Monday, December 13, 2010

Cold Feet Could Indicate Bigger Problems

You don't have to be standing at the alter to have cold feet. Cold feet come in many shapes and sizes, and their causes may be as benign as not having a pair of socks on to as serious as vascular disease. So, if your feet are constantly cold, it is never a bad idea to take a longer look to make sure that you do not have symptoms of other conditions.

Some of the initial conditions that we would be concerned about with cold feet are:

• Anemia

• Diabetes

• Neuropathy

• Raynaud's Disease

• Peripheral Arterial Disease

Typically, cold feet mean nothing more than just that - cold feet. Cold weather causes the blood vessels in the extremities to constrict so that more blood can be routed to the core, essential organs of the body. This constriction of vessels is what causes your feet to be the first cold body part. In the absense of cold weather, we must consider if there are internal factors leading to our cold feet.

Anemia is a broad term describing over 400 different conditions that are all related to low red blood cell counts or hemoglobin counts. Anemia can cause cold feet due to a decrease in oxygen delivery to the tissues in the parts of the body farthest from the heart in the smaller vessels.

Diabetes can cause cold feet in multiple ways. It could be due to the circulation being decreased by hardening of the arteries, or it could be due to changes in the nerves of the extremities and decreased sensation.

Neuropathy, though most commonly associated with diabetes, can occur on its own in the absence of diabetes. If neuropathy is believed to be the cause of your cold feet, sometimes nutritional supplements or medications can help.
Raynaud's Disease is associated with other rheumatic conditions. It most commonly affects women and smokers. It can be precipitated by cold weather or stress and its most characteristic feature is a series of discolorations of the fingers or toes. The skin can be very white, very blue or very flushed when the blood vessels open back up.
Periperhal Arterial Disease, or PAD, poses the most serious immediate risk that cold feet can incur. PAD can be described by a sudden onset causing one of the vessels to become clogged, or can happen over time by hardening of the arteries.
The 6 P's of PAD

1. Pulselessness- a lack of pulse in one or multiple vessels of the foot

2. Pain

3. Pallor- entire foot may be pale white

4. Parasthesia- loss of feeling in the foot

5. Paralysis- loss of movement in the foot

6. Perishing cold

PAD can be an emergent condition, and you should consult your physician if you believe that is the cause of your cold feet. However, PAD is the exception to the rule. In most cases, cold feet are just cold feet.

Wednesday, June 9, 2010

Pregnancy and Feet

During pregnancy, the body produces approximately 50% more blood and body fluids to meet the needs of the developing baby. Swelling is a normal part of pregnancy that is caused by this additional blood and fluid. Normal swelling, which is also called edema, is experienced in the hands, face, legs, ankles, and especially feet.

This extra retention of fluid is needed to soften the body, which enables it to expand as the baby develops. Extra fluid also helps prepare the pelvic joints and tissues to open to allow the baby to be born. The extra fluids account for approximately 25% of the weight women gain during pregnancy.

Swelling may be experienced at any point during pregnancy, but it tends to be noticed around the fifth month and can increase while you are in the third trimester. The following factors may also affect swelling:

-Summertime heat

-Standing for long periods of time

-"Long" days of activity

-Diet low in potassium

-High level of caffeine consumption

-High level of sodium intake

Swelling may be reduced by eating foods that are high in potassium, such as bananas, and by avoiding caffeine. Here are some other helpful hints to manage swelling during your pregnancy:

-Avoid standing for long periods

-Minimize outdoor time when it is hot

-Rest with your feet elevated

-Wear comfortable shoes, avoiding high heels if possible

-Wear supportive tights or stockings

-Avoid clothes that are tight around your wrists or ankles

-Rest or swim in a pool

-Use cold compresses on swollen areas

-Drink water, which helps flush the body and reduce water retention

-Minimize sodium (salt) intake and avoid adding additional salt to meals

If you are not pregnant and experiencing edema in your lower legs, ankles, and/or feet, or if you are pregnant and these remedies are not helping, please contact Community Foot Care to schedule an appointment with our podiatric specialists.

Thursday, June 3, 2010

Knee Pain? Our Physical Therapy isn’t only for your feet!

