
Podiatry
in Australia - background
As providers of
comprehensive foot care, podiatrists play an important role in
the maintenance of mobility and consequently general health and
independence of all members of the community. Along with the treatment
of painful and debilitating foot problems, the podiatrist is a
valued member of the health care team, conducting targeted screening
and risk prevention, providing prophylactic treatment strategies
which may delay or prevent hospitalisation and invasive treatment
techniques and devising therapeutic care plans which facilitate
mobility and activity.
Podiatric services
offer a range of benefits for a variety of community groups. Podiatrists
have an important role to play in maintaining individual mobility
and independence by alleviating painful foot conditions, particularly
for those aged over 65, for whom an estimated 85% require a range
of podiatric services (Robinson, 1989). Diabetes Australia recommends
at minimum an annual foot assessment by a podiatrist (Evans, 1997)
to identify risk factors and ensure adequate foot health, in order
to maintain the activity level necessary for adequate blood glucose
control and the prevention of complications such as cardiovascular
disease and amputation. Lower limb complications in this country
account for the greatest number of bed-stay days of all diabetes
related hospital admissions - podiatric interventions, including
preventative care, wound management and foot orthoses have been
demonstrated to significantly reduce rates of foot ulceration
and amputation (Sanders 1994, Edmonds et al 1986). Other chronic
conditions such as arthritis, are improved with podiatric intervention,
through both the direct effects of the treatment and the indirect
benefits of improved mobility. The chronic injuries common amongst
athletes, requiring frustrating and expensive ongoing physical
therapy and possibly surgery, are increasingly referred for podiatric
intervention to correct underlying causative mechanical factors
and improve rate of recovery.
References
Robinson
J. (1989) The Aldersgate study.Flinders Medical Centre,
Bedford Park, 5042 South Australia.
Other references to be submitted shortly.
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