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A newsletter from Ankle & Foot Care Centers.

October 2013 Edition:

Dr. Groner Discusses Running Safety on WFMJ Today

As part of Ankle & Foot Care Centers’ sponsorship of the 39th annual Youngstown Peace Race, Dr. Thomas Groner appeared on WFMJ Today Oct. 7 to discuss running safety.

Dr. Groner spoke during all three live television segments which were filmed on location at the Youngstown YMCA, located downtown.

The practice was a Silver Sponsor of this year’s event and is an annual supporter. Dr. Groner discussed running safety and typical foot and ankle injuries that can occur without proper stretching and precautions.

The Youngstown Peace Race was run Sunday, Oct. 13 in Mill Creek Park.

Dr. Groner Discusses Running Safety on WFMJ Today

Copyright © October 2013 Ankle & Foot Care Centers

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Practice Granted Three-Year MRI Accreditation

Ankle & Foot Care Centers was recently granted a three-year accreditation in MRI in the areas of Musculoskeletal MRI by the Intersocietal Accreditation Commission (IAC).

This certification means that the office has met the rigorous accreditation standards as determined by a review of its operational and technical components. The IAC grants accreditation to facilities which provide quality patient care, in compliance with national standards through a comprehensive application process, including detailed case study review.

“We pride ourselves on providing our patients with the best possible care by using state-of-the-art technology like MRI,” said practice administrator Michael Vallas. “This accreditation allows our physicians to utilize MRI to accurately diagnose and treat lower extremity ailments.”

Ankle & Foot Care Centers has two MRI units, including the main one in the Boardman office and a second unit at the Alliance location. The accreditation covers both.

Magnetic Resonance Imaging (MRI) is an important diagnostic tool and is performed an estimated 28 million times annually in the United States. It equips physicians to visualize the structure and function of the body by providing detailed images of the body’s soft tissue.

Copyright © October 2013 Ankle & Foot Care Centers

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Ankle & Foot Care Procedure Salvages Heckman's Foot

Although it may sound overly dramatic, Gary Heckman doesn’t mind saying that a trip to Ankle & Foot Care Centers’ Alliance location in 2012 saved his life.

His story begins on March 2, 2012 when he stepped on a nail and rushed to Mercy Medical Center in Canton to get the injury evaluated. The diagnosis was much worse than he thought.

Ankle & Foot Care Procedure Salvages Heckman's Foot

Gary Heckman is back on his feet training horses, including JW (John Wayne), pictured here.

“Two doctors told me I was probably going to lose my foot,” explained Heckman, who lives in Malvern, Ohio. “The day after I was in the emergency room, a friend of mine from Alliance told me about a podiatrist he knew named Dr. John Chiaro. We called over there and he got me in immediately.

“I was in the [Alliance Community] hospital the next morning for an operation and it went well. He told me if I did exactly what he said that I wouldn’t lose my foot. So, I did everything he said and he kept his eye on what was going on all the time. He even gave me his personal number in case I needed something.

“I love the guy and everyone at his office. Everyone who took me there to get the dressings changed commented on how great they treated me. They told me that I must be pretty special to get treated so well, but I told them that I think Dr. Chiaro treats all his patients like they’re special.”

From the time of the injury to the surgery and through the recovery period, it’s been a long process for Gary. But the result was the best-case scenario, after he had feared the worst.

“What I want people to understand is that when you’re diabetic and you have an injury, you can’t fool around,” said Gary. “You have to get to a podiatrist right away – preferably Dr. Chiaro.”

Gary is now back doing the things he’s passionate about, like training his horses.

“I can’t say anything negative about my experience,” he explained. “I thought I was going to lose my foot, but instead I’m enjoying life. I couldn’t have asked for a better doctor than Dr. Chiaro. I love the guy.”

Copyright © October 2013 Ankle & Foot Care Centers

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Dr. Williams Uses Sports Passion to Help Others

During his high school and college athletic careers, Dr. Kwame Williams always relied on his feet to carry him cross the finish line or into the end zone.

