249 CMR 4.01
Role of the Podiatrist
In the provision of podiatric care, the podiatrist examines, diagnoses and treats or prescribes
course of treatment for patients with disorders, diseases or injuries of the foot and ankle;
interviews patients and writes case histories to determine previous ailments, complaints and
areas of investigation; examines footwear to determine proper fit, evidence of proper gait, and
corrective care or treatment required; conducts complete physical examinations of the foot and
ankle, including tissue, bone and muscular structure with emphasis on the relationship to
diabetes, peripheral vascular disease and pathomechanical disease; make systemic as well as
lower extremity diagnoses; conducts physical examination of any and all other areas of the body
evidencing symptoms or conditions potentially contributing to disorders, diseases, injuries or
symptoms of the foot; supplements examination by ordering or performing various laboratory
tests, analyses and diagnostic procedures, including X-rays, which may be taken by the podiatry
assistant under the registered podiatrist’s supervision; interprets laboratory results and evaluates
examination findings; refers patients to, or consults with, other physicians for further case
diagnoses or treatment; administers treatment to eliminate lesions, infections, contagious
diseases affecting the foot and ankle and other symptomatic conditions of the foot and ankle
causing pain or affecting ambulation; performs appropriate therapeutic surgical procedures;
prescribes appropriate medication; instructs nurses and other assistants in treatment and care of
patients; prescribes and supervises construction and maintenance of orthotic foot devices and
fabricates special appliances to foot or in footgear to meet the needs of individual patients;
applies appliances to foot or in footwear; initiates other podiatric procedures or services and
advises patients on proper care of feet and nail prophylaxis; reviews and studies case history and
progress of patient; consults with surgeons and residents in establishing a therapeutic program
for the patient; records data or case history on medical records; and advises on kind and quality
of podiatric medical supplies and equipment required.