Our good friend and scribe Mimi has recently departed for podiatry school in Philadelphia. Mimi will be attending Temple University where she will spend four years studying podiatric medicine. Dr. Lamichhane wanted to ask Mimi a few questions about being a new podiatry student, hopefully giving some of our follwers some direction if considering a path in medicine.
Dr. Lamichhane: What sparked you’re interested in the medical field?
Mimi: I’ve wanted to be a doctor/surgeon for as long as I can remember. I always wanted to help people, and I knew the best way I could do that was by becoming a doctor. I always admired the providers I had growing up and the knowledge that they conveyed.
Dr. Lamichhane: Out of all the fields in medicine why did you finally decide on podiatry?
Mimi: Throughout my collegiate years, I never in a million years would have thought I wanted to work with feet. My journey initially started when my fellow friend and future classmate became a scribe at Frederick Foot and Ankle. She introduced me to the field of podiatry, and I essentially took over her position as a scribe when she left for school. After shadowing and watching surgery for the first time, I knew right there that this was what I could see myself doing. Over the past year while working at FFA, I learned so much from all of the doctors and I was able to see patients’ progress despite having a multitude of issues. Seeing the impact an office visit has on our patients made me confident in persuing a career in podiatry.
Dr. Lamichhane: What surprised you about Podiatric Medical School when you arrived?
Mimi: The amount of studying in podiatry school is way beyond what was needed when getting and undergraduate degree. Most of your day when in podiatry school revolves around studying and going class. You really have to love what you do and want to be here in podiatry school to devote 4 years of intense studying.
Dr. Lamichhane: What advice would you give to others looking to apply to podiatry school?
Mimi: I would tell them that this is a great field to go into but to be 100% certain that this is what they want to do, because it is rigorous. Some podiatry school canidates do not realize the amount of work that is required to be in school and that you actually do study the entire human body, not just feet and ankles. Just be ready to have fun and work hard.
Dr. Lamichhane: You had to move to a Philadelphia for school, what is your favorite thing about living in the City of Brotherly Love?
Mimi: I have always felt that Philadelphia was a very live city, always something to do and see. To be honest I am mainly excited for the food! Not only is Philadelphia known for the cheese steaks but all sorts of other dishes and dining experiences.
Dr. Lamichhane: I know you have not been away from us for too long but what do you miss most about Frederick Foot & Ankle?
Mimi: I really miss the staff. The doctors have been such wonderful mentors for me and giving me alot of advice about school and becoming a podiatrist. At Frederick Foot & Ankle I felt that the work environment was enjoyable and easy-going. The people I worked with became my friends outside of the office as well and it makes it hard to leave, but I am excited to start school in a new city.
Dr. Lamichhane: After four years in school and you become a Doctor of Podiatric Medicine, what type of doctor do you want your patients to see you as?
Mimi: I hope they will know how genuine I am in caring for them and helping them in the best way possible. Having a strong doctor-patient relationship is important so that your patients trust that that you will make the best medical decisions for them.
Dr. Lamichhane: And finally, for a fun question, what super power would you like to have and why?
Mimi: I want the power to heal people. Hopefully I can aim towards that once I’m a doctor. When people are in pain it changes their whole day; they tend to do less, they become less interactive with others, and overall have a more negative outlook on their day. I want people to be pain free so they can be the best version of themselves.
Frederick Foot & Ankle would like to wish Mimi luck in her future endevours at school, we are so proud of her !
Warts are non-cancerous skin growths that can show-up on any part of your skin. Warts are rough, bumpy, lesions that are often painful with pressure. Blood vessels appear in the lesion and they look like small Blacks dots. Plantar warts are specifically the warts that are found on the bottom of your feet, they become flat from the continued pressure.
Warts are caused by HPV (human papillomavirus), the virus can be picked up from infected surfaces (like shoes or shower floors) or directly from another individual that is infected. An individual with the virus can begin to infect different locations on their body, HPV travels more effectively on perspiring skin and a drying agent can be used to decrease the ease of motility.
Those with weakened immune system are more susceptible to the virus but it can also be contracted by a healthy individual. The virus is more commonly seen on children because they tend to be more active without shoes and less hygienic, increasing their chances of being exposed to the virus.
At Frederick Foot & Ankle treatment starts with an office visit. The podiatrist will remove part of the lesion in question and sent it to the laboratory for a confirmation. Treatment will begin by removing the top layer with a blade and then trichloric acetic acid is placed on the site to remove and kill the virus infecting the skin cells, this process is normally only mildly uncomfortable. The area is then covered for protection.
Between office visits it is the patient’s responsibility to continue to treat of the plantar wart. A wart pack can be purchased from the office which includes all the necessary products to quickly treat the infection. The wart pack includes: wart medication, a drying agent, a pumi stone, and bandages.
The amount of time it takes to rid the skin of the virus depends on the initial size of the wart and the compliance of the patient treating the area at home.
