Progressing Athletes with Surgical and Non-surgical Foot and Ankle Pain

Morning Sports Rounds_Website

Friday, January 25, 2019

Progressing Athletes with Surgical and Non-surgical Foot and Ankle Pain
JD Sheppard, PT, DPT; Kate Ayoub, PT, DPT

This case series will look at progressive loading programs for two different athletes with foot and ankle pain. The first case is a marathon runner presenting to outpatient PT with non-specific metatarsal pain. She was treated with a high load strengthening program primarily using the heel raise exercise described by Rathleth et al. An individualized running program was developed taking calculated risks in order to meet demands of a marathon by race day. The second case is a 15 year old dancer presenting post tarsal coalition surgery with achilles lengthening. She was treated per surgical protocol and then with high load strengthening program when surgical precautions were lifted. She had lingering non-specific ankle pain and displayed fear avoidance behaviors throughout rehab which affected treatment.

Learning objectives:

  1. Develop the knowledge of an efficient exercise routine for the foot and ankle
  2. Analyze the factors to consider with an evidence based return to run program
  3. Recognize the non-mechanical effects of applying load andhow fear avoidance beliefs can affect load tolerance

Speaker Bios:

J.D. Sheppard PT, DPT
Board-Certified Clinical Specialist in Orthopedic Physical Therapy
J.D. earned his Doctor of Physical Therapy degree from Ohio University in 2012. He is currently serving on the APTA of Maryland board of directors as the Director of Government Relations. J.D. takes a special interest in treating runners and patients with lower extremity injuries including the foot and ankle. He has taught continuing education courses on both subjects. He has also served as an outpatient physical therapy mentor and sports residency faculty member.

Kate Ayoub PT, DPT
Kate earned her Doctorate of Physical Therapy and Masters in Public Health from New York Medical college in 2012. She has experience in outpatient orthopedics, corporate wellness, and acute rehab settings. Additionally Kate is an adjunct professor at Marymount University and is active in the DC region’s running and triathlon community serving as a triathlon coach and lecturing for runner education series with Marine Corp Marathon and Cherry Blossom Ten-miler.