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Wound Care

Foot & Ankle Specialists of the Mid-Atlantic: Your wound healing partners! The Foot & Ankle Specialists of the Mid-Atlantic are committed to providing personalized, effective and advanced treatments to improve our patient's ability to heal their lower extremity wounds.  Lower extremity wounds are often complex and challenging to heal. Foot and ankle specialists are a key component to the multidisciplinary wound care team. One of the most important aspects of wound care management is having a full understanding of each individual patient. This is achieved by carefully listening to our patients, addressing our patient’s concerns, answering our patient’s questions, reviewing our patient’s past medical history and performing a thorough clinical exam. In doing so, this allows us to accurately assess each patient, determine the goals of treatment and formulate a personalized treatment plan for our patients. Not all wounds are created equal. It is important to determine the underlying cause of a particular wound that is being treated. Having a full appreciation of our patients and the etiology of a particular wound permits us to identify and address factors that may be impeding wound healing. Corrective measures are then made to maximize our patient’s wound healing potential. This is done through educating our patients and treating any risk factors that negatively affect wound healing. Monitor your feet and check for wounds. If you notice a wound make an appointment with the podiatrist. Maintaining and promoting a healthy wound environment and wound bed is essential for proper wound healing.    

Summary of Key Points

Etiology of wounds:
  • Trauma
  • Diabetic neuropathic wounds
  • Surgical wounds
  • Lower extremity ulcers (arterial ulcers, venous ulcers, mixed ulcers)
  • Skin tears
  • Radiation wounds
  • Pressure or decubitus wounds
Risk factors that impede wound healing:
  • Dietary or nutritional deficiencies
  • Compromised immune system
  • Uncontrolled diabetes
  • Smoking
  • Poor circulation
  • Pressure
  • Friction and/or shear forces on wounds
  • Excessive moisture
  • Lower extremity edema (swelling)
Maintaining and promoting a healthy wound environment:
  • Infection control
  • Use of antimicrobial dressings
  • Diligent wound care with proper cleansing
  • Debridement of wounds to remove debris or bioburden
  • Maintain moisture balance
  • Use of appropriate shoes or pressure relief devices (heel protectors, total contact casts)
  • Increase oxygenation of the wound environment (hyperbaric oxygen chamber)
  • Use of orthobiologics, skin grafts, allografts or skin graft substitutes
Your wounds are in good hands with the Foot & Ankle Specialists of the Mid-Atlantic.     Podiatrist Dr. Robert BaglioDr. Robert Baglio works in our Charlottesville, VA (Abbey Rd) and Culpeper, VA offices for your convenience. The information on this site is provided for your assistance only; this site does not provide podiatric advice. You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose. Likewise, you should never determine that treatment is unnecessary based on this information. The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional. The information provided herein is not podiatric, medical or professional advice. This site does not create a doctor-patient relationship. Dr. Robert Baglio and Foot & Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site. Dr. Robert Baglio and Foot & Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use. You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance. In no event will Dr. Robert Baglio and Foot & Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This website, and the information contained herein, is provided to you as a service for use at your sole

Warm Weather Tips for Your Feet

As warm weather is approaching, many people love to wear sandals and flip flops. If you are going to be active then your feet need to have the proper support. The overuse of your muscles can create injuries by not giving your feet the adequate support they need. Your average pair of shoes has a lifespan of 600 miles or 9-12 months. Check your shoes to make sure they haven’t lost support and shock absorption. You can give your shoes a check-up by evaluating that the uppers are not too soft and the soles aren’t showing wear. Replace your shoes if you find they are no longer providing your feet with the right support. Warm weather causes you to sweat more and wears out your shoes faster than the cooler months. Your local certified pedorthist at Richey & Co. Shoes can help you examine your current pair of shoes and if needed, find a better fit. Tips to protect your skin: Repeated burns on your feet aren’t just painful-- they can lead to skin cancers. Make sure you are putting sunscreen on your feet to protect them from sun rays as well. Swimming is a popular summer activity that most people enjoy! After you take a dip, dry off your feet before slipping on your shoes or sandals. If you’re going to stay outdoors after swimming, be sure to reapply sunscreen on your body as well as your feet if they’ll be exposed to the sun. Walking barefoot on the beach might not seem like a big deal, however, there are many hidden objects in the sand that can cause cuts and abrasions such as shells, glass, and wood that can invite bacteria and lead to infection. If you get puncture wounds or cuts, monitor the area and seek medical evaluation to make sure you don’t have an infection. A doctor can prescribe antibiotics for you to prevent the infection from spreading. To reduce your chance of injury on the beach, you can wear sandals or water shoes to protect your feet. You may not want to admit it but your feet sweat. You can prevent them from smelling or getting fungal or viral infections by simply using powder or antiperspirant on your feet. Another way to prevent your feet from being as sweaty is to wear wicking socks. We all have our favorite pair of shoes but in the summer try to change up which pair you are wearing from day to day. Your shoes need time to breathe and dry out and it will decrease your chances of getting an infection. Nail polish is a great fashionable and fun accessory for many, just use it in moderation to allow your nails and toes room to breathe and get a little fresh air. With these tips, your feet will be summer ready and most importantly--healthy. However, if you do encounter a problem, make an appointment with your local podiatrist who can help you resolve the issue and get your feet back in summertime shape.     Podiatrist Dr. Andrew LissDr. Andrew Liss works in our Columbia, MD and Kensington, MD offices for your convenience. The information on this site is provided for your assistance only; this site does not provide podiatric advice. You should never diagnose or treat yourself for a podiatric condition based on the information provided herein, and the information is not provided for that purpose. Likewise, you should never determine that treatment is unnecessary based on this information. The information contained herein is not a substitute for podiatric care provided by a licensed podiatric professional. The information provided herein is not podiatric, medical or professional advice. This site does not create a doctor-patient relationship. Dr. Andrew Liss and Foot & Ankle Specialists of the Mid-Atlantic, LLC expressly disclaims all warranties of any kind, whether express or implied, related to any products offered for sale on this web site. Dr. Andrew Liss and Foot & Ankle Specialists of the Mid-Atlantic, LLC further expressly disclaims any product warranties of effectiveness or fitness for any particular purpose or use. You are solely responsible for your use of, or reliance on, any products offered for sale herein, and any consequences arising out of such use or reliance. In no event will Dr. Andrew Liss and Foot & Ankle Specialists of the Mid-Atlantic, LLC be liable for any damages resulting from use of or reliance on any such products, whether based on warranty, contract, tort or any other legal theory. This website, and the information contained herein, is provided to you as a service for use at your sole risk.

FASMA Welcomes Newport News and Hampton, VA Podiatrists

Dr. Howard  Roesen (right) is a graduate of Temple University College of Podiatric Medicine and completed his residency at 3 locations: Kern Hospital for Special Surgery, Diabetic Foot Center of Michigan, and British Podiatry Association. Dr. Jason Birkel (left) is a graduate of Des Moines University College of Podiatric Medicine and completed his Podiatric and Surgery Residency at UPMC Pinnacle in Harrisburg, PA. Foot and Ankle Specialists of the Mid-Atlantic (FASMA) has announced its newest division in Virginia, with the joining of Affiliated Podiatrists, P.C. on June 1, 2019. With the three new offices in Newport News, Hampton, and Carrollton, FASMA now operates in 39 locations across DC, Maryland, Pennsylvania, Virginia, and North Carolina. FASMA is now 62 podiatrists strong with the addition of Affiliated Podiatrists.