Podiatrists press to allow ankle procedures in Massachusetts; orthopedists warn against expanding scope

Podiatrists and surgical residents asked the committee to update Massachusetts law to explicitly allow podiatrists to perform procedures on the ankle and lower leg, saying the change would improve access to limb‑salvage care and retain trained specialists in the state. "Massachusetts is now one of only two states that does not explicitly allow podiatrists to treat ankles," said Dr. Tyler Silverman, a podiatrist and hospital credential committee member. Supporters pointed to credentialing safeguards at hospitals and data showing other states gained podiatrists after expanding scope, and they said ankle fracture treatment and diabetic limb salvage benefit from prompt specialist care. Opponents, including the Massachusetts Orthopedic Association and an orthopedic trauma surgeon, urged caution. Dr. Scott Ryan, president of the Massachusetts Orthopedic Association, said association analysis found lower complication rates and lower cost of care for ankle fracture surgeries when performed by orthopedic surgeons in some studies, and the association opposed expansion to the lower leg. "Although we work closely with our podiatric colleagues and value their contribution, we do not support the expanded scope to the lower leg at this time," Ryan said. The committee heard both clinical perspectives, hospital credentialing and workforce concerns; no committee decision appears in the hearing transcript.