Home : Newsletters : February 2013 NewsletterNewsletter Sign-Up


A newsletter from Ankle & Foot Care Centers.

February 2013 Edition:

Dr. Carbonell to Present Diabetes Seminar to Area’s Hispanic Community

Dr. Christian Carbonell, DPM, will present “Diabetes and Your Feet” in Youngstown March 6 at 6:30 p.m. in partnership with OCCHA, a non-profit organization that focuses on improving the quality of life for the area’s Hispanic community.

Dr. Carbonell to Present Diabetes Seminar to Area’s Hispanic CommunityHispanics are the focus of a broader campaign by the American Podiatric Medical Association to promote foot care among people with diabetes. According to the association, Hispanics are 66 percent more likely than whites to be diagnosed with diabetes, which can result in foot ulcers and lower limb amputations. Leading causes of type 2 diabetes include poor diet, lack of exercise and genetics, risk factors that are especially high among Hispanics, according to the association.

“Our goal with this community event is to raise awareness of the importance of having annual foot exams, particularly if you’re in high-risk diabetes categories,” Dr. Carbonell said.

The free seminar will take place at OCCHA’s facility on Shirley Road in Youngstown, and will include a presentation, Q&A, bilingual handouts and refreshments. Call OCCHA at 330.781.1808 to reserve your spot.


Copyright © February 2013 Ankle & Foot Care Centers

top ]

Dr. Chiaro Finds Niche Treating Youth Sports Injuries

When Dr. John Chiaro is in the stands at the local football stadiums and basketball courts multiple times per week, he’s not just a proud father watching his son and daughter perform. And he’s not just an avid sports fan cheering on the local team.

Meet the DocDr. Chiaro is also a foot and ankle specialist watching closely how the patients he’s treated are moving on the field and on the court. And he’s there to be available for advice or to expedite an injured player’s access to treatment.

“I’m a sports fanatic myself, and I enjoy going to the games to follow up and watch the kids who I’ve treated play,” Dr. Chiaro said. “I want to make sure they’re moving properly and I want to be available to answer their parents’ questions. I get a great deal of satisfaction watching those kids get back on the field and competing.”

Treating youth sports injuries is a growing part of Dr. Chiaro’s practice. He sees patients – both kids and adults – at Ankle & Foot Care Centers’ Poland, Alliance and Warren offices.

“With young athletes we see our share of bad ankle sprains and stress fractures, and at the varsity level there’s a lot of pressure to get them back in the game,” he said.

With his own two children playing sports and cheerleading it’s not unusual to see Dr. Chiaro and his wife at four to five football and basketball games per week, depending on the season. And aside from his role as parent and physician Dr. Chiaro supports several teams where he lives in Poland by sponsoring them financially through game program ads and golf outing contributions.

“I like to put myself out there in the community, and I do a lot of it with my colleague Dr. Blasko, who also lives in Poland,” Dr. Chiaro said. “I’ll get a text from a parent saying “Hey, my son hurt his ankle, should I bring him in” or someone will approach me in the stands with a question, and I encourage all that. It helps keep the lines of communication open, and it’s about responding quickly and getting the kids back in the game.”

Dr. Chiaro joined Ankle & Foot Care Centers in 2000, and in addition to treating kids with sports injuries his practice is heavily dedicated to diabetic wound care, participating in the practice’s nursing home outreach program, and performing a range of surgical procedures.

Dr. Chiaro Finds Niche Treating Youth Sports Injuries Dr. Chiaro Finds Niche Treating Youth Sports Injuries

Dr. Chiaro and daughter Marissa.

Dr. Chiaro and son Tony.


Copyright © February 2013 Ankle & Foot Care Centers

top ]

Tammy Bryer: A Work-Life Balance in the Diagnostic Center

Tammy Bryer says she feels fortunate with the job she has as an MRI technician at Ankle & Foot Care Centers’ Diagnostic Center in Boardman because it affords her the right balance of professional and family life.

She has the opportunity to care for patients and interact with her talented co-workers two days per week, and spend the rest of the week with her husband and children.

Employee SpotlightThe work-life balance is what attracted Tammy to her role in the Diagnostic Center ten years ago. The East Liverpool native approaching her 16th year with the practice was working as a medical assistant four miles from her home in the East Liverpool office when the opportunity for a part-time job 40 minutes away in Boardman arose. Despite the longer commute, the position affords her the opportunity to blend a professional career with a fulfilling home life.

