Why do orthopedic surgeons hate podiatrists?
The relationship between orthopedic surgeons and podiatrists has long been a subject of debate, often raising the question: why do orthopedic surgeons hate podiatrists? While “hate” may be too strong of a word, the tension between these two specialties is rooted in differences in training, scope of practice, and professional recognition.
For patients trying to understand who to see for foot or ankle problems, this can be confusing and even intimidating. Both professions play important roles in musculoskeletal care, yet misconceptions about rivalry sometimes overshadow the shared goal of helping patients walk, move, and live pain-free.
This article explores why these professional disagreements exist, what patients should know, and how to choose the right specialist for their condition.
The history behind the question: why do orthopedic surgeons hate podiatrists?
The perception that orthopedic surgeons “hate” podiatrists is largely historical, tied to differences in medical training and recognition. Orthopedic surgeons attend medical school, followed by extensive residencies and fellowships, focusing on the entire musculoskeletal system, including bones, joints, ligaments, tendons, and muscles.
Podiatrists, on the other hand, complete podiatric medical school and specialize exclusively in the foot and ankle. While podiatric residency programs have expanded significantly in recent decades, earlier generations faced criticism from orthopedic surgeons who felt podiatrists had less rigorous medical training.
This history has shaped a professional divide that can still be felt today. Orthopedic surgeons sometimes express frustration that podiatrists claim expertise in areas overlapping with orthopedics. Podiatrists, in turn, argue that their focused training makes them the true experts in foot and ankle care.
For patients, this debate can be confusing, especially since both fields often treat similar conditions such as bunions, fractures, Achilles tendon injuries, and arthritis.
Differences in training: a major source of tension
When asking why do orthopedic surgeons hate podiatrists, the most common explanation points to the difference in medical education. Orthopedic surgeons are MDs or DOs, having completed four years of medical school, a five-year residency, and often a fellowship. Podiatrists are Doctors of Podiatric Medicine (DPMs), completing podiatric medical school and a three-year residency.
The discrepancy in training backgrounds leads to concerns about scope of practice. Orthopedic surgeons may argue that podiatrists lack the comprehensive understanding of systemic diseases and full-body musculoskeletal interactions. Meanwhile, podiatrists counter that their focused education makes them uniquely skilled in treating complex foot and ankle problems.
For example, if a patient in West Palm Beach experiences a severe ankle fracture, both an orthopedic surgeon and a podiatrist may be qualified to provide treatment. However, some orthopedic surgeons believe their broader training better equips them for cases involving multiple structures, while podiatrists emphasize their hands-on experience with foot and ankle surgery.
Why do orthopedic surgeons hate podiatrists? Misunderstandings vs. reality
The phrase “orthopedic surgeons hate podiatrists” often stems from professional misunderstandings rather than genuine hostility. In reality, many hospitals and clinics see orthopedic surgeons and podiatrists working side by side, collaborating to improve patient outcomes. The tension arises when overlapping responsibilities create professional competition.
Patients should remember that “hate” is not the right term. Instead, it is better to think of this relationship as one marked by professional debate. Both specialties aim to reduce pain, restore mobility, and prevent long-term complications. By acknowledging their differences while focusing on collaboration, patients ultimately benefit.
When to see a podiatrist vs. an orthopedic surgeon
One of the most practical ways to address the question why do orthopedic surgeons “hate” podiatrists is to help patients understand when to see each type of specialist. Choosing the right doctor depends on the condition, its complexity, and patient preferences.
Situations where a podiatrist may be the best choice:
- Bunions, hammertoes, and other toe deformities
- Chronic ingrown toenails or toenail infections
- Plantar fasciitis or heel pain
- Diabetic foot care and wound management
- Foot orthotics and biomechanics assessments
Situations where an orthopedic surgeon may be the better option:
- Severe fractures involving multiple bones or joints
- Complex ankle ligament tears or reconstructive surgeries
- Arthritis requiring joint replacement
- Injuries that extend beyond the foot and ankle
- Cases requiring multidisciplinary care with other medical specialists
5 things to keep in mind before choosing between an orthopedic surgeon and a podiatrist
- Training background: Orthopedic surgeons complete medical school; podiatrists complete podiatric medical school.
- Scope of practice: Podiatrists specialize only in the foot and ankle, while orthopedists cover the whole musculoskeletal system.
- Hospital privileges: Depending on the state, podiatrists may have different surgical privileges compared to orthopedic surgeons.
- Experience with your condition: Always ask how many similar cases your doctor has treated.
- Collaborative care: In many cases, seeing both may provide the best long-term outcome.
FAQs about orthopedic surgeons and podiatrists
Do orthopedic surgeons and podiatrists perform the same surgeries?
Both may perform foot and ankle surgeries, but orthopedic surgeons often manage more complex cases involving multiple bones or joints.
Why does it seem like orthopedic surgeons dislike podiatrists?
It stems from training differences, historical disputes, and scope-of-practice concerns, not necessarily personal animosity.
Who should I see first for foot or ankle pain?
For most general foot and ankle pain, a podiatrist is a great first step. If your condition is severe or involves multiple joints, an orthopedic surgeon may be more appropriate.
Expert insight: Dr. John E Britt on collaboration in patient care
At IntegraMed, board-certified orthopedic specialists emphasize collaboration rather than competition. Dr. John E Britt, for example, often highlights the importance of multidisciplinary teamwork to ensure patients get the best possible outcomes. In his view, patients should not worry about professional rivalries; instead, they should focus on finding the right doctor for their needs.
Dr. Britt believes that orthopedic surgeons and podiatrists can provide complementary care. This patient-first approach aligns with IntegraMed’s mission of offering comprehensive, compassionate, and evidence-based treatment options.
Bridging the gap between orthopedic surgeons and podiatrists
The answer lies in professional differences, historical tension, and scope-of-practice debates, not genuine hostility. Both specialists are committed to improving patient lives, and collaboration often leads to the best outcomes. whether you choose a podiatrist or an orthopedic surgeon, seek out a qualified, compassionate specialist who prioritizes your long-term health and mobility.
