Two Feet, Two Experts: Podiatry vs. Physical Therapy

Podiatry vs physical therapy is a question Dr. Castelein and physical therapist Ryan Mertz hear often. The short answer is that they’re not competing approaches, they work best together, and at Brighton Foot & Ankle, both are regularly part of the same treatment plan.

Podiatry vs Physical Therapy: What’s the Difference?

Podiatry focuses on diagnosing and treating conditions of the foot and ankle, including structural issues, skin conditions, fractures, tendon problems, and surgical intervention when needed. Physical therapy focuses on improving movement, strength, flexibility, and function through exercise, manual techniques, and rehabilitation.

The two disciplines complement each other. A podiatrist can diagnose what’s wrong and address the structural cause, while a physical therapist helps restore the surrounding muscles, movement patterns, and strength that support long-term recovery.

When Do You Need a Podiatrist?

You should see a podiatrist when you have pain, swelling, or a structural problem in the foot or ankle that needs a diagnosis. This includes conditions like plantar fasciitis, bunions, Achilles tendonitis, ingrown toenails, fractures, neuromas, and diabetic foot concerns. A podiatrist can order imaging, perform procedures, prescribe orthotics, and perform surgery when necessary.

When Do You Need Physical Therapy?

Physical therapy is most helpful when the goal is restoring function, building strength, improving flexibility, or recovering from injury or surgery. Ryan Mertz, who worked with the Chicago White Sox and Cubs for eight years before returning to Michigan, describes physical therapy as a collaborative coaching process focused on getting patients back to doing what they love, whether that’s walking around the block or throwing a baseball 95 miles per hour.

How They Work Together

For many patients at Brighton Foot & Ankle, the most effective path combines both. Dr. Castelein diagnoses and treats the underlying condition, then refers the patient to physical therapy to address the surrounding muscles and movement patterns that contributed to the problem in the first place. This is especially common for plantar fasciitis, Achilles tendonitis, ankle sprains, and post-surgical recovery.

If you’re not sure whether you need a podiatrist, physical therapy, or both, contact Brighton Foot & Ankle and Dr. Castelein can help point you in the right direction.