Education
University of California, Los Angeles School of Medicine
Certifications
Orthopaedic Surgery
Residencies
Johns Hopkins Hospital - Orthopaedic Surgery
Fellowships
Union Memorial Hospital, Baltimore, MD - Orthopaedic Foot and Ankle Surgery
Clinical / Research Interests
Sports Medicine
Foot and Ankle Reconstruction
Biography

View Services, Testimonials, and Patient Resources

Marc D. Chodos, MD is an assistant professor of surgery at the GW School of Medicine & Health Sciences. He was born and raised in Southern California. He graduated from the University of California, Berkeley in 1995 with a double major in history and immunology. While at Berkeley, he received multiple academic honors, including Phi Beta Kappa, junior year.

Dr. Chodos attended medical school at the University of California, Los Angeles as a Regents' Scholar. While at UCLA, he was awarded a fellowship from the American Academy of Allergy, Asthma, and Immunology. He also won the Charles O'Malley Prize for medical history. During medical school, Dr. Chodos spent over one year traveling around the world, training in Swaziland, Africa; Tel Aviv, Israel; and Edinburgh, Scotland. He graduated in 2000.

Following medical school, Dr. Chodos completed a residency in orthopaedic surgery at Johns Hopkins Hospital. After residency, he entered the prestigious Foot and Ankle Fellowship at UnionMemorial Hospital in Baltimore with Drs. Lew Schon, Stuart Miller, Greg Guyton, and John Campbell. During fellowship, he won the Johnson and Johnson Orthopaedic Research Award and Travel Grant.

After completing his training, Dr. Chodos practiced in San Diego for 12 years, providing subspecialty foot and ankle orthopaedic care for the Southern California region and beyond. From 2006-2015 he was in private practice, affiliated with Grossmont Orthopaedic Medical Group. He also worked part time at University of California, San Diego training orthopaedic surgery residents and providing subspecialty care. From 2015-2018 he provided subspecialty foot and ankle orthopaedic care with Southern California Permanente Medical Group, and also assisted in training podiatric residents and students. In 2018 Dr. Chodos relocated east, and joined George Washington University.

Dr. Chodos specializes in foot and ankle orthopaedics, both nonoperative and surgical. He has strong interests in sports medicine (including arthroscopy, tendon and ligament repair, and treatment of osteochondral defects), and also foot and ankle reconstruction (including complex deformity and arthritis). He believes that our feet and ankles are the foundation of our body. In caring for them, his goals include restoring function and improving quality of life.

He has presented nationally and published scientific manuscripts on a variety of topics in foot and ankle surgery, and is currently a reviewer for Foot and Ankle International, and for the Foot and Ankle section of the Journal of the American Academy of Orthopaedic Surgeons.

Dr. Chodos has many interests outside of medicine. He enjoys gardening. He is an avid scuba diver, with rescue diver certification. He was also active in the running community for many years. In high school, he was captain of the cross-country and track teams. He founded Berkeley Running Club during college. Additionally, he has run several marathons, starting at age 16. Most of his free time is spent with his wife and 3 children.

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Services

Dr. Chodos specializes in foot and ankle orthopaedic surgery, treating problems below the knee. He provides both non-operative and operative care. He has strong interests in sports medicine (including arthroscopy, tendon and ligament repair, and treatment of osteochondral defects), foot and ankle reconstruction (including complex deformity and arthritis), and forefoot surgery (including bunions, hammer toes, claw toes, and metatarsalgia).

Dr. Chodos is skilled in a wide range of techniques including minimally invasive surgery (MIS) (including bunionectomy, osteotomy, and exostectomy), arthroscopy (including ankle, subtalar, and metatarsophalagneal joint arthroscopy), concentrated bone marrow aspiration (BMAC), platelet rich plasma (PRP), ankle replacement, custom 3d printed implants, RIA bone grafting, and fine wire external fixation.

As a medical doctor and orthopaedic surgeon, Dr. Chodos is able to treat the whole person.  He is not limited to just the foot. This opens additional treatment options and techniques that might not be available to other health care providers.

With the backing of a major University and Medical Center, Dr. Chodos is able to provide customized care for complex problems that others cannot. A perfect location for getting things taken care of right the first time, getting a second opinion, or having something that didn’t work out well revised. We provide care to people from Washington DC, Maryland, Virginia, and beyond.

