My DS has fractured the growth plates in his ankles many times over the past few years. We have always taken him to the same ortho. He's actually gone from Dr. to a first name basis because we've seen him so many times.
A month ago, DS was playing soccer with his friends. He finished the game and was running down a hill, caught a hole and twisted his ankle. He was actually crying the next morning because of the pain. Original injury happened on a Sunday night so that's why we waited until the next morning. Also, past experience showed us what to do for the meantime until we could see an ortho.
On Monday morning, we went to urgent care. (Cheaper copay than the ER.) They referred us to a podiatrist because I couldn't get into the ortho for another day or two. This woman has been a God send for us.
DS chipped a bone off from his lower ankle. He was soft-casted and booted for a week and then hard casted for 3 weeks and now is wearing the boot until Thursday when he'll get an aircast to wear in his shoe.
The reason why I'm so pleased with this dr is that she told me WHY DS is prone to ankle injuries. #1 he is as flat-footed as you can get. #2 he has one of the worst cases of hammer toes that she's ever seen. #3 his achilles tendons are very tight.
So, where the ortho told my DS to read the definition of "careful" and learn to be more careful, she actually gave me concrete reasons why my DS injures himself more than just being a gangling, clumsy boy.
When he is fully recovered, she is going to give him a gait test to fit him for orthotics and exercises for his achilles tendons. If he can't stretch them himself, because of their tightness, surgery may be indicated. She hasn't said if we need to do anything about his toes.
So, bottom line is that you have the option of going to a podiatrist if you do not have easy access to an ortho.