All

Don’t Let Stress Get to You

April 2018 is National Stress Awareness Month. Health Care Professionals and Public Health Experts will promote public awareness of the causes, signs/symptoms, and treatment options for managing stress. Stress affects us all. It is defined as our body’s way of responding to a demand or threat, whether physical or emotional. Physiologically, our nervous system releases stress hormones, such as cortisone or adrenaline, that initiate a “fight or flight” response. This manifests as symptoms of increased blood pressure, faster breathing and heart rate, and muscle tightening. These physical changes can then increase strength/stamina, reaction time, and enhance focus. Causes of stress can include physical, such as chronic illness or injury, or mental, such as anxiety or fear. Emotional causes of stress can include work-related stress (losing a job), financial worries (paying off debt), and changes to interpersonal relationships (divorce or losing a loved one). Chronic physical or emotional stress, if not handled correctly, can lead to more serious health problems: an increase in heart attack or stroke, suppression of the immune system, weight problems, sleep issues, skin conditions, prolonged pain or fatigue, and digestive and reproductive issues. Chronic stress can leave a person more vulnerable to anxiety, depression, and feelings of isolation. There are simple ways to combat stress and these can be managed either through personal changes or by seeking medical attention.
  1. Exercise: Research has shown that just 30 minutes a day of cardiovascular exercise can help boost mood, reduce cortisol levels, and improve clarity and focus.
  2. Diet: Eat a diet rich in fresh fruit and vegetables, lean protein, and omega-3 fatty acids to reduce cortisone levels and boost the immune system and lower heart disease.
  3. Sleep More: Sleep allows our brain to re-charge, repair muscle, and improve memory. Adults who get at least 8 hours of sleep at night are more likely to have improved memory, energy, and motivation during the day to manage daily stresses.
  4. Relax and Connect: Practice yoga, meditation, and deep breathing to boost levels of joy, serenity, and calm. Ask for help from family, friends, community groups, or religious organizations to provide emotional and other support.
  5. Talk to Your Doctor: If stress is creating health issues, address them early on with a medical practitioner. Intervention can include prescription medication, nutritional support, counseling, and support groups.
  Dr. Saylee Tulpule works in two offices for your convenience- Silver Spring, MD (Fenton) and Washington, DC (I Street). 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.  Saylee Tulpule 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. Saylee Tulpule 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. Saylee Tulpule 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.

The Link Between Proper Nutrition and Wound Healing

As a former nutritionist (in my last life, prior to podiatry school), I worked in a hospital as a dietician and was exposed to the different nutritional needs of patients. Where as I can’t say I was well versed in wound care at that time, (was there even a discipline known as wound care back then??), I did counsel patients on proper dietary goals for the hypertensive patient, the diabetic patient, the renally impaired patient, the cardiac patient, etc. Even then it was challenging to motivate patients to be personally responsible for their dietary needs/ constraints let alone to understand the basics of nutrition. Now as a podiatrist, dealing with wound care day in and day out, and trying to educate people on obesity, effects of diabetes on the foot, the importance of exercise etc, the challenge is even greater.  

Why is Proper Nutrition Important?

Without proper nutrition, the intricate process of wound healing can be adversely affected. A poor diet can turn a “normal” type wound into a chronic non healing wound quickly. In one phase of healing (anabolic), new tissue is created by bringing stress hormones, carbohydrates, fats, and mainly protein into the wound. However, if the first phase (catabolic) drags on too long, a phenomenon known as PEM or protein energy malnutrition can occur. This begins a negative cycle whereby the body will send extra protein to the wound site, but as a negative consequence, other important organs do not receive enough protein or further, lean muscle mass begins to break down. This ultimately will cycle back to delayed wound healing.  

