Podiatric Surgery Scope: Conditions, Diseases, Treatments, and Procedures

Podiatric surgery is a specialized aspect of podiatry the focuses specifically on surgery for the structure and function of the feet and lower legs. It is a branch of podiatry that involves the diagnosis, treatment, and prevention of disorders and diseases of the foot and ankle. Podiatric surgeons specialize in the surgical treatment of foot and ankle conditions.

The scope of podiatric surgery includes deformities, traumatic injuries, chronic conditions such as arthritis, bursitis, tendonitis, and nerve damage, as well as circulatory and metabolic problems. Additionally, podiatric surgeons can perform reconstructive surgery on the foot or ankle to correct deformities or improve function. They may also perform cosmetic procedures such as nail reconstruction or toenail removal. 

In order to diagnose and treat foot and ankle disorders, podiatric surgeons use a variety of methods, including physical examination, imaging studies such as x-rays or MRI, and laboratory tests. Once a diagnosis has been made, a treatment plan is developed to address the underlying condition or injury. Treatment plans may include medications, lifestyle modifications, physical therapy, orthotics, or surgery. 

Podiatric surgery includes tendon repairs, arthroscopies for joint problems, bunionectomies for bunions, hammertoe corrections for toe deformities, ankle arthrodesis for ankle instability or arthritis, amputations for infection or trauma, joint replacements for severe arthritis, and reconstructive surgery to correct deformities or improve function. 

In addition to the diagnosis and treatment of foot and ankle conditions, podiatric surgeons provide preventive care through educational programs designed to promote healthy foot care habits. They may also refer patients for further care or rehabilitation. 

Qualifications, Training, and Certifications for Podiatric Surgeons

In order to practice podiatric surgery, one must complete a four year podiatry school program. During this time, they receive extensive training in anatomy, physiology, pathology, pharmacology, radiology, and clinical practice. 

Podiatric surgeons must also pass a series of examinations in order to become certified. The American Board of Podiatric Surgery offers board certification in two specialties: foot surgery and reconstructive rearfoot/ankle surgery. These certifications require that the individual demonstrate mastery of both knowledge and skills in the areas of podiatric medicine and surgery. 

Board certification is voluntary and is not required for one to practice podiatric surgery. In addition to board certification, there are also other specialized certifications available for podiatrists who wish to further their knowledge and skills. 

Related Medical Specialties to Podiatric Surgery

Podiatric surgery is a specialized form of podiatry that involves the diagnosis, treatment, and prevention of disorders and diseases of the foot and ankle. As such, it is closely related to a number of other medical specialties, including orthopedic surgery, dermatology, physical therapy, sports medicine, endocrinology, and infectious disease. 

Orthopedic surgeons specialize in the diagnosis and treatment of musculoskeletal injuries and conditions. They are often consulted by podiatrists to help diagnose and treat complex foot and ankle problems. In addition, orthopedic surgeons may perform surgical procedures such as joint replacement or arthroscopy to correct deformities or improve function. 

Dermatologists specialize in the diagnosis and treatment of skin conditions. They are often consulted by podiatrists to diagnose and treat skin disorders of the feet, such as fungal infections or warts. Additionally, dermatologists may use laser treatments or other procedures to improve the appearance of the feet. 

Physical therapists specialize in the treatment of musculoskeletal injuries and disorders. They often work in conjunction with podiatrists to help rehabilitate patients with foot and ankle injuries or conditions. Physical therapists use therapeutic exercises, stretching, massage, ultrasound, and other modalities to reduce pain and improve mobility. 

Sports medicine physicians specialize in the diagnosis and treatment of athletic injuries. They can provide guidance on the best ways to prevent injuries to the feet and ankles, as well as provide treatment for existing injuries. Sports medicine physicians may also be consulted for advice on exercise programs designed to improve foot health. 

Endocrinologists specialize in metabolic conditions, including diabetes. Diabetics are more prone to circulatory compromise which, on the foot, may lead to wounds, skin damage, and amputations.

Finally, infectious disease specialists are consulted by podiatrists when dealing with bacterial or fungal infections of the feet or ankles. These specialists can provide advice on the proper treatment protocol as well as monitor the progress of treatment. 

Medical-Legal Cases Involving Podiatric Surgery

Amputation cases are a frequent source of malpractice failed to properly diagnose and treat a predecessor condition, like diabetes, a decubitus, vascular insufficiency, an infection, or gangrene. Bunionectomies are another common source of medical-legal cases in podiatric surgery.