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A newsletter from Ankle & Foot Care Centers.

March 2012 Edition:

We've Moved! New Office in Greenville

Our patients in Greenville, Pa., started visiting a new office location in March. Dr. M. Craig Beaudis is now seeing patients at 3 Greenville Orthopedic Center, Hadley Rd.

The office was totally remodeled for our needs as we provide comprehensive ankle and foot care services to the Greenville area, including:

  • Heel pain
  • Fungal and ingrown nails
  • Bunions and hammertoes
  • Diabetic foot care
  • Corns, blisters and ulcers
  • Burning/tingling in toes/feet
  • Ankle sprains
  • Ulcer/wound care

The phone number remains 724.588.3770. We look forward to welcoming you to see our newest facility.

Copyright © March 2012 Ankle & Foot Care Centers

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March Seminar on Ankle Arthritis and Gout

Ankle & Foot Care Centers is hosting a seminar covering two common podiatric conditions – ankle arthritis and gout – in Boardman on March 26 featuring local physicians Dr. Lawrence A. DiDomenico and Dr. David Regule.

Podiatric physician Dr. DiDomenico will address the warning signs, symptoms and the range of treatment options available for ankle arthritis sufferers, up to and including total ankle replacement.

There’s a national concern about the growing incidences of gout, most commonly diagnosed among men. Dr. Regule, a Boardman rheumatologist, will share information about the causes of gout, myths about the condition, and how to manage and treat it, if diagnosed.

The 90-minute seminar is free and open to the public. Pre-registration is required. Call 330.758.6226 x204 to register and receive further meeting details.

Copyright © March 2012 Ankle & Foot Care Centers

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Dr. DiDomenico Presents to Peers at National Conference

Dr. Lawrence A. DiDomenico was among a panel of surgeons who presented about one of the fastest-growing procedures for addressing ankle arthritis at a national conference this month.

Dr. DiDomenico, who practices out of our Boardman, Youngstown and East Liverpool offices, was one of the first in the nation to perform total ankle replacement procedures. He was invited to speak about his experience at the Annual Scientific Conference of the American College of Foot and Ankle Surgeons (ACFAS) in San Antonio, Texas.

The ACFAS conference was attended by 1,300 podiatric physicians and foot and ankle orthopedists from around the country.

“The Mahoning Valley is fortunate to have such a leader in his field and nationally recognized podiatric physician as Dr. DiDomenico,? said Michael Vallas, practice administrator.

Dr. DiDomenico also presented on new orthobiologic treatments for stimulating bone growth during surgery called bone morphogenetic proteins (BMP), as well as treatment options for flatfoot and surgical techniques for bunion realignment.

Copyright © March 2012 Ankle & Foot Care Centers

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Surgical Procedure Ends 15 Years of Agonizing Foot Pain

Kathryn Mascio's Croatian nut roll has never tasted better. The 71 year-old homemaker from Weirton, W. Va., used to “load up on Motrin? to make it through the four hour baking process to make her family's favorite holiday treat.

After enduring severe arthritis and ankle pain for more than 15 years her pain is now a thing of the past after being treated by Dr. Lawrence A. DiDomenico of Ankle & Foot Care Centers.

Kathryn had seen various doctors in the Pittsburgh area who tried a number of treatments from cortisone shots to physical therapy, but nothing worked for more than a few months. Even the slightest bump against her foot, she recalled, produced unbearable pain.

With the benefit of having a son who is a physical therapist, Kathryn received regular therapy from him, but with only moderate relief. Then one day in October 2007 her son was treating a patient of Dr. DiDomenico's who spoke highly of the podiatric physician. Kathryn's son ultimately convinced his mother to go see him.

Dr. DiDomenico tried a series of conservative treatment measures, including walking boots of various types, until he recommended a complex surgical procedure to fuse Kathryn's foot.

"He said I had a 'floppy' foot and it needed stabilization, and the best option for fixing it was surgery," she said.

Reluctant at first, Kathryn agreed to a procedure that involved a series of screws for stabilizing, a fusion of non-essential joints, a realignment of her heel with her leg, and a bone graft.

"I can't say enough about Dr. DiDomenico and what he did for me," Kathryn said. "The surgery was the right call. I'm always going to have some discomfort, but I can walk normal again – no limping – and I'm totally pain free."

Kathryn golfed a full season in her golf league last year and she's back to doing all her favorite activities. Her large family is thrilled to see her back in the kitchen cooking and baking like she did years ago, and she no longer takes ibuprofen to get through long stretches on her feet.

"I was really miserable for years, but now everything is just fine thanks to Dr. DiDomenico," she said. "I'm very satisfied and I've referred lots of patients to him."

Copyright © March 2012 Ankle & Foot Care Centers

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Pool Incident Leads to 2-Year Wound Healing Process

Ron McClarren, 64, had quite a memorable experience with his grandchildren at Disney World in 2009, but not in the typical sense.

