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Do I Need a Podiatrist or an Orthopedist?

Updated
3/6/25
Written by:

David Mayer

When dealing with foot conditions such as arthritis, fractures, or bunions, finding the right doctor is crucial for effective treatment and long-term relief. But which specialist should you consult? A podiatrist focuses on diagnosing and treating foot and ankle disorders, while an orthopedic doctor may address broader musculoskeletal concerns. For specialized foot care, a top podiatrist vs. orthopedist is often your best choice. Explore our comprehensive foot care services to learn more about how we can help you achieve better foot health.

Podiatrist vs. Orthopaedic Surgeon

What Is a Podiatrist?

A podiatrist, or Doctor of Podiatric Medicine (DPM), is a healthcare professional specializing in lower extremity and in the diagnosis and treatment of foot and ankle disorders. They are experts in managing conditions that affect the lower extremities, ensuring patients receive the most effective care for mobility and comfort.

Education

Becoming a podiatrist requires extensive education surgical residency and training. After earning a bachelor’s degree, a podiatrist attends four years of podiatric medical school to learn the intricacies of foot and ankle health. This is followed by a 3-4 year residency program that focuses specifically on foot and ankle care, allowing the doctor to gain hands-on experience and expertise.

Conditions They Treat

Podiatrists treat a variety of common conditions, including:

  • Bunions
  • Heel spurs
  • Ingrown toenails
  • Plantar fasciitis
  • Diabetic foot care

They are skilled at diagnosing and providing treatments to relieve pain and prevent further complications associated with these conditions.

Expertise

Podiatrists have specialized knowledge in biomechanics, the study of movement, and orthotics, which are custom devices designed to improve foot function and alleviate pain. They are also experts in non-surgical treatments, offering options like physical therapy, medication, and specialized footwear to manage and treat foot problems effectively.

For comprehensive care, consult a podiatrist to address any concerns related to your foot and ankle health.

What Is an Orthopedic Surgeon?

An orthopedist orthopaedic surgeon is a medical doctor (MD) or doctor of osteopathic medicine (DO) specializing in the musculoskeletal system, which includes bones, joints, ligaments, tendons, and muscles. They diagnose and treat conditions affecting the entire musculoskeletal system, making them experts in handling complex injuries, fractures, and deformities. Orthopedic surgeons often perform reconstructive surgeries, aiming to restore function and improve mobility for their patients.

Education

Orthopedic surgeons undergo extensive education and training. After completing a four-year medical school program, they enter a five-year orthopedic surgery residency, where they learn to manage and treat a wide range of musculoskeletal conditions. Additionally, many orthopedists pursue a one-year fellowship in foot and ankle surgery to further hone their expertise in this area.

Conditions They Treat

Orthopedists treat a wide range of conditions affecting the musculoskeletal system, including:

  • Fractures
  • Arthritis
  • Joint replacement
  • Spinal disorders

Their expertise extends to the foot and ankle, where they address complex fractures, ligament injuries, and deformities.

Expertise

Orthopedists are skilled in diagnosing and treating complex injuries and fractures, particularly in cases that may require reconstructive surgery. Their advanced training allows them to perform surgeries that restore function to joints, bones, and soft tissues, improving the overall quality of life for patients dealing with musculoskeletal issues.

When to See a Podiatrist vs. Orthopedist

When it comes to treating foot and ankle conditions, deciding between a podiatrist and an orthopedist can be a bit confusing. Both types of doctors specialize in treating foot and ankle problems, related to the lower extremities, but their training, focus, and treatment methods differ. Understanding these differences can help you choose the right specialist for your needs.

Condition Type Podiatrist Orthopedist
Chronic Foot Pain or Deformities Recommended Possible
Complex Fractures or Ligament Tears Possible Recommended
Conditions Requiring Surgery Possible (minor cases) Recommended
Diabetic Foot Complications Recommended Does not provide
Severe Injuries or Trauma Possible (localized) Recommended
Multiple Musculoskeletal Issues Does not provide Recommended

Nature and Severity of the Condition

The nature and severity of your condition are among the most important factors in determining whether to see a podiatrist or an orthopedist. A podiatrist specializes in the care of the feet and ankles, focusing on conditions that affect the bones, joints, skin, and soft tissues specifically in those areas. If you're dealing with conditions like chronic foot and ankle pain, deformities (e.g., bunions), or nail issues (e.g., ingrown toenails), a podiatrist is likely the best choice.

However, if your condition involves severe trauma, such as fractures, dislocations, or ligament tears, or requires surgery, you may need an orthopedist. Orthopedists are trained to handle more complex musculoskeletal conditions, which include not only the feet and ankles but the entire musculoskeletal system, including bones, joints, ligaments, and tendons.

Treatment Goals: Surgical vs. Non-Surgical

Podiatrists typically focus on non-surgical treatment options, such as prescribing orthotics, recommending physical therapy, and offering other conservative treatments to address foot and ankle problems first. They are experts in managing conditions like plantar fasciitis, heel spurs, and diabetic foot complications without the need for surgery.

Orthopedists, on the other hand, are more likely to perform surgical interventions. If you have a fracture, joint replacement needs, or require reconstructive surgery (e.g., correcting a complex deformity or performing a tendon repair), an orthopedist is your go-to specialist. Orthopedists are also equipped to handle conditions that affect not only the feet but the body and whole musculoskeletal system.

Availability of Specialists

In some areas, podiatrists may be more readily available for foot-related concerns, while in others, orthopedic surgeons may be more accessible. This is worth considering when choosing a specialist. Keep in mind that both podiatrists and orthopedists are highly trained professionals, but their areas medical specialty devoted and of expertise differ.

Consulting Your Primary Care Physician

Your primary care physician (PCP) plays an important role in helping you decide which specialist is best for you. Your PCP can assess the severity of your condition and provide a referral to the appropriate specialist based on your specific needs. They may also coordinate your care to ensure a comprehensive treatment plan.

Maximize Your Foot Health with the Right Coverage

At Osprey PolyClinic, located in Sarasota and serving SW Florida, our expert team is here to address your foot and ankle needs. Whether you're dealing with chronic pain or require specialized treatment, we offer comprehensive care tailored to you. Don’t wait — contact us today to schedule an appointment and take the first step toward healthier feet.

FAQs

Why do people choose orthopedics?

People often choose orthopedics for the treatment of musculoskeletal conditions, including bone, joint, and soft tissue issues. Orthopedic specialists are skilled in treating injuries, fractures, arthritis, and chronic conditions, offering both non-surgical and surgical solutions to restore mobility and reduce pain.

What is the best doctor for foot issues?

For foot issues, the best doctor depends on the severity and type of problem. A podiatrist (DPM) is the expert for foot-specific concerns, such as bunions, heel pain, or ingrown toenails. An orthopedic surgeon (MD or DO) is ideal for more complex injuries or conditions requiring surgery.

Is a DPM better than an MD?

Whether a DPM (Doctor of Podiatric Medicine) is better than an MD (Medical Doctor) depends on your specific condition. A DPM specializes in foot and ankle care, offering targeted treatments for common foot issues, while an MD may handle broader musculoskeletal concerns or require surgical intervention for complex conditions.
David Mayer
David Mayer
President and COO

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