The Evaluation and Management of Common Neurologic Disorders in Primary Care Podiatry Practice: A Practical Review and Update

8:00 AM - 6:00 PM Central
Neurologic disorders of the foot and ankle are a commonly encountered problem in the office of the average primary care podiatric physician. These disorders present with a wide range from interdigital neuroma to polyneuropathy. The diagnosis and management of foot and ankle neurologic problems is an issue not commonly discussed in post graduate educational programs, primarily because there are no corporations which would benefit from increased sales of products for the diagnosis and treatment of these disorders. Nevertheless, neurologic pathology intrinsic to the foot and ankle is not uncommon. Recent advances in our understanding of the etiology these disorders, diagnostic testing, and treatment of these disorders is frequently unappreciated. This program is dedicated to advancing the ability of the primary care podiatric physician to diagnose and treat these not-uncommon disorders. The program will review basic principles as well as advanced concepts regarding the diagnosis and treatment of entities such as intermetatarsal neuroma, posterior tarsal tunnel, anterior tarsal tunnel, and soleal sling syndrome. The role of concurrent pathology such as spinal stenosis in complicating the treatment of intrinsic foot neurologic pathology will be presented for consideration. Special emphasis will be placed on surgically related nerve injury, a not uncommon complication and frequent cause for malpractice litigation. Discussions will include elucidation of iatrogenic nerve injuries, complex regional pain syndrome, and CRPS like post operative complications. A unique session will be held on psychological and psychiatric problems which may complicate the results of otherwise technically successful surgeries, such as anxiety, depression, somatization disorders, and catastrophizing. Strategies for the recognition of these patients and recommendations for management of these patients will be reviewed. This one-day program is unique in topics presented, and should be of benefit to all podiatric physicians. IT IS A PROGRAM WHICH YOU CANNOT AFFORD NOT TO ATTEND. Relevant CPT, ICD-10, and practice management considerations will be offered when appropriate.
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$150.00
Event Details
CME Credits
8.50
Date
Time
8:00 AM - 6:00 PM Central
Brochure
Speakers
Allen Jacobs
Allen Jacobs
DPM
Scientific Chair
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Learning Objectives

Goals and objectives
Posterior Tarsal tunnel surgery
1. The attendee will be able to articulate the electrodiagnostic, ultrasound, and MRI manifestations of tarsal tunnelsyndrome
2. The attendee will be able to explain the indications for, and interventions for the non-operative treatment of tarsaltunnel syndrome.
3. The attendee will be able to evaluate the literature relevant to the short and long-term outcome following tarsal tunnelsurgery.
Anterior tarsal tunnel syndrome
1. The attendee will demonstrate an understanding of the variations in anatomy of the sural nerve, superficial peronealnerve, and deep peroneal nerves.
2. The attendee will be able to identify the signs and symptoms of anterior tarsal tunnel, sural nerve entrapment, andentrapment of the branches of the medial plantar nerve, superficial and deep peroneal nerves in the foot and ankle.
3. The attendee will recognize the indications for and perform surgical intervention for less common nerve entrapmentsyndromes of the foot and ankle.
When is heel pain nerve pain
1. Review common and less common neurologic etiologies for plantar heel pain including spinal stenosis, tarsal tunnel,Baxter’s nerve entrapment and calcaneal nerve entrapment
2. Examine diagnostic options and interpretation of laboratory studies in the evaluation of heel pain secondary toneurologic pathology
3. Enlighten the attendee on nonoperative and operative interventions for the treatment of neurologic based heel pain
Treatment of symptomatic diabetic neuropathy
1. The attendee will have an understanding of the sensory, motor, and autonomic nerve manifestations ofsymptomatic diabetic neuropathy.
2. The attendee will demonstrate the ability to order and interpret diagnostic studies for the evaluation ofdiabetic sensory, motor, and autonomic neuropathy
3. The attendee shall be able to prescribe adjunctive analgesics and topical medications for the treatmentof symptomatic diabetic neuropathy.
Catastrophization in podiatric medicine and surgery
1. The attendee will have an understanding of the definition of catastrophization and the components of the disorderwhich affect podiatry care
2. Enlighten the registrant on the pre-treatment evaluation of a podiatry patient for signs of a propensity towardcatastrophization.
3. Provide the attending with effective strategies for the management of catastrophization complicating the treatment offoot and ankle disorders
The role of anxiety and depression in the in the management of foot and ankle pathology
1. Familiarize the attendee with the incidence of anxiety and depression in podiatric practice
2. The registrant shall achieve an understanding of the effects of anxiety and depression on the non-surgical and surgical management of foot and ankle pathology
3. The attendee will obtain the ability to recognize the effects of anxiety and depression in the podiatricpatient and provide effective interventions for mitigation of those effects
Allen M. Jacobs, DPM