It’s time to get active again now that the weather is getting warmer! However, sometimes being active can be difficult if you suffer from knee pain. There are many types of knee pain ranging from acute, or recent, to chronic, or long lasting.

Acute knee pain is usually caused by trauma, like a fall or accident. The injury is usually a sprain or strain of knee muscles or ligaments. If not properly taken care of, these injuries can persist over time and become chronic.

Chronic knee pain continues over time and can be caused by conditions such as arthritis. The pain tends to worsen when a person is more active.

If you suffer from knee pain of acute or chronic nature, physical therapy can be helpful in reducing the pain and helping you get back to your normal activities and an active lifestyle. The physical therapist will complete a thorough evaluation and develop a treatment plan to address your specific deficits. The treatment regimen usually consists of modalities for pain control, an exercise program to address strength, range of motion and flexibility deficits, balance and proprioception training and education in a home program. If you think you may benefit from physical therapy services, please do not hesitate to contact us to schedule an evaluation appointment.

Springfield: 937-322-7607 Vandalia: 937-426-9500

Wednesday, June 2, 2010

What is Crossover Toe?

Crossover toe is a condition in which the second toe drifts toward the big toe and eventually crosses over and lies on top of the big toe. Crossover toe is a common condition that can occur at any age, although it is most often seen in adults.

Some people confuse crossover toe with a hammertoe, probably because both conditions involve a toe that does not lie in the normal position. However, crossover toe is entirely different from a hammertoe-and much more complex.

Although the crossing over of the toe usually occurs over a period of time, it can appear more quickly if caused by injury or overuse.

Symptoms may include:

• Pain - particularly on the ball of the foot. It can feel like there's a marble in the shoe or a sock is bunched up.

• Swelling in the area of pain, including the base of the toe

• Difficulty wearing shoes

Crossover toe is a progressive disorder. In the very early stages is the best time to treat crossover toe. Without treatment, the condition usually worsens to dislocation of the joint, so it is very beneficial to have a foot and ankle surgeon evaluate the foot soon after pain first occurs.

It is generally believed that crossover toe is a result of abnormal foot mechanics, where the ball of the foot beneath the second toe joint takes an excessive amount of weight-bearing pressure. This pressure eventually leads to weakening of the supportive ligaments and a failure of the joint to stabilize the toe, resulting in the toe crossing over.

Certain conditions or characteristics can make a person prone to experiencing excessive pressure on the ball of the foot. These most commonly include a severe bunion deformity, a second toe longer than the big toe, an arch that is structurally unstable, and a tight calf muscle.

If you believe you may be suffering from crossover toe, please call today to consult with a podiatrist at Community Foot Care.

Springfield 937-322-7607                                Dayton: 937-426-9500

Friday, May 28, 2010

Podiatry & Gout

Gout is a disease caused by the buildup of uric acid in the joints. It results from an elevated blood level of uric acid (hyperuricemia), which occurs when the liver produces more uric acid than the body can excrete in the urine, or when a diet high in rich foods produces more uric acid than the kidneys can filter from the blood.

Over time, uric acid in the blood crystallizes and settles in the joint spaces, causing swelling, inflammation, stiffness, and pain. Gout usually affects the first metatarsal phalangeal joint of the big toe (hallux) or the ankle joints.

According to the National Institutes of Health (NIH), gout affects approximately 2.1 million people in the United States. The disease is more common in men between the ages of 40 and 50, and in women, incidence increases after menopause. The condition is rare in children and young adults.

According to the National Institute of Arthritis and Musculoskeletal and Skin Diseases, approximately 18% of people who develop gout have a family history of the condition. Diseases and conditions that increase the risk include diabetes, obesity, kidney disease, and sickle cell anemia.

Regularly drinking alcohol interferes with the removal of uric acid from the body and can increase the risk for developing gout.

Other risk factors include the following:
-Exposure to lead in the environment
-High dietary intake of rich foods that contain purine (e.g., cream sauces, red meat, sardines, liver, scallops)
-Medications that may interfere with the body's ability to remove uric acid (e.g., aspirin, diuretics, levodopa [used to treat Parkinson’s Disease])

Gout usually develops in the joint of the first toe (i.e., the big toe, or hallux). It also can affect the ankle or knee.