The Role of Protein, Fats, and Carbohydrates

Protein is by far the most important of the required dietary components for a healing wound because it helps repair damaged tissue and serves as the “building blocks” used to create new tissue. It is important to increase the protein in one’s diet while trying to heal a wound and not allow the loss of any lean body mass as this can be detrimental to one’s general health as well as to the wound healing process. A healthy adult requires .8 g of protein/ kg of body weight /day or about 60-70 g protein to maintain and patients with wounds require almost double that. Losing lean body mass will impair wound healing and substantial loss of lean body mass can lead to the development of spontaneous wounds such as pressure ulcers and even wound ruptures (dehiscences). Nearly all consumed protein is used for synthesis NOT for energy. Carbohydrates which have gotten a bad “rap” of late in the diet world are actually essential in the diet of someone trying to heal a wound. Carbohydrates fill the role for energy use and have other important functions. They work together with proteins to build structure and communicative properties. Glucose, which has many functions, is interestingly also used for inflammatory cell activity leading to the removal of bacteria and other harmful material. Fats from dairy products are essential in wound healing. Cell membranes are created with the use of fatty acids and one needs extra fats in order to propel wounds to heal. Lipid components are responsible for tissue growth and wound remodeling including collagen and extracellular matrix production.  

The Importance of Vitamins and Minerals

Vitamins and minerals are also key factors in wound healing. There are several vitamins and minerals which contribute positively in wound healing, but the three main ones are Vitamin C, Vitamin A, and Zinc. Vitamin C is an important antioxidant. It increases the strength of the wound as it heals and helps with the creation of collagen in the skin. It is important in the development of new blood vessels and also helps with iron absorption. As little as two hundred mg of Vitamin C daily can be significant in wound healing. Vitamin A is another crucial antioxidant. It helps fight infection and aids in controlling the overall inflammatory response. It should be noted that because Vitamin A is fat soluble and not water soluble, toxicity can actually occur if consuming too much. Red fruits, fish, eggs and dark green vegetables are good sources of Vitamin A. Zinc, a mineral, helps the body synthesize proteins and develop collagen. It is involved with DNA synthesis, protein synthesis, and increases the number of cells. Other minerals such as manganese, arginine and selenium in trace amounts can be helpful with wound healing.  

Lab Work as Indicators of Wound Healing

Clinical factors to be on the lookout for, would be checking for albumin (protein) in routine lab work, which if too low is an indicator of poor wound healing. Also a low body weight, less than 85% of ideal is a risk factor as is a 5-10% loss of body mass over 1 month. Lastly when obtaining routine lab work, a decrease in serum transferrin (iron levels) can also be a risk indicator for poor wound healing.   Hopefully by taking a few of these concepts into account, we can become better equipped to deal with the ever so omnipresent foot wound. Dr. Betsy Rosenthal works in our Hagerstown, MD office. 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. Betsy Rosenthal 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. Betsy Rosenthal 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. Betsy Rosenthal 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.

The APMA House of Delegates Meet in DC, Elects Seth Rubenstein, DPM as new VP

This year’s 98th House of Delegates meeting of the American Podiatric Medical Association (APMA) in Washington, DC convened to vote on new officials of the House, the Board, and to plan and implement procedures and policies that will assist the advancement of podiatric medicine. Dr. Seth Rubenstein who previously served as the Treasurer, was elected as the Vice President of the APMA's House of Delegates. The House of Delegates is the body of the APMA. Its purpose is to provide fair representation of the interests of podiatrists across the country and make policy recommendations to the Board. A separate Legislative Conference follows the House of Delegates to lobby Congress on issues of importance to podiatry and their patients. Drs. Michael Tritto, Todd Harrison, and Andrew Liss serve as the Maryland delegates of the APMA and Dr. Erika Schwartz represents us as the Washington, DC delegate. Dr. Tritto also serves as the Chair of the Resolutions Committee. The Foot and Ankle Specialists of the Mid-Atlantic made a $25,000 contribution to the APMA’s Educational Foundation to establish a named endowment. The fund is dedicated to advancing and growing podiatric medicine through student scholarships, projects, and activities. This particular endowment will create a continuous $1,000 annual student scholarship for a 3rd or 4th year podiatric medical student. [caption id="attachment_2207" align="aligncenter" width="800"] FASMA doctors Seth Rubenstein, Todd Harrison, Michael Tritto, Gene Mirkin, and David Freedman give a $25,000 check to the APMA Educational Foundation[/caption] After the weekend’s activities concluded, Dr. Rubenstein continued his work in advancing podiatric interests. He, along with student doctors, lobbied Congress on Tuesday to ensure support and representation of podiatrists in the VA Provider Equity Act (HR 1058/S1871). [caption id="attachment_2206" align="aligncenter" width="600"] Student doctors Milad Kashani (left) and Chris Dreikorn (right), and the newly elected Vice President of the APMA, Dr. Seth Rubenstein lobby Congress in Washington, DC.[/caption] FASMA would like to congratulate all of the newly elected doctors and delegates, including our own Seth Rubenstein, DPM, and extend our gratitude to all members of the APMA’s House of Delegates who work tirelessly on the behalf of all podiatrists.

