The Podiatry profession in the island of Malta is a relatively recent discipline of health care when compared with other disciplines with the initial graduate students with outside qualifications only becoming state licensed in the late eighties. During the late eighties and early 1990's even though the requirement for establishing an Organization for Podiatrists was recognised the number of Podiatrists was still small and a common representative association never reached fruition to begin with. During the late 1990's as the University of Malta opened up more Podiatry programs the volume of Podiatrists accelerated and then the prospect of creating a uniting organization for all these podiatrists was slowly becoming a concrete and factual concept. The Association of Podiatrists of Malta had been established in 1999 and is the specialist association that represents Podiatrists practising in the Podiatry profession in Malta. Dr. Alfred Gatt was the first chair person of the group.
Alfred Gatt joined Cynthia Formosa for an edition of PodChatLive to chat about the profession in the island of Malta along with their common research passions. PodChatLive is a monthly live show on Facebook hosted by Craig Payne from Australia and Ian Griffith coming from England. They both teach on the podiatry course at the University of Malta. During the talk they talked about learning in Malta, which given the environment and the lower costs seems like a very alluring opportunity for many. They highlighted some of the large research productivity they have been involved in in regards to the diabetic foot, especially when you think about the size of the division at the university. Cynthia and Alfred pointed out the reason why you may want to think about toe pressures rather than the ABPI, and also think about getting a thermal digital camera as part of a diabetes appraisal. They got quite a lot of remarkable images featuring of lifestyle and working in the island of Malta and in addition of their very own research work. There is no doubt there could be many wishing to engage in a higher degree after listening to this episode
Diabetes mellitus is a common condition in society today. The costs both for the individual as well as to society are substantial. At the same time a lot that is possible to stop this and improve the consequences of type 2 diabetes. Foot complaints are frequent in people that have all forms of diabetes and the outcome of them may have really serious consequences. Many of these complications can include foot ulcers that might develop a systemic infection. Amputations as a result of non-healing wounds with poor blood flow also occasionally have to be done. There are a number of features of diabetes mellitus that affect the foot that could lead to all these issues.
One of these problems is that of nerve damage. This is where the higher blood sugar levels associated with type 2 diabetes may well injure the nerve fibers and have an impact on sensation. After this neural damage occurs, it signifies that whenever there is problems for the foot that there's no pain or warning signal for this harm. For instance, it can be as common as a simple blister or perhaps as bad as standing on a rusted nail or spraining your ankle joint. It is really not hard to think about exactly how much harm could be done by these examples when you can't know about the damage, in case you keep walking on this damage. Frequently in these occurrences, discovering a bloated foot may be the initial sign. That's why individuals with diabetes mellitus should preferably look over their own feet on a daily basis to make sure that there isn't anything wrong and if there is something causing damage, that they get immediate medical treatment. A good control of the blood sugar levels are required to make sure that this neurological deterioration is going to be kept from happening.
Another feature which develops in long term type 2 diabetes is poor blood circulation. Good blood circulation is necessary to keep the tissues in a good state and less susceptible to injury. Good circulation is also needed to help bring the chemicals that are needed to battle infections and help heal wounds, so if damage may come about, then it should be possible to heal up properly after that damage. This process is weakened in people that have type 2 diabetes. Other considerations than just type 2 diabetes can affect the blood circulation such as diet practices as well as exercise levels. A higher level of exercise in people that have diabetes mellitus have been demonstrated to improve the amount with the circulation and really should be urged.
Podiatrists will more often than not check out the nerve supply and foot pulses each time that they see a patient with type 2 diabetes for these risk factors and offer recommendations based on the condition with the nerves along with the blood flow. Podiatrists definitely will keep tabs on the foot for any change that could possibly transform into a severe issues along with handle just about any conditions, for example corns and callus which could predispose to the diabetes connected problems. The podiatry associated chat, PodChatLive have an episode about the foot in diabetes were the hosts of the show talked with the podiatrist and diabetes mellitus expert, Dr David Armstrong DPM . The hosts and Dr Armstrong spoke of just how widespread and just how major the problems of the foot and leg are in those who have diabetes. The PodChatLive is well worth a listening to.
A recently widely used approach to handle excessive use injuries that are common in runners is to use gait retraining. This is changing the way the runner runs using a completely different style. It makes sense that if you get an injury from running one way, then change the method you run. There's still a great deal to be discovered about doing this, however it is becoming more and more common and lots of clinicians as well as running technique teachers are utilizing this to assist runners. There is a recent episode of PodChatLive which was centered on this issue. PodChatLive is a live show for podiatrists and other health care professionals hosted by Craig Payne from Australia and Ian Griffiths from England. They go live on Facebook with a different guest monthly. The taped version is then published to YouTube and a audio edition is in addition published.
In the episode of PodChatLive on gait retraining in runners the hosts spoke with this with James Dunne. James is a very highly regarded running coach as well as the owner of the Kinetic Revolution website to assist runners with their exercising and running methods. In the episode they discussed why and when we would need to alter a runners running approach, and exactly how a health professional may do that. It shouldn’t surprise anyone that an individual approach is essential, and you will find no blanket techniques. One size will not fit all. They talked about the bidirectional and symbiotic relationship between running coachs and Podiatrists. James Dunne is a runner, a sports rehab therapist and coach from Norwich in the United Kingdom. He has a qualification in sports rehabilitation. James Dunne started the Kinetic Revolution coaching website back in 2010 as a way of giving what he learnt on his journey being an ex-pro rugby player to doing work in the sports injury world, and to him being a marathon runner.
PodChatLive is a free weekly live stream for the continuing professional development and learning of Podiatry practitioners as well as other individuals which could be involved in the clinical discipline. It goes live on Facebook and then is later uploaded YouTube. Each live show includes a different guest or range of guests to discuss a particular subject each time. Questions are answered live by the hosts and guests during the livestream on Facebook. Additionally there is a PodCast recording of each and every single livestream supplied on iTunes as well as Spotify and the other popular podcast sources. They already have gained a large following that is increasing. PodChatLive can be considered among the list of methods podiatrists may get free professional development credits that go towards there registration or licencing needs.
An early stream on dermatology included the podiatrist Belinda Longhurst. That livestream of PodCHatLive surprised the hosts because they weren't that specifically considering the topic, but it really produced so much interest it is pretty much probably the most viewed and most listened to episode they have completed. It opened the hosts eyes in the direction of doing more streams on ideas that will not always be of most interest to them, yet do attract a broad viewers. In this show on dermatology several topics were discussed such as the latest for the treatment of the really frequent problems observed in podiatry practice such as fungal infections and plantar verrucae were reviewed. Additionally they discussed the amount of pseudoscience within dermatology in podiatry there was and how widely used methods such as aqueous cream as well as tea tree oil really have no place whatsoever in modern day evidence informed practice. That did surprise lots of the audience, judging by the responses on Facebook. The show additionally included a lot of excellent clinical pearls such as a listing for recognizing malignant lesions on the skin, how the lions share of what appears to be anhidrosis may well be tinea and even more!