Podiatrist
A podiatrist (US English), or chiropodist (British English), is
a podiatry professional, that is a person devoted to the study and
treatment of disorders of the foot and ankle. Translated literally,
chiropody refers to medicine of the "hand and foot", but
today chiropody is merely another name for podiatry. In the United
States both terms were used interchangeably until the mid-twentieth
century.
Practice characteristics
Podiatrists in the main practice in solo practice. However, there
has been a movement toward larger group practices as well as the
use of podiatrists in multi-specialty groups treating diabetes or
in multi-speciality surgical groups. Some podiatrists work within
clinic practices such as the Indian Health System (IHS), the Rural
Health Centers (RHC) and Community Health Center (FQHC) systems
established by the Federal government to provide services to under
insured and non-insured patients as well as within the United States
Department of Veterans Affairs providing care to veterans of military
service.
Scope: The differences in podiatry practice are
determined by state law. Each state allows or limits
the practice of podiatry to the foot, ankle or and in
many cases includes portions of the leg. This may include
surgery above the ankle in several states. Many states
require completion of a residency to practice. Many
podiatrists work in hospital settings doing both medical
and surgical treatments for patients. As in many other
specialties some podiatrists work in nursing homes and
some perform house calls for patients. Podiatry patients
range from newborns and infants to the geriatric.
Medical and orthopedic practice: Some podiatrists limit
their practices to the non-(hospital)surgical treatment
of patients. Because much work in podiatry involves
cutting of some kind, many procedures are considered
surgical by insurance companies including tasks such
as the (cutting of nails, removing of corns or callus)
which the general public would not ordinarily consider
to be surgery. These podiatrists use their skills in
handling arthritic, diabetic, and other medical problems
associated with the feet and lower extremities. Some
use devices fitted in shoes (orthotic devices) or modify
the shoe itself to make walking better or easier. Some
practices focus on sports medicine and treat many runner,
dancers, soccer players and other athletes.
Surgical Practice: Within the scope of practice, podiatrists
are the experts at foot surgery. Podiatrists have specialized
training and interest in the lower extremities as well
as one to three year surgical residencies in the United
States. Some podiatrists have solely surgical practices.
Most podiatrists mix medical, orthopedic, biomechanics
and surgical practices. Indeed surgical podiatric principles
rest on a base of orthopedic and kinesthetic knowledge.
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