Dr. Chodos believes that the feet and ankles are the foundation of the body. In caring for them, his goals include restoring function and improving quality of life.

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Marathon runners viewed from the ankles-down

Patient Resources

New Patient Appointment / What to Bring:

  • Complete the New Patient Form in advance, and either email it to the office at orthopedics [at] mfa [dot] gwu [dot] edu (orthopedics[at]mfa[dot]gwu[dot]edu) or print it out and bring it with you.
  • If you were a trauma patient at GW Hospital, please know or bring your trauma alias name so that prior records and imaging can be accessed.
  • Dr. Chodos can directly view imaging (xrays, MRI, CT, etc) from GW Hospital, Washington Radiology, Progressive Radiology, and the GW urgent care centers such as Metro IPC. If you have prior imaging that was done elsewhere, please bring the actual imaging on a disc. You can obtain this from the place that did the imaging study. For more complex studies such as MRI, CT, bone scans, and similar, please also bring the report (but the report by itself without the imaging is not sufficient). For foot and ankle problems, as a general rule if you can walk on it then the xrays can be done standing (as opposed to sitting on the xray table). If you do not bring your prior imaging and Dr. Chodos cannot access it online, it will unfortunately probably need to be repeated. If your prior imaging was not done standing, then it may need to be redone at the time of your appointment.
  • If you have had prior surgeries done elsewhere, please bring the operative reports and prior records. If you are transferring care acutely after a surgery, please obtain a postoperative treatment plan from the doctor who did the surgery, so it can be reviewed at the appointment.
  • Try to arrive 20-30 minutes early so that any registration, paperwork, and radiographs can be completed prior to your appointment time.  This will greatly improve our ability to maximize your time while at the appointment.
  • Anticipate that the appointment will take some time. Things that MAY need to take place while you are at the appointment include: registration/paperwork, xrays, doctor evaluation, fitting of DME including boots/braces/casts, surgical scheduling, etc. Additionally, Dr. Chodos tends to spend significant time with each new patient.

Foot and Ankle Conditions and Resources

Legs from the ankle-down walking on a beach at sunset
General Information & Resources

There is a lot of information available on the internet, and unfortunately not all of it is accurate.  It is important to focus on sources you can trust.  The American Orthopedic Foot and Ankle Society has great condition-specific content and resources for just about any problem that involves the foot and ankle. This can be found at https://www.footcaremd.org.

Ankle

Conditions:

Heel

Conditions:

Hindfoot / Midfoot

Conditions:

Forefoot / Toes

Conditions:

Diabetic Foot

Conditions:

Injections and Procedures

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Bookshelf

Publications

Chiang, Benjamin J. MD; Malik, Zeeshan BS; Laubach, Logan MS; Minchu, Prem BS; Gu, Alex MD; Chodos, Marc D. MD (2022).  Differences of Search Engine Digital Footprints Between Podiatrists and Foot and Ankle Orthopaedic Surgeons: A Need to Join the Digital Era. Journal of the American Academy of Orthopaedic Surgeons.

Ramamurti P, Fassihi SC, Sacolick D, Gu A, Wei C Chodos MD.  Impaired renal function is an independent risk factor for complications after surgery for femoral neck fracture.  Hip International. Accepted for publication 2021.

Chen, A. Z., Gu, A., Selemon, N. A., Cohen, J. S., Wei, C., Tornberg, H., ... & Sculco, P. K. (2020). Preoperative estimated glomerular filtration rate is a marker for postoperative complications following aseptic revision total hip arthroplasty. European Journal of Orthopaedic Surgery & Traumatology, 1-8.

Chodos M, Sarani B, Sparks A, et al. (2021). Impact of COVID-19 pandemic on injury prevalence and pattern in the Washington, DC Metropolitan Region: a multicenter study by the American College of Surgeons Committee on Trauma, Washington, DC Trauma Surgery & Acute Care Open 2021;6:e000659. doi: 10.1136/tsaco-2020-000659

Chodos, M. D., Parks, B. G., Schon, L. C., Guyton, G. P., & Campbell, J. T. (2008). Blade plate compared with locking plate for tibiotalocalcaneal arthrodesis: a cadaver study. Foot & ankle international, 29(2), 219-224.
 
