Ankle & Foot Care Centers

Ankle & Foot Care Update

May 2012 Edition


Ankle & Foot Moves Into Larger Space at Northside

Ankle & Foot Care Centers’ office at Northside Medical Center in Youngstown relocated to a larger space this month within the Regional Referral Center on 500 Gypsy Lane. The new office is in Suite 201 on the second floor.

Podiatric physicians Dr. Lawrence A. DiDomenico, Dr. Christian Carbonell and Dr. Kwame A. Williams are now seeing patients with a broad range of foot and ankle conditions and surgical needs at the new office.

“We’re excited to move into the new office at Northside, which doubles our clinical space and improves a number of amenities for our patients and physicians,” said Michael Vallas, practice administrator, Ankle & Foot Care Centers.

Ankle & Foot Care Centers has had an office at Northside for more than 10 years. To schedule an appointment call 330.747.4888.

Ankle & Foot Moves Into Larger Space at Northside
(Left to right) Dr. Kwame A. Williams, Jessica Wright, Margie Colon, Michelle Prosser and Lynn Wyatt are accepting new patients at the newly expanded Northside office.

Copyright © May 2012 Ankle & Foot Care Centers

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Save the Date: Diabetes Golf Outing Aug. 18

Our annual American Diabetes Association Golf Benefit has been set for Saturday, Aug. 18 at Pine Lakes Golf Club in Hubbard, Ohio. The event will begin with an 8:30 a.m. shotgun start.

Save the Date: Diabetes Golf Outing Aug. 18The tournament raises money for diabetes research, through Ankle & Foot Care Centers and the Tri-County Chapter of the American Diabetes Association.

We’ll be looking for both players and sponsors to continue what’s become not only a successful fundraiser, but an enjoyable community event. Please email Mike Vallas, Ankle & Foot Care Centers practice administrator, at mike@ankleandfootcare.com for more information.

Diabetes is a devastating disease that affects the lives of millions of Americans. The ADA's goal is to prevent and cure diabetes and to improve the lives of all people affected by the disease.

Ankle & Foot Care Centers has been a strong supporter of the ADA's Tri-County Chapter for many years, providing financial support while organizing support groups for diabetes patients and their families and helping to raise awareness of diabetes, especially as it affects the feet.

The golf benefit, organized by Dr. Michelle Anania, has been sponsored by Ankle & Foot Care Centers since 1999. The events have raised more than $100,000 for the local ADA chapter.

Copyright © May 2012 Ankle & Foot Care Centers

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Heed These Summer Footwear Warnings

With the warm-weather months upon us, so is the return of summer footwear. You know, sandals, flip-flops, going barefoot.

Heed These Summer Footwear WarningsWhile convenience, comfort and fashion often dictate our footwear choices, we must stop to consider the potential damage and added exposure to injury risk posed by summer footwear.

“We typically see an increase in patient symptoms of tendonitis, arch pain and inflammation of the tissue on the bottom of their feet during the summer months, and in most cases it can be traced back to originating with footwear choices,” said Dr. Michael Daniels, podiatric physician at Ankle & Foot Care Centers.

So what can you do to prevent compromising your foot health this summer? Dr. Daniels provides the following helpful tips.

