Differential Diagnosis of Foot and Ankle Pain: Part 1
Presented by Dr. Ian Alexander
In today's highly-technological world of medicine, the art of clinical diagnosis is gradually being replaced by high cost investigative tools, in particular magnetic resonance imaging (MRI). Blame for the abusive use of these tools cannot be solely attributed to the laziness or clinical ineptitude of providers. Patients and their litigators, through almost daily exposure in the media, have come to expect the high-tech, high-cost work-up as a routine part of the initial assessment. The unfortunate result is that, in some cases, clinicians evaluating musculoskeletal conditions find it easier to forgo a thorough clinical assessment and rely heavily on the radiologist's report. This is particularly true for young primary care providers who have been educated in a system that places a greater emphasis on medical science and less on clinical skills.
This program is presented in two parts, and will discuss the recognition of common historical patterns in foot and ankle disorders and the confirmation of diagnoses based on physical exam findings. There is no question that standard radiographs are an important adjunct in the diagnostic process, but their cost pales in comparison to that of an MRI. There will also be an emphasis on the role of mechanics in the induction of the pathology and the management of specific problems highlighted during both parts of the presentation.
Part 1 of this program has been awarded 1.5 Category I Scientific CEUs by the American Board for Certification in Orthotics, Prosthetics and Pedorthics (ABC), and 1.5 Category I Scientific CEUs by the Board of Certification/Accreditation, International.