The distinction between a podiatric and orthopedic foot and ankle surgeon is: an orthopedic surgeon has a Doctor of Medicine or Doctor of Osteopathic Medicine medical degree or osteopathic medical degree and training that encompasses both orthopedic residency and an optional 6-month to one year of fellowship training specific in techniques of foot and ankle surgery, while the training of a Doctor of Podiatric Medicine consist of a podiatric medical degree and three to four-year residency training specific to foot and ankle medicine and surgery,[1] with an optional additional 1-year fellowship in foot and ankle trauma, reconstruction, or diabetic limb salvage.
Additionally, the surgeons are also trained to understand the complex connections between disorders and deformities of the foot, ankle, knee, hip, and the spine.
A patient may also be referred to a foot and ankle surgeon for the surgical care of nail problems and phalangeal deformities (such as bunions and bunionettes.)
Orthotics, physical therapy, NSAIDs, DMARDs and a change of shoe may act as a complement to surgical intervention, and in most cases will be required for optimal recovery.
The last 50 years has shown high quality research into the etiology and management of foot and ankle deformities.