Common symptoms of gout include the following:

Touching or moving the toe may be intensely painful and patients often say that having as much as a bed sheet over the toe increases the pain. Symptoms of gout develop quickly (sometimes in 1 day) and typically occur in only one joint at a time. Rarely, symptoms develop in two or three joints simultaneously. If widespread symptoms occur, the condition is probably not gout. If left untreated, gout can damage joints and cause disability.

Prevention is the best defense against gout. Medication (e.g., small doses of NSAIDs, colchicine, allopurinol [Zyloprim®], probenecid) may prevent continued accumulation of uric acid in the joints and further attacks. Avoiding alcohol and rich foods that are high in purine (e.g., scallops, sardines, red meat, sweetbreads, gravy, cream sauces) also may help to prevent the condition.

Other preventative measures include the following:
-Drink plenty of fluids (especially water)
-Exercise regularly
-Maintain a healthy diet and healthy body weight
-See a physician regularly

Call to make an appointment with one of our podiatrists today if you believe you may be suffering from any of these symptoms.

Community Foot Care: 937-322-7607 or 937-426-9500

Thursday, May 27, 2010

EX-PAIN! Exercises

Calf and Foot Strengthening Exercises
Strengthening your calf muscles and foot muscles will prevent plantar fasciitis and other types of heel pain. By strengthening your muscles, your stride when walking will improve and pronation can be corrected.

Stand on a stair with one hand on a wall or railing for support, keeping the toes on the stair and let the heels hang. Gain balance in this position, then slowly lift up onto your toes, then slowly return back to the neutral position. The exercise should be felt in the calf muscles and along the back of the ankle. Slowly lift up onto the toes, then lower the heels back to the original starting position. This exercise should be repeated 10 times up and down for 3 sets, a total of 30 lifts.

Another great trick is to stand on your tip toes and slowly walk forward and backwards taking slow small steps. Stand very tall and keep your hands at your side. Roll your weight onto your tip-toes and lift your heels. Gain balance and see how many 10-12 inch steps you can take forward, resting after about 10 steps (5 on each foot). Then, try and repeat the same exercise but walking backwards.

Plantar Stretch
A great stretch to lengthen the plantar fascia ligament and prevent morning pain is plantar stretch. This stretch is designed to treat and prevent heel pain and plantar fasciitis and when done in the morning alleviates morning pain.

Start with both feet in front of you and bend one leg at the knee. Grab the ball of the foot with one hand over the toes and pull towards your chest. By pulling the ball of the foot and not the just the toes this will create a good stretch along the arch of the foot.

Stretching the plantar fascia ligament will aid in the treatment of plantar fasciitis by developing length in the ligament. Stretch the arch of the foot by taking one hand and pulling the toes back toward the shin for a count of 10. Stretching will alleviate tension along the plantar fascia ligament and prevent the soft tissues of the foot from tightening up.

Hold this stretch on each foot for 15-20 seconds and repeating on both sides 3 times, once a day.

As always, consult with your podiatric physician before attempting these exercises!
Community Foot Care : 937-322-7607 or 937-426-9500

Wednesday, May 26, 2010

Bare Necessities!

For years, going barefoot has seemed alluring. Individuals long to be barefoot on the beach. Additionally, there are runners that prefer to exercise barefoot. Even little children are constantly kicking their shoes off. While going barefoot may be appealing, it also has its risks. Walking or standing without shoes will allow your feet to become more susceptible to heel pain.

No Support

When you are barefoot, your feet have limited support. The fat pad along the sole of your foot becomes the only protection available. This padding guards your plantar fascia. After you walk barefoot on a hard surface for a substantial amount of time, the fat pad might not be effective at protecting the fascia. This could result in inflammation of the fascia, which often leads to heel pain.

Walking On Your Toes

Also, typically when you walk barefoot for an extended period of time, you stop walking normally. The average person initially steps on the ball of their foot. However, after too much time without shoes, you might begin to walk abnormally. In fact, many people begin to walk on their toes. This actually places added stress on the plantar fascia causing more heel pain.