Just one day into a nine-day vacation at the Magic Kingdom he scraped his foot on the bottom of a swimming pool. After unsuccessfully self-treating it through the remainder of his stay, Ron, a diabetic, had developed a deep, serious wound.

"I called it my souvenir from Disney," Ron said, sarcastically.

Upon returning to his home in Alliance, Ohio, Ron contacted Dr. John R. Chiaro of Ankle & Foot Care Centers, who he met five years earlier at Alliance Hospital when he sought treatment for an infected toe.

Dr. Chiaro initially assessed that the wound was so deep it couldn't be stitched, but rather had to heal from the inside-out. He recommended Ron stay off his feet for two months to stimulate the healing process, but Ron was unwilling to take that extreme measure.

"Looking back, I would have had a better outcome if I'd listened to him and stayed off my feet, but I didn't want to do that," Ron said.

Instead, Ron endured two years of treatment on the wound – everything from salves to antibiotics and wound dressings – with various levels of success and plateaus. Meanwhile, other health issues caused their share of setbacks to his foot wound healing process.

As a former kidney cancer patient who lost a kidney in the process, an intravenous antibiotic caused a complication in Ron's one remaining kidney. And Dr. Chiaro's recommendation to stay off his feet to aid in the wound healing process conflicted with Ron's heart doctor's advice to stay active.

Ultimately it was a collagen wound dressing combined with the right amount of inactivity that did the trick after two years of treatment.

"I stayed off my feet the best I could, basically only leaving the house for doctor's appointments," Ron said.

At the beginning of the process he was seeing Dr. Chiaro in the Alliance office three times per week, but he's happy now to be down to one appointment a month for follow-up care.

"Dr. Chiaro has a great bedside manner and he's such a nice guy, but he's stern at the same time when it comes to his instructions," Ron said. “He's the perfect balance of what a doctor should be, and I've recommended him to a number of people.

"His staff was just as accommodating as he was. They made me feel at ease while still being professional."

Copyright © March 2012 Ankle & Foot Care Centers

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Want to Save a Life for Heart Month? There's an APP for That

There is now a “rescue? smart phone application called TEAM LIFE CPR App that allows you to save a life when faced with sudden cardiac arrest, the leading cause of death in the United States.

If someone was suffering a heart attack right before your eyes, would you know what to do? Of course you would spring into action and call 911. The typical ambulance response time is 8-12 minutes, with brain damage setting in four minutes after the heart has stopped.

What if that person stopped breathing and there was no ambulance in sight? What if that person was a loved one? What if you weren’t anywhere near an ambulance or were out of the country? Would you know what to do? If not, you are not alone. According to the American Heart Association, 70 percent of Americans feel helpless to act during a cardiac arrest because they don’t know CPR or their training has lapsed. However, in this age of technology, there is no need to wonder “what if? anymore.

The TEAM LIFE CPR App was developed by Jim Schatzle, president of TEAM LIFE, INC., and a veteran Paramedic. He has trained thousands of people in CPR and became increasingly frustrated by the heart-wrenching scenario of having to tell families that their loved ones didn’t make it because it was simply too late.

Four out of five Sudden Cardiac Arrests happen at home, with only a 5 percent survival rate. Schatzle wanted to increase the survival rate because 5 percent was unacceptable to him and felt that if more people knew CPR, more lives could be saved. This “rescue? App can double or triple someone’s chances of surviving Sudden Cardiac Arrest.

This App guides people who would otherwise be helpless through CPR with step-by-step visual and audible prompts. In a panic situation, nobody has time to fumble for reading glasses and scroll through text. The TEAM LIFE CPR App is like having a cyber EMT standing over your shoulder in a time of crisis instructing you, counting the compressions and telling you when to breathe.

This video is also a great back-up assistant for those who were CPR trained, but may need a handy refresher. Available for iPhone, Droid and Blackberry smart phones and tablets for just $1.99, The TEAM LIFE CPR APP allows the ordinary person to have a life-saving, easy-to-use guide to CPR with them at all times and also offers free CPR technique updates. In honor of American Heart Month, for the price of a cup of coffee, the life of someone you love can be saved at your fingertips. (For more information visit

Copyright © March 2012 Ankle & Foot Care Centers

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The Pursuit of Health, Happiness, and Sports Injuries

With the return of warmer weather and leaves on the trees, spring is the perfect time of year for outdoor fun. Millions of adults will participate in sports: soccer, tennis, baseball and softball, walking and running, to name a few. Whether you are skilled, an amateur, or enjoy individual activities – adults will get active for all of the health benefits exercise has to offer.

However, for some people – particularly those who overdo or who don’t properly train or warm up – these benefits can come at a price: sports injuries.

The types of sports-and-exercise related injuries most commonly seen by a podiatric physician are the following:

Ankle sprain is a common injury to the ligament, one of the bands of tough, fibrous tissue that connects two or more bones at the joint and prevents excessive movement of the joints. Sprains that do not show improvement in three days should be seen by a podiatric physician. Investing in five to 10 minutes of stretching and warming up and wearing the right shoe for the sport you are participating in can help prevent this common athletic injury.

