Open to All
Objectives:
Review the essential surface anatomical structures associated with the common clinical presentations of the ankle, foot and great toe.
To become competent in accurately identifying the anatomical structures (muscles, tendons, joint ligaments, vascular structures and nerves, particularly motor and cutaneous parts), through palpation.
Review, apply and interpret the various orthopedic procedures related to each to the regions and assimilate the finding with historical features, to develop appropriate care plans.
Review, apply and interpret the various neurological procedures, including deep tendon reflexes, superficial reflexes, pathological reflexes, Motor power, various sensory modalities and special procedures, related to each to the regions and assimilation of these findings with historical features to develop appropriate care plans
Review, apply and interpret the various functional tests for the lower extremity, including balance, strength, endurance, power etc…
Review various soft tissue non- manipulative manual techniques to address the above clinical findings. Introduction to taping and other techniques.
Development of goal-oriented functional restoration rehabilitation program.
“Ankle Sprain” – does this also involve a sural nerve neuropraxia? Is the distal fibula implicated? Is there a concomitant lateral compartment of the leg, muscular strain, due to the large eccentric load placed on the fibularis longus and brevis musculature? Is there need to suggest a radiograph? If this is recurrent…what about the possibility of an osteochrondal defect? Will this become chronic? Management of dorsiflexion deficit, cuboid syndrome and additional articular findings common with these presentations
Disorders to be discussed (Assessment and Management)
Turf and Reverse Turf Toe
Plantar Fasciitis and it’s complex list of Differential Diagnoses
Heel Pain
Functional Hallux Limitus
Hallux Valgus
“Ankle Sprains”
The Cuboid Syndromes
Distal Tib-Fib Syndesmotic Sprains
Achilles Tendon – Insertional Vs. Non-insertional (ddx)
Tibialis Posterior Tendinopathy / dysfunction
Impingement syndromes
Plantaris tendinopathy
Neuropathies of the feet – Small fiber, Tarsal Tunnel, Baxter’s neuropathy, Saphenous Neuropathy, Sural Neuropathy, Common / Superficial / Deep Fibular Neuropathies
Bony Stress Injuries to the foot and ankle – The “N” Spot
“The Musculoskeletal syndrome of menopause” – How does this relate?
Example of APPLICATION:
To apply the above skills sets to common clinical applications (see example below)
Acute “Ankle Sprain” – does this also involve a sural nerve neuropraxia? Is the distal fibula implicated? Is there a concomitant lateral compartment of the leg, muscular strain, due to the large eccentric load placed on the fibularis longus and brevis musculature? Role of Flexor Hallucis Longus in this case? Inferior fibular malposition? Is there need to suggest a radiograph? If this is recurrent…what about the possibility of an osteochrondal defect? Will this become chronic? Is there a Dorsiflexion deficit, how do we quantify this?
Glen M. Harris, BSc, DC, FRCCSS(C)
Biography
Dr. Harris is a graduate of the University of Waterloo Kinesiology program and the Canadian Memorial Chiropractic College. He is a Fellow in the Royal College of Chiropractic Sports Sciences (Canada) and past Executive Council Member of Fédération Internationale de Chiropratique du Sport. He is an assistance professor and clinician at CMCC as well as former chiropractor at the Schroeder Pain Assessment and Rehabilitation Research Centre in Toronto. He is founder and Clinical Director of MSK+, an education and clinical services company, that provides virtual and in-person training around the globe. He maintains a private practice in mid-town Toronto.