How to Find Victories in a Losing Season Dave Tikker- Executive Director- WSSAAA [email protected].
Foot Trigger Points Rue Tikker€¦ · per Rue Tikker. Into the interspace between each toe (from...
Transcript of Foot Trigger Points Rue Tikker€¦ · per Rue Tikker. Into the interspace between each toe (from...
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Trigger Pointsper Rue Tikker
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Into the interspace between each toe (from top down)
Inject to the level of the bone behind
sustentaculum tali
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Just above and below the lateral maleoli
Lateral to the dorsalis pedis artery
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Inject laterally at cuboid, one deep (needle
completely buried), one shallow
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To tape, first wrap in rolled gauze - not too tight, then wrap from medial to lateral with stretch wrap. Do not wrap tightly. Secure with
tape. (zonas - flesh colored tape, easy to tear - 2” and
1” tape) Replace at each visit.
The idea is to stabilize the bones (cuboid) so that they may heal while stabilizing
the arch.
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Taping
• on a chronic treatment, the tape is pulled from the bottom toward the top equally to keep the foot in neutral.
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Codes for the foot
• Codes 98925 E&M
• Codes 97140
• Codes 29540
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• Ask every new patient if they have foot problems.
• 1 out of 4 do.
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What you can treat• Ankle injuries
• Plantar fasciitis
• pseudoneuroma pain
• tired aching feet
• metatarsalgia
• swelling (unilateral)
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Frequency of Treatment• each day for one week
• every other day for one week
• twice the third week
• twice for follow up
• every other problem is twice per week for 12-14 treatments
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Plantar Fasciitis
• therapeutic U/S works best for plantar fasciitis and metatarsalgia.
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Gout
• From Rue’s dad - internal med doc who practiced until 90.
• Gout is caused by red meat, chicken, turkey and shellfish and beer. Take them off of these and the gout will clear up.