By Nikki Ho, DPM
June 28, 2018
Category: Health
Tags: Frederick   podiatrist   Health   Feet   gout   maryland   food   Healthy   Diet  

Perhaps the last thing on your mind when you’re digging into a delicious meal is your feet, but did you know that what you eat directly effects not only your overall health, but the health of your feet? A well-balanced diet can mean a world of difference when it comes to wound healing, nerve health, and overall comfort. If you’re a diabetic, you’re no stranger to paying attention to what you eat when it comes to keeping your feet on the right path, but everyone’s feet can benefit from a balanced diet and proper portions to keep them moving.

If you’ve ever googled “big toe pain,” it’s likely you’ve seen a variety of information on gout. This condition is caused by a build up of uric acid in the joint, and commonly causes pain, redness, and swelling of the big toe. Although it is usually localized to the lower extremities, gout can affect any of the joints. Luckily, this condition can usually be treated or warded off all together with a proper diet consisting of avoiding red meat, caffeine, seafood, and alcohol. I’m sure you’re asking yourself what else there is to eat and the answer is FRUITS AND VEGGIES!

These healthy treats will also come in handy when it comes to healing. Wounds and bones alike crave a balanced diet complete with protein, calcium, and vitamin D to help your body absorb everything. The good news is that a reliable source of all 3 of these is CHEESE! Hard cheeses are high in calcium and protein, but be wary of indulging too much, as cheese is high in sodium which can negatively impact your blood pressure if over-consumed. Leafy greens are also a wonderful source of vitamin D and iron, so reaching for spinach, kale, or collard greens is always a good move.

One of the concerns I hear of most from patients is how to address their foot and leg cramping. Many patients are plagued by these dreaded contractures at least once in their life, and, depending on the severity of the cramp, muscles can be torn or strained during the cramping which cause longer-lasting aches and pains. The two main deterrent’s of cramping are water and potassium. Although you normally hear about bananas being the best source of calcium, the high amount of sugar makes them better for a pre or post workout snack. Both avocados and coconut water have about as much potassium as bananas with less than half the sugar.

As always, if you need help regulating your diet or tending to an issue in the foot or ankle, Frederick Foot & Ankle has your back! Our physicians are happy to discuss preventative care options with you and help guide your new diet, so you can start off on the right foot.

By Brenna Steinberg, DPM
June 20, 2018
Category: Summer
Tags: podiatrist   Fungus   Warts   Barefoot   Sandals   Feet   summer   Beach  


    The summer brings us sunshine and warmer days suitable for a range of fun to be had in the sun, but no pastime is more popular than the annual trip to the beach! While you kick back and put your feet up to enjoy the sights and sounds, there are some foot-related hazards you should keep in the back of your mind. We all know the laughing stock of the beach - the patron wearing his shoes and sandals in the sand. Yuck, right? They actually may be onto something.

            Barefoot walking is something I am constantly advising patients against, but the beach just isn’t the same without the sand in your toes for most of us. That being said, the risk or fungus, warts, and foreign objects lie hidden to us until they become a problem!

            Foreign objects are one of the main concerns on the beach. Although the patrol officers do their best daily to sweep the sand and clear away any garbage or imperfections that could inhibit a beach-goers good time, sharp objects such as sticks, garbage, or shells can make their way to the surface during heavy traffic times and pose danger to our barefoot fun. The best way to avoid these would be to wear some sort of foot wear, such as a sandal, that will provide some barrier to what lies beneath, and staying vigilant is always key during any galavanting. Sandals can also prevent the hot sand from burning the bottoms of your feet, which can ruin a vacation just as quickly.

            We can’t see fungus or warts no matter how vigilant we are, unfortunately. These hidden little monsters favor warm, moist environments and are contagious if they’ve hitched a ride into to town on the feet of other patrons. While this won’t be an issue as much in the sand and surf itself, the areas around the beach, such as the pool deck and the foot rinse area outside most hotels, can be a perfect breeding ground for harmful microbes. The best way to avoid these troubling microbes again is, you guessed it, shoes! Your shoes will keep the barrier between the germs and your skin, and you won’t have to take the time to rinse them off separately - score!

            Whether you’re venturing to the east or the west coast, always remember to wear sunscreen as well. Many travelers forget to protect the thin, sensitive skin around the top of the foot and end up with dry, peeling skin. Broken or damaged skin will leave you much more susceptible to germs and other hazards, too. If you run into trouble on your next summer adventure, remember Frederick Foot & Ankle has hours Monday-Saturday to keep you moving!

By Sraddha Lamichhane, DPM
June 13, 2018
Category: Interview
Tags: Frederick   podiatrist   maryland   School   Interview   Education  

At Frederick Foot & Ankle we are so proud of our employees. We understand that for some employees the podiatrist office it is just a stepping stone to another destination, and we are happy to be a part of their journey. But there are a few where podiatry becomes their chosen profession. We are happy to announce that our medical scribe, Nicole C., will be attending podiatry school in the fall! 

Before Nicole leaves us Dr. Lamichhane had a few questions for her.   

Dr. Lamichhane: Nicole, what brought you to Frederick? 

Nicole: I grew up in New Jersey and I moved to Maryland for college. While studying at Hood College I fell in love with Frederick and decided to stay after graduation. I enjoy experiencing all that downtown Frederick has to offer and finding new places to visit within Maryland and the surrounding areas. My newest obsession is attending ‘Escape Rooms’ with my friends. You find your way out of an ‘Escape Rooms’ by solving a series of puzzles or riddles with your friends. Check out SureLocked Escape Rooms!

Dr. Lamichhane: Why podiatry? 

Nicole: Originally, I applied for the job to get patient care hours for physician assistant school. At the time I applied I never thought this job would have such an impact on my life. Before working at Frederick Foot & Ankle, I never knew what being a podiatrist entailed. I am so thankful for my job and all the opportunities it has offered me.

Dr. Lamichhane: There are many different paths you can take in medicine, what made you decide that this was the medical field for you?

Nicole: Personally, I think podiatry is the best kept secret in the medical field. When people are not able to get around comfortably it really hinders their life, and everyday we live out the Frederick Foot & Ankle motto “We Keep You Moving.” You can tell a lot about a person’s health by evaluating their feet. From feet a trained professional can evaluate your circulation, skin condition, muscle strength, nervous system, and more. After an evaluation a specialist can get people on the right track to living a healthier life. Now I see that a visit to the podiatrist can uncover and solve many lower extremity issues and can be life changing.

Dr. Lamichhane: What surprising skill did you learn from Frederick Foot & Ankle?

Nicole: Initially I was a very shy and quiet employee, but patient care has brought out a more assertive side of myself. I am no longer afraid to speak up. