Questions I'm really curious about....

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clballin

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Recently I have run across podiatry as a possibility for myself. As an athletic trainer, I like the specialty of ankle/foot pathologies particularly so I was intrigued. However, with my research I have surfaced a few questions maybe you guys can help me with. I hope these aren't redundant, if so, I'm sorry. Any help would be great!

1.) since pathologies can occur with the feet, are DPMs allowed to treat metabolic diseases if necessary? Such as diabetes etc. Or is it a joint effort with a patients PCP?

2.) where is the 'cut off' for what a DPM can treat? For example, if feet mechanical inabilities are due to low back pain, hip pain, or something further up the kinetic chain, are podiatrists allowed to treat those areas? I can see it being a state regulated thing but seriously....if anyone knows biomechanics, any one area can influence other joints. Or even knee pain etc.
 
1) You would never MANAGE diabetes, like prescribing them their meds for it or anything like that. You just treat the SYMPTOMS of diabetes that manifest in the foot (and that goes for any other systemic disease).

2) It varies state by state. At least in PA, I know that you can treat soft tissue AND bone up to the tibial tubercle below the knee as long as it affects the foot or ankle directly. Some states may be JUST soft tissue. A few states still don't even let you operate on the ankle, but there are only a handful. You would never treat back pain/pathology, but you may have them walk and use their general gait/biomechanics to help you come up with a diagnosis.
 
Thanks for the response. I don't mean to ask dumb questions but are podiatrists allowed to prescribe even if they are not allowed to manage a systemic disease that shows symptoms on the foot or ankle? I'm trying to understand the limitations. If so, wouldn't their be controversy if the podiatrist prescribed something that would be contraindicated if the patient had other pre existing conditions already being treated?
 
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