Foot pain has a way of shrinking your world. You skip the walk, avoid the stairs, or wince at the first step out of bed. Many people put up with it for months before booking an appointment, often because they are not sure what a podiatry visit involves. Knowing what to expect can take away much of that uncertainty and make it easier to finally get answers.
What Is a Podiatrist?
A podiatrist is a doctor of podiatric medicine (DPM) who is trained to diagnose and treat conditions of the foot, ankle and related structures of the lower leg. At Ascend Foot & Ankle Center in Lafayette, CO, you are seen by Deann Hofer Ogilvie, DPM. Podiatric care covers a wide range of concerns, from heel pain and bunions to ingrown toenails, sprains, nail and skin problems, and foot changes related to diabetes.
Who Should See a Podiatrist?
Foot problems affect people of every age, from active adults and runners to older adults and people who spend long hours standing at work. You should consider a visit if you have pain that lasts more than a few days, swelling, a change in the shape of your foot, a wound that is slow to heal, numbness or tingling, or recurring nail and skin problems. People with diabetes are generally advised to have their feet examined regularly, because reduced sensation and circulation can allow small problems to become serious ones.
How to Prepare for Your Appointment
A little preparation helps your visit go further. Consider the following:
- Wear or bring the shoes you use most, including work shoes and athletic shoes
- Write down when the pain started and what makes it better or worse
- Bring a list of medications, supplements and past surgeries
- Bring any previous X-rays, MRI reports or orthotics
- Wear clothing that lets you easily expose the lower leg and foot
- Prepare a short list of questions so nothing is forgotten
The Conversation: Your History
Most first visits begin with a conversation. Expect questions about your symptoms, when they began, what activities aggravate them, and what you have already tried. You will also be asked about your general health, since conditions such as diabetes, arthritis, and circulation problems can influence foot health. Details about your job, footwear and exercise habits are not small talk. They often point directly to the cause.
The Physical Examination
Next comes a hands-on exam of your feet and ankles. The podiatrist may look at skin and nails, check for swelling or deformity, press on areas to find the source of tenderness, and test your range of motion, strength, and sensation. You may be asked to stand and walk so your posture, arch and gait can be observed. Watching how you move often reveals mechanical problems that are not obvious when you are sitting down.
Imaging and Diagnosis
Depending on what the exam suggests, imaging such as X-rays may be recommended to look at bones and joints. In some situations, further testing may be suggested to evaluate soft tissue, nerves or circulation. Not every patient needs imaging, and many conditions, such as plantar fasciitis, are diagnosed largely from history and examination. The goal is to name the problem clearly so treatment targets the true cause rather than just the symptom.
Treatment Options and Next Steps
After a diagnosis, your podiatrist will explain what is going on in plain language and discuss options. Clinical guidelines for many common foot problems favor conservative care first. That can include activity changes, stretching and strengthening, supportive footwear, padding or taping, custom or over-the-counter orthotics, and anti-inflammatory strategies. Procedures or surgery are generally considered when conservative measures have not helped or when a condition calls for it. Ask about expected recovery, what you can do at home, and when to follow up.
Take the First Step
Foot pain is common, but it is not something you simply have to live with. Early evaluation often means simpler treatment and a faster return to the things you enjoy. If you are in or near Lafayette, CO, call Ascend Foot & Ankle Center at (303) 537-4714 or visit us at 588 North Highway 287, Suite 204. Office hours are Monday through Friday, 9am to 3pm.