Muscle strain is defined as either a partial or total tear of muscle fibers in the muscle itself or the origin of the muscle. Exercisers frequently strain their lower leg and foot muscles during rapid movement sports such as tennis, basketball, racquetball, running, and sprinting. Improper and inadequate warm-up and stretching are some of the contributing factors in this type of injury. Minor strains should heal in 1-2 weeks with rest. If pain lingers longer, consult a podiatrist.

Tendinitis is a common type of ankle and foot problem, defined as an inflammation of the tendons – the tissue that connects muscles to bones. The most common, Achilles tendinitis, is where inflammation is located at the back of the leg where the tendon attaches to the foot (heel pain). In sports, a tendinitis injury is usually the result of abnormal foot biomechanics, excessive foot pronation (tendency of the arch of the foot to flatten out too much), and history of overuse in a specific sport (e.g., basketball, tennis, running, volleyball), which requires continuous high-impact repetitive movements. Contact your podiatrist if ankle pain does not improve or worsens after a few days of rest and ice therapy.

Stress fractures are hairline breaks resulting from repeated stress on the bone. High-impact sports such as running, gymnastics, and volleyball can increase the risk of stress fractures. To prevent stress fractures, wear shoes that provide sufficient padding and support when you walk, run, dance, or perform any other activities that stress the bones of the foot. If continued pain persists, contact your podiatrist.

Plantar fasciitis (heel pain) is caused by inflammation of the connective tissue that stretches from the base of the toes, across the arch of the foot, to the point at which it inserts in the heel bone (the soles of your feet). Inflammation is caused by overuse with excessive foot flattening and is aggravated by tight calf muscles. Aerobic activities such as walking or running are usually related to this injury, but it can also result from tennis, baseball or softball. Customized orthotics (custom devices for shoes), along with an appropriate stretching program, may be prescribed by your podiatrist to help alleviate pain.

The following precautions should be taken to prevent sport-related injuries:

  • Don’t be a “weekend warrior,? packing a week’s worth of activity into a day or two. Try to maintain a moderate level of activity throughout the week.
  • It is extremely important for anyone participating in a sport to properly warm up prior to actually participating in the sport.
  • Learn to do your sport right. Using proper form can reduce your risk of “overuse? injuries such as tendinitis and stress fractures.
  • Remember safety gear. Depending on the sport, you may need knee and wrist pads or a helmet.
  • Accept your body’s limits. You may not be able to perform at the same level you did 10 or 20 years ago, nor will you recover as quickly. Modify activities as necessary.
  • Increase your exercise level gradually; strive for a total body workout of cardiovascular, strength training, and flexibility exercises. Cross-training reduces injury while promoting total fitness.

Tip: Whether an injury is acute or chronic, there is never a good reason to try to “work through? the pain of an injury. When you have pain from a particular movement or activity, STOP and GET IT CHECKED.

Copyright © March 2012 American Podiatric Medical Association and Ankle & Foot Care Centers

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From The Kitchen: Chicken and Broccolini Stir Fry

4 servings

1 tablespoon egg white (about 1/2 large egg white)
1 tablespoon mirin (sweet Japanese rice wine) or dry sherry
3 tablespoons cornstarch
1 pound boneless, skinless chicken breasts, cut into 1/2 inch cubes
1/4 cup oyster sauce
2 bunches broccolini, tough stems trimmed, cut into pieces
2 tablespoons extra-virgin olive oil
3 cloves garlic, minced
1 tablespoon minced, peeled ginger
1 bunch scallions, thinly sliced
4 to 5 baby bell peppers (any color) sliced into thin rings
1 to 2 red jalapeno peppers, seeded and thinly sliced
1/4 cup sliced almonds or chopped cashews, toasted

Preparation time: 25 minutes
Total time: 35 minutes

  1. Bring a pot of water to a boil. Meanwhile, whisk the egg white, mirin and 1 tablespoon cornstarch in a medium bowl. Add the chicken and toss to coat. Whisk the remaining 2 tablespoons cornstarch, the oyster sauce, and 1/2 cup water in a small bowl. Add the broccolini to the boiling water and cook until crisp-tender, 1 to 2 minutes. Drain and rinse under cold water.
  2. Heat 1 tablespoon olive oil in a large nonstick skillet over medium heat. Add the chicken and cook, stirring, until no longer pink, about 4 minutes. Transfer to a plate. Increase the heat to high and add the remaining 1 tablespoon olive oil. Add the garlic and ginger; stir-fry 30 seconds. Add the scallions and peppers; stir-fry 1 more minute. Add the chicken, broccolini and nuts and stir-fry 2 more minutes.
  3. Reduce the heat to medium; whisk the oyster sauce mixture and add to the skillet. Cook, stirring until thickened, about 3 minutes.

Per serving: Calories, 351; Fat 13 g (Saturated 2 g); Cholesterol 66 mg; Sodium 254 mg; Carbohydrate 26 g; Fiber 6 g; Protein 34 g

Copyright © 2012 Food Network Magazine

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