  • Feet need sunscreen, too. People often neglect applying sunscreen to the exposed part of their feet when they wear sandals, flip-flops or go barefoot. Excessive sun exposure can cause sunburn, discomfort and even lead to skin cancer.
  • Show your support. Wear the right shoes for the right situation. Just because it’s hot outside, avoid doing strenuous physical activity or exercise wearing shoes that don’t offer the support for the intended use. Even in recreational, backyard picnic games of volleyball or softball your injury risk dramatically increases when you play in flip-flops or other inappropriate shoes.
  • Beware of the blade. Mowing your grass or performing other types of yard work that involve sharp or motorized tools can be especially dangerous when your toes are exposed or your footwear doesn’t offer the right support. Wear closed-toe shoes that offer proper support when working outside.
  • Wear socks. Cotton socks help to absorb excess moisture and wick it away from skin, especially when wearing tennis shoes. The socks also help to reduce friction which can lead to blisters.
  • By the pool. Wear flip-flops or shower shoes at any public pool or in a public shower (i.e. gym) this will help to reduce your chance of picking up athlete’s foot from those who may be infected around you. Fungus loves water as much as it loves your skin.
  • Wear sneakers. Especially diabetics, wear good supportive shoes outside at all times. Many diabetics have a decrease in sensation in their feet and may step on an object outdoors which can lead to a non-healing sore on the foot. Diabetics also take longer to heal and are prone to infection, so a shoe offers protection from the elements outside. An ounce of protection is worth a pound of cure.
  • About that odor. To help with excessive sweating and foot odor, use an antiperspirant daily on your feet. Be sure it is an antiperspirant and not just deodorant. It should contain aluminum, which helps control excessive moisture. Also, spray your shoes weekly with a disinfectant, like Lysol disinfectant spray. Let the shoes air dry overnight, and this will kill the bacteria that cause odor in your shoes.

If you experience any prolonged pain or discomfort with your feet, or if you have questions about what footwear is appropriate for you based on any medical conditions, contact Ankle & Foot Care Centers and schedule an appointment.

Copyright © May 2012 Ankle & Foot Care Centers

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Ankle Reconstruction Patient Finds Right Motivation

It can be a long and difficult process to endure the physical therapy and learn to walk again following the type of severe foot injury that Mary Britt suffered in November 2011.

For the 42-year-old from East Liverpool, Ohio, she was dealt a second blow, a highly emotional one, when her younger brother passed away suddenly two months later. So what does she attribute to flying through her physical therapy and finishing in eight weeks what was prescribed to take 12?

“My mom and I walk a lot. We try to stay active and we used our walks as a way to help cope with our loss,” Mary said. “For that reason I had extra motivation to get through my therapy and I practiced really hard.

“I also had a really good doctor.”

It was on her way to a nightly walk with her mother last November when Mary stepped out of her van and onto what she thought was a small pile of leaves. When it turned out to be a hole – covered by a small pile of leaves – it snapped her ankle.

An emergency room visit led to a diagnosis of an ankle fracture. Right away she scheduled an appointment with Dr. Lawrence A. DiDomenico of Ankle & Foot Care Centers, who she knew about through a friend’s referral.

Dr. DiDomenico’s reconstruction surgery on Mary involved several pins and screws to stabilize the foot as it healed. Mary had to re-train herself to walk before she could start physical therapy.

By early March she was ready to show him how she could jump up and down without shoes.

“He’s a wonderful physician and I’m quite pleased,” Mary said. “It was the first broken bone of any kind for me. I’d recommend anyone to Dr. DiDomenico. As long as you follow what he wants you to do you’ll turn out in good hands.”

Copyright © May 2012 Ankle & Foot Care Centers

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Dr. Carbonell’s Clinic in Colombia Continues to Evolve

You can say Dr. Christian Carbonell’s personal interest in providing foot care for the poor and underserved population on the outskirts of Cartagena, Colombia, is in his blood. Literally.

“My parents grew up in Colombia, we still have family there and out of the one million people who live in Cartagena there is not one podiatrist,” Dr. Carbonell said. “The need for foot care is so great, and I’m just trying to do my part to give back.”

Meet the DocDr. Carbonell’s parents moved from Colombia to Ohio in 1958 where his father trained and practiced surgical oncology until his retirement. Dr. Carbonell has two brothers and a sister, and two of them also followed in their father’s footsteps and became doctors.

In August 2012, Dr. Carbonell will return to Colombia, a place where he’s gone regularly for the past 10-plus years, to conduct his latest foot clinic in conjunction with a Red Cross chapter there. He last visited in November 2011 when he met with the executive director and medical director of the chapter to plan and organize the clinic. When he returns he’ll be armed with supplies he can use to treat patients.

“Diabetic limb salvage is a situation we see a lot both here in the Mahoning Valley and in Colombia, but because of the lack of podiatric physicians in Colombia it almost always results in an amputation,” Dr. Carbonell said. “We hope that the treatment and patient education we can provide in these free clinics can help the people there better manage their conditions and even help save their limbs.”