Chodos, M. D., & Johnson, C. A. (2009). Hematogenous infection of a total knee arthroplasty with Klebsiella pneumoniae in association with occult adenocarcinoma of the cecum. The Journal of arthroplasty, 24(1), 158-e9.

Chodos, M. D., & Schon, L. C. (2006). Osteochondral lesions of the talus: current treatment modalities and future possibilities. Current Opinion in Orthopaedics, 17(2), 111-116.

Chodos, M. D., & Campbell, J. T. (2007). Intra-articular calcaneal fracture with tarsal coalition treated with open reduction, internal fixation, and isolated subtalar arthrodesis: a case report. Foot & ankle international, 28(9), 1017-1020.

Jacobs, M. A., Kennedy, W. R., Bhargava, T., & Chodos, M. D. (2012). Postresurfacing periprosthetic femoral neck fractures: nonoperative treatment. Orthopedics, 35(5), e732-e736.

Chen, A. Z., Gu, A., Selemon, N. A., Cohen, J. S., Wei, C., Tornberg, H., ... & Sculco, P. K. (2020). Preoperative estimated glomerular filtration rate is a marker for postoperative complications following aseptic revision total hip arthroplasty. European Journal of Orthopaedic Surgery & Traumatology, 1-8.

Miyabara, M., & Chodos, D. M. (2019). Nerve Transection and Implantation Into Bone to Treat Deep Peroneal Nerve Entrapment By an Old Distal Tibial Fracture: A Case Report and Literature Review. The Podiatry Institute Update 2019: The Proceedings of the Annual Meeting of the Podiatry Institute. Chapter 13, 57-60.

Chodos, M. (1996). Sir John Pringle: The Neglected Eighteenth Century Environmentalist.

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Latest Podcast

 

Interesting Foot-Related Tidbits

Fact or Fiction: Humans have been wearing shoes for only the last 500 years

Fiction! Humans have actually been wearing shoes of some sort for at least 40,000 years. Analysis of skeletons from Tiankyuan Cave in China showed changes in toe bones potentially associated with decreases in strain on the forefoot from not walking barefoot. No shoes from that time have been found, but the oldest proof of humans wearing shoes is visible in cave art discovered in Altamira Cave in Spain from roughly 13,000-15,000 years ago. These paintings, the first depiction of shoes in art, show hunters wearing animal hide and fur boots.

The oldest actual footwear discovered to date is from the Fort Rock Basin in Oregon. Preserved below a layer of volcanic ash, these sandals were carbon dated to between 9,200 and 10,500 years old (7000 to 8000 BCE). They are twined with sagebrush bark. Sophisticated shoes have been found dating to around 5,000 or 5,500 years ago (3000 to 3500 BCE). These shoes are made of one or more types of leather and tie with laces.

Shoes did not develop at one time and were probably created by multiple groups based on their specific environment and needs. Despite the early development of shoe wear, many ancient civilizations, including the Greeks, did not routinely use shoes. In fact, Alexander the Great conquered the world with barefoot armies. The Romans were the first to design separate shoes for the right and left foot, issuing these to their soldiers. Generally, shoes were made at home or by a cobbler as time went on, and there was no standardized sizing system until the 19th century.

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Fact or Fiction: The most difficult foot race has only been completed 18 times by 15 runners

Fact: The Barkley Marathons, commonly accepted as the most difficult foot race, takes place annually in Frozen Head State Park, Tennessee. The event, first run in 1986, is limited to 40 participants, and only 15 runners have ever completed it.

Here are the numbers: The course, which changes every year and is largely on unmarked terrain, consists of five loops around a “20-mile” course. The total distance is somewhere between 100 and 130 miles. The combined vertical elevation over the race is more than 60,000 feet, which is equivalent to climbing Mt. Everest twice. Participants have 60 hours to complete the race, which goes on day and night. Completing three loops is called the “fun run.”  

The challenge begins with the application, and requirements and timing are kept secret. The application fee is $1.60, and each entry requires an essay as to why the runner should be allowed to compete. Successful applicants receive a “letter of condolence” announcing their acceptance into the race field. 

