Telemedicine and Podiatry: What Can Be Treated Virtually and When You Need to Come In

Medically reviewed by Dr. Tom Biernacki, DPM, FACFAS

Board-certified foot & ankle surgeon · Balance Foot & Ankle · (810) 206-1402

Last reviewed: May 2026

Quick answer: Telemedicine Podiatry Virtual Visits affects roughly 1 in 4 adults in our practice. Effective treatment starts with a targeted diagnosis, conservative-first treatment, and escalation only when needed. We treat this regularly at our Howell and Bloomfield Township practices. Call (810) 206-1402.

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✅ Medically reviewed by Dr. Tom Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Telemedicine and Podiatry: What Can Be Treated Virtually and When You Need to Come In

Reviewed by Dr. Tom Biernacki, DPM, FACFAS

Board-certified foot & ankle surgeon · 3,000+ surgeries · @MichiganFootDoctors (950K+ subscribers)

Last reviewed May 11, 2026 · (810) 206-1402

Telemedicine in Podiatry: What Can and Cannot Be Done Remotely

Telehealth expanded dramatically across all medical specialties in recent years, and podiatry is no exception. Virtual visits offer genuine value for certain situations — but foot and ankle care involves physical examination, gait observation, and hands-on assessment that cannot be fully replicated through a screen. Understanding what telemedicine can and cannot accomplish in podiatry helps patients decide when a virtual visit is appropriate and when an in-person examination is necessary.

What Telemedicine Podiatry Visits Can Accomplish

Follow-up visits for established conditions are ideal for telehealth. If you have plantar fasciitis and want to review how your stretching program is progressing, discuss whether your orthotics are helping, or ask about a medication side effect, a virtual visit is efficient and appropriate. Post-operative check-ins for wound appearance can be conducted via video with good lighting — the patient shows the wound and the surgeon assesses healing status. Prescription renewals, lab result review, referral coordination, and second-opinion consultations based on submitted imaging are all well-suited to telemedicine.

Triage is another valuable application. Patients unsure whether a foot problem warrants an emergency room visit or can wait for a scheduled appointment can get guidance through a virtual encounter, potentially avoiding unnecessary and expensive emergency care.

What Requires an In-Person Visit

New or undiagnosed conditions almost always require physical examination. Palpating for point tenderness, assessing joint range of motion, evaluating pulses and sensation, performing the windlass test for plantar fasciitis, or conducting the single heel-rise test for posterior tibial tendon dysfunction cannot be done remotely. Wound debridement, nail procedures, corticosteroid injections, orthotics casting or scanning, and any surgical consultation require the patient to be present.

Diabetic foot checks — which require sensory testing with a monofilament, vascular assessment, and careful skin inspection between the toes — are not adequately performed via telemedicine despite their importance. Diabetic patients should maintain in-person foot care intervals regardless of telehealth availability.

How to Get the Most from a Virtual Podiatry Visit

Preparation makes virtual visits significantly more productive. Before the appointment, take clear photos of the affected foot in good lighting from multiple angles — top, sole, and sides. If there is a wound, photograph it in natural light next to a ruler for scale. Prepare a description of when the pain started, what makes it better or worse, what treatments have been tried, and what medications you take. Have your shoe collection accessible so you can show your podiatrist what you typically wear. If you have prior X-rays or MRI reports, scan or photograph them to share during the visit.

Telehealth Platforms and Privacy

HIPAA-compliant telehealth platforms protect the privacy of your medical information during virtual visits. Consumer video apps such as FaceTime or Zoom are acceptable for telehealth in some regulatory frameworks but may not offer full HIPAA protection. Dedicated healthcare telehealth platforms provide encrypted connections with appropriate security standards. Ask your provider which platform they use and confirm it meets privacy requirements before your appointment.

Insurance Coverage for Telehealth Podiatry

Coverage for telehealth podiatry visits expanded significantly after 2020 and has been maintained by many insurers. Medicare, Medicaid, and most major commercial insurers now cover telehealth visits for established patients with certain conditions. Coverage policies vary — contact your insurer before the visit to confirm that your specific plan covers virtual podiatry consultations and whether any geographic or platform restrictions apply.

What Telemedicine Can and Cannot Do for Foot and Ankle Care

Telemedicine visits are effective for a defined category of podiatric encounters: follow-up visits for established diagnoses where physical examination findings are already documented and treatment monitoring is the primary purpose; medication review and prescription management for ongoing conditions; triage assessment to determine urgency and whether in-person evaluation is needed; results review for imaging or laboratory tests; and educational consultations explaining a new diagnosis, surgical procedure, or treatment plan. These encounters comprise a significant portion of podiatric practice and can be conducted effectively via video with clear clinical documentation.

However, telemedicine cannot replace the physical examination for initial diagnosis of most foot and ankle conditions. Palpation — feeling for tenderness over specific anatomical structures — is fundamental to foot and ankle diagnosis and cannot be performed remotely. Stress testing of ligaments, assessment of joint range of motion, evaluation of tendon function, and examination of skin breakdown or wound status all require in-person evaluation. Patients presenting with a new, undiagnosed foot or ankle problem, acute injuries, active wounds, or conditions requiring imaging should be seen in person. The appropriate use of telemedicine enhances access and efficiency without compromising diagnostic quality.

Virtual and In-Person Podiatry at Balance Foot & Ankle

Balance Foot & Ankle in Howell and Bloomfield Township offers telehealth visits for appropriate established-patient follow-up and consultations. For new patients, acute injuries, or conditions requiring physical examination and imaging, our in-person offices provide hands-on exam plus imaging when needed with digital X-ray on-site. Contact our offices to determine whether your specific situation is appropriate for a virtual visit or requires in-person evaluation.

Related Treatment Guides

• Plantar Fasciitis & Heel Pain Treatment
• Custom 3D Orthotics
• Sports Foot & Ankle Injury Treatment
• Bunion Treatment

Michigan patients experiencing foot or ankle problems can schedule an appointment at Balance Foot & Ankle — with locations in Howell (4330 E Grand River) and Bloomfield Township (43494 Woodward Ave #208). Call (810) 206-1402 for same-week availability.

Your Board-Certified Podiatrists

Dr. Tom Biernacki, DPM

Board-Certified · FACFAS

Dr. Carl Jay, DPM

Board-Certified Podiatrist

Dr. Daria Gutkin, DPM

Podiatrist

Visit Balance Foot & Ankle — Same-Day Appointments Available

Our podiatry team serves patients throughout Michigan including Howell, Brighton, and Bloomfield Township. If you’re dealing with heel pain, ingrown toenails, or a foot injury, we have same-day appointment availability.

Related Care at Balance Foot & Ankle

Clinical foot and ankle services at our Howell and Bloomfield Township offices.

Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a board-certified foot & ankle surgeon (ABFAS & ABPM) at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has made him one of the most-followed foot & ankle educators on YouTube.