Podiatry Today Podcasts

Podiatry Today Podcasts

Podiatry Today Podcasts delivers practical, expert-driven insights for today’s foot and ankle specialist, with a strong focus on topics including surgical techniques, sports medicine, limb salvage, and dermatologic conditions of the lower extremity. Each episode features leading podiatrists and multidisciplinary experts discussing real-world approaches to forefoot and rearfoot surgery, minimally invasive techniques, biomechanics, regenerative medicine, return-to-play decisions, and complex skin and nail pathology. Listeners will also gain perspective on practice management, coding and reimbursement, and evolving technologies that influence podiatric practice. Whether you are in private practice, academia, or training, this podcast provides actionable clinical pearls, case-based insights, and strategies you can apply immediately.

  1. 2d ago

    Opioid Prescribing in Podiatry: Pearls, Pitfalls, and Practical Updates

    In this episode of the Podiatry Today Podcast, host Dr. Jennifer Spector welcomes Dr. Savannah Santiago for a timely discussion on responsible opioid prescribing in podiatric medicine. Building on her upcoming presentation at the APMA Annual Scientific Meeting, Dr. Santiago shares practical, evidence-informed strategies for balancing effective postoperative pain control with safe prescribing practices and regulatory compliance. The conversation explores how opioid prescribing has evolved over the past decade, common misconceptions that still influence clinical practice, and why individualized pain management is essential. Dr. Santiago discusses multimodal analgesia, patient-specific risk assessment, preoperative counseling, documentation, and the importance of setting realistic expectations to improve outcomes while minimizing opioid-related risks. In this episode, you'll learn: Why multimodal pain management should be the foundation of postoperative care Common opioid prescribing pitfalls and how to avoid them How to tailor pain management plans to individual patients and procedures The value of preoperative counseling, patient education, and family involvement Documentation strategies that support both quality patient care and regulatory compliance Whether you're in private practice, residency, or hospital-based care, this episode offers practical guidance for improving postoperative pain management while promoting responsible opioid stewardship. Guest: Dr. Savannah Santiago Host: Dr. Jennifer Spector

  2. Jul 14

    The New Reality of Limb Salvage in Community Practice

    What does successful limb salvage really look like outside of major academic medical centers? In this episode of the Podiatry Today Podcast, host Dr. Jennifer Spector welcomes back Dr. Timothy Miller for a candid discussion on the realities of limb preservation in community-based podiatric practice. While limb salvage is often associated with large hospital systems and multidisciplinary academic programs, Dr. Miller explains how community podiatrists frequently serve as the true first line of defense for patients facing diabetic foot complications, ulcerations, infections, and risk of amputation. Drawing from his experience as a fellowship-trained podiatrist and co-owner of Sunshine Foot and Ankle Experts in Orlando, Florida, Dr. Miller shares practical insights into coordinating multidisciplinary care with vascular surgery, infectious disease, endocrinology, primary care, wound care, orthotics, and social services — all while navigating the real-world barriers patients face outside of large institutions. The conversation explores where limb salvage systems succeed, where they commonly break down, and why patient engagement, compliance, transportation, nutrition, family support, and longitudinal follow-up are just as critical as surgical or wound care expertise. Dr. Miller also discusses the podiatrist’s role as the “quarterback” of the care team and emphasizes that limb salvage is often a lifelong process of prevention, monitoring, and ongoing management.

  3. Jun 19

    Unique Perspectives on Fifth Metatarsal Stress Fractures

    Has surgery become the default approach for fifth metatarsal stress fractures—and should it be? In this episode of the Podiatry Today Podcasts, Dr. Jennifer Spector welcomes back Dr. Patrick DeHeer, President of the American Podiatric Medical Association, to revisit the ongoing debate surrounding operative versus non-operative management of fifth metatarsal stress fractures. The conversation takes a fresh turn with discussion of a 2023 randomized controlled trial comparing intramedullary screw fixation to high-energy shockwave therapy in competitive athletes. With similar healing rates, functional outcomes, and complication profiles—and even a faster return to play in the shockwave group—the findings challenge long-standing assumptions about surgical necessity. Dr. DeHeer also provides critical context around study limitations, patient selection, and real-world barriers such as insurance coverage and access to advanced therapies. He shares practical insights on when surgery may still be appropriate, particularly in elite or highly active patients, and emphasizes the importance of long-term strategies like lateral column offloading to reduce refracture risk. Key topics include: Surgery vs non-surgical management of fifth metatarsal stress fractures Shockwave therapy as an emerging alternative to fixation Evidence from RCT data in athletic populations Patient selection and real-world treatment considerations Preventing recurrence through biomechanical offloading This episode is essential listening for clinicians navigating evolving evidence in stress fracture management. 👉 Follow Podiatry Today Podcasts on SoundCloud, Apple Podcasts, or Spotify for more expert insights in foot and ankle medicine.

Ratings & Reviews

4.4
out of 5
9 Ratings

About

Podiatry Today Podcasts delivers practical, expert-driven insights for today’s foot and ankle specialist, with a strong focus on topics including surgical techniques, sports medicine, limb salvage, and dermatologic conditions of the lower extremity. Each episode features leading podiatrists and multidisciplinary experts discussing real-world approaches to forefoot and rearfoot surgery, minimally invasive techniques, biomechanics, regenerative medicine, return-to-play decisions, and complex skin and nail pathology. Listeners will also gain perspective on practice management, coding and reimbursement, and evolving technologies that influence podiatric practice. Whether you are in private practice, academia, or training, this podcast provides actionable clinical pearls, case-based insights, and strategies you can apply immediately.

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