The Importance of a Multidisciplinary Approach

 
Dr. Alyssa Carroll Podiatrist Foot and Ankle Specialists of the Mid-Atlantic Dr. Alyssa Carroll in the operating room during her residency at Christiana Care Health System in Wilmington, DE.
In the new era of medicine a multidisciplinary, or team, approach is not only becoming the new norm, but it is also becoming more and more important. By definition, we as specialists are experts in our field. In the case of the foot and ankle, we pride ourselves in the knowledge of our respective area; we also rely on others to complete the clinical picture for many of our patients. Let’s take a look at how multidisciplinary approach affects you, as the patient. A diabetic foot ulcer is like an iceberg floating in the ocean. The casual observer sees a small, benign piece of ice, while underneath lurks a sizable structure that will require many hands to study and effectively conquer it. All diabetics have related neurologic, metabolic, vascular and podiatric issues that benefit from a multidisciplinary team of specialist doctors. One patient may require as many as six to seven specialists to keep their disease controlled. The list includes, but is not limited to: primary care, endocrinology, podiatry, nutrition, neurology, infectious disease, vascular, and pedorthist. These fields must meld together in a team approach to give the patient the best care. In a hospital setting, a multidisciplinary network is usually built in, and consults between specialties is a relatively streamlined process. However, in the outpatient setting it certainly can be more difficult. With electronic medical records (EMR) and other technological advances, this should hopefully become more efficient. However, it is still extremely important for us as this patient’s podiatrist to call on our colleagues of different expertise to ensure the disease in question is tackled from all angles. Your podiatrist and other providers work diligently to build a good repertoire with clinical providers in your local community to develop a team atmosphere. We know the important role physical therapy and other ancillary healthcare providers play. Many of our podiatry patients benefit from their services, so we try and get to know these providers in the area. The more providers that we know, the greater the opportunity to work with other providers in tandem to give exceptional care to our patients.  
Dr. Alyssa Carroll practices casting on her colleague.
Dr. Alyssa Carroll assists her colleagues in casting.
We stay engaged with these connections in order to benefit our patients and have more tools in the toolbox. The multidisciplinary approach affords a wealth of knowledge and resources for the patient.  After all, as a podiatrist, there is no better feeling than being able to look assuredly at our patients and lay out a plan to get you well. Dr. Alyssa Carroll  is the newest doctor of the Foot and Ankle Specialists of the Mid-Atlantic and works in the Raleigh, NC (Millbrook) office. 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. Alyssa Carroll 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. Alyssa Carroll 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. Alyssa Carroll 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.

New Doctors in Annapolis

Our podiatry office in Annapolis, MD added experienced doctors and podiatric expertise to better serve your area. We’re happy to introduce three new faces who hold over 90 years of combined experience. Dr. Gina Saffo Dr. Gene Mirkin Dr. Todd Harrison Podiatrists

Dr. Gina Saffo is a Diplomate of the American Board of Foot and Ankle Surgery, a member of the American Podiatric Medical Association, past Secretary and current member of the Maryland Podiatric Medical Association, and past President and current member of the American Association for Women Podiatrists.

Dr. Gene Mirkin serves as the President of the Foot and Ankle Specialists of the Mid-Atlantic and was voted among his peers as one of America’s most influential podiatrists. He was on the Executive Board and a member of the Maryland Podiatric Medical Association, and has served the State Medical Society as Treasurer and Secretary. Dr. Mirkin is double Board Certified, in Foot Surgery, as a Diplomate of the American Board of Foot and Ankle Surgery and, in Podiatric Medicine, by the American Board of Podiatric Medicine. Dr. Todd Harrison is a Diplomate of the American Board of Foot and Ankle Surgery, a Fellow of the American Society of Podiatric Surgeons, and a member of the following organizations: the Maryland Podiatric Medical Association, the American Podiatric Medical Association, the Alumni Association of the Scholl College of Podiatric Medicine, and the American Academy of Podiatric Sports Medicine. He was appointed to the Maryland Board of Podiatric Medical Examiners in 2012.