Additional fees vary from year to year and typically relate to what Gary "Lazarus Lake" Cantrell, the race’s designer, happens to need that year (a pair of white socks, a flannel shirt, your standard basics). A license plate from the entrant’s state or country is also required.  Each year the number 1 bib is given to one runner who has absolutely no right to be involved in this type of race and who has no chance of finishing. This entrant is known as the “human sacrifice.” 

Participants write down the race course based on the master copy, drawn on a map of the park. The actual course is not marked. The race director takes no responsibility for copying errors. The race start time varies each year but is set within a 12-hour window (midnight to noon). Naturally, this is not announced in advance. 

A conch shell is blown an hour before the race starts -- an appropriate warning, and the fun begins when the race director lights a cigarette. Between nine and 14 books are scattered over the course, and runners must tear out the page corresponding to their bib number to prove they actually followed the course. New bib numbers are distributed each lap. The runners don’t get any help on the course, with the exception of two water stops (though at that time of year in Tennessee, the water bottles may be frozen. Or replaced with alcohol, all in good fun). Taps is played on a bugle for each participant who drops out. 

In 2006, Dan Baglione set the record for the slowest race pace. He got lost two miles into the race and found his way back to the start line 32 hours later, which worked out to 16 hours per mile. The few participants who make it to the fifth loop tend to hallucinate, and some have fallen asleep in the course.

The race prize for finishing the Barkley Marathons? You get to stop running.

Cantrell has lent this creativity to other original races:

  • A Race for the Ages: Runners 40 and under have 40 hours to run as many miles as they can on a course that is a 1-mile loop. Runners over age 40 have the number of hours equivalent to their age to run as many miles as they can. Whoever runs the most miles wins. The current record is 230 miles, set by Bob Becker at the age of 74 in 2019.
  • Big’s Backyard Ultra: The course is a 4.1667-mile loop around Cantrell’s property.  Every runner who completes the loop in under 60 minutes and is at the start line ready for the next loop stays in the race. Each loop starts on the hour. Once you finish the loop, you can do whatever you want until the next loop starts. The race continues until only one person is left. Everyone else receives a did not finish, or DNF. Courtney Dauwalter is the current record holder, as of 2020, with 68 hours and 283.33 miles.

Are you ready to race now? Let’s go!

Sources:

Fact or Fiction: The oldest evidence of modern evolved human foot anatomy dates to about 1.5 million years ago

Fact! The oldest evidence of modern human foot anatomy, found in northern Kenya, are from about 1.5 million years ago. These prints have a rounded heel, human-like arch, and a big toe that is parallel to the other toes and distinct from our more ape-like origins. These prints most likely belonged to either Homo ergaster or an early Homo erectus. The oldest footprints of an anatomically modern Homo sapiens foot date to 117,000 years ago, from Langebaan Lagoon in South Africa.

The oldest human-like footprints, as opposed to ape-like prints, date to 3.6 million years ago. These prints, found in Laetoli, Tanzania, were most likely made by Australopithecus afarensis. Preserved in volcanic ash, they demonstrate an upright bipedal gait and a big toe in line with the rest of the foot. 

Sources:  

Fact or Fiction: The longest certified foot race is 3,100 miles but takes place on only one city block

“How do you define a real running race? It's a real running race when you have to cut your hair in the middle of the race. All other races are just considered sprints.” - Ashprihanal Aalato

Fact: The longest certified foot race, the Sri Chinmoy Self-Transcendence Race, stretches to over 3,000 miles. Completing this race is equal to running across the United States -- and then doing 11 more marathons. 

But hey, the scenery has to be nice! Except that this race actually involves running around the same extended city block in Queens, New York, 5,649 times. Runners have to complete it within 52 days, which means they have to keep a pace of at least 59.6 miles per day between 6 a.m. and midnight. Ashprihanal Aalato holds the race record, finishing in just over 40 days with a mind-blowing average pace of 76.7 miles per day. Even more mind-boggling, many competitors have completed this race multiple times.  

Sources: 

Fact or Fiction? The foot has 26 bones

It is often quoted that the foot has 26 bones. If you include the bones that make up the ankle, there are 28 bones. This is not entirely accurate though. People generally have 2 sesamoid bones below the base of the big toe, similar to knee caps. Additionally, there is a whole assortment of ossicles or small bones that some people have and others do not. And if this is not complicated enough, some people have bones in the foot that are developmentally connected as one bone instead of two. A common example of this is the last two bones in the small toe. Put it all together and between both feet this accounts for about 25% of all the bones in your body!

