Forward Physio Faraz Sethi - Demystifying the Foot and Ankle, Step by Step
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Nov 28, 2023 
Faraz Sethi, a first-contact physical therapist in the UK specializing in the foot and ankle, discusses the scarcity of research in this area, common conditions, diagnosis, treatment approaches, and how physical therapists differentiate foot and ankle treatment. The conversation covers the complexities of foot anatomy, challenges in ankle sprains, managing plantar heel pain, resilience in patient care, and the importance of patient communication and clinical reasoning in physiotherapy.
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Segment Foot to Simplify Diagnosis
- The foot and ankle are complex structures with over 26 bones and numerous joints and nerves.
- Segmenting the foot into forefoot, midfoot, hindfoot, and medial, lateral, dorsum, plantar, posterior aspects simplifies diagnosis.
Train Ankle in Provocative Positions
- Rehab lateral ankle sprains by training in the provocative inverted position to build resilience.
- Avoid only sagittal plane exercises; incorporate proprioceptive exercises mimicking injury mechanisms.
Volleyball Player’s Inversion Rehab
- A young volleyball player recovered quickly but still felt discomfort in inversion positions after ankle sprain.
- Training in the provocative position helped address residual symptoms effectively.