During this transition, Dr. Korves will continue to see patients. See the links from our website for more detailed information about each new doctor and their Annapolis hours.

Injury Prevention Made Easy

Next week is Patient Safety Awareness Week. Here are some easy tips for the home, office, and gym to keep you from needing emergency podiatric care. Preventing Home Injuries The most common home injuries are centered around being barefoot, so always wear shoes. This is especially true for diabetic patients. The most frequent home injuries come from stepping on things like a Lego or a piece of glass or stubbing your toe on something. If you spend a lot of time barefoot on hardwood floors instead of soft carpet, you can trigger plantar fasciitis pain (ligament pain in the bottom of your heel). If you’re running around the house in socks, there’s the slip risk factor. We see a lot of bad ankle sprains and fractures because people miss the bottom couple of stairs and end up slipping and falling. Bottom line: shoes in the home are important. If you have an aversion to wearing shoes inside for cleanliness reasons, get an indoor house shoe or slipper. Keep in mind, there’s a big difference between having slippers that are flimsy, floppy and not providing any support versus what’s a little bit bigger and more protective. Home shoes can include a pair of house sneakers or comfy, supportive slippers like Vionics.   Preventing Work Injuries A lot of people see me for general foot pain from choosing the wrong shoes at work, because they’re more worried about looking professional as opposed to finding shoes that really support their feet. An option other than high heels for workplace footwear are shoes that have a bit of a wedge, but are still really supportive and not constricting on the feet. Custom orthotics can be made to make small shoes, even high heels, more comfortable than they are now, because they put special padding in certain places. As podiatrists, we move a lot people out of heels and into flats, because flats can still be fashionable and give you the support you need in the right places with a good custom insert.
 
Dr. Jordan Meyers Podiatrist Foot and Ankle Specialists of the Mid-Atlantic Dr. Jordan Meyers and his family stay active at the beach.
Keeping Kids Safe At our practice we see a lot kids who have foot injuries because they didn’t wear shoes in the home or yard. Another issue is parents don’t like to buy thick, expensive shoes for kids because they grow out of them fast, but sometimes the flimsy, floppy shoes put extra stress and strain on their feet. Kids’ feet are always so active that flimsy shoes can trigger growth plate irritations that cause pain. Plenty of times parents neglect these injuries because we think our kids are making a big deal about nothing, and sometimes it’s difficult to know the difference between a growing pain and an injury. Make sure you outfit your kids with firm, supportive shoes.   Preventing Athletic Injuries The biggest issue for athletes is the overuse factor and not giving our bodies enough time to heal and rest. We also need to make that commitment to taking care of our bodies. At the professional athlete level, plenty of people have regular physical therapy routines where they keep their bodies optimized. I talk about “medical optimization,” which means you keep your body in the best shape you can because we put our bodies through more stress and strain than we probably give it credit for. I have friends in the NFL who get fined $1500-$2000 per ankle if they don’t have them taped before practice. Point being, they stress the importance of taking care of your body, and making that investment in yourself to keep your body in the best shape you can. Translating that into our own lives means that we make sure we’re wearing good shoes, utilizing orthotics to keep our feet and bodies well aligned, strengthening our ankles, using ankle braces if you’re playing basketball… doing specific things like that to cater to your body so you’re not going to push your body to the injury point. Do everything you can to prevent injury because once you’ve gone too far you’ll miss doing what you love. Plus, sometimes you could do damage that requires more than time away from competition, but perhaps even end up needing surgery.   Armchair Athlete Tips For the armchair athlete who plays in the turkey bowl once a year with friends, the biggest thing you can do is stretch and warm up beforehand. Also, make sure you’re wearing the right things: you’ve got to be in good quality and supportive shoes and wear ankle braces to give you the extra support you need because it’s all about injury prevention.   Foot and Ankle Surgeon Dr. Jordan MeyersDr. Jordan Meyers works in two offices for your convenience- Raleigh, NC (Blue Ridge) and Raleigh, NC (Millbrook). 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. Jordan Meyers 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. Jordan Meyers 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. Jordan Meyers 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.

