Tuesday, May 13, 2025

How AI is Revolutionizing My Practice as a Podiatrist

When I first began practicing podiatry over 20 years ago, I never imagined that artificial intelligence would become valuable tool in my day-to-day clinical work. At the time, my focus was on treating heel pain, bunions, diabetic foot ulcers, and the occasional sports injury. My tools were a combination of clinical training, diagnostic imaging, patient history, and intuition. But in recent years, the integration of AI into podiatry has transformed how I diagnose, treat, and manage patient care.

I want to share how this technology is enhancing our ability to deliver more accurate diagnoses, offer personalized treatments, and improve overall outcomes – while saving time and reducing human error.


AI  Diagnostic Imaging


One of the most immediate ways AI is helping podiatrists is through imaging. Whether it's an X-ray, MRI, or CT scan, reading and interpreting these images is a critical part of diagnosing foot and ankle problems. With the help of foot and ankle problems. With the help of AI-driven image analysis, I can now detect subtle fractures, joint abnormalities, or soft tissue injuries that might have been easy to overlook with the naked eye. 

AI algorithms trained on thousands of annotated images can spot patterns consistent with plantar fasciitis, osteoarthritis, or even early signs of Charcot foot in diabetic patients. These tools act as a second set of eyes, confirming my suspicions or occasionally flagging something I might have missed. This has made the diagnostic process faster and more reliable.


Predictive Modeling for Diabetic Foot Care

As podiatrists,  we pay special attention to diabetic patients because they are at high risk of developing ulcers and infections that can lead to amputations. One of the biggest challenges has always been predicting which patients are at the highest risk so we can intervene early.

Now, AI systems are helping us do just that. Using data from patient records – such as wound history, blood sugar levels, vascular status, and gait analysis – AI models can calculate the probability that a patient will develop a foot ulcer. This predictive capability enables us to tailor preventive strategies more effectively, such as recommending custom orthotics, adjusting footwear, or scheduling more frequent follow-ups.

We're no longer simply reacting to problems; we're anticipating them.


Gait Analysis and Biomechanics

Biomechanical assessment has always been a core part of podiatry. AI-powered gait analysis tools are now giving us new insights. These systems use cameras and sensors to track a patient's walking pattern and compare it against vast datasets of normal and pathological gaits. 

In the past, gait analysis was largely subjective – based on our visual observation and perhaps some video playback. Today, AI can quantify asymmetries, measure joint angles in real-time, and even suggest orthotic modifications. For patients recovering from injury or surgery, we can use this technology to monitor their progress objectively and fine-tune rehabilitation plans.


Custom Orthotics

Designing custom orthotics is part science, part art. AI is helping refine both. With digital foot scanning and AI algorithms, I can create a detailed 3D model of a patient's foot, taking into account pressure points, arch height, and gait characteristics. The AI can then suggest orthotic designs that are biomechanically optimized for the patient's condition.

Not only does this result in better-fitting and more effective orthotics, but it also reduces turnaround time. Instead of waiting weeks for a lab to mold and return a product, we can now use in-office 3D printing integrated with AI design tools to produce orthotics in days- sometimes even hours.


Administrative Efficiency and Documentation

Though less glamorous, another huge benefit of AI is in administrative work. Clinical documentation, coding, and insurance claims take up a disproportionate amount of time. AI-powered voice transcription and smart EHR (Electronic Health Record) systems can auto-generate notes, suggest ICD-10 codes, and even flag incomplete records.

This allows me to spend less time on paperwork and more time focusing on patients. It also reduces the  chance of clerical errors that can lead to claim rejections or compliance issues.


Patient Education and Engagement

AI is also enhancing the way I communicate with patients. Chatbots and mobile apps powered by AI help educate patients about their conditions, remind them to perform stretches or exercises, and even monitor compliance. For example, an app might track a diabetic patient's daily foot checks and alert them – or me – if any issues arise.

This type of digital engagement keeps patients more involved involved in their care, leading to better outcomes and fewer complications.


Challenges and Looking Ahead

Of course, AI isn't a magic bullet. It requires quality data, careful implementation, and a strong understanding of its limitations. It will never replace the clinical judgement that comes form years of experience. But as a podiatrist, I see AI not as a replacement – but as an enhancement.

It's helping us become more precise, more proactive, and more patient-centered. In a field like podiatry,  where early detection and personalized care make all the difference, that's a game-changer.

AI is such a game-changer that this entire article and photos was AI generated!

The future of foot and ankle care is here – and it's intelligent. 

If you are experiencing foot pain, don't hesitate contacting Dr. Lam's office at (239) 430-3668 (FOOT) or visit www.NaplesPodiatrist.com to schedule an appointment.


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