Podiatrist vs. Orthopedist for Hammertoes in Seattle, WA

What is the difference between orthopedic surgery and podiatry for the condition of hammertoes?  Both are medical and surgical specialties, and its practitioners attended medical school and residency, and go through a licensure and board certification process.  Orthopedic surgeons and podiatrists work side by side in hospitals and in the same group practices.

The main difference lies in the body systems they treat.  Orthopedic surgeons are concerned with bones, muscles, ligaments and joints throughout the body.  They are bone and joint surgeons.  Podiatrists are foot and ankle doctors and surgeons.  As such, there are overlaps between the two.  Both are concerned with bones, muscles, ligaments and joints in the foot.

Outside of this, orthopedic surgeons are concerned with other areas of the body, including knees, hips, spine.  Podiatrists go into their field knowing from day one that they will be physicians and surgeons of the foot and ankle.  Their curriculum and course of study is geared toward that end.  So even though an orthopedic surgeon may have some experience or training in the foot and ankle, it does not compare in terms of commitment and depth of training in the foot and ankle, all systems, that a podiatrist receives over many years of schooling, residency and fellowship.  As a result podiatric foot and ankle surgeons perform 80% of reconstructive forefoot surgeries in the United States.

Upon noticing pain and discomfort in your lower limbs, you might want to have it checked by a specialist to diagnose the cause. The general guideline to follow when you experience a foot or ankle problem is to reach out to a podiatrist first. On the other hand, you should visit your orthopedist if you have any issues with other parts of your musculoskeletal system.

Although both specialists can treat foot and ankle conditions, it is best to get help from podiatrists for foot-related issues. Podiatrists have more specialized skills and training for foot and ankle health. They also manage the dermatology and biomechanics of this area, making them the better option for foot-related problems.

Both podiatrists and orthopedists can help with foot and ankle conditions and protect your feet from injury. Podiatrists specialize in foot and ankle care. Conversely, orthopedists cater to general musculoskeletal problems. Although an orthopedist technically has studied foot and ankle problems, a podiatrist specializes in them. This specialization allows a podiatrist to better address issues unique to your foot and ankle.

This is true in the diagnosis and treatment of hammertoes. Hammertoes are bent toes or contracted toes.  This is a very common condition seen in the office.  Hammertoes can cause pain in shoes as well as create painful corns and calluses.  Treatment for hammertoes includes wearing deep toebox shoes.  A simple surgery can straighten and/or derotate a painful hammertoe.

Hammertoe surgery is intricate and requires attention to detail to restore a functional, straight toe.  Podiatrists learn, perform, and are tested on the many types of hammertoe surgeries in the board certification process.  To be board certified, a podiatrist must take and pass a written test. Then, within a short timeframe, they must perform a diversity of cases, that is, different types of hammertoe procedures. They must then submit a portfolio of case studies to be accepted for oral board certification testing.  There is no such intense certification process for foot surgery cases for orthopedic surgeons. Allopathic (MD) and osteopathic (DO) physicians are not certified in specialty foot and ankle surgery, nor do they presently function under the quality assurance tool of a certificate of added qualifications for the same within their respective specialties. Any credentialing comparisons between MD and DO colleagues and podiatric foot and ankle surgeons should be based on specialty-specific foot and ankle training, not generalized years of training.

Podiatric surgeons, therefore, are more specialized and detailed in the treatment of hammertoes, as the foot and ankle are their specialty.

Read the American College of Foot and Ankle Surgery’s Position Statement on The Education, Training & Certification of Foot & Ankle Surgeons

“He was welcoming and listened well to the concerns I presented. I especially liked that I was able to write down my problem before I came in and he addressed them efficiently. I was diagnosed with a much different problem than I had been given before, and Dr. Hoy explained his simple, methodical method for his diagnosis as we went. I felt extremely cared for and like I will be able to make progress on my problem before I see him again. Definitely see Dr. Hoy if you’ve had problems seeing a general practitioner or orthopedist with no luck. It may be that you need a more specialized opinion.” -Samuel S.

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