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Are there any podiatrists out there interested in doing a foot and lower leg mobilisation technique course in Durham UK, date to be confirmed. It will be held at The Old Pit Practice Pity Me Durham by Mr Kevin Reese MCSP MHPC BSc MSc, a physiotherapist who has taught numerous courses at undergraduate and post graduate levels and has almost completed a PhD in joint mechanics. Very exciting opportunity and a lot cheaper than other mobilisation courses, only £100 a day. Please post your contact details if you're interested, thanks.

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perhaps. How long is the course?

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Patient (age 6) "Mum, I know you're pregnant, but why is your bum big too?"

The thing might need to be accredited by the Society Richard, as it would allow us to practice as an extension of scope of practise, in the same way as Podiatric Acupuncture, steroid injections etc.

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

Hi sally

The course will be for two days. Will have some more details tonigh, thanks

Hi peter

Kevin is registered with all the appropriate physiotherapy bodies but I'LLC contact the society and find out, cheers

If you`re looking for an SCP `accredited` course, then Ian Linane could be your man.

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Just a rock `n roll refugee.

If...

Bit expensive Bel, the NHS ain't looking to fund big cpourses these days, not in the North-East anyways,

Thanks again

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

True. Sad, but true.

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Just a rock `n roll refugee.

If...

The reason this cropped up is this, we ran an acupuncture course approx 7-8 years ago here in South Shields, but the stipulation by the Society was that to use AP as an extended scope of practice, and hence be covered for insurance/indemnity etc, was that the course had to be Society accredited, which it was.

For the private sector, I am in the dark, but this was the case on the NHS back then.

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

Hi Peter,

Call me a cynic, but; you don`t think that maybe, just maybe, that could be a stipulation to encourage more courses to be `accredited`?

Whether you are working in the public or private sector, it is the insurance policy held by you as a practitioner (which only stipulates `evidence of appropriate training` for specific post grad procedures) which dictates your level of cover, not the professional body which only arranges a group policy with the insurance company.

(As an aside, you don`t have to be an SCP member to work in the public sector. When I graduated from uni, I had to wait a couple of months for full SCP membership, which could have delayed my HPC registration, which happened to many of my cohort, and subsequently my pending NHS post that I had been offered. However, I was in the fortunate position of already being HPC registered and holding Liability Insurance through the group policy of the IOCP, so was able to start working for the NHS within weeks of graduation.)

Personally, and this is only my opinion, I don`t think `accredited` and `appropriate` are synonymous.

Cheers,
Bel

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Just a rock `n roll refugee.

If...

Hi Bel, no-one has to be a cynic to realise the Society's game. I might be under the wrong impression, and happy to be gladly corrected, but isn't it the Society who dole out our public liability certificates.

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

They do, because they came to an arrangement for group insurance through the HSBC, but that does not mean that they dictate the level of insurance for the individual practitioner.

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Just a rock `n roll refugee.

If...

I was led to believe that liability according to scope of practice was extended to Society accredited AP/Steroid injection courses, but it clearly seems not to be the case?

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

I don`t know about specific training courses, maybe certain ones are. I only know that your scope of practice is determined by your insurance policy and evidence of appropriate training, Check out your HSBC policy.

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Just a rock `n roll refugee.

If...

I think that exposure to mobilisation techniques for use within podiatry is an excellent thing (though not new within the profession!) whether it is through my courses or someone else's. It can only enrich the profession and an individuals practice. I would stress however that mobilisation refers to both soft tissue as well as joint.

The journey for me began with attending simple courses as mentioned by the OP. These worked at the level they were supplied. They got me started and are valuable for that.

I quickly learnt that to really make it work for me I needed to take it on more fully as there are almost an infinitely rich resource of intervention techniques to draw from.

For example, the more commonly known and discussed one is that of fibular mobilisation working well to possibly aid in restoring range and quality of ankle dorsiflexion. No argument from me there.

At the same time it is but one of the accessory glide treatment tools that can be used to treat the ankle joint complex. There are at least 16 others (Maitland style) and this does not include other techniques for the more acute ankle injury such as Mulligans mobilisations with movement (MWM's). All are simple to learn and we should not be averse to learning them or frightened of them.

As to whether something is expensive or cheap of course will be determined by a number of factors but, certainly, if a person can get initial exposure for a cheap rate then it is a start for them. Hopefully it will spur them on to bite the bullet of investment cost in their own skill base. I have always believed that good investment in developing my own manual skill base is worth every penny as it is a skill that resides in my hands.

