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Podiatry, real care or not???

Old 11-24-2016, 08:34 AM
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Default Podiatry, real care or not???

My left foot has been a real bother for a while now and I cannot ignore it. It may or may not be due to 4 surgeries on that ankle and subsequent abuse. Would like some opinions about Podiatry from first-hand experience or an actual Podiatrist. Thanks…

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Old 11-24-2016, 08:36 AM
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I wear, and have for years, orthotics. A good podiatrist is legit.
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Old 11-24-2016, 09:03 AM
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If it were me I would go see an orthopedist who specializes in feet and ankles.
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Old 11-24-2016, 09:22 AM
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If you think an ankle arthroplasty is on the table, then ortho. Otherwise patients I have sent to podiarists get good care.
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Old 11-24-2016, 02:38 PM
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Podiatry is legit, based on 4 personal experiences. No one else came close.
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Old 11-24-2016, 02:49 PM
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There are quacks in every field, some more than others. But generally speaking you're going to get far better care from specialists that take care of feet and ankles all day every day, whether from a Foot/Ankle Orthopedist or Podiatrist.

Side note: last stat I heard was Podiatrists perform 85% of all foot surgery and >50% of ankle surgery.
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Old 11-24-2016, 03:06 PM
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Its very worth while . You will be surprised at what can help your feet . Shims under toes and whatnot make a world of difference .
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Old 11-24-2016, 04:37 PM
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I am a podiatrist. Just like any other field there are good ones and bad ones. Mostly good😀 My wife and son are also podiatrists. It is a real field. My son is in his residency now. 4 years of college, 4 years of podiatric medical school, 3 years of a surgical residency and an optional year of a fellowship in a sub specialty. My son is planning on a fellowship in wound care. As far as ankle surgery goes, me and my wife are not allowed to do it here in NY(scope of practice varies by state). But my son is allowed! The law changed recently and us old timers would have to go back and get more training to do it. So make sure your podiatrist is board certified in foot and ankle surgery before letting them operate on the ankle.
Although we can fix most problems, some problems can't be fixed by anyone, in which case we try to minimize the pain using surgery, braces, orthotics, injections, oral medications and/ or physical therapy. If you are not happy with your doctor, visit another and get another opinion. Check with your state's podiatric medical association for a referral.
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Old 11-24-2016, 06:00 PM
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My experience, for what it's worth.

I served a number of podiatrists that operated in a hospital setting in private practice. Never saw a bad one. All practiced within their skill set and none were cowboys. (Cowboy--doing things at or beyond the expectations of the medical community)

The U. S. Army gave their podiatrists a wider latitude of scope of practice. As you might imagine, there are tons of foot and ankle problems soldiers experience. The Army podiatrists were part of the same department as the orthopedic surgeons. None tried to be orthopedists, but they took care of many many complicated fractures in addition to the usual foot issues.

I give them a thumbs up. If you have a complicated ankle issue and are recommended fusion or other major joint surgery get a number of opinions. Otherwise expect high standards and outcomes from podiatrists.
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Old 11-24-2016, 06:26 PM
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Worked for me !

The guy was sooo good he worked himself out of a job ...LoL
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Old 11-24-2016, 06:37 PM
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Thx for the input. No fusion has been recommended and I'm not sure if the issues on the top of my foot are related, but it's hard to ignore a possible link as the ankle was badly broken, required 5 surgeries and, over the subsequent 30+ years of sports and other abuse, degenerated some but my ortho guy did not say fuse it. The foot thing is pretty new, so I need to start somewhere and I don't think an orthopod is the right place. Thx again…

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Old 11-24-2016, 06:55 PM
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I'm an anesthesiologist and see them all. When I needed surgery on my first metatarsal joint (where the big toe meets the foot) I went to a podiatrist.

For your ankle I'd probably stick with fellowship trained orthopedic surgeons but there are some very good podiatrists that operate on ankles too.

Go see one and see if he can help, probably with orthotics. But if you have already had multiple ankle surgeries I wouldn't expect miracles.
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Old 11-24-2016, 07:59 PM
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Some of this depends on location. MD's who have gone through a foot and ankle fellowship are by and large a better trained surgeon than a podiatrist. There are exceptions to every rule.
If it were my foot/ ankle I would see the counsel of both and make my decision based on my conversations with both surgeons. If you are looking at mid to forefoot procedures - podiatrists have a higher volume. If you are considering ankle or rear foot problems I would definitely seek out a Foot and Ankle fellowship trained MD.
The training is definitely different. What concerns me with the DPM community is that their qualifications and the procedures that they can perform vary by state. Their surgical privileges are set by the state legislature not necessarily by their training.
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Old 11-25-2016, 06:09 PM
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The wife and I both wear orthotics. A good foot doctor is worth it for sure.
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Old 11-25-2016, 06:26 PM
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Probably missed my overpronation thread a few days ago, but I can assure you a good podiatrist can make your life sooooo much better.
I was kind of used to live in feet and lower back pain to the point I thought it was part of life...
Not anymore....
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Old 11-25-2016, 07:29 PM
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My wife also has problems with severe pain on top of her feet--mid foot arthritis. We had to drive 90 miles to find a foot specialist/orthopedic surgeon.

Surgery requires stabilizing the joint with plates and screws--and months without walking on the foot. A 60% success ratio is not so good.
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Old 11-25-2016, 08:26 PM
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Does DPM stand for Dummies Practicing Medicine?

Seriously, good advise above.
Wife has been in the field for 20 years.

There's good ones and there's...........Dummies
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Old 11-26-2016, 04:39 AM
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find one that works on people , not one that is on 50 boards, clubs, committees, associations, etc.
and one who helps you fix it, not tells you what you have and leaves the room
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Old 11-26-2016, 06:21 AM
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After shattering my heel almost 8 years ago to the day, my podiatrist saved me from a lot of misery. The ortho surgeons wanted to cut open my foot and insert screws all over the place. My podiatrist, who is an accredited surgeon, recommended no surgery. He was correct in his assessment.
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Old 11-27-2016, 11:12 PM
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Originally Posted by Tireless View Post
After shattering my heel almost 8 years ago to the day, my podiatrist saved me from a lot of misery. The ortho surgeons wanted to cut open my foot and insert screws all over the place. My podiatrist, who is an accredited surgeon, recommended no surgery. He was correct in his assessment.
I too had a no surgery fix, so glad too, in fact if not for that doctor I would not be where I am today, literally.
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