If you have a questionable lesion below your knee let the podiatrists at Frederick Foot & Ankle evaluate and treat it for you.
If you haven’t heard about all that events that are put on in Downtown Frederick then you need to book mark http://www.downtownfrederick.org/calendar. Here you can find all the happenings that are hosted in Downtown Frederick; First Saturday Events, parades, workout classes, and concerts.
Recently Frederick Foot & Ankle Management took a much-needed time-out at Alive @ Five. Alive @ Five is Frederick’s outdoor summer concert series that features different local entertainers each Thursday at the beautiful Carrol Creek Amphitheater. The talent performances ranges from Funk to Reggae to Blues and Acoustic Rock. In addition to the outdoor ambience the $5 admission covers drinks and food provided by the local vendors. Well behaved furry friends are welcome but human guests must be 21 years of age or older.
It amazes me how much Carroll Creek Park has grown up. In the 1970s the creek was put in to save downtown Frederick from flooding and the practical water management feature was solely pragmatic with little emphasis on aesthetics. After Downtown Frederick realized the creeks potential the park blossomed into a hot spot for Frederick County residents. Now the park can boast about its multiple water enhancements, vegetation, bridges, and outdoor art work. The creek has become a place to enjoy the local cuisine, go for a walk, and enjoy the popular events that grace the linear park.
Frederick Foot & Ankle feels so lucky to thrive in such a great community that invests in the quality of life for the surrounding population.
What is the Piriformis?
Piriformis is a small muscle in the deep gluteal region that helps with lateral rotation of the lower extremity. The muscle originates on the sacrum and inserts on the femur. The movement of this muscle is important in walking and running. The sciatic nerve runs behind the piriformis and continues from the glute to the leg to supply feeling and sensation.
When damage happens to the piriformis by overuse or trauma it can cause deep gluteal muscle pain at the sight of the piriformis but more frequently it will cause piriformis syndrome. The piriformis can compress the sciatic due to the proximity of the two structures. In some instances, it has been seen that the sciatic nerve runs through the piriformis muscle.
Signs and symptoms
When the sciatic nerve gets compressed the patient experiences; numbness, tingling, and a dull pain starting in the buttocks and sometimes ending in the lower calf or foot.
Piriformis syndrome can normally be diagnosed from a patient’s physical and history of the pain. To rule out other causes of the sciatic pain MRI imaging can be performed, but not always necessary.
Rest – to allow for the piriformis muscle to heal and swelling to decrease
Stretching and range of motion exercises – reduce pressure on the nerve
Massage – to release the muscle spasm
Ice/heat – to decrease swelling and increase circulation
With proper treatment piriformis syndrome will subside in about 4 weeks. Regular stretching can delay the onset of Piriformis Syndrome from returning.
Illustration credit: http://dailyvitamoves.com/sciatic-nerve-pain-relief-releasing-tight-piriformis/
One particular ailment that is seen on a regular basis from my patients is dry feet. It is unfortunate that such an easily solved condition still manages to plague so many toes, heels, arches, and ankles. Not only does dry skin feel uncomfortable but can lead to cracks in the skin. Why do I care about dry skin that end up with cracks? Not only do patients complain about the unsightliness of their xerotic lower limbs but the cracks are a break down in the skin, and skin is your first barrier against infection. Once the pathogens pass the open skin barrier it has an easier time making a home and causing more chaos, in the form of infected wounds.
First, remove the buildup of excess skin on your heels, and other high-pressure areas. This can be accomplished simply by using a cream with a mild emollient. A common skin softener found in moisturizers is urea. Only use the urea on the tough thick areas of your skin. In our office, we carry a range of moisturizers but one for corns and calluses that has a higher concentration of urea than other drug store brands.
A pumice stone can be used in conjunction with the urea cream. Select a pumice bar with medium coarseness, one that is too rough might cause more damage to your feet. It is best to use the pumice stone after taking a shower, or the day following urea cream use because this is when your skin is the most supple.
Finally, use a good moisturizer and use it regularly. Moisturizer does not need to bear a fancy name or an exotic scent to be effective, most basic moisturizers do the trick. Often lotions with fragrances are the source of skin irritation. Look for moisturizers with as many of the following ingredients; jojoba, ceramides, glycerin, and hyaluronic acid. The best time to moisturize is right after a shower. Once the lotion is on your feet cover with socks to hold the moisture. For socks that even assist with moisturizing the feet, ask any Frederick Foot & Ankle employee to show you the Moisturizing Gel Socks, sold in the My New Feet store.
If the thickness of your calluses is no match for a pumice stone and you need professional help the podiatrists at Fredrick Foot & Ankle are a prime resource. As podiatrists, we are all trained to recommend the best foot products for you and can even skillfully remove any hard thickened skin from your feet and toes. With a little extra effort, your feet will thank you and you will be ready for sandal weather.
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