The American Orthopaedic Foot & Ankle Society (AOFAS) has released a list of tests and procedures that are commonly ordered but not always necessary. This is in part of the Choosing Wisely campaign, an initiative intended to advance medical professionalism in clinical practice.

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After consideration and review, members of the Evidence-Based Medicine Committee consulted AOFAS statements on foot and ankle care and reviewed scientific literature for each of the following five recommendations:

  • Don’t perform surgery for a bunion or hammertoes without symptoms.
  • Don’t use shoe inserts for symmetric flat feet or high arches in patients without symptoms.
  • Don’t perform surgery for plantar fasciitis before trying six months of non-operative care.
  • Avoid X-ray evaluation of the foot and ankle without standing (weightbearing) in the absence of injury.
  • Don’t use alcohol injections for Morton’s neuromas.

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