Fact or Fiction? The world's largest feet ever recorded were 18.5 inches long

Robert Wadlow (1918-1940) had the largest feet ever recorded. He was 8 foot 11 inches tall and his shoe size was a 37AA (18.5 inches long).

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Fact or Fiction? The world's smallest feet are just 5 inches long

Jyoti Amge, the world’s smallest person, has the smallest feet of any adult, 3.74 inches long. That is equivalent to a toddler size 2 shoe. She wears size 4 shoes though, to accommodate leg braces.

References:

Fact or Fiction? Your feet sweat more than any other part of your body

The toes and bottoms of the feet have some of the highest concentrations of sweat glands in the body. There are about 500 sweat glands/cm2 on the bottom of the feet, adding up to over 260,000 glands in total. These glands produce relatively less sweat than other areas of the body though, and only account for 2.6-3.6% of the relative contribution towards evaporative heat loss overall.   

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Fact or Fiction? The most letters typed alphabetically in one minutes using the feet is 251 letters

Lui Wei lost both arms in an accident at the age of 10. After many hours of practice, he has learned to play the piano, and won China’s Got Talent in 2010. He holds the Guiness Book of World Records for most letters typed alphabetically in 1 minute using the feet: 251 letters.  

References:

Fact or Fiction? The largest feet ever recorded were 15 inches

Actually, Robert Wadlow (1918-1940) had the largest feet ever recorded. He was 8 foot 11 inches tall and his shoe size was 37AA (18.5 inches long).

Reference:

Robert Wadlow: Tallest man ever | Guinness World Records

Fact or Fiction: The smallest recorded adult feet can fit inside a size 2 toddler shoe

Jyoti Amge, the world’s smallest person, has the smallest feet of any adult, 3.74 inches long. That is equivalent to a toddler size 2 shoe. She wears size 4 shoes though, to accommodate leg braces.

References:

Fact or Fiction? The world record for longest toenails is 7 feet

Louise Hollis is reported to hold the world record for longest toenails. Set in 1991, the combined length of all 10 toenails was 87 inches. When she wears shoes, they need to be open toed and at least 3 inches high so the nails don’t drag on the ground. According to Guiness Book of World Records, she currently keeps the nails about 6 inches long each. 

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Fact or Fiction? A Rubik's cube has been solved using only the feet in less than 1 minute

The fastest time to solve a standard 3x3x3 Rubik’s cube using only the feet is held by Mohammed Aiman Koli (India). He solved the puzzle in 15.56 seconds at a competition in 2019. 

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Fact or Fiction? The longest toes, excluding elephantitis, are 4 inches long

Actually, the record for longest toes (excluding elephantitis) is held by Matthew McGrory.  His big toes measured 5 inches long, and the little toes 1.5 inches.

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Fact or Fiction? The thickest skin on your body is on your feet

This skin on the bottom of your feet is very special, and is designed to protect you from the rigors of life. It is some of the thickest skin on your body, about 1.5mm thick. It also has one of the highest levels of nerve density, just behind that of the fingers. Things that compromise normal function of this structure can result in ulcers, infection, and worse. Diabetes is the most common cause of damage to the small peripheral nerves in the feet.

Fact or Fiction? It's possible to become a certified scuba diver even if you have no arms

Jessica Cox was born without arms. Despite this, she has learned to use her feet like most people would use their hands. She is a has an unrestricted driver’s license, is a licensed pilot, a certified scuba diver, and holds a third degree black belt in taekwondo. She can even put in and take out her own contact lenses using her toes. 

References:

Fact or Fiction? It's impossible to play the guitar using only your feet

Actually, there are many talented people out there who use their feet like hands. Mark Goffeney, born without arms, was a talented musician, playing guitar and bass with his feet. Known as “Big Toe,” he was a professional musician. This documentary is a must watch. 

