Foot and ankle issues are common health concerns, and many people initially turn to their primary care doctor for help. While primary care providers (PCPs) can diagnose and treat a range of conditions, certain foot problems may require specialized care from a podiatrist. It is important to know when to consult a podiatrist instead of a primary care doctor. It is important to ensure you receive the most effective treatment.
Let’s discuss common foot problems in primary care that doctors often encounter, and when seeing a podiatrist is recommended.
Common Foot & Ankle Conditions in Primary Care
PCPs frequently handle foot and ankle problems such as sprains, strains, and mild foot pain. They are equipped to evaluate, treat, and suggest basic therapy or lifestyle modifications. For minor injuries or common foot discomfort, your PCP can be a great first stop.
However, if foot pain persists or worsens, it may signal a more serious issue that requires a podiatrist's expertise. Severe discomfort, recurrent infections, or ongoing foot pain could indicate a condition requiring specialized care.
Persistent foot conditions that may require seeing a podiatrist include:
- Plantar Fasciitis: Chronic heel pain caused by inflammation of the tissue that connects the heel to the toes.
- Achilles Tendonitis: Pain and stiffness in the Achilles tendon, often exacerbated by exercise.
- Improperly Healed Fractures: Fractures that have not healed properly, leading to pain, limited mobility, or further risk of injury.
Podiatry (DPM) vs. Primary Care (MD)
While primary care physicians (MD or OD) are trained to address a broad spectrum of health concerns, podiatrists (DPM) specialize in foot and ankle health. This distinction is important when it comes to treatment options and expertise.
Primary care doctors may refer patients to podiatrists when a condition requires specific interventions, such as surgery, in office procedures such as injections, or custom shoe inserts and arch supports. If you’re dealing with chronic foot issues or recurring injuries, a podiatrist’s specialized expertise can offer targeted solutions.
What Does a Podiatrist Treat
Podiatrists treat any foot or ankle condition, including common issues such as:
- Athlete’s Foot: A common fungal foot infection causing itching and redness, often requiring prescription treatment for persistent cases.
- Bunions and Corns: Conditions that may need corrective footwear, orthotics, or surgery to alleviate pain. Bunions, corns, and calluses are progressive deformities that worsen over time if untreated.
- Ankle Injuries: Chronic sprains, fractures, or arthritis may require specialized care or even surgical intervention to restore mobility. Skilled ankle surgeons offer comprehensive treatment from diagnosis through recovery.
- Diabetic Foot Care: Podiatrists manage health for people with diabetes foot issues to prevent serious complications.
- Hammertoe: A foot deformity where toes bend at the middle joint, requiring treatment, orthotics, physical therapy, or sometimes surgery to relieve discomfort.
- Sports Injuries: Common issues resulting from sports injuries like tendonitis, stress fractures, or acute injuries resulting from physical activity. Podiatrists provide tailored treatment plans to alleviate pain and restore function.
When to See a Podiatrist
Consider seeing a doctor for foot pain if you experience:
- Chronic foot pain that doesn’t improve with standard treatment.
- Structural abnormalities like flat feet or high arches.
- Persistent infections or skin issues, such as corns or calluses, impact daily life.
In some cases, your primary care doctor may recommend seeing a podiatrist for specialized care. This ensures you receive treatment specific to your foot health needs.
Do You Need a Referral to See a Podiatrist
Whether you need a referral to see a podiatrist depends on your insurance. Some plans require a referral from your PCP, while others allow direct access to a podiatrist. Always check with your insurance provider to understand your coverage requirements.
Start with Primary Care for the Right Foot & Ankle Guidance
Primary care and podiatry services each play important roles in managing foot and ankle health. If you’re uncertain about which provider to consult, consider starting with a CLS Health primary care provider, who can evaluate your condition and refer you to a podiatrist if specialized care is needed.