Peripheral Arterial Disease (PAD): Learn the Signs and Symptoms

February is American Heart Month. To help educate our patients on podiatric heart related issues, we are sharing information about PAD. Peripheral Arterial Disease PodiatristsPeripheral Arterial Disease (PAD) commonly referred to as poor circulation, affects 8 to 12 million Americans. Those over the age of 70 have the disease at a rate of one in every five people. PAD and diabetes are the leading causes of foot or leg amputations in the United States. Peripheral Arterial Disease (PAD) is caused by a blockage or narrowing of the arteries in the legs when fatty deposits or plaque build up. This results in a reduction of blood flow to the legs and feet. Causes of PAD:
  • Smoking
  • High Cholesterol
  • High Blood Pressure
  • Sedentary Lifestyle
  • Obesity
  • Diabetes
  • Genetics - a family history of peripheral artery disease, heart disease or stroke
  • High levels of homocysteine, a protein component that helps build and maintain tissue
  Symptoms may include:
  • Fatigue, tiredness, or pain in your legs, thighs, or buttocks that occur when you walk, but goes away with rest
  • Foot or toe pain at rest that often disturbs your sleep.
  • Skin wounds or ulcers on your feet or toes that are slow to heal (longer than 8-12 weeks).
  •  You find yourself dangling your foot/leg on the side of the bed due to discomfort.
  Poor circulation can lead to numerous problems, one being Arterial Ulcers. Read some of the most common signs below. Common Signs of an Arterial Ulcer:
  • Punched-out appearance
  • Smooth wound edges
  • Cool to the touch
  • Skin is pale, shiny, taut, and thin
  • Minimal to no hair growth on the limbs
  • Painful, especially at night or with elevation of the leg
 

When to Visit Your Podiatrist

Do not ignore leg pain. It is important to discuss any leg or thigh pain that you are having with your podiatric physician since it could be a warning sign of a serious disease such as PAD. In many of our offices, we can perform non invasive testing to diagnose PAD. Early detection of PAD can offer an opportunity to treat risk factors that can slow the progression of the disease and proper referrals can be made if necessary for vascular intervention.   Feet Surgeons Treatments and Information PAD Podiatry   Dr. Hetal Kathrotiya-Mago works in two offices for your convenience- Silver Spring, MD (MedStar- Leisure World) and Silver Spring, MD (International Dr).    

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. Kathrotiya-Mago 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. Kathrotiya-Mago 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. Kathrotiya-Mago 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.  

Sports Medicine: Stay in the Game

Dr. Kirk Woelffer Sports Medicine PodiatristSports medicine… it sounds healthy, fit and cutting edge… and it’s all true. Sports medicine is a term that talks about staying in the game, getting back in action, being your best and being treated like a superstar jock, no matter if you’re a Super Bowl Quarterback or a gym class hero. We all want to be the best we can be immediately. We want to stay in the game. As Foot and Ankle Specialists, our goal is to get our athletes back in the game. When athletes are sidelined with ankle sprains, fractures and tendinitis, Podiatrists have many tools to get them back on their feet as soon as possible. Today sports medicine is filled with excellent treatments from Podiatrists, and they’re available for everybody. While there are several options that you and your podiatrist can discuss, two of the recommended treatments are custom orthotic shoe inserts and extracorporeal shockwave therapy (ESWT). You may ask: how does extracorporeal shockwave therapy work? It is a weekly treatment in the office that needs no anesthesia, needles, shots or pills. It’s slightly uncomfortable, but not painful. With Shockwave, the soundwaves are applied to help stimulate a new healing response from your body to the injured tissue. The treatment takes 15-20 minutes, and you can go about your day afterwards. We do this weekly for 4-6 weeks to stimulate healing in the tissue. Hopefully, we can all benefit from the hard research that many great doctors have done, and the tough decisions that a lot of athletes have made to stay in the game. My hope, as a doctor and caretaker of feet and ankles, is that I can provide that for my patients. I’m middle-aged, and I have a dim future in sports. But I still run, exercise and try to stay fit. I try to be an active husband and father, and I want the best for my patients and myself.
Feet Doctors Maryland Podiatry Experts Dr. Kirk Woelffer at the finish line of the Rock N’ Roll Raleigh Half Marathon
Extracorporeal Shockwave Therapy Expert Dr. Kirk Woelffer Dr. Kirk Woelffer, wife Christina and kids on a family adventure.
Even if you’re not a jock or a runner you deserve the best. The treatments exist to get you better and make you the best you can be. Podiatrists like me and my colleagues are out there, who love their job, and can help you be the best you can be-- to stay in the game.   Dr. Kirk Woelffer East Coast PodiatristDr. Kirk Woelffer is the Official Podiatrist of both the North Carolina FC professional men's soccer team and the North Carolina Courage professional women's soccer team, and he also serves as Company Consultant for the Carolina Ballet. He works in two offices for your convenience- Raleigh, NC (Blue Ridge) and Raleigh, NC (Millbrook). 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. Kirk Woelffer 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. Kirk Woelffer 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. Kirk Woelffer 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.

