See a podiatrist for conditions isolated to the foot and ankle, including plantar fasciitis, bunions, toenail problems, diabetic foot care, and routine foot surgery. See an orthopedist when your foot or ankle problem is connected to a broader musculoskeletal issue, when you need complex reconstructive surgery, or when the problem involves the leg above the ankle.
When to See a Podiatrist
- Plantar fasciitis and heel pain
- Bunions and hammertoes
- Ingrown toenails and fungal infections
- Diabetic foot care and wound management
- Custom orthotics and shoe inserts
- Flat feet, high arches, and gait analysis
- Routine foot and ankle surgery (bunionectomy, neuroma removal)
When to See an Orthopedist
- Complex fractures requiring surgical fixation
- Problems involving the leg, knee, or hip that affect your foot and ankle
- Major reconstructive surgery (ankle replacement, complex trauma repair)
- Conditions affecting multiple joints (systemic arthritis, sports injuries involving multiple body areas)
Training Differences
- Podiatrist (DPM): 4 years of podiatric medical school + 3-year surgical residency focused exclusively on the foot and ankle
- Orthopedist (MD/DO): 4 years of medical school + 5-year orthopedic surgery residency covering the entire musculoskeletal system, with optional foot/ankle fellowship
Podiatrists see more foot and ankle cases by volume because it is their entire practice. Orthopedists with a foot/ankle fellowship have comparable surgical expertise but broader training.
FAQ
Can a podiatrist do surgery?
Yes. Podiatrists are trained and licensed to perform surgery on the foot and ankle, including bunion correction, hammertoe repair, fracture fixation, and tendon repair. The scope of surgical privileges varies by state.
Which is better for ankle sprains?
Both can treat ankle sprains effectively. A podiatrist is a good first choice for a straightforward sprain. If imaging reveals a complex fracture or ligament tear that may need surgical reconstruction, an orthopedic foot and ankle specialist may be preferred.
Will my insurance cover both?
Most insurance plans cover both podiatrists and orthopedists. The referral requirements and copay amounts may differ, so check your specific plan.
