Education and Training

The most fundamental distinction between these two professionals lies in their education and training.

• Podiatrists earn a Doctor of Podiatric Medicine (DPM) degree, which typically involves four years of podiatric medical school after undergraduate studies. They then complete a residency program focused on foot and ankle care, lasting three to four years. Their training is dedicated solely to conditions of the foot and ankle.

• Orthopedic Foot and Ankle Surgeons start with a Doctor of Medicine (MD) or Doctor of Osteopathic Medicine (DO) degree. They then complete a residency in orthopedic surgery, which covers the entire musculoskeletal system (bones, muscles, joints). After residency, they undergo additional fellowship training in foot and ankle surgery, providing them with expertise in complex cases, including trauma and reconstruction.

Scope of Practice

Both podiatrists and orthopedic foot and ankle surgeons treat a wide range of foot and ankle conditions, but their focus and surgical capabilities differ.

Podiatrists

Podiatrists specialize in diagnosing and treating conditions that affect the foot and ankle, including:

• Heel pain (plantar fasciitis)

• Ingrown toenails and nail disorders

• Bunions and hammertoes

• Diabetic foot care

• Fungal infections

• Routine foot maintenance (corns, calluses)

While podiatrists can perform surgeries, their surgical scope is typically limited to procedures on the foot. They may address soft tissue and bone-related concerns but usually do not perform extensive reconstructive surgery on the ankle.

Orthopedic Foot and Ankle Surgeons

Orthopedic foot and ankle surgeons have a broader scope and treat:

• Complex fractures and dislocations

• Ligament injuries (e.g., Achilles tendon rupture)

• Arthritis of the foot and ankle

• Ankle replacement surgery

• Foot and ankle deformities

• Sports-related injuries

Because of their background in orthopedic surgery, they have the expertise to handle severe trauma cases and reconstructive procedures.

Who Should You See?

Your choice depends on the nature of your foot or ankle issue:

• If you have routine foot conditions like nail problems, corns, bunions, or diabetic foot care needs, a podiatrist is an excellent choice.

• If you have severe injuries, complex fractures, or arthritis affecting the ankle, an orthopedic foot and ankle surgeon may be the better option.

Conclusion

Both podiatrists and orthopedic foot and ankle surgeons play crucial roles in foot and ankle health. If you’re unsure who to see, consulting with your primary care physician can help guide you to the best specialist for your needs. Whether you visit a podiatrist or an orthopedic surgeon, seeking professional care early can help you stay active and pain-free.