How to Recognize and Treat Chilblains

With winter upon us, and our recent cold weather snap, we are seeing patients with a higher risk of chilblains. WHAT ARE CHILBLAINS? A chilblain is a small, red swelling on the skin, which can be very itchy and gradually becomes very painful. Chilblains usually occur on the smaller toes but can occur on the finger, face, or nose. They occur due to an abnormal reaction of the body to cold. A chilblain may also occur on a pressure bearing area such as a bunion. Chilblian Doctors East Coast Foot and Ankle Appearance
  • A chilblain will usually appear as a red, swollen lesion on the tip of a toe or finger.
  • They can dry out leaving cracks in the skin, which expose the skin to infection.
  Symptoms
  • The lesion becomes increasingly painful.
  • The lesion becomes very itchy.
  • Patients may suffer from a burning sensation on their toes or feet.
  • In some cases the surface of the skin may break and an infection may develop.
  Causes
  • Abnormal reaction to cold.
  • Seen with patients who suffer from Raynaud's Syndrome.
  • Elderly people with poor circulation are at a greater risk.
  • Those exposed to prolonged cold, moist conditions.
  • If the skin is chilled and then followed by rapid warming such as a gas fire.
  • The sudden onset of very cold water on the skin.
  • Other contributing factors include dietary, hormonal imbalance, and anemia.
  What you can do:
  • Keep legs and body warm, especially if you have poor circulation.
  • Leg warmers and thick woolen socks (Smartwool socks) may be of benefit.
  Other treatment options
  • Prescription Vasodilators
  Podiatrist Dr. Lee Firestone Surgeon Medication and Treatments Dr. Lee Firestone operates two offices for your convenience-- Washington, DC (K Street) and Chevy Chase, MD. 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. Lee Firestone 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. Lee Firestone 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. Lee Firestone 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 Expands to Raleigh, NC

FASMA welcomes two new office locations and four new podiatric doctors in January with Raleigh Foot & Ankle Center joining our group. Dr. Robert Hatcher began the practice in 1977 as a solo practitioner. In 1999, Dr. Kirk Woelffer joined the practice. Later in 2006, Dr. Alan Boehm, Jr. was added and then Dr. Jordan Meyers in 2014. The office location was moved in 1994 to the current location on Millbrook Road and a second location on Blue Ridge Road was added in 2015. Drs. Robert Hatcher, Kirk Woelffer, Alan Boehm, Jr, and Jordan Meyers are FASMA’s four newest podiatrists. Drs. Hatcher, Boehm, and Meyers are graduates of the Temple University School of Podiatric Medicine and Dr. Woelffer obtained his degree from Des Moines University. Dr. Hatcher completed his surgical residency at Northlake Hospital in Chicago. Dr. Woelffer completed his surgical training at Deaconess Hospital in St. Louis under the guidance of Dr. Allen Jacobs. Dr. Boehm was a resident at Temple University Hospital. Dr. Meyers finished his surgical training in Podiatric Medicine and Surgery at the University of Louisville Hospital and Kentucky One Health. With the newest Raleigh division, FASMA now has 54 podiatrists and 34 office locations.