After accepting a scholarship to run track and play football at Brown University, Williams suffered a series of knee injuries that forced him to redirect his passion for athletics.

Meet the DocHis path toward a career in medicine was already in motion, as he was a pre-medicine major. But after his injury struggles, including problems with his feet, he committed himself to learning about podiatry and making a career in the field.

“I always wanted to be a doctor,” explained Dr. Williams. “I had bad feet and I wanted to find out why. It seemed like there was medical focus on a lot of things, except feet.”

Dr. Williams joined Ankle & Foot Care Centers in 2007 and sees patients in the Northside, Boardman and Liberty offices. He primarily work with wound care patients, diabetic foot care, performs limb salvage procedures and treats athletes of all types.

While he embraces the opportunity to get all his patients back on their feet, his passion for sports medicine is hard to ignore. Whether it’s a student-athlete or a weekend warrior, Dr. Williams is committed to getting them back into the action.

“Sports medicine patients are easy to work with because non-compliance is not an issue with them,” said Dr. Williams. “Plus the insurance thing is off the table, too. Typically, these patients will do whatever they need to do to get back to their sport, because that’s really important to them.

“I see a wide range of athletes, from young to older or school athletes to active moms and guys who work with their hands but are athletes outside of work. We definitely see some of those ‘weekend warrior’ type of athletes.”

Dr. Williams Uses Sports Passion to Help Others

Dr. Williams enjoys a family moment at home with his wife and young son.

Dr. Williams enjoys working out of several Ankle & Foot offices because it allows him to see something different each day and gives him the opportunity to treat all kinds of foot and ankle issues.

“It allows me to spread a wide net without being spread too thin,” he said. “I still get to do wound care and some nursing home work and still practice sports medicine.

“Working with Ankle & Foot gives me access to a lot of resources and support from other doctors. Being in the practice also allows me to treat varied conditions, whereas if I was myself I’d have to focus on one thing. My days are never the same and I like that – it allows for some freedom and not being tied down.”

When he’s not treating other athletes and their lower extremity ailments, Dr. Williams spends time as one of those part-time athletes. He scratches his itch for competition by cross training – lifting weights, running and other activities to stay in shape. He’s also played in adult softball leagues in the recent past.

“I’m a competitive person, so I just try to compete against myself and focus on fitness and good health,” said Williams.

Copyright © October 2013 Ankle & Foot Care Centers

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Cutrone Embraces Ankle & Foot's Family Atmosphere

For Denise Cutrone, life revolves around family – both in and out of the office.

“They are very family-oriented at Ankle & Foot Care Centers,” explained Cutrone, who serves as the practice’s Clinical Coordinator. “I’m very lucky because this is a great company to work for. We all work well as a team and have built a strong bond that extends outside the office. I think that type of work environment is unusual and very nice.”

Cutrone Embraces Ankle & Foot's Family AtmosphereDenise has been employed at Ankle & Foot for more than 13 years, starting as an LPN in 2000 and accepting her current position in 2006. Although she has an office at the Market Street location, Denise travels to all 18 offices as part of her duties.

Her main responsibilities include overseeing Quality Assurance, working with chart audits and serving as a liaison between the doctors and the staff. She organizes in-service meetings for training on new products, different procedures and protocols. She also helps with scheduling and other issues.

“I do a lot of different things,” Denise said. “I also help out on the floor now and then to keep my skills active. I gladly accepted this position back when it was offered to me. Coming to Ankle & Foot was a good transition from my last job and they embraced me from the beginning even though I was the new girl.”

Working in management has been a rewarding experience for Denise. Having the opportunity to work with the practice’s staff and physicians across the entire organization has allowed her to witness the ‘thoughtful care’ shown to patients.

“It just seems that we are in the habit of hiring those type of people,” said Denise.

Employee SpotlightI’m proud of the great job we do with patients that makes them ask for us by name. The biggest compliment you can get is when a patient comes in and respects you enough to ask that you be involved in their care. I think we all go the extra mile for our patients.”

