Education Session Descriptions
 

Friday 11/4/2016
 
7:30-9:00         GS1 Effective Strategies and Techniques in Managing a Pedorthic Practice
                                Lynn Homisak PRT


9:15-10:15       BO1 - Essentials of Business Anatomy: An Introduction to Core Structural Aspects- Legal and Tax- of the Principal Life Stages of a Privately Held Business
                                Allan J. Weiner, Esq

With real life case studies, you will examine how you might decide whether your family or a trusted manager should own and run the business or whether it is time for an outsider to come in.  Then, with more everyday examples, you will gain an appreciation of how broad and varied are the ways that these transition events can occur and how the differences will affect the business and tax planning issues you will face.  It is never too early to think about the future of your private business.  This session will give you the framework to begin your plans.


                       BO2 - The Patient Perspective on the Effectiveness of Custom Made Foot Orthotics
                                 Peter Morcom C.Ped C

This project was initiated by the Pedorthic Association of Canada (PAC). The need for the study arose out of the observation that there was very little objectively solicited patient feedback on the effectiveness of their custom made foot orthotics (CMFOs). The purpose of this study was to solicit feedback from the patient in an objective and structured manner about their perspectives on CMFOs. Specifically, data was collected from the patient to determine of the use of CMFOs helped to:
  1. Reduce pain or discomfort in the foot and ankle with regular use; and
  2. Allow them to increase their level of activity?

                       BO3 - The Bridge between Current Literature in Practice in Diabetic Footwear: Clinical Practice   Guideline for Optimum Offloading of the Diabetic Foot: a Systemic Review
                                Sayed Ahmed C.PED CM Au

The goal of diabetic footwear is to redistribute and reduce plantar pressures and avoid mechanical stress on the dorsum of the foot.  This can involve the fabrication of total contact accommodative insoles, fully customized orthopedic footwear incorporating arch supports, metatarsal bars and pads, rigid forefoot rocker or rocker sole with specific pivot point location and angle.  Further high quality studies, including clinical trials, should be conducted in order to inform the clinical and scientific communities regarding the effects of these aspects of footwear design in diabetic populations.
 

10:15-11:15     BO4 - Incorporating Pedorthics in Orthopaedics
                               Tamara A. Daulton C.Ped; L.Ped

The Feet truly can be described as the “Foundation of our House”.
Once the feet begin to have biomechanical issues or injuries, the rest of the body
“Show cracks”.  By understanding this, we as pedorthists can open ourselves up to getting away from only assisting the foot and ankle surgeons or podiatrists; we can help achieve positive outcomes for many orthopedic surgeons as well.  From a Total Knee Replacement, to a knee scopes, and a hip replacement to a hip scopes, we can serve as an integral part to any orthopedic office. That’s not even taking into account the multitude of back issues.


                      BO5 - From Research to Reality: How Peer Reviewed Research is Changing the way we Understand Use Foot Orthotics in Clinical Practice
                               Matt Gooch C.Ped

Foot Orthoses are a clinical modality that most Pedorthists use on a daily basis to treat their patients.  Despite their frequent use, our understanding of the manner in which they benefit those patients has been a topic of debate for more than 40 years.  This presentation will detail how, over the last two decades, a growing body of research has called into question the traditional “motion control” paradigm that has dominated both custom and over-the-counter orthosis prescription.  Additionally, this presentation will detail the newly-emerging kinetic-based paradigm and how it can fundamentally change our collective understanding of how foot orthoses ”work” and how they are used in clinical practice.


                       BO6 - Pediatric Mythbusters – Misconceptions About Treating/Non-Treating Pediatric Flatfoot
                                Roberta Nole

There seems to be a lot of debate in the literature as to whether or not it is appropriate to treat an asymptomatic child with a pediatric flatfoot. What I have come to learn after 25 years’ experience in the fields of pedorthics and physical therapy is that when it comes to managing foot and ankle problems, children and adults alike, there is no common law! In this lecture I will share what I fondly call pediatric “MythBusters”! Learning about common misconceptions related to children’s feet will help the participant overcome unwarranted fears about treating and managing pediatric flatfeet.  This discussion will include easy to understand age specific assessment and treatment protocols for use of orthotics, and offer tools to help the practitioner learn how to market a pediatric program to expand their practice and become a pioneer in their community in the area of pediatric pedorthics.


