1. Podiatry Lecture for the Primary Care Symposium
CDR Anthony Rabaiotti, MSC, USN

2. What is a Podiatrist?
Is a four year trained physician specializing in foot and ankle medicine and surgery. The first two years are similar to a DO/MD program.
Podiatrists then do a three year surgical residency. Some may also do a one year fellowship to specialize in foot and ankle reconstruction, sports medicine or diabetic wound care.

3. Common conditions Plantar fasciitis/Pes Planus Neuromas Bunions
Fungal/Ingrown toenails
Corns/Calluses/Warts

4. Plantar Fasciitis/Pes Planus Would you can do…..
NSAIDS
OTC INSOLES (SUPERFEET, ROAD RUNNER INSERTS, SOF SOLE, POWERSTEPS)
STRETCHING
ICE
LLD
REST
WB X-RAYS
PT REFERRAL
LOSE WEIGHT, LIMIT WEARING FLIP-FLOPS

5. Plantar fasciitis/Pes Planus What can I do…
CORTISONE INJECTIONS
SHOE RECOMMENDATIONS
PREFAB INSERTS OR CUSTOM INSERTS
NIGHT SPLINT
AMIONIOFIX INJECTIONS
TOPAZ RADIOFREQUENCY COBLATION
OPEN RELEASE W/WO SPUR EXCISION

6. Neuromas What can you do…
NSAIDS
OTC INSOLES (SUPERFEET, ROAD RUNNER INSERTS, SOF SOLE, POWERSTEPS)
WIDE SHOES
RICE

7. Neuromas What can I do… ORTHOTICS WITH MET PADS
INJECTIONS WITH CORTISONE AND B-12
SURGICAL EXCISION OF THE NEUROMA

8. Bunions (Hallux Abducto Valgus) What can you do…
RECOMMEND WIDER SHOES, BOOTS
NSAIDS
RICE

9. Bunions (Hallux Abducto Valgus) What can I do…
Orthotics to help limit poor mechanics
Surgery
Tough love

10. Toenails: Fungus and Ingrowns What can you do…
Discuss hygiene
OTC topicals
Lamisil rx: Remember to order LFTs
Antibiotics
Temporary removal
Do not use Silver Nitrate

11. Toenails: Fungus and Ingrowns What can I do…
Lamisil tabs
For both: permanent removal, either chemical or surgical matrixectomy

12. Corn or Callus or Wart or ?? What can you do…
Corn: recommend toe padding, Urea Cream, pumice stone
Callus: recommend otc/insoles padding, Urea Cream, pumice stone
Wart/Porokeratoma: Sal acid, OTC pads
??: biopsy, referral

13. Corn or Callus or Wart or ?? What can I do…
Corn: debridement, excision/arthroplasty
Callus: debridement, orthotics to off load area, surgical osteotomy
Wart/Porokeratoma: debridement, cantharone, laser removal
??: biopsy, excision, referral, MRI