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Area of Science:

  • Podiatric Medicine
  • Pain Management
  • Public Health

Background:

  • Ingrown toenails are common, often treated with chemical matrixectomy.
  • Post-procedure pain management lacks formal guidelines, relying on individual preferences.
  • This study investigates prescribing behaviors of podiatric physicians.

Purpose of the Study:

  • To explore postprocedural pain management prescribing behavior among podiatric physicians.
  • To identify factors influencing opioid prescribing after chemical matrixectomy.
  • To inform future guideline and policy development for pain management.

Main Methods:

  • An anonymous online survey was administered to podiatric physicians.
  • Participants described prescribing habits for a chemical matrixectomy scenario.
  • Logistic regression models analyzed prescriber characteristics and opioid prescribing.

Main Results:

  • 8.7% of 860 podiatrists prescribed opioids, most commonly hydrocodone (median 18 pills).
  • No prescriber characteristics correlated with opioid prescribing.
  • Opioid prescribing practices show significant variation and a knowledge gap compared to other specialties.

Conclusions:

  • Podiatric physicians' opioid prescribing may contribute to the national opioid crisis.
  • Routine opioid prescription after nail procedures is not recommended.
  • This study initiates benchmarking for procedure-specific opioid prescriptions to guide policy.