Employment of podiatrists is expected to grow about as fast as average for all occupations through 2014. More people will turn to podiatrists for foot care because of the rising number of injuries sustained by a more active and increasingly older population. Additional job openings will result from podiatrists who retire from the occupation, particularly members of the baby-boom generation. However, relatively few job openings from this source are expected because the occupation is small and most podiatrists remain in it until they retire. Medicare and most private health insurance programs cover acute medical and surgical foot services, as well as diagnostic x rays and leg braces. Details of such coverage vary among plans. However, routine foot care, including the removal of corns and calluses, ordinarily is not covered unless the patient has a systemic condition that has resulted in severe circulatory problems or areas of desensitization in the legs or feet.

Like dental services, podiatric care is often discretionary and, therefore, more dependent on disposable income than some other medical services. Employment of podiatrists would grow even faster were it not for continued emphasis on controlling the costs of specialty health care. Insurers will balance the cost of sending patients to podiatrists against the cost and availability of substitute practitioners, such as physicians andphysical therapists. Opportunities will be better for board-certified podiatrists, because many managed-care organizations require board certification. Opportunities for newly trained podiatrists will be better in group medical practices, clinics, and health networks than in traditional solo practices. Establishing a practice will be most difficult in the areas surrounding colleges of podiatric medicine, where podiatrists are concentrated.

Americans spend a great deal of time on their feet. As the Nation becomes more active across all age groups, the need for foot care will become increasingly important to maintaining a healthy lifestyle. The human foot is a complex structure. It contains 26 bones, plus muscles, nerves, ligaments, and blood vessels, and is designed for balance and mobility. The 52 bones in the feet make up about one-fourth of all the bones in the human body. Podiatrists, also known as doctors of podiatric medicine (DPMs), diagnose and treat disorders, diseases, and injuries of the foot and lower leg. Podiatrists treat corns, calluses, ingrown toenails, bunions, heel spurs, and arch problems; ankle and foot injuries, deformities, and infections; and foot complaints associated with diseases such as diabetes.

To treat these problems, podiatrists prescribe drugs, order physical therapy, set fractures, and perform surgery. They also fit corrective inserts called orthotics, design plaster casts and strappings to correct deformities, and design custom-made shoes. Podiatrists may use a force plate or scanner to help design the orthotics: patients walk across a plate connected to a computer that "reads" their feet, picking up pressure points and weight distribution. From the computer readout, podiatrists order the correct design or recommend another kind of treatment. To diagnose a foot problem, podiatrists also order x rays and laboratory tests. The foot may be the first area to show signs of serious conditions such as arthritis, diabetes, and heart disease. For example, patients with diabetes are prone to foot ulcers and infections due to poor circulation.

Podiatrists consult with and refer patients to other health practitioners when they detect symptoms of these disorders. Most podiatrists have a solo practice, although more are forming group practices with other podiatrists or health practitioners. Some specialize in surgery, orthopedics, primary care, or public health. Besides these board-certified specialties, podiatrists may practice other specialties, such as sports medicine, pediatrics, dermatology, radiology, geriatrics, or diabetic foot care. Podiatrists who are in private practice are responsible for running a small business. They may hire employees, order supplies, and keep records, among other tasks. In addition, some educate the community on the benefits of foot care through speaking engagements and advertising.