Podiatry is a field of
healthcare devoted to the study and treatment of disorders of the
foot, ankle, and sometimes knee, leg and hip (collectively known as
the lower extremity). The terms podiatry and chiropody are not
interchangeable, with the word chiropody being most used in the UK,
and podiatry in the US.
History of Podiatry
The professional care of feet was in existence in ancient
Egypt as evidenced by bas-relief carvings at the entrance to
Ankmahor's tomb where work on hands and feet is depicted. Many
Egyptologists believe tending feet probably spanned the whole of
Egyptian civilization. The placement of carvings at the entrance of a
tomb typically signified the profession of the buried individual and
The Tomb of the Physician dates from 2400 BC.
Corns and calluses were
described by Hippocrates who recognised the need to physically reduce
hard skin, followed by removal of the cause. He invented skin scrapers
for this purpose and these were the original scalpels. Celsus, a Roman
scientist and philosopher was probably responsible for giving corns
their name. Later Paul of Aegina (AD 615-690) defined a corn as
"a white circular body like the head of a nail, forming in all
parts of the body, but more especially on the soles of the feet and
the toes. It may be removed in the course of some time by pairing away
the prominent part of it constantly with a scalpel or rubbing it down
with pumice. The same thing can be done with a callus."
Until the turn of the 20th
century, chiropodists - now known as podiatrists or podiatric
physicians - were separate from organized medicine. They are
independently licensed physicians who treat the foot, ankle and
related leg structures. Lewis Durlacher was one of the first people to
recognise the need for a protected profession. He tried to establish
the first association of practitioners in 1854, although it would take
another century to come to pass.
There are records of the King
of France employing a personal podiatrist, as did Napoleon. In the
United States of America, President Abraham Lincoln suffered greatly
with his feet and chose a chiropodist named Isachar Zacharie, who not
only cared for the president’s feet, but also was sent by President
Lincoln on confidential missions to confer with leaders of the
Confederacy during the U.S. Civil War.
The first society of
chiropodists was established in New York in 1895 with the first school
opening in 1911. One year later the British established a society at
the London Foot Hospital and a school was added in 1919. In Australia
professional associations appeared from 1924 onwards. The first
American journal appeared in 1907, followed in 1912 by an UK journal.
In 1939, the Australians introduced a training centre as well as a
professional journal. The number of chiropodists increased markedly
after the Great War then again after World War II. Increased numbers
of ex-soldiers needing to be gainfully employed gave chiropody a boost
and led to the need for registration in all English speaking
countries. The study of the foot i.e. podology, brought greater
knowledge to the practice of foot care or podiatry.