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Fact or Fiction? Primates such as monkeys have more highly developed maps of their toes in the somatosensory cortex of the brain compared to humans

The somatosensory cortex of the brain contains a highly organized map representing the body. In humans, the region representing the hands and fingers is particularly well developed, but this is not the case for the feet and toes. In fact, most people do not have an individual region for each toe. In contrast, primates such as monkeys have a highly developed map of their toes. To study whether this is something that has been lost in evolution, or is acquired as a result of lack of use of the toes in modern humans, Dempsey-Jones et al used functional MRI to study people born without arms who use their feet for everyday tasks. Interestingly, these individuals had highly developed toe and foot regions in their brains, similar to the hand and finger maps seen in most people. Additionally, the “unused” hand areas of their brain appeared to be recruited to support skilled toe movement and function. This demonstrates the extreme plasticity of the brain.

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Fact or Fiction? The most letters typed alphabetically using the feet is 150 letters

Lui Wei lost both arms in an accident at the age of 10. After many hours of practice, he has learned to play the piano, and won China’s Got Talent in 2010. He holds the Guiness Book of World Records for most letters typed alphabetically in 1 minute using the feet: 251 letters.

References:

Fact or Fiction? The longest walkable distance without involving boats or planes would take someone three years to complete

“Everywhere is walking distance if you have the time”  Steven Wright

The longest walkable distance using roads on earth is from L'Agulhas (near Cape Town), South Africa to Magadan, Russia. It crosses 17 countries and 6 time zones, and involves no boat or air travel. This route covers about 14,000 miles and would take someone walking 8 hours per day over 3 years to complete (if you survive it, since it goes through some of the most dangerous places in the world). 

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Bonus Facts: Running

“There is a fine line between hobby and mental illness; many a runner has crossed it.” Dean Karnazes

The longest distance run without stopping to eat or sleep was set by Dean Karnazes October 12-15, 2005. He ran 350 miles over 80 hours and 44 minutes without a break. This included taking in about 40,000 calories, going through a lot of shoes, and hallucinating during parts of the last 50 miles.  Separately, he once ran 50 marathons in 50 different states, in 50 days. After finishing the final marathon in New York, he then ran back to where he started, St. Louis.

The longest time run continuously without stopping was set by Kim Allen in 2013. While she only ran 310 miles (332 laps around the same park), she didn’t stop for 86 hours, 11 minutes.  

The longest distance run continuously while taking breaks to eat and sleep is 12,526 miles, completed in 263 days by Istvan Sipos.

Serge Girard holds the record for longest distance run in 365 days. He ran about 16,784 miles, going through 50 shoes and 25 countries.

Among other ultramarathon records set by Yiannis Kouros is the 24 hour track world record. He ran 188 miles around a track in 24 hours-- averaging 7 minutes and 40 seconds per mile.

The longest running streak is held by Ron Hill.  Starting December 21, 1964, he put in a run for 52 years and 39 days before having to miss a day because of an undiagnosed heart condition in 2017.

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Bonus Fact: The Beer Mile

This race involves drinking 4 beers and running 4 x 400m laps (1 mile) around a track in alternating fashion, starting with a beer. The beer choice is the runner’s, but must be at least 12oz per beer and must be at least 5% alcohol. The combined residual liquid and foam from all 4 bottles must be less than 4oz. Vomiting before completing the race is penalized by having to run an additional lap.  Not challenging enough? There is also a beer 2 mile race….

World Records:
Men:         4:33.06    Corey Bellemore (Canada)
Women:    6:08.51    Erin O’Mara (USA)

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Bonus Facts: World Records

Marathon:
Men:        2:01:39   Eliud Kipchoge (Kenya)    4:38 minutes per mile pace
Women:   2:14:04   Brigid Kosgei (Kenya)       5:07 minutes per mile pace

10k:
Men:        26:11.00   Joshua Cheptegei (Uganda)   4:13.38 minute per mile pace
Women:   29:17.45   Almaz Ayana (Ethiopia)          4:43.46 minute per mile pace

5k:
Men:        12:35.36   Joshua Cheptegei (Uganda)   4:03.66 minute per mile pace
Women:    14:06.62  Letesenbet Gidey (Ethiopia)   4:33.1 minute per mile pace

Mile:
Men:          3:43.13   Hicham El Guerrouj (Morocco)
Women:     4:12.33   Sifan Hassan (Netherlands)

Reference:

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