2:00-3:00         GS2 The Aging Foot and its role as the Foundation of Healthy Aging
                                Paul Langer DPM

By the age of 50 our feet have carried us an average of 75,000 miles.  Research shows that the quality of life as we age is directly related to our ability to stay active.  Foot pain, acquired foot deformities and the fear of falling are significant factors that limit activity in older people.  Common age-related changes to the foot increase the risk of injury and falls, and something as simple as finding a comfortable pair of shoes can be problematic due to age-related changes of the foot.  Based on a thorough review of the most recent peer-reviewed literature, this lecture will discuss how the foot changes with age and how to address the most common causes of foot problems through exercise, footwear changes, and balance training.


3:00-4:00         GS3Sports Injuries: The Biomechanical Answers and Solutions
                                Louis DeCaro DPM

Since twenty-five percent of sports related injuries occur at the foot and ankle, it is prudent to understand foot types and related ankle and foot pathologies; because without some form of intervention, a patient is predisposed to certain pathological conditions of the foot and/or ankle. As well we can learn what certain foot types are pre-disposed to athletic injuries and use that information to take preventative measures


4:30-5:30         GS4 - Prescription Drug Epidemic: An Interactive Discussion Exploring the Pedorthic Role
                                Alan Darby, PA, C Ped

The Centers for Disease Control and Prevention has described the country’s sharp rise in overdoses over the last decade from prescription painkillers, or opioids, as an epidemic. “We have an unprecedented public health problem on our hands, our public health response must be consistent with the scale of this problem”. It is important for the Pedorthist to understand how prescription drugs of abuse affect their patients and how the initiatives to regulate and reduce the utilization of prescription drugs of abuse will impact future patients. On a broader scale this program will open a dialogue regarding how Pedorthics can contribute toward this highly publicized state of affairs.


Saturday 11/5/16

8:00-9:30         GS5 - Equinovarus Deformity and its Pedorthic Solutions
                                Donna Robertson C.Ped
 
The pedorthist should look beyond the specific foot complaint/symptom to assess the underlying cause.  Frequently, ankle equinus deformity will be at the root of the patient’s foot problem.  Appropriate gastroc-soleus stretching has been found to be an effective modality in treating a wide range of foot/ankle complaints where ankle equinus is an underlying etiologic factor.  Through this lecture, the pedorthist will gain a better understanding of how to recognize gastrocnemius tightness, how to treat it, and understand why it has an influence on many symptoms (calf cramps, lower limb instability, difficulty walking without heel contact, midfoot/forefoot pain and knee/hip/lumbar pain) to gastrocnemius tightness is essential to treating patients with pedorthic issues.  If the calf can be accurately linked to a particular pathologic entity, such as plantar fasciitis, then treatment in turn becomes more accurate.  Then treating the calf is definitely the primary goal rather than just treating the result of this secondary contracture.  Careful pedorthic clinical assessment and appropriate treatment of equinus in patients with biomechanical deformities affecting the first ray and midfoot can benefit tremendously.  The ultimate challenge for the pedorthist is the realization that if the gastrocnemius contracts with age, then this pathology can be avoided by appropriate preventative treatments, such as stretching techniques, therapeutic massage, shoe therapy and orthotic therapy.


10:00-11:00     BO7 - Government Affairs Update
                               Dean Mason L.Ped
                               Randy Stevens L.Ped


A town-hall style meeting with the Government Affairs Committee.  The purpose is to give the most recent updates on reimbursement and insurance issues.  Also, to answer the members questions.