“I see it as having the best of both worlds,” Tammy said. “I love what I do in the office, and I enjoy my time at home with my family.”

Tammy’s an inspiration to both her family and colleagues after successfully starting and completing college while in her 30s.

“It was at a time when my husband was facing layoffs at the power plant he was working at, so to prepare ourselves should that happen I started the radiology technician program at Kent State-Salem,” she said. “I’d never taken any college courses up to that time, and I was terrified being at school with 18 year-olds. It took me three years to complete my two-year degree because I didn’t have any of the prerequisites, but I did it.”

She started her career as an x-ray technician at East Liverpool Hospital, and ultimately found her way to Ankle & Foot Care Centers in a similar role. Over time she was trained to be a medical assistant, performing a broad range of duties like vital signs, casting, removing sutures, blood draws, x-rays and bandaging.

As an MRI technician Tammy marvels at how the new equipment she has access to at her office enables her to take more than 100 images on different planes and in different contrasts to allow the doctors to see much more than a common x-ray.

“The technology is amazing,” Tammy said. “As soon as the scan is done you just press a button and it’s in the hands of the radiologists. And they’re not just seeing the bone structure, but they’re looking at muscle tissue, tendons and veins so they can make the most accurate and comprehensive diagnoses.”

Tammy and her husband will celebrate their 33rd wedding anniversary this June. They have an adult son and daughter, both married and living nearby.

“They’re great kids and I love having them so close, but they need to get on the ball with grandchildren,” she said.


Copyright © February 2013 Ankle & Foot Care Centers

top ]

Diabetic Patient’s Foot Saved with Aggressive Treatment

Twenty-seven years ago Maria Sinegal was five-and-a-half months pregnant with her son when she found out she had gestational diabetes. It went away as soon her son arrived, but two years later she went to the doctor with a bad ear infection. They wound up checking her sugar. “They said I was diabetic and gave me some medication.”

In 2004 Maria was working as an LPN when all of a sudden she started noticing her foot was red, hot and swollen. “My foot just swelled up. It couldn’t fit in my shoe, and I was having trouble walking.”

Maria went to her primary doctor who said it was cellulitis. But when her foot didn’t get any better with treatment she asked to see a specialist, and her doctor referred to Dr. Lawrence A. DiDomenico of Ankle & Foot Care Centers.

“As soon as I went into Dr. DiDomenico he knew what it was.” Maria was diagnosed with Charcot foot on October 12, 2004.

Charcot is a potentially devastating complication of diabetic neuropathy. Early recognition, diagnosis and a lifelong program of preventive care can help patients avoid disastrous consequences, including amputation. As such, Dr. DiDomenico suggested they treat Maria’s condition aggressively, and on January 21, 2005 she went in for reconstructive surgery and spent the next nine weeks in a brace.

“I had seen other patients in the office with the big brace on,” she said. “It wasn’t as bad as I expected. In fact, I don’t even remember it now.”

That surgery wasn’t the end for Maria. Complications from her diabetes have meant a total of 20 surgeries, ranging from getting a hammertoe straightened to treating some ulcers. Soon, at age 59, she’ll have another procedure to deal with a bone chip in her foot. Every single one of these surgeries has been done by Dr. DiDomenico. Maria says she’ll never see anyone else.

She’s also thankful for Dr. DiDomenico’s staff, especially the head secretary, Amy, saying she’s really made a difference in her experience. “She’s the nicest, friendliest person. She really makes your visit so pleasant. She once told me she always thinks about what the person she’s talking to might be going through and does her best not to make it worse.”

Maria’s had a rough go but remains upbeat. “It could have been a lot worse. I can walk now and the main thing is I still have my foot.”

Maria feels like she was just wasting time with other doctors and says she doesn’t know where she’d be without Dr. DiDomenico. “He’s the best. I would recommend him to anybody. I wish I would’ve just gone to him right away.”


Copyright © February 2013 Ankle & Foot Care Centers

top ]

Healthy Winter Feet

Healthy Winter FeetMost people get concerned about the health and appearance of their feet during the summer months. During the cold and wet winter months, your feet can really take a beating. Your feet will thrive during these cold months if you follow these foot-health tips:

Footwear — Invest in a good pair of waterproof winter boots or shoes. Make sure your shoes fit properly. If they are too tight, they can cause ingrown toenails or blisters. If you do get a blister, apply antiseptic cream and bandages. If the blister doesn’t heal in a timely manner, consult your podiatric physician.

Foot Care — The winter months can leave people vulnerable to dry, cracked feet. To keep our feet from drying out, moisturize them once or twice a day, especially around the heels and sides of the foot. For a list of foot creams and moisturizers approved by podiatric physicians and that have received APMA’s Seal of Acceptance, go to and click on Learn About Feet.

Foot Fungus — Fungus may live inside a winter shoe or boot over the summer, just waiting to re-infect a foot or toenail. If you had foot fungus last winter, take precautions by using an anti-fungal spray on boots or shoes that were worn last winter before wearing them this season.


Copyright © February 2013 American Podiatric Medical Association and Ankle & Foot Care Centers

top ]

From The Kitchen: Lavash Chips

From The KitchenThis month we’re featuring a recipe from guest contributor Ward Alper, ”The Decadent Diabetic.” Alper writes a weekly blog about diabetic eating that has reached more than 50,000 viewers. He also is a contributor to Diabetes Daily and is finishing work on his cookbook: “The Decadent Diabetic, Taking Back Your Life and Your Table.”

By Ward Alper
Sometimes in life one little thing can inspire you to change your entire attitude. The inspiration to change my attitude toward what I was happy eating as a diabetic came the day I discovered that there were bread products (Joseph’s Lavash, Tortilla Factory tortillas, Arnold Sandwich thins) out there that took my boring plate of chicken and lettuce and allowed me to turn it into a sandwich for my lunch. A sandwich which had long been the mainstay of my lunches was once again a part of my life.

For many of the people I share recipes with, this really easy recipe has been what I refer to as a “game changer” recipe. After you have been told you CAN’T, you SHOULDN’T so often, these chips set up a YES I CAN attitude. I have given this chip recipe to countless people including the parents of young diabetics. These kids were feeling left out and depressed that their friends were able to eat chips and they could/should not. The sharp taste and lots of crunch allow them feel more normal. The best thing is they get involved with the preparation and get to choose which herb to use. The same thing goes for us adults who like to have a crunch with salads or soups or just a snack. It is so low in carbohydrates, so intense in flavor and so easy to make…bet you can’t eat just one.

For more recipe ideas from Alper, visit his website.

Yield: 32 chips

1 sheet of soft lavash (Middle Eastern flatbread)
3 tbsp. virgin olive oil
Salt & pepper to taste
2 tbsp. dry herbs to taste (Your choices)
Herbs de provence
1 tsp. garlic powder
1 tsp. onion powder
2 tbsp. grated parmesan cheese

Combine seasonings, cheese and olive oil. Using a pastry brush spread over the UNCUT sheet of Lavash.

Cut in equal quarters and cut each quarter in 8 equal pieces to make a total of 32 chips. A pizza cutter works great for this.

Bake at 375-400 degrees for 3 minutes, rotate and bake 1 minute longer. WATCH LIKE A HAWK, it burns very, very fast.

Cool on rack.

Total time: 9 minutes (prep: 5 minutes, cook: 4 minutes)

From The Kitchen: Lavash Chips

Per 32 chips: Calories: 500; Total Fat: 60 grams; Total carbohydrates: 8 grams; Sodium: 340 milligrams


Copyright © 2013 Food Network Magazine

top ]


About Services Conditions   Locations   Contact Us
Meet The Doctors
Research & Publications
Community Outreach
Calendar of Events
Medical Disclaimer
Notice of Nondiscrimination
Privacy Practices
Diagnostic Vascular

Shockwave Therapy
PSSD Neurosensory
Nerve Testing

Ilizarov Fixation
Improved Bunion Surgery
Orthotic Therapy
House Calls
Epidermal Nerve Fiber Density (ENFD) Testing
Ankle Implants
Ankle Sprains
Arthritic Feet
Athlete's Foot
Charcot Foot
Children's Feet
Cracks & Fissures
Diabetic Foot Care
Flat Feet
Forefoot Surgery
Fungal Nails
Heel Pain
Nail Problems
Peripheral Neuropathy
Peripheral Vascular Disease
Plantar Fasciitis
Boardman- Rte. 224
Boardman- Market
East Liverpool
East Palestine
Follow Us