{"id":8438,"date":"2022-07-26T13:53:16","date_gmt":"2022-07-26T12:53:16","guid":{"rendered":"https:\/\/apps.nhslothian.scot\/refhelp\/?page_id=8438"},"modified":"2023-09-13T13:59:13","modified_gmt":"2023-09-13T12:59:13","slug":"msk-podiatry","status":"publish","type":"page","link":"https:\/\/apps.nhslothian.scot\/refhelp\/guidelines\/podiatry\/msk-podiatry\/","title":{"rendered":"MSK Podiatry"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">\u200b<strong>Information<\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The musculoskeletal (MSK) podiatry service receives referrals for assessment, diagnosis and treatment of the lower limb MSK complaints with a focus on the foot and ankle. Patients are initially assessed and treated by Podiatrists in the community service and escalated to the MSK specialist clinic as required.&nbsp; Referrals are also de-escalated from the Orthopaedic Foot and Ankle service where appropriate.&nbsp;<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Typically, a patient examination will involve taking a history of the presenting complaint, a non-weight bearing and weight-bearing assessment, and gait assessment, as well as diagnostic investigations such as X-ray where appropriate. After this the Podiatrist will form an appropriate diagnosis and agreed management plan.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Treatment has a patient centred approach and offers a number of evidence based treatments which can include:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Advice on activity modification.<\/li>\n\n\n\n<li>Exercise programmes.<\/li>\n\n\n\n<li>Footwear advice.<\/li>\n\n\n\n<li>Foot orthoses\/insoles.<\/li>\n\n\n\n<li>Corticosteroid injections.<\/li>\n<\/ul>\n\n\n\n<div class=\"wp-block-getwid-tabs\" data-active-tab=\"0\"><ul class=\"wp-block-getwid-tabs__nav-links\"><\/ul>\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Referral Guidelines<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">We offer and utilise a range of appointment types for assessment including telephone, NearMe (video), and face to face where appropriate.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">Who can refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>GP&#8217;s<\/li>\n\n\n\n<li>Other Health Care Professionals<\/li>\n\n\n\n<li>Individuals can self-refer<\/li>\n\n\n\n<li>Family\/friends\/carers can make a self-referral on behalf of an individual<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Anyone regardless of age with pain caused by an MSK injury or of a biomechanical nature when self management has failed is eligible to be seen in the service.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Examples of common conditions seen include but not limited to:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Plantar Digital Neuroma.<\/li>\n\n\n\n<li>Osteoarthritis.<\/li>\n\n\n\n<li>Hallux Valgus (Bunions).<\/li>\n\n\n\n<li>Toe deformities.<\/li>\n\n\n\n<li>Plantar Fasciitis.<\/li>\n\n\n\n<li>Achilles Tendinopathy.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">Who not to refer:<\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Patients who have been referred to another service for the same problem (Orthopaedics, Orthotics, Physiotherapy)<\/li>\n\n\n\n<li>Asymptomatic flat feet<\/li>\n\n\n\n<li>Patients who have not followed self-management programmes as a first line of treatment<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How to refer:<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">SCI Gateway: Podiatry Community Clinics<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Primary Care Management<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">\u200bSee specific conditions<\/p>\n<\/div><\/div>\n\n\n\n<div class=\"wp-block-getwid-tabs__nav-link\"><span class=\"wp-block-getwid-tabs__title-wrapper\"><a href=\"#\"><span class=\"wp-block-getwid-tabs__title\">Resources and Links<\/span><\/a><\/span><\/div><div class=\"wp-block-getwid-tabs__tab-content-wrapper\"><div class=\"wp-block-getwid-tabs__tab-content\">\n<p class=\"wp-block-paragraph\">NHS Lothian Podiatry patient information leaflet<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/policyonline.nhslothian.scot\/Policies\/PatientInformation\/Musculoskeletal_conditions_of_the_foot_and_ankle.pdf\" target=\"_blank\" rel=\"noreferrer noopener\">Musculoskeletal conditions of the foot and ankle (nhslothian.scot)<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"http:\/\/www.knowledge.scot.nhs.uk\/musculoskeletal\/body-area.aspx\" target=\"_blank\" rel=\"noreferrer noopener\">http:\/\/www.knowledge.scot.nhs.uk\/musculoskeletal\/body-area.aspx<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\">NHS Inform: Exercises for foot problems<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/muscle-bone-and-joints\/exercises\/exercises-for-foot-problems\" target=\"_blank\" rel=\"noreferrer noopener\">https:\/\/www.nhsinform.scot\/illnesses-and-conditions\/muscle-bone-and-joints\/exercises\/exercises-for-foot-problems<\/a><\/p>\n\n\n<\/div><\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>&#8203;Information The musculoskeletal (MSK) podiatry service receives referrals for assessment, diagnosis and treatment of the lower limb MSK complaints with a focus on the foot and ankle. Patients are initially assessed and treated by Podiatrists in the community service and escalated to the MSK specialist clinic as required.&nbsp; Referrals are also de-escalated from the Orthopaedic<\/p>\n","protected":false},"author":2,"featured_media":0,"parent":4314,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"_searchwp_excluded":"","footnotes":""},"categories":[721],"class_list":["post-8438","page","type-page","status-publish","hentry","category-msk-podiatry-orthopaedics"],"publishpress_future_workflow_manual_trigger":{"enabledWorkflows":[]},"rttpg_featured_image_url":null,"rttpg_author":{"display_name":"NHS Lothian","author_link":"https:\/\/apps.nhslothian.scot\/refhelp\/author\/nhs-lothian\/"},"rttpg_comment":0,"rttpg_category":" <a href=\"https:\/\/apps.nhslothian.scot\/refhelp\/category\/orthopaedics\/msk-podiatry-orthopaedics\/\" rel=\"tag\">MSK Podiatry<\/a>","rttpg_excerpt":"&#8203;Information The musculoskeletal (MSK) podiatry service receives referrals for assessment, diagnosis and treatment of the lower limb MSK complaints with a focus on the foot and ankle. Patients are initially assessed and treated by Podiatrists in the community service and escalated to the MSK specialist clinic as required.&nbsp; Referrals are also de-escalated from the Orthopaedic","_links":{"self":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8438","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/comments?post=8438"}],"version-history":[{"count":2,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8438\/revisions"}],"predecessor-version":[{"id":10248,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/8438\/revisions\/10248"}],"up":[{"embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/pages\/4314"}],"wp:attachment":[{"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/media?parent=8438"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/apps.nhslothian.scot\/refhelp\/wp-json\/wp\/v2\/categories?post=8438"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}