Dr. Carbonell has been with Ankle & Foot Care Centers since 2000. He is board-certified by the American Board of Podiatric Orthopedics & Primary Podiatric Medicine and is a certified wound specialist.

If anyone is interested in helping Dr. Carbonell collect supplies for his free clinic in Colombia in August, please contact him at Ankle & Foot Care Centers at 330-747-4888.

Copyright © May 2012 Ankle & Foot Care Centers

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Stacy Doyle: A Front Seat to 20+ Years of Growth

If you want to know something about the inner workings of the Mahoning Valley’s largest podiatric medicine practice, approaching Stacy Doyle would be a good place to start.

Stacy is Ankle & Foot Care Centers’ administrative assistant and has been with the company as long as anybody. In fact, she was part of Dr. Debiec’s staff when he merged his private practice with Drs. Emch and DiDomenico’s to form Ankle & Foot Care Centers in 1994.

Employee SpotlightShe was one of three employees on Dr. Debiec’s staff when she started in 1989, and she’s watched the group’s practice grow to about 90 employees in 19 offices today. Stacy manages employee scheduling for all the offices, as well as the credentialing duties, which includes doctors’ licensing, insurance coverage and hospital privileges.

“It’s always exciting to see the practice grow, and I feel fortunate to be a part of it,” she said. “There’s never a dull moment here. The doctors and staff are all very nice, and they’re also very generous.”

Stacy noted the technological advances through the years as being among the most significant changes she’s been part of.

“When I started everything was paper-based, from the insurance to billing and appointments,” Stacy recalled. “Now, with electronic medical records forthcoming we’ll be going pretty much digital.”

Stacy is a life-long Trumbull County resident, having grown up in Girard and now living in McDonald. She has a son who’s graduating from McDonald High School this year, and a 23 year-old daughter who works at a local veterinary clinic.

Copyright © May 2012 Ankle & Foot Care Centers

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From The Kitchen: Crisp Crab Cakes

From The KitchenYield: 8 crab cakes

Ingredients
1 tablespoon plus 2 teaspoons extra-virgin olive oil
2 scallions, thinly sliced
1/2 cup finely chopped red bell pepper
1 cup panko (Japanese breadcrumbs)
1 large egg, lightly beaten
2 tablespoons nonfat milk
1 teaspoon Worcestershire sauce
2 teaspoons Dijon mustard
1 tablespoon fresh lemon juice, plus lemon wedges for serving
1/2 teaspoon Old Bay Seasoning
Dash of hot sauce
1 pound lump crab or crab claw meat, picked over
Kosher salt and freshly ground pepper
Olive-oil cooking spray

Preparation
Preparation time: 1 hour (prep: 20 minutes, inactive: 30 minutes, cook: 10 minutes)

1. Heat 2 teaspoons olive oil in a large nonstick skillet over medium-high heat. Add the scallions and bell pepper and cook until they begin to soften, about 2 minutes. Cool slightly.

2. Mix 1/2 cup panko, the egg and milk in a small bowl. In a medium bowl, whisk the Worcestershire sauce, mustard, lemon juice, Old Bay and hot sauce; fold in the crabmeat, panko mixture, scallionbell pepper mixture, 1/4 teaspoon salt and a pinch of pepper. Shape into 8 patties and refrigerate 30 minutes.

3. Coat the crab cakes with the remaining 1/2 cup panko. Heat the remaining 1 tablespoon olive oil in the skillet over medium-high heat. Mist the crab cakes with cooking spray and cook, sprayed-side down, 3 to 4 minutes. Spray the tops, flip and cook 3 to 4 more minutes. Serve with lemon wedges.

Per serving (2 crab cakes): Calories 220; Fat 9 g (Saturated 2 g); Cholesterol 155 mg; Sodium 630 mg; Carbohydrate 8 g; Fiber 1 g; Protein 26 g

Copyright © 2012 Food Network Magazine

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