When it comes to musculoskeletal foot problems there are any different options that podiatrists have to treat them. Some of these are what are called passive interventions. Theses are things like heat, cold, ultrasound, etc in which the patient with the problem does not actually do anything and they are treated with treatments that are passive. Alternatively, there are what is called the active treatments. These are interventions that are done by the person with the foot problem. This would include things like exercises such as strengthening and stretching. There is quite a bit of debate between different groups as to if the passive or active interventions are better.
This whole issue was the topic of a recent PodChatLive in which the hosts had a discussion with Talysha Reeve, a podiatrist from Australia with extensive experience in the active treatments and exercise rehabilitation of foot problems. PodChatLive is a regular livestream in which the two hosts pick a topic for each episode and have on some expert or group of experts on that topic and spend an hour discussing it with them. The discussion goes out live on Facebook and is later available as a video on YouTube and as an audio podcast from the usually podcast sources. For the episode with Talysha Reeve they discussed what are the better active interventions were and just what the considerations are that Podiatrists should have when providing rehabilitation clinically. The importance of a good clinical reasoning process to make those decisions are was also considered. They also talked about the pragmatic approach to rehabilitation in the real world, especially taking into account the biopsychosocial considerations, patient adherence and behaviour change. An important issue that was considered was about how well rehabilitation lends itself to online/remote consultations that there is an increasing trend towards. This episode of PodChatLive is highly recommended to podiatrists to learn more about the debate around these issues.