Wear Your Shoes

Because heel pain is so prevalent among individuals that walk barefoot, wearing shoes is important. You need the support that your shoes provide. While there may be times where you will be required to take off your shoes, try to support your feet as much as possible. And make sure that you are wearing shoes that have proper support - not ones that are worn out and old.

The fact of the matter is, whether you suffer from heel pain or not, going barefoot is not recommended, particularly outside. In addition to leaving your feet with a severe lack of support, going barefoot outside exposes your entire foot; it is easy to cause a surface wound (or worse) to your skin. These minor injuries can cause major problems, particularly for diabetic patients who have a more difficult time healing.

Monday, May 24, 2010

Summer Ready Toes!

With summer swiftly approaching, most of us are readily disregarding our bulky boots for convenient and trendy open- toed shoes. The presence of discolored toenails, however, can put a damper on your sunny plans. 

If you notice yellow, discolored, brittle, or thickened toenails, you may be suffering from fungal nails. The medical terms for this type of fungal infection are onychomycosis or tinea unguium. Fungal infections of the nail affect up to 3% of the population, mainly in developed countries.

A fungal nail is an unsightly infection caused by many varying microscopic organisms. Fungi can attack your nails through small cuts in the skin around your nail or through the opening between your nail and nail bed. These organisms thrive in warm, dark, moist environments; the perfect environment provided by your socks and shoes. Although this infection is usually not serious, it can lead to more serious illnesses and issues, particularly if you suffer from a compromised immune system or diabetes. It is also important to note that not every thickened, discolored nail is a fungal infection; therefore, it is important that infections are properly diagnosed and treated by consulting your podiatrist.

Risk Factors for Fungal Nail Infections
-Tight footwear keeps the toes warm and moist; a perfect environment for fungi to grow.
-Communal showers can expose the feet to fungi.
-Diseases that influence the immune system like AIDS and diabetes can make it easier for a fungal infection to start and thrive.

Community Foot Care realizes that with summer here, it's sometimes important to have healthy and pretty toes!  We recommend  Dr.’s Remedy Enriched Nail Polish.

Dr.'s Remedy Enriched Nail Polishes appeal to health-conscious women because it removes the potentially harmful additives found in most commercial nail polishes. The product is created, tested, and prescribed by doctors. This polish lasts as long as polishes containing harmful ingredients but provides numerous advantages. There’s no icky yellow formaldehyde tint left behind, plus it contains anti-fungal ingredients that help protect nails from fungal diseases; making it not only curative, but preventative in the fight against nail infections. With Dr.’s Remedy you can have beautiful and healthy nails! Dr.’s Remedy Enriched Nail Polish comes in 16 beautiful and healthy shades! Please visit to view this product. Once you are at our site, simply click on the Our Doctor Store icon to select products specific to the problem you may have. This product is listed under ‘Fungal Nail Polishes’.

Friday, May 21, 2010

Bummed about Your Bunions?

Even though bunions are a common foot deformity, there are misconceptions about them and many people may unnecessarily suffer the pain of bunions for years before seeking treatment.

A bunion (also referred to as hallux valgus or hallux abducto valgus) is often described as a bump on the side of the big toe, but a bunion is more than that; the visible bump actually reflects changes in the bony framework of the front part of the foot. The big toe leans toward the second toe, rather than pointing straight ahead. This throws the bones out of alignment – producing the bunion’s “bump.”

Bunions are a progressive disorder. They begin with a leaning of the big toe, gradually changing the angle of the bones over the years and slowly producing the characteristic bump, which becomes increasingly prominent. Symptoms usually appear at later stages, although some people never have symptoms.

Bunions are most often caused by an inherited faulty mechanical structure of the foot. It is not the bunion itself that is inherited, but certain foot types that make a person prone to developing a bunion.

Although wearing shoes that crowd the toes won’t actually cause bunions, it sometimes makes the deformity get progressively worse. Symptoms may therefore appear sooner.