Denise also noted that she enjoys working with Ankle & Foot’s staff of physicians, who are both knowledgeable and personable when dealing with staff and patients.

“They are very approachable with everyone,” she explained. “They are casual, yet professional in their relationships and I think that makes everyone’s lives easier. They really care about helping people improve their lives.”

When Denise isn’t in the office, she likes to relax by spending time with her family and friends. She also enjoys the friendship and companionship of a group of women friends whose children all went to grade school together and the mothers have remained friends for more than 15 years. The group is called the LLA and it meets every month for a get-together and performs some type of community service project yearly.

Denise lives in Campbell with her husband and has two children who live away from home.

Copyright © October 2013 Ankle & Foot Care Centers

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Why Do People Need Orthotics?

Why Do People Need Orthotics?An orthotic is a device designed to restore your natural foot function. Many biomechanical (walking) complaints such as heel pain, knee pain, and lower back pain are caused by poor foot function. Orthotics re-align the foot and ankle bones to their neutral position, thereby restoring natural foot function.

A podiatric physician can prescribe orthotics — foot supports worn inside shoes — that are crafted for you and no one else. They match the contour of your feet precisely and are designed for the way you move.

Only prescription orthotics can accommodate your unique foot structure. Podiatric physicians use orthotics to treat foot problems such as plantar fasciitis (heel pain); bursitis; tendinitis; diabetic foot ulcers; and foot, ankle, and knee pain.

If orthotics are needed, your podiatric physician will capture a three-dimensional image of each of your feet. That image, as well as any measurements obtained by your podiatric physician, is used to create a set of unique foot supports that will improve your foot movement and lead to more comfort and mobility.

There are two categories of prescription orthotics. Functional orthotics are designed to control abnormal motion and may be used to treat foot pain caused by abnormal motion. They can also be used to treat injuries such as shin splints or tendinitis. These are usually crafted from a semi-rigid material such as plastic or graphite.

Accommodative orthotics are softer and meant to provide additional cushioning and support. They can be used to treat diabetic foot ulcers, painful calluses on the bottom of the foot, and other uncomfortable conditions.

If you have serious pain or discomfort, schedule an appointment with a podiatric physician. He or she will assess your overall health and look at any other contributing factors. Your podiatric physician can examine your feet and ankles, prescribe custom-made orthotics or, suggest additional treatments to improve the comfort and function of your feet.

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

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From The Kitchen: Vegetable Tian

Good olive oil
2 large yellow onions, cut in half and sliced
2 garlic cloves, minced
1 pound medium round potatoes, unpeeled
3/4 pound zucchini
1 1/4 pounds medium tomatoes
1 teaspoon kosher salt
1/2 teaspoon freshly ground black pepper
1 tablespoon fresh thyme leaves, plus extra sprigs
2 ounces Gruyere cheese, grated

Preheat the oven to 375 degrees F.

Brush a 9-by-13 by 2-inch baking dish with olive oil. In a medium saute pan, heat 2 tablespoons of olive oil and cook the onions over medium-low heat for 8 to 10 minutes, until translucent. Add the garlic and cook for another minute. Spread the onion mixture on the bottom of the baking dish.

Slice the potatoes, zucchini, and tomatoes in 1/4-inch thick slices. Layer them alternately in the dish on top of the onions, fitting them tightly, making only 1 layer. Sprinkle with salt, pepper, thyme leaves, and thyme sprigs and drizzle with 1 more tablespoon of olive oil. Cover the dish with aluminum foil and bake for 35 to 40 minutes, until the potatoes are tender. Uncover the dish, remove the thyme sprigs, sprinkle the cheese on top, and bake for another 30 minutes until browned. Serve warm.

From The Kitchen: Vegetable Tian

Per Serving (based on 4 servings):
Calories: 289 ; Total Fat: 15.5 grams; Saturated Fat: 4 grams; Protein: 9 grams; Total carbohydrates: 31 grams; Sugar:6 grams; Fiber: 4 grams; Cholesterol: 16 milligrams; Sodium: 550 milligrams

Copyright © 2013 Food Network Magazine

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