subject: Podiatry Practice Management: Meet The Masters, Lisa Schoene Part 2 [print this page] BR: My experiences with professional teams are the person who runs the athlete is the athletic trainer. The doctors seem to come in to support whatever the athletic trainer wants to do.
LS: Typically, you know, the physicians are kinda ancillary and they might certainly give suggestions and obviously tell them what to do postoperatively if they do some surgery and such and such, but the athletic trainer is that day-to-day kind of person that the students go to or the athletes go to for sure, yeah.
BR: So, podiatry, how would that fit in? I mean strapping, biomechanics, kinesiology, does these kinda all tie together?
LS: It is, and I knew that I wanted to do sports medicine when I got out of podiatry school because I was doing it in college. And we have a little bit of a kinda of sports clinic at Scholl when I was there. Its part of one of the rotations. And it was always a lot of fun. I always felt, boy, this could be a little bit more involved just because I had some experience. But it was always a lot of fun, and I really merged over the years. I have merged my kind of athletic training background and my podiatry background, so when Im treating an athlete I kinda got to go back and forth between the things that I do as a trainer versus what I do as a podiatrist as far as strapping or doing things as exercises
BR: So, but how does it the standard strappings, the LowDye, the HighDye, the basic stuff we do in general foot and ankle care, how is it exemplified by an athletic training background and what real pulse can you share to people out there that they may be could apply in their office this week?
LS: You know theres a big overlap between what you can do as an athletic trainer. And we learn to tape somebodys ankle; you can put different kinds of, dressings and things like that on for swelling. Its kind of the same, same thing you can do as an athletic trainer taping an ankle or learning just to J strap. It even kind of blends in with all the Kinesio tape thats been going kind of been so popularized recently. And different tapes do different things or certain stretcher tapes, there obviously Kinesio tapes are a little different from athletic tape, and I wouldnt say that I use athletic tape on a daily basis, by no means. I use a lot of my favorite strapping that I do with, as a traditional L&M pad, a longitudinal metatarsal arch pad with Elastoplast and I make some arch padding in there, and its probably though I always tell people if I had to be on a desert island and podiatry practices Id have to have my tractograph; Id have to have my scissors, and Id have to have some felt, and Id have to have my Elastoplast.
BR: Can you give me an idea where that works? Is it beneficial? Is it something that podiatrists should add to their armamentarium? If they do, how do they get paid for it, because its pretty expensive?
LS: Well, thats a really good question because I took the Kinesio taping course back in like 2005. And it was a 40-hour course; it was pretty specific, very specific kind of techniques to put the tape on, from origin to insertion, insertion to origin, different ways to cut the tape. Kenzo Kase is the original chiropractor, believe it or not, that actually designed the tape. And by the way, the whole Olympic thing was such a surprise to the Kinesiotherapy Association out in Albuquerque, like their website blew up, I think, during the Olympics, because people are like whats this tape that everybodys using, and it was just kinda being put on by some of the chiropractors that were working in China, so its kind of a crazy time for them. But its been around for many, many years in the 70s, it came out in Asia and like in the 90s came out in the US.
BR: Is that a place where we should be using it? Should that overdo a LowDye-type strapping?
LS: You know thats kind of one place that I dont actually use it. I do use Kinesio tape almost every day in my practice. I have a roll in every single room. Its probably the one place I dont use that taping just because I get such great success with my L&M pads. But it really does its an amazing, amazing tape that you can use. And if its applied properly, it has really great magical, almost magical benefits. My biggest concern is when I spoke to the Kinesiotherapy Association out in Albuquerque I kept saying, Hey! I want to be your liaison for podiatry. Ive done some lectures on it at APMA in Hawaii and I did a couple of other lectures on it through APMA conferences, and I came in the Midwest Podiatry Conferences. I did a workshop on it, and I think there were a good number of people that came to the lecture because it was kind of a fun new thing and its easy to do.
