Within the scope of podiatry, which procedures may be performed?

• A. Achilles tendon lengthening
• B. Tendon transfers that require incisions into the lower leg
• C. Both A and B
• D. None of the above

Answer: (C)

In Massachusetts, podiatrists are authorized to perform surgical procedures of the foot and ankle, including reconstructive procedures that address deformities and restore function. Achilles tendon lengthening is a common foot/ankle procedure used to correct tightness and improve motion, so it clearly falls within the scope of podiatry. Tendon transfers that require incisions into the lower leg are also within scope when performed to restore foot function, since they’re aimed at maintaining or improving the mechanics of the foot and ankle, even if access extends proximally into the leg. Because both types of procedures can be legitimately performed by podiatrists when they’re within the foot/ankle reconstructive domain and the provider has the appropriate training, the best choice is that both are permissible.