanics   • Selected preoperative treatment
  • Abnormal biomechanics   treatment
  • Clinical signs and symptoms
- nature and duration of pain
- associated gait disturbances
- typical callus patterns		   • Therapeutic exercises
  • Foot orthotic suggestions
1:30 1:45 Break
  • Associated diagnosis
- lumbar pain syndromes
- patellofemoral dysfunction
- stress reactions in the lower extremity		 1:45 2:45 Manual Therapy Treatment (Lab)
  • Subtalar joint
• Midtarsal joint
12:30 1:30 Lunch (On Your Own)   • Talocrural joint
1:30 2:30 Pathomechanics (continued) 2:45 3:30 Tricks of the Trade
  • Compensated vs. uncompensated function   • Selective treatment techniques
  • Compensated vs. uncompensated function   • Patient management suggestions
  • Clinical depiction 3:30 4:15 Case Study/Questions and Answers
2:30 3:30 Clinical Examination   • Tying it all together
  • Functional evaluation    
  • Supine/prone evaluation    
• Standing evaluation
3:30 3:45 Break    
3:45 4:45 Evaluation (Lab)    
  • Lower extremity palpation    
  • Finding subtalar joint neutral    
  • Biomechanical comparison    
  • Leg length assessment    
  • Accessory motion assessment    
4:45 5:30 Case Studies    
  • Pathological findings    
  • Differential diagnosis    
  • Recommended treatments
- modalities, manual therapy, therapeutic exercise, foot orthoses		    
5:30 6:30 Diagnosis and Pathology    
  • Differential diagnosis of rearfoot pathology    
  - plantar fascitis, heel pain syndrome, tarsal tunnel syndrome, others    

Downloads

Course Brochures are in Adobe PDF format. Right click and choose "Save Target As" to download brochure. If you would like to open the brochure in your browser windows, select the link.

Course Brochure for Evaluation and Treatment of Foot and Ankle Pathomechanics

Scheduled Dates and Locations

 

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Course Instructor
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Joshua Bailey, PT, DPT, OCS, CSCS, CPed, completed his MPT and DPT degree at Shenandoah University. He is a certified strength and conditioning specialist from the NSCA as well as an orthopedic clinical specialist from the APTA. He is co-owner of a private 9-site orthopedic physical therapy center located in Virginia. He practices full time managing foot and ankle cases. Dr. Bailey works with a wide variety of patients including athletes, officials, and referees in the NFL, NBA, WNBA, Major League Baseball, ACC, Big South Conference, and the Big East Conference. He is an adjunct faculty member with Liberty University and the team physical therapist for the Liberty University athletic program. He acts as a consultant for foot and ankle injuries for several other Division I athletic programs as well. Dr. Bailey, has lectured in many forums on the foot and ankle since 1997 on topics including pre and post-surgical management, manual therapy of the foot and ankle, differential diagnosis of foot and ankle disorders, as well as foot orthoses fabrication and modification.
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