Clinical Articles
Ultrasound in focus and Podiatry
Ultrasound in focus within podiatry is the theme this article. All professionals will inevitably extend their ability as part of professional development. This is often known as extending one’s scope or range of skills. Opposition to expansion arises for different reasons. Lack of confidence by a greater majority can impede change. Strong views are held in respect of what is viewed as traditional scope. A need to stick to what we learned at university. There is no doubt that those that offer indemnity cover to practice have their own views as to risk. When it comes to ultrasound there is a storm brewing. It is one that is as old as time.
Poor data collection exposed
Podiatric activity occurred in 99 centres, 88% of which provided NHS care. Community-based services accounted for 51.8% of NHS treatment with the remainder provided by either acute Trusts or NHS Choose and book in the independent sector. When comparing HES data between April – November 2020 a similar trend existed. Overall day case admissions were down by 42.5%.
Medicine What’s the Point?
Podiatric surgeon Steve Kriss considers that podiatrists could do more with their medical training and lays down the gauntlet. His premise is that to play an equal role in patient management clinicians must be able to communicate at the same medical level as qualified medical doctors. He describes his own experience here.
Reflections in podiatry and local anaesthetics
Most accounts agree that chiropodists started to consider using injectable local anaesthetics in the post-war period, after 1945. Most, but not all. It still remains, to some extent, shrouded in mystery. Professor Alan Borthwick provides evidence that demonstrate the earliest views which fragmented many in the profession previously known as chiropody.
Does your patient follow your advice?
When a patient only wanted a fix, their care was inadequate. They were demanding and finally a complaint arose. How would you deal with this. Follow a Facebook series query with David and find the solution.
Podiatric Surgery – a Fairy Tale come True
Podiatric Surgery – a Fairy Tale Come True is written by the author with over 40 years experience covering all the key highs and lows that turned chiropody into podiatric surgery. The early years have now been turned into a book but this is a reflection of lack of evidence which eventually grew in time to make a profession from something that had been seen as pedicure…
Progress Through Communication
Progress through communication is pivotal to patient centred practice. First of all the profession needs to know where it has come from in order to improve. In this article I step back a little to see where we have come from and highlight some of the earlier attitudes. All professions need to establish their identity through clear objectives of how to achieve their role, and evidence to support their effectiveness in the healthcare market.
Pain after Injections for Nail Surgery
Pain after injections for nail surgery is brought this month to readers by Alison Charlton. Alison is an avid reader of Podiatric Reflective Newsfeed and publishes her short case history for ConsultingFootPain. A growing number of queries are being raised on Podiatry Forums covering nail surgery
Are Podiatry on-Line Consultations a Good Idea?
I wanted to look at the subject briefly to raise the idea that there might be a place for tele-consultations in podiatry. At present do we know what limitations are likely to exist for podiatrists? It might be useful to look at the subject from a broad perspective.
What’s this at the end of my toe?
It might be confusing because the skin looks odd but the sub ungual exostosis is the underlying cause.