Symptoms, which occur at the site of the bunion, may include:
Pain or soreness
Inflammation and redness
A burning sensation
Possible numbness

Symptoms occur most often when wearing shoes that crowd the toes, such as shoes with a tight toe box or high heels. This may explain why women are more likely to have symptoms than men. In addition, spending long periods of time on your feet can aggravate the symptoms of bunions.

Community Foot Care would like you to know that, although surgery is an option available to most, there are many alternatives to bunion treatment depending upon the patient. Please consult your podiatric physician for proper diagnosis and treatment.

Thursday, May 20, 2010

Facts about Flatfoot

Community Foot Care is dedicated to providing not only quality care to our patients, but also quality education. Many of our patients question the causes and symptoms of flat feet. We are happy to provide some facts on the subject. 

You have flatfeet when the arches on the inside of your feet are flattened, allowing your entire foot to touch the floor when you stand up. A flat foot is normal in infants and toddlers, because the foot's arch hasn't yet developed. Most people's arches develop throughout childhood, but some people never develop arches. This is a normal variation in foot type, and people without arches may or may not have problems.

Arches can also fall over time. Years of wear and tear can weaken the posterior tibial tendon, which runs along the inside of your ankle, from above your ankle to your arch.

Factors that can increase your risk of flatfeet include obesity, traumatic injury to your foot or ankle, rheumatoid arthritis and aging.

Flatfeet can sometimes cause problems in your ankles and knees because the condition can force your ankles to turn inward and this throws off the alignment of your legs. If you aren't experiencing any pain, no treatment is usually necessary. However, some people do experience these common symptoms: foot pain (particularly in the heel or arch area), difficulty standing on tiptoe, and/or swelling along the inside of the ankle.

Orthotics are commonly used to treat flatfoot. Orthotics are devices placed in the shoes that are customly fit to your foot. Community Foot Care is happy to supply affordable, efficient, and successful orthotics to our patients. We supply orthotics at all of our locations in the Springfield and Dayton area.

It is important to note that flatfoot is unique to each patient and has many different causes and treatments. Call Community Foot Care, today, for a consultation with our podiatrists in order to receive proper diagnosis and treatment of your podiatric issues.

Springfield: 937-322-7607                   Dayton: 937-426-9500

Wednesday, May 19, 2010

Basic Diabetic Foot Care

According to the American Diabetes Association, about 15.7 million people (5.9 percent of the United States population) have diabetes. Nervous system damage (also called neuropathy) affects about 60 to 70 percent of people with diabetes and is a major complication that may cause diabetics to lose feeling in their feet or hands.

Community Foot Care understands how even minor foot problems are a big risk in diabetics.

With a diabetic foot, a wound as small as a blister from wearing a shoe that's too tight can cause a lot of damage. Diabetes decreases blood flow, so injuries are slow to heal. When your wound is not healing, it's at risk for infection. As a diabetic, your infections spread quickly. If you have diabetes, you should inspect your feet every day.

Here is Community Foot Care’s advice for taking care of your feet:

• Always keep your feet warm.
• Don't get your feet wet in snow or rain.
• Don't put your feet on radiators or in front of the fireplace.
• Don't smoke or sit cross-legged. Both decrease blood supply to your feet.
• Don't soak your feet.
• Don't use antiseptic solutions, drugstore medications, heating pads or sharp instruments on your feet.
• Trim your toenails straight across. Avoid cutting the corners. Use a nail file or emery board. If you find an ingrown toenail, contact our office.
• Use quality lotion to keep the skin of your feet soft and moist, but don't put any lotion between your toes.
• Wash your feet every day with mild soap and warm water.
• Wear loose socks to bed.
• Wear warm socks and shoes in winter.
• When drying your feet, pat each foot with a towel and be careful between your toes.
• Buy shoes that are comfortable without a "breaking in" period.

As a diabetic, it is pertinent you have regular check-ups with your podiatric physician. Please call to schedule your diabetic consultation today with Community Foot Care.

Community Foot Care
Springfield: 937-322-7607
Dayton: 937-426-9500

Tuesday, May 18, 2010

Stuggling to be Light on Your Feet?