My journey in this area began a long time ago and I am still attending CPD courses now, gaining new mob skills, updating others. Trying to relate them to BMX approaches to the leg, foot and ankle as well. Equally I now find myself also teaching some physios the techniques as they appreciate a podiatric perspective on what is being achieved.

It is always this inter-transferable set of skills experience between the disciplines that is rewarding and exciting.

However, it is important to grasp that to take that initial exposure to the manual therapy skills, refine them and add to them will always incur a cost factor to your professional development. This cost is substantial and should be understood both in terms of time spent in mastering the skill, and finance in terms of undergoing CPD in the area.

As a skill however, it has paid its way for me in terms of patients treated, patient recovery and further patient referral.

By way of closing I would want to suggest that mobs work is a tool, not an all embracing cure. It needs to be understood as such.

Whether using mobs or orthoses we are about enabling forces to be better accommodated by the low limb ( I know, that's not a good description). To that extent there are times when the mob is an adjunct to orthotic intervention and vice-versa. There are also time when both are equally significant to a good result for the patient.

Forgive the rambling.

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Ian Linane

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Podia-Clinic
Manor Farm House
Southwick
England
www.podia-clinic.com

Soft Tissue and Joint mobilisation Courses.
Details available via PM

Hi Peter

Just to clarify the course doesn't have to be accredited by the society and we'll be provided with certificates upon completion, cheers.

Hi Richard

I wish your course well and I suspect you are right that it does not need to be accredited by the Society in order for the course to run and podiatrists to attend the course.

I suspect there are a couple of things to double check though on behalf of those attending:

1. Will the certification being provided and the course content allow attendees to register their new skill on the Society insurance or not. If not they may face additional cost at some point and need to know this. If it does not cover them in terms of Society insurance then, of course, they can always obtain that independently if they wish and that's fine. It might be relatively cheap, I don't know. This being the case then it might not harm to make such information of where they could obtain this available to them and what the annual cost would be.

2 Will it also register them with the Society as having extended scope of practice. This especially might be a different matter to that of the insurance. It may be they do not need this to practice the skills, especially if obtaining independent insurance but it may be that this is partly what they want as well so it needs to clarified for attendees.

A simple email to the CPD officer at the Society or phone call to them should sort this out for you, unless you have already done this, in which I speak out of turn and apologise.

Every good wish for the course.

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Ian Linane

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Podia-Clinic
Manor Farm House
Southwick
England
www.podia-clinic.com

Soft Tissue and Joint mobilisation Courses.
Details available via PM

Hi Ian, points 1 and 2 were exactly the questions I was asking, except you put it more eloquently.

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“Body: A thing of shreds and patches, borrowed unequally from good and bad ancestors and a misfit from the start”

Ralph Waldo Emerson

As I recall, mobilisation/ manual therapies was included in the HPC minimum standards of practice for podiatry. Thus, all newly qualified podiatrists should have been exposed to mobilisation techniques during their training (to a greater or lesser degree). Thus, the SCP should already by aware that all newly qualified HPC registered podiatrists registering with them have mobilisation within their scope of practice.

Someone who is really interested might want to check the standards of practice documents for both the HPC and Society, as I'm working from memory on this.

Edit: OK, you got me interested so I had a quick look:

HPC
2b.4 be able to conduct appropriate diagnostic or monitoring procedures, treatment, therapy or other actions safely and skilfully
– use appropriate physical and chemical therapies

Mobilisation is a physical therapy.

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Who? What? When? Why? Yeah? And? So? What?

"My mission drive is to open up my eyes, 'cause the wicked lies and all the sh!te you say..." http://www.youtube.com/watch?v=V4NW5S1UTPQ

"Science is the antidote to the poison of enthusiasm and superstition."

Hi Simon

It is perhaps coincidence but today I've had conversations with students who are qualifying this year and they have not been exposed yet to manual therapy. There again I've had tutors come on the courses recently with the intention of being able to expose them to the techniques of manual therapy. So I think you a probably right but the practicalities of it may be having to play catch up with the intention. That said a couple of students have also said that their exposure came on placements in private practices. Maybe this is where it is possible to gain it as curriculum time might to full?

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Ian Linane

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Podia-Clinic
Manor Farm House
Southwick
England
www.podia-clinic.com

Soft Tissue and Joint mobilisation Courses.
Details available via PM

Hi all

Quick update now we have some firm details.

The course will take place on Saturday 23rd and 30th June.

Venue will be The Old Pit Practice Front Street Pity Me Durham. Unless there is a very large number of applicants and the venue is moved. (will be very near Old Pit Practice).

Cost is £100 a day (payable on the day)

If you're interested please inbox me your email address and I'll send you a course description.

Thank you