Dr. John and staff believe that informed patients are better equipped to make decisions regarding their health and well being. For your personal use, we have created an extensive patient library covering an array of educational topics. Browse through these diagnoses and treatments to learn more about topics of interest to you. Or, for a more comprehensive search of our entire Web site, enter your term(s) in the search bar provided.
Also visit www.foothealthfacts.org to learn more about what conditions are treated by podiatric foot & ankle surgeons.
Many patients ask:
What is the difference between a podiatric surgeon and an orthopedic surgeon?
The short answer is that both podiatrists and orthopedists perform surgery on the foot and ankle. This is similar to neurosurgeons and orthopedists both performing back surgery or dermatologists and plastic surgeons both performing cosmetic surgery.
Yet there are some distinctions in choosing a podiatric surgeon for your foot and ankle care:
- While being the same 4 year length as osteopathic (DO) and allopathic (MD) medical school and covering the same basic and clinical sciences, the podiatric medical school curriculum provides additional intense focus on conditions of the foot, ankle and lower leg.
- Podiatric surgeons typically complete 3 years of intense residency training in complex foot and ankle surgery. General orthopedists who desire to pursue additional training in foot and ankle surgery typically complete a 1 year fellowship.
- As Fellows of the American College of Foot & Ankle Surgeons, podiatric surgeons remain among a group of the only physicians who are Board Certified in Foot Surgery and/or Reconstructive Rearfoot Surgery.
When you take a step, your foot typically hits the ground heel first and rolls toward your toes, flattening the arch slightly. As you push off the ball of your foot, your arch springs back and does not touch the ground. That's how normal feet are supposed to work. Unfortunately, many feet aren't normal.
Overpronation occurs if your foot rolls too much toward the inside. This can cause arch strain and pain on the inside of the knee. Underpronation occurs if your foot rolls too much to the outside. Underpronation can lead to ankle sprains and stress fractures. You can relieve foot pain by compensating for these tendencies, but first you need to determine which way your feet roll.
One method for determining which kind of pronation you have is the watermark test: Put your feet into a bucket of water, then make footprints on a piece of dark paper.
- If your footprint looks like an oblong pancake with toes, you pronate excessively or may have flat feet. Try molded-leather arch supports, which can be purchased in many drug stores. And when shopping for athletic shoes, ask a sales clerk for styles with "control" features—soles designed to halt the rolling-in motion. If arch supports or sports shoes don't help, please contact our office for a custom-molded orthotics.
- If there's little or no connection in your footprint between the front part of the foot and the heel, you under-pronate or have a high arch. This means a lot of your weight is landing on the outside edge of your foot. Ask for "stability" athletic shoes, which are built with extra cushioning to remedy this problem. If you are prone to ankle sprains, wear high-top athletic shoes that cover the foot and ankle snugly to minimize damage from twists.