Accredited by CME Online

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Intended Audience

Podiatrists
Other medical professionals treating conditions of the lower extremities

Agenda

SESSION ONE: COMMON ENTRAPMENT NEUROPATHIES OF THE FOOT AND ANKLE: EVALUATION AND MANAGEMENT

8:00-9:00am - POSTERIOR TARSAL TUNNEL SYNDROME: CAN WE PREDICT SUCCESS FROM FAILURE?

9:00-9:30am - ANTERIOR TARSAL TUNNEL SYNDROME: COMMONLY ENCOUNTERED. UNCOMMONLY DIAGNOSED

9:30 -10:15am - MORTON'S NEUROMA

10:15-10:30am BREAK

SESSION TWO: NERVE INJURIES OF THE FOOT AND ANKLE ASSOCIATED WITH THE SURGICAL MANAGEMENT OF FOOT AND ANKLE DISORDERS

10:30-11:30am - IATROGENIC NERVE INJURY OF THE FOOT AND ANKLE

11:30 am-12:30pm - NERVE PAIN FOLLOWING SURGERY: IT IS NOT ALWAYS CRPS

12:30-1:00pm LUNCH BREAK

SESSION THREE: PSYCHOLOGICAL AND PSYCHIATRIG PROBLEMS COMPLICATING PODIATRY CARE

1:00-1:45pm - CATASTROPHIZING IN THE PODIATRY PATIENT

1:45-2:30pm - ANXIETY AND DEPRESSION

SESSION FOUR: SELECTED TOPICS OF CLINICAL IMPORTANCE IN THE EVALUATION AND CARE OF THE PODIATRIC MEDICAL AND SURGICAL PATIENT

2:30-3:15pm - SPINAL STENOSIS AND DOUBLE CRUSH SYNDROME

3:15-3:30pm BREAK

3:30-4:15pm - COMPLEX REGIONAL PAIN SYNDROME

4:15-5:15pm - EVALUATION AND TESTING FOR DIABETIC SENSOR_YNEUROPATHY IN THE PRIMARY CARE PODIATRY OFFICE

5:15-6:00pm - QUESTION AND ANSWER SESSION

6:00pm MEETING ADJOURNS

Joint Provider Disclaimer

This activity has been planned and implemented in accordance with the standards and requirements for accreditation of providers of continuing education in podiatric medicine through a joint provider agreement between CME Online and St. Louis Podiatry Seminar. CME Online is accredited by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. CME Online has accredited this activity for a maximum of 8.5 continuing education contact hours.

Accreditation Statement

CME Online is accredited by the Council on Podiatric Medical Education as a provider of continuing education in podiatric medicine. The number of hours for each lecture are posted with the individual lecture

Compliance Statement

The information contained in this presentation does not establish a standard of care, nor does it constitute legal advice.

The information is for general informational purposes only and is prepared from a perspective to aid in understanding the pathology.

In accordance with the Council on Podiatric Medical Education's Standards and Requirements for Approval of Providers of Continuing Education in Podiatric Medicine, any relevant financial relationships with commercial interests of faculty, planning committee, or any others who have influence over the content of this educational activity must be disclosed to program participants. There are no conflicts of interest to disclose for this program

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Commercial Interest Statement

In accordance with the Council on Podiatric Medical Education's Standards and Requirements for Approval of Providers of Continuing Education in Podiatric Medicine, any relevant financial relationships with commercial interests of faculty, planning committee, or any others who have influence over the content of this educational activity must be disclosed to program participants.

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