                      BO8 - Pedorthics of Skating 
                               Jeremy Long BOCPD

Even after its peak in the mid-90's, skating continues to be a popular recreational and fitness activity.  The stride biomechanics in skating is quite different than normal human gait ambulation, and must be understood for the credentialed pedorthist to provide effective care.
 
Attendees will learn the key elements of skate stride locomotion, and how they differ from other means of movement.  They will learn what components are vital to transferring stride energy, and what modifications improve efficiency and reduce risk of injury.  The key differences in casting and fabrication of custom foot orthoses necessary for skating equipment will also be addressed.


                      BO9 - Gender Specific Risk Factors for Running Related Pain
                               Michael Ryan PhD; C.Ped C

Women have a number of important anatomical differences that change how a load is applied to bone and soft tissue structures in the lower-extremity. However, these differences are largely ignored in the context of run training and injury prevention.  Our research hopes to change that.
The following study is a two-part investigation that first examines the distribution of running-related pain across gender and whether women are, in fact, at a greater risk of injury.  Then we report on a statistical model based on the first ever prospective cohort study to include anthropometric, functional testing, strength and dynamic balance factors in an explanatory model of running related pain that is gender specific.

 
11:00- 12:00    B10 - 2016 Compliance Update: Best Business Practices and the Successful Accreditation Survey
                              Jim Lawson

Come, learn and discuss best business practices and ways to help your facility be compliant with ABC accreditation standards.  We’ll discuss ABC’s extensive set of accreditation tools and resources to help you become and remain the best business you can be.  We’ll review:
  • Best business practices that will save you time and money
  • Complying with the standards that apply directly to your practice
  • Chart documentation that supports treatment, billing and medical necessity.  Make sure you get paid for the services you provide and help defend yourself from audits.
  • Opportunities for marketing your practice
  • The top Ten issues ABC surveyors discover during their surveys and even more importantly, how to avoid them
 
                      BO11 - Skiing and Pedorthics
                                 Stephen MacDonald C.Ped

Skiing is BOOMING!   More people are enjoying snow sports and they’re spending more than ever on the hobby. Snow sports and foot pain go together. Complex sports medicine issues can be easily tackled by everyday pedorthists and are not that different than practioners encounter every day. Working in the ski industry, the presenter has learned valuable yet easily mastered techniques that not only help the patient, but increase the bottom line.  In their community, Pedorthists are able to reach out and help people while growing the bottom line and helping people not traditionally in their scope.  Helping C.Peds move past the traditional practice boundaries will be a main focus of this presentation.


                     B12 - Pedorthic Techniques and Strategies in Custom Shoe Therapy
                              Rob Sobel C.Ped
 
Custom Molded Shoe Success for the Patient, Provider, and Lab

Frustrated by ordering custom molded shoes, not getting what you wanted and what your patient needs? We will show you how to help your patient, practice, and shoemaker have positive experiences. From assessment and casting, to filling out the order form, and dispensing, we will take the mystery out of getting the devices you want without the aggravation.


2:00-3:00         GS6 - Pedorthic Management of Common Forefoot, Midfoot, and Hindfoot disorders
                                 Louis Iannuzzi  PT, DPT, C Ped

This lecture will present a variety of pedorthic intervention strategies in the effective management of several of the most common forefoot, midfoot, and hindfoot disorders. This presentation will examine orthotic design, footwear selection, and footwear modifications.


3:00-4:00         GS7 - Pedorthic Implications for Transmetatarsal Amputations
                                James McGuire DPM

This lecture will review the various types of partial foot amputations and the implications for developing a functional gait. Recent research will be reviewed as well as suggestions for clinical recommendations for offloading devices and the likelihood of re-ulceration or revision of the amputation.


5:00-6:00         GS8Alternative Podiatric Procedures, and Their Integrated Use in Pain Management and Eventual Cure
                                Ben Pearl DPM

Modern podiatry uses numerous alternative treatment strategies in helping reduce and cure painful conditions.  These include PRP, laser technologies, and others.  This session will review several of these treatment options, as well as how pedorthic practices are integrated into a comprehensive curative solution.
         

