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Scope
of practice
Podiatry deals
with the prevention, diagnosis, treatment and rehabilitation of
medical and surgical conditions of the feet and lower limbs. The
conditions podiatrists treat include those resulting from bone
and joint disorders such as arthritis and soft-tissue and muscular
pathologies, as well as neurological and circulatory disease.
Podiatrists are also able to diagnose and treat any complications
of the above which affect the lower limb, including skin and nail
disorders, corns, calluses and ingrown toenails. Foot injuries
and infections gained through sport or other activities are also
diagnosed and treated by podiatrists.
A range of skills
are employed by podiatrists. Direct consultations include a clinical
history composition, physical examination, diagnosis, preparation
of a treatment plan and provision of a range of therapies. Clinical
assessment techniques aim to secure a diagnosis and prognosis
and take into account clinical, medical and surgical history,
footwear, occupational and lifestyle factors, and may incorporate
the use of diagnostic equipment such as vascularscopes or radiology.
Gait analysis will often be undertaken through visual or computerised
means and might include range of motion studies, postural alignment
evaluation or dynamic force and pressure studies.
Clinical services
require skilled use of sterilised instruments and appropriate
infection control procedures, along with appropriate application
of pharmacological agents, specialist wound dressings and a variety
of physical therapies. Prescription foot orthoses (in-shoe devices)
offer permanent solutions in the treatment and prevention of corns,
callous and necrotic ulceration in their capacity to provide pressure
redistribution. As a technique for providing consistent weightbearing
realignment they are utilised in the treatment of acute and chronic
foot conditions such as tendonitis, recurrent ankle sprain, chronic
knee pain and stress fractures, to supplement and enhance clinical
care.
Foot health education
regarding self care techniques and prevention of foot pathology
is an important component of individual care but is also frequently
implemented on a greater scale, either to specific target groups
or as community projects.
In order to facilitate
enhanced clinical care, podiatrists establish and maintain collaborative
relationships with other health care providers, often working
within a site-based, multi-disciplinary team. |