At Community Foot Care, we’ve noticed patients from all of our Springfield and Dayton area locations have been calling inquiring about the safety of new lower body toning footwear such as Reebok’s EasyTone sneaker. So, we decided to take a look at the research on these tennis shoes ourselves.

Can you give your muscles a better workout simply by changing your shoes? Reebok claims you can... The new EasyTone walking shoe is a provocative new marketing campaign which allegedly leaves leg and buttock muscles better toned than regular walking shoes; and consumers, including patients of Community Foot Care, are buying it… literally! Officials from Reebok say the EasyTone is the company’s most successful new product in at least five years.

While most athletic shoes offer support and cushioning, the new muscle-activating shoes are engineered to create a sense of instability. Design elements, like curved soles and Reebok’s “balance pods”, are said to force the wearer to engage stabilizing muscles further, supposedly resulting in additional toning for calf and hamstring muscles.

In an era where thin is in, many are trying to find the newest way to lose weight, but the fact of the matter is, unless you have a medical condition – there is no secret. Community Foot Care would like to remind you that an increase your activity and a decrease your caloric intake is the only way. So spend that shoe money on a gym membership, and focus on being healthy and happy! Furthermore, it is important to consult with your podiatrist before wearing these shoes if you have any foot or ankle problems. As each patient is different, some may benefit from this shoe, and some may encumber their podiatric treatment by wearing these shoes.

Call our office today and make an appointment to discuss orthotics, diabetic footwear, or even Rx crocs with your podiatrist!

Community Foot Care
Dr. Thomas, DPM; Dr. Guehl, DPM; Dr. Dotter, DPM

Springfield location:
Centerville, Beavercreek, Vandalia, Dayton’s Linden Ave., or Dayton’s N. Main St. Location:

Monday, May 17, 2010

Mourning Memorial Day Diets?

Being diabetic can be frustrating because, let’s face it, the food that is bad for you is usually the food that is most enjoyable. Community Foot Care understands the challenges our diabetic patients face. The physicians and staff at our six locations in Beavercreek, Vandalia, Centerville, Springfield, and N. Main St. and Linden Ave., Dayton locations understand the pressures you face each day… especially during the holiday gatherings. We would like to remind our patients that your diabetic foot care starts with maintaining healthy glucose levels. Here is a Community Foot Care approved yummy recipe for your Memorial Day enjoyment!


1 cup( (150 g) low fat biscuit and baking mix (70% less fat than regular mix)
1/2 cup (120 ml) low fat buttermilk or skim milk
2 tablespoons (30 g) Spoon One Sugar Replacement
1/2 teaspoon (2.5 ml) vanilla extract 
butter-flavored cooking spray
12 strawberries, cleaned and sliced thin
at free whipped topping

1. Preheat oven to 400° F (200°C), gas mark 6.
2. Place the biscuit mix, milk, sugar substitute and vanilla extract in a bowl. Mix until just combined.
3. Roll out the dough on a flowered board and cut with a 2 3/4-inch (6.7 cm) biscuit cutter into 4 biscuits.
4. Place onto a nonstick cookie sheet which you have coated with cooking spray. Bake about 12 minutes, until nicely browned.
5. To serve, cut each warm biscuit in half and top lower half with three sliced strawberries, saving one slice for garnish. Cover with the top of the biscuit. Place a dollop of whipped topping on top and garnish with reserved strawberry.

Per serving: 146 calories (13% calories from fat), 4 g protein, 2 g total fat (0.6 g saturated fat), 29 g carbohydrates, 1 g dietary fiber, 1 mg cholesterol, 381 mg sodium

Call us for any and all of your diabetic foot care needs!

Springfield: 937-322-7607
Dayton: 937-426-9500

Thursday, May 13, 2010

Death by Pedicure?!

With so many lawsuits connected to deaths, chronic infections and disfigurement from pedicures; you would think the public would be clamoring for reform… Just the opposite, most consumers completely blow off the risks and have the "it won't happen to me" attitude.  Spring Day Spa is taking action to ensure our customers are safe at our Beavercreek, Centerville, and Springfield salon locations.