Sunday 11/6/2016
 
7:00-8:00         GS9It’s Never Too Late
                                 Dane LaFontsee CPed
 
Not many people talk about how to transition out of a practice, but that is what you will learn from this presentation.  Whether it is retirement or career change, the challenges you face are detailed and strategies are discussed.


8:00-9:00         GS10Using the International working Group on the Diabetic Foot (IWGDF) Guidelines for Making Offloading Decisions for the Diabetic Foot
                                  James McGuire DPM
          
Dr. James McGuire DPM, PT, CPed, FAPWHc is the director of the Leonard Abrams Center for Advanced Wound Healing and an Associate Professor of the Department of Podiatric Medicine and Orthopedics at the Temple University School of Podiatric Medicine, located in Philadelphia, Pennsylvania. Dr. McGuire earned his DPM degree from the Temple University School of Podiatric Medicine in 1981. He completed a residency in podiatric surgery in Baltimore, MD. He is a fellow and founding member of the American Professional Wound Care Association and the Academy of Physicians in Wound Healing, and serves on the board of the Council for Medical Education and Testing. Dr. McGuire is a licensed Physical Therapist, a certified Pedorthist, and is Certified in Wound Care by the Council for Medical Education and Testing (CMET). He is also board certified by both the American Board of Podiatric Surgery (ABPS) and the American Board of Podiatric Medicine (ABPM).


9:30-10:30       GS11 - LisFranc Injuries and Treatments
                                 Adam Miller MD

•Stable Lisfranc Injuries should be treated in protective weight bearing immobilization until symptoms resolve
•Unstable Lisfranc injuries are treated with open reduction internal fixation or fusion of the midfoot
•Protection postsurgically lasts for minimum 6 months before return to full activity, using a stiffening the sole of the brace or shoe


10:30-11:30     GS12 - Clinical Pedorthics: Wound Care Management
                                 Lou Iannuzzi  PT; DPT; C.Ped

In this presentation I will focus on the role of the “clinical” pedorthist in a busy wound care clinic. I will present a brief pathology of the types of wounds benefited by pedorthics; venous, neuropathic, and mixed surgical wounds. A variety of interim off-loading and accommodation pedorthic interventions will be presented in a case based format.  The program expands the role of the pedorthist as a valuable member of an advanced wound care team.


12:30-1:30       GS13 - The Pedorthics of Height
                                 Jeremy Long BOC.Ped

We all identify patient age and weight when determining pedorthic care devices, yet often overlook the challenges patient height has on effective care.  Taller patients apply torsional leverage on a different scale, often magnifying their symptoms and creating additional challenges in producing appropriate treatment strategies.  This is true both for geriatric patients, as well as premiere athletes.  This lecture will focus on identifying those challenges, and what pedorthic strategies are often necessary in treating this patient population.


1:30-3:00         GS14 - Range of Motion and Intrinsic vs Extrinsic Posting
                                  Pam Haig C.Ped; BOC.Ped

Serving the industry with over four decades of clinical experience, specializing in advanced orthoses and AFO posting for chronic and unresolved pathologies. Using her career resources, she is past co-owner of OSI Labs; a nationally recognized podiatric manufacturing lab, the visionary founder of the first Pedorthic medical clinic in Indianapolis and The Robert M. Palmer, M.D., Institute Of Biomechanics - a Not-For-Profit School.  Donating her expertise; has previously served on OSU-Okmulgee’s Pedorthic Advisory Board, past Treasurer to The Alliance of Educators and been a consultant to many national and international footcare and footwear companies and an international lecturer on many occasions.

 
     
     
     
Total Hours *21.5 hours of CEU approved for ABC Certified Pedorthists
 
  20.5 CEU approved for BOC Pedorthists, plus up to an additional 5 CEU for exhibit hall attendance!
 
  11 hours of Exhibitor hall face time with attendees