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Posts for: February, 2014

From the rush of downhill snow skiing to cross country skiing to ice skating, cold weather sports provide a fast track for fun and cardiovascular heath, but the colder temperatures and exhilarating speeds attained during such sports can expose your foot and ankles to debilitating injuries.

Healthy feet and ankles act as accelerators, brakes and shock absorbers in winter sports and help keep the body upright and out of the line of danger. Therefore, avoiding foot/ankle problems is key to full enjoyment during theses activities.


To ensure an injury–free winter season follow the tips provided below:


● Keep feet warm and dry - Proper footwear, insulated, waterproof boots or shoes, and thick cotton socks, to wick away moisture is as important as coats, hats and gloves during cold weather activities.

● Proper fitting footwear - Single most important factor in safe and successful skiing and ice skating. Without a snug and accurate fit, the pressure exerted from constant forward motion and lateral movement of skiing and quick turns of skating can result in discomfort and injury. Additionally, boots or skates that are too big can cause irritation in the toes due to excess motion or ones that are too small can inhibit circulation to the toes and cause cold feet.

● Stretch before and after participating in winter sports - Stretching the lower extremity prevents muscle pulls and tears and prepares the muscles for the movements required in the sports. Some simple stretches, such as a knee to chest, ankle/foot-soleus and ankle/foot-gastro with each being held for 60 seconds can aid in proper warm-up of tendons and ligaments. Stretching

Follow the tips listed above and enjoy the upcoming cold, snow-filled weather.

If you have sustained an injury during a winter sporting activity please give 1 of our 3 offices a call.  Our Offices
























































Helpful Tips to Avoid Dry Winter Skin

Your skin, the largest organ in your body, often needs a little extra help during winter months to stay healthy and intact. In the dead of winter your skin suffers from dry air, hot showers and exposure to the cold and wind. But there are some common sense things you can do keep your skin healthy.

· Moisturize frequently. Apply moisturizer immediately after showering while your skin is still damp and, if possible, several times throughout the day.

  • Pay attention to sensitivities. If you have fair or sensitive skin, look for products that are labeled “hypoallergenic”. If you have oily skin, look for products that won’t clog your pores and are labeled “non-comedogenic” or products that are oil-free. If your skin is especially dry, choose heavier lotions that are richer in oils and emollients.
  • Read the ingredients. Moisturizers can seal moisture into the skin or attract moisture. Products will contain ingredients that do one or both of these things. Sealing moisturizers (or Occlusive ingredients) include names like lanolin, petrolatum, mineral oil, and coconut oil. Ingredients that attract moisture to the skin’s surface (or humectants) include names like propylene glycol, urea, sorbitol and glycerin. Another important ingredient is alpha hydroxy acid or AHA, which exfoliates dead skin and improves moisture retention. Great OTC products include Curel, Eucerin, Amlactin or Amerigel, in which we sell in our offices. 

· Lower the thermostat in your house.

· Humidify your air. Use a humidifier or place a pot of water on your wood or pellet stove to release moisture into the air.

· Avoid hot showers. Hot water in the winter might feel good, but it is the most effective means of stripping your skin of its essential oils and can be particularly hard on your feet.

· Avoid drying soaps, use moisturizing shower gels, instead.

· Stay hydrated.

· Before bed, apply another thick layer of moisturizer and pull on a pair of cotton socks. Not only will this extra layer protect your linens, but it will also help keep your extremities warm, which will boost the moisturizing power.

If you are not making headway or the damage seems especially severe, please give one of Our Offices a call for a consultation, we are here to help!


As we are still experiecning larges amounts of snow, many of us will be skiing, sledding, and/or shoveling snow. Many people will get cold feet as well as wet feet. Having “Jack Frost nipping at your nose” sounds great when Nat King Cole sings it, but it’s no fun when frostbite strikes your feet. Extreme exposure of your feet to cold over a prolonged period can lead to a serious condition called frostbite. However, you do not necessarily need to be exposed to extremely cold temperatures to get frostbite. Even cool temperatures coupled with wet socks can induce frostbite.


Symptoms include pain and a burning sensation in the exposed areas, numbness in the toes or feet, and changes in skin color, from pale or red to bluish-gray or black. Children, the elderly, and people with diabetes are more prone to frostbite because of the size of their extremities or poor circulation. People who live or work outdoors also have higher likelihood of contracting frostbite because of their increased exposure to the cold.


There are various degrees of frostbite with frost nip (first degree) being the most commonly encountered by people who live in very cold climates or do a lot of outdoor activity in the winter. Skin may feel stiff to the touch, but the tissue underneath is still warm and soft.


Superficial frostbite (second degree) and deep frostbite (third degree) are serious medical conditions that must be treated by a trained medical professional. Skin will feel hard and frozen to the touch and blistering will happen. In some severe cases, doctors may have to amputate frostbitten limbs to prevent severe infection.


Mild frostbite initially can be treated by getting out of the cold and moving to a warm environment. Keep the feet dry and warm; warm the skin gradually by using warm compresses or immersing the feet in warm water (101° to 104° F) until sensation returns. Do not use direct heat such as heating pads or fire, and do not disturb any blisters.


Frostbite is very serious, and if you suspect that you have it, please call 1 of our 3 offices (Our Officesfor prompt diagnosis, proper treatment and to save your toes!

Your feet are the farthest part of your body away from your heart and they can be an indication of your cardiac health.

With winter upon us, do you have to wear layers of socks to still have the feeling of cold toes or iccicles in your boots?

This may be a sign of heart problem such as congestive heart failure, which can cause problems on your circulatory system and prevent blood from getting to where it needs to be.  With the feet being so far away from the heart, the blood needs to travel the longest distance, therefore, resulting in poor circulation to the feet.  Some signs of poor circulation include absence of hair to the toes or feet and/or color changes.

Cardiovascular disease is the leading cause of death in the U.S and to make Americans aware February is Heart Health Month, so please take note of your feet.

A new topical ointment is being developed for the treatment of mildly infected foot ulcers and has just entered the final stage of clinical trials.  The new cream, Locilex, is being developed by Dipexium and is derived from the skin of the African clawed frog. While that may sound un-appealing, the antimicrobial peptides that are synthesized from the frog’s skin have proven very effective in the treatment of diabetic foot ulcers. If approved, the cream will become the first topical antibiotic cream approved for treating these types of hard-to-fight foot infections.

At this time, approximately 1.3 million American patients suffer from a diabetic foot infection each year; for those whose infections cannot be cured, ulcers can worsen and even result in the loss of the limb. If this new topical ointment is approved, it can be a good weapon in the arsenal of tools we use to keep diabetic patients’ feet healthy.

Our pratice will be watching this cream’s development closely, of course, but we hope to never have to prescribe it for any of our patients. With proper foot care and regular checkups with your podiatrist, diabetic patients can usually avoid the development of ulcers and other foot infections.

If you have diabetes in the Cleveland area, please make an appointment with 1 of our 3 offices to maintain diabetic foot health and prevent complications.  We are here to help!!!