Approximately $6 Billion dollars are spent on spa related nail care every year, making it a huge industry. A pretty pedicure can be accompanied by a take-home surprise: hepatitis, cutaneous herpes, warts, HIV, bacterial and fungal infections. These can be deadly, especially if the client is diabetic or has a compromised immune system.

A 43-year-old San Jose, California woman had a small cut on her toe that led to her death from a skin infection in 2004. A 46-year-old Ft Worth, Texas mother left the pedicure salon with a small abrasion on her heel from a pumice stone in July 2005 and died of a staph related illness. Her family is still embroiled in a wrongful death lawsuit...

The fact of the matter is that, without proper care, this can happen to anyone. It is important you have nail work done at a salon that is educated and serious about the safety of their clients. Our Beavercreek, Springfield, and Centerville salons are medical grade, using autoclaves to sterilize instruments between each client. Spring Day Spa's Nail Technician is licensed and experienced, as well as trained and supervised by our physicians. Take your nail care seriously, as it very well can turn into a life or death situation!

For an appointment or more information, please contact us! Your SAFETY and happiness is our main priority!

Spring Day Spa
Springfield: 937-688-4381
Beavercreek or Centerville: 937-242-7001

Thursday, March 18, 2010


Losing weight is hard! Everyone has their own way of losing the winter bulge; there are a few things to remember in your personal regimen. Attitude is everything! If you tell yourself you are only working out until you lose the weight, it will never stay off. To keep the weight off, remember to stick with it and be consistent. Eating habits must change too. Substitute your burger for a nice salad, and limit the dressing. Spend time planning meals and research the nutritional value of those meals. Put yourself on a daily routine, the weight will not come off over night, but give it time. Stick with it! Once it is off, it will stay off!

Tuesday, March 9, 2010

Get something for your Referrals!!!

Community Foot Care values our patients; we also value your referrals. To show our patients how much we value your referrals, we are giving away Lottery Tickets.
When you refer a patient be sure to have them tell us that you referred them. Patients should be sure that their information is current, because you will receive a Lottery Ticket in the mail. We will send you a lottery ticket for every patient referred. For every 5th patient referred, we will send a gift card.
• All patients must be seen in the office to be considered a referral.
• All patients must mention the name of the person who referred them (if you have a popular name, e.g. John Smith, be sure your friends know what street you live on or your middle initial) when they call.

Remember to refer all your friends and family and we will send you free gifts just for your word of mouth!

Friday, January 29, 2010

Valentine’s Day Special Diabetic Recipe

Things you will need:
Vegetable Cooking Spray
¾ cup unbleached all-purpose four
½ cup natural cocoa powder
1 teaspoon Baking Powder
½ teaspoon baking soda
1 Banana, (3 ½ ounces after peeling)
6 tablespoons light brown sugar
6 tablespoons brown sugar substitute
½ cup unsweetened apple juice
1 teaspoon pure vanilla extract
½ teaspoon chocolate extract
4 large egg whites, at room temperature
½ teaspoon salt
¼ cup chocolate chips
1 heart shaped cookie cutter

Instructions for cooking:
1. Preheat oven to 350°F (180°C). Lightly coat a 8-inch (20 cm) square baking pan with cooking spray. In a bowl, combine the flour, cocoa, baking powder, and baking soda.
2. In a blender or food processor, combine the banana, brown sugar, apple juice, and vanilla and chocolate extracts; process until smooth. Using a rubber spatula, fold into the dry ingredients.
3. In the bowl of an electric mixer set on medium-high speed, beat the egg whites and salt until foamy. Increase the speed to high and beat until soft peaks form. Fold half of the egg whites into the batter. When incorporated, fold in remaining whites just until incorporated. (There may be a few specks of white still showing.)
4. Scrape into the pan and spread evenly. Bake in center of oven for 30 to 35 minutes, until brownie springs back when gently pressed in the center. Cool in the pan on a rack.
5. Use heart shaped cookie cutter, cut into 12 hearts. Heat chocolate chips in a 2-cup 480 ml) glass measuring cup in the microwave for about 30 seconds. Stir until chocolate is melted. Drizzle a little of the chocolate over each brownie. If desired, finish with red sprinkles.

