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.

Understanding Ankle Instability: The Talar Tilt Test

 

Ankle injuries are among the most common issues people face, particularly athletes, active individuals, and those who’ve suffered previous sprains. But how do you know if your ankle has healed properly, or if there’s lingering instability that could lead to further injury? One of the most effective ways to assess ankle stability is through the Talar Tilt Test, a diagnostic tool that checks the integrity of the lateral ankle ligaments.

What Is the Talar Tilt Test?

The Talar Tilt Test is used to evaluate whether the ligaments on the outer side of the ankle are functioning properly. Specifically, it assesses the lateral ligaments, which are responsible for stabilizing the ankle during movement. This test is often performed by a podiatrist under anesthesia to ensure accurate results, as muscle tension can affect the diagnosis.

How Does the Test Work?

During the test, the doctor manipulates the foot to see how much the talus (the bone inside the ankle) tilts in relation to the tibia. A healthy ankle should have minimal movement, with the talus staying in place and the clear spaces around the ankle remaining symmetrical. 

In the case of an unstable ankle, the talus tilts more than it should, indicating that the lateral ligaments are not holding the joint securely. This abnormal tilt reveals a condition known as ligament laxity, which can result in repeated ankle sprains and long-term instability if left untreated.

Why Is Symmetry Important?

An essential part of diagnosing ankle stability is examining the **clear space** around the talus. For a stable ankle, the clear space should be symmetrical on all sides—the lateral (outside), medial (inside), and on top. If these spaces are uneven or if the talus tilts excessively to one side, it’s a strong indication that the ankle ligaments are damaged.

What Does a Positive Talar Tilt Mean?

A positive Talar Tilt Test means the ankle tilts more than the normal range, confirming ligament damage or laxity. This type of instability can lead to chronic pain, limited mobility, and an increased risk of further injury, especially if you participate in activities that involve quick changes in direction or uneven surfaces.

Treatment Options for Ankle Instability

If you have a positive talar tilt test, it’s important to address the issue before it worsens. Treatment options include:

- Physical Therapy: Strengthening exercises to support the ankle and improve balance.

- Bracing or Taping: External support to stabilize the ankle during activity.

- Surgical Repair: In more severe cases, surgery may be necessary to repair torn ligaments and restore stability.

An unstable ankle is more than just a minor inconvenience—it can significantly impact your mobility and quality of life. If you’ve experienced recurring ankle sprains or suspect instability, the Talar Tilt Test is a vital diagnostic tool that can reveal underlying ligament damage. Early diagnosis and proper treatment are key to regaining stability and preventing future injuries.

If you're dealing with ankle instability, don’t hesitate to seek professional evaluation. Understanding your condition and getting the right treatment can help you stay active and avoid long-term complications.

Feel free to schedule a consultation with Dr. Kevin Lam at Family Foot & Leg Center for a thorough evaluation and personalized treatment plan to restore your ankle's stability.

Ankle Fusion Surgery | Dr. Kevin Lam #toppodiatrist #footsurgeon

 

Foot pain can significantly impact daily life, making even simple tasks challenging. When conservative treatments like medication, physical therapy, and orthotics fail to alleviate severe ankle pain, ankle fusion surgery may be considered. This procedure involves fusing the bones of the ankle joint to eliminate motion and provide stability. By doing so, it can effectively reduce pain and improve function for patients with arthritis, deformities, or severe injuries. While the recovery process involves several weeks of immobilization and physical therapy, many patients find that the long-term relief and enhanced quality of life are well worth the effort.

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About 7 months out, we had a mini arthrotomy surgery arthrodesis for  ankle arthritis. Okay.

So the mini arthrotomy is on either side right here, making a low cut so we don't make a big incision

and just clean it all out, took some bone graft from here to stick it in there, the screws you saw is a tripod screw

So one, two, and three tripod screw.

So everything is good now. 

Before surgery, how much pain did you have, sir?

"A ten, a lot of times"

A ten, okay.

"It got to where I couldn't walk at all"

Got it, got it.

"I just stay home" [laughs]

But now, how much pain do you have now?

"None"

So now your wife has to keep up with you now, right?

"Yeah"

The opposite. Okay, good stuff.

It looks really good. It actually looks awesome.  I don't have to see you for 6 months now, but everything healed up great.

Are you happy with it?

"Yes"

Ten to zero.

"Oh yeah. Pain is gone, that's all I was after"

Well, congratulations

The ankle fusion -- move the ankle around.

Now you won't even know you had an ankle fusion.

Because people are always confused,

they think it's going to be stiff legs

Not true.

The ankle fusion is there, solid but your joint movement is from the other joints

around the ankle and I think you're going to do well

So I think we're doing good. Awesome.

So the ankle fusion is this joint right up here, right?

He's getting motion out of the subtalar joint as well as talonavicular and the calcaneocuboid joint

All these other joints around there are moving very well

but you're seeing a lot of motion through here 

because we locked up the ankle.

Well, before he was having ankle arthritis, right?

So he was having a lot of pain right here

Locked that up with a fusion with screws.

A lot of people don't understand that --

-- or they think that the ankle fusion 

is going to really limit you

Actually it increases your life.

I mean, this person had 10 out of 10 pain

Now the patient is going on one mile walks

walking the dog, walking with the wife.

So it makes a huge difference

Yes we do total ankle implants but they're

I will say for a limited amount of patients

but the ankle fusion is still the gold standard guys.

So here you go. Thank you.

Arthroscopic Ankle fusion

 

Arthroscopic Ankle fusion in our older population, pain-free ambulation after 8 weeks. When open ankle fusion or ankle implants are not even an option. @footlegcenter

Living with Ankle Arthritis? Discover the Benefits of Ankle Fusion!

Are you or someone you know struggling with the pain and limitations of ankle arthritis? You're not alone, and there's hope on the horizon! 🦶✨

🦶 What is Ankle Arthritis?

Ankle arthritis occurs when the cartilage in the ankle joint wears down, causing pain, swelling, and difficulty in movement. This can make everyday activities challenging and reduce your quality of life. 😔

🦶What is Ankle Fusion?

Ankle fusion, or arthrodesis, is a surgical procedure that involves fusing the bones of the ankle joint together. This helps eliminate pain by stopping the movement of the joint, providing a stable and strong foundation. 

Benefits of Ankle Fusion:

1. Pain Relief: Say goodbye to chronic pain! Ankle fusion can significantly reduce or eliminate pain, allowing you to enjoy life again. 

2. Improved Mobility: With a stable and strong ankle, you'll find it easier to walk, stand, and engage in daily activities. 

3. Increased Functionality: Regain the ability to perform tasks that were once difficult or impossible. 

4. Long-Lasting Results: Ankle fusion offers a durable solution, often lasting a lifetime without the need for further surgery. 

Is Ankle Fusion Right for You?

Consult with an orthopedic specialist to discuss your symptoms and explore if ankle fusion is the best option for your specific condition. Personalized medical advice is crucial! 🩺

We're here to help you step forward with confidence.

#AnkleArthritis #AnkleFusion #PainRelief #OrthopedicSurgery #HealthyLiving