Tuesday, January 19, 2010

ICE!?! Be safe on the ice..

It's a winter wonderland outside and although it is beautiful, it can be dangerous when ice is present. Many times, people fall on the ice and did not even know it was there. Falling can result in sprain, strains and more seriously broken bones. Here are a few tips to avoid injury from falling this winter:
*Wear comfortable shoes with a rubber or non-skid sole.
Although "fancy" shoes look nice, it is important to wear a shoe that gives you traction and keeps you steady on your feet.
*Pay attention to your surroundings.
When walking outside this winter, pay attention to uneven ground and obstacles that may get in your way.
*Keep areas outside of your house well lit.
Use outdoor lights to improve your vision while getting and out of your car or home, especially if steps are present.
*Slow down!
Take your time when walking in winter weather. If you are rushing, you may fail to see patches of ice. Also, walking at faster speeds may increase the likelihood of falling.
*Stay strong and flexible
It is important to perform regular physical activity to maintain the strength and flexibility you need to avoid injuries. If you currently exercise, keep it up. If you do not currently perform regular physical activity and are interested in obtaining instruction in an individualized exercise program, please call for an appointment with one of our physical therapists.
If you are experiencing unsteadiness or have fallen in the past, you should with a physical therapist to improve balance, strength, flexibility and coordination. Don't wait until you fall and get injured! Call for an appointment today!!

Wednesday, January 13, 2010

Safety in the Snow

Winter has arrived and it is now time to find our boots and hats as well as our snow shovels in order to deal with that cold, white stuff! This time of year can be especially hard on our back and neck due to snow removal activities. Here are a few tips to keep in mind to minimize stress on your back and neck when dealing with the snow:

Take rest breaks
Shoveling or using a snow blower can be a tiring activity so if you give your body a short 2 minute break about every 15 minutes, it will go a long way. When resting, stand up straight or walk around to give your back a break.

Wait until the afternoon to shovel if possible
By waiting until the afternoon, it allows time for the fluid pressure inside the discs in your spine to increase which will lower your risk of injury.

Try not to bend over
Think as though there is a pole starting at your head and extending to your pelvis that doesn’t allow your back to curl forward. If you have to bend forward, bend at your waist and knees and keep your back straight. Everytime you allow your back to bend, it increases the stress by 10 times. So, if you are lifting 5 pounds of snow and you allow your back to curl forward, your back feels like it’s lifting 50 pounds!
Keep your loads as light as possible
This will decrease the work load on your body and allow you to work longer. Remember to bend your knees and lift with your legs rather than your back.

Avoid twisting your back
When you repetitively twist your spine, it puts you at risk for a serious back injury. Try to step in the direction in which you are throwing the snow in order to avoid twisting your trunk.

Ask for help
This may not always be an option, but if it is, do not be afraid to ask. You could be saving yourself a lot of pain and suffering by simply asking for help.

If you do encounter low back or neck pain, or any other aches and pains from the winter weather, our physical therapists can help you feel better. Please call to make your appointment so we can help you with your pain as soon as possible.

Wednesday, January 6, 2010

Community Physical Therapy Specialists

Community Physical Therapy Specialists is now open for physical therapy. Physical therapy will be in the Centerville, Beavercreek and Springfield offices. Community Physical Therapy Specialists includes all physical therapy regimens, as well as podiatric services.
Treatment prescriptions include: Gait training, joint mobilization, Progressive desensitization, activities of daily living, orthopedic appliance, prophylactic strapping, TMJ rehabilitation, and work hardening/ strengthening.
Exercise programs include: progressive resistance strengthening, back flexion exercises, knee rehabilitation, shoulder rehabilitation, patella-femoral rehab, and scapular stabilization.
Podiatry services are similar to the general physical therapy, they are more specifically geared to the foot and ankle.
Community Foot Care will be referring patients and overseeing their progress personally, all podiatrists are welcome to refer patients, we will be reporting to referring physicians, just as we do in regular clinic.
Community Physical Therapy Associates has two physical therapists on staff, Tarah Barrios and Scott Pritt. For information call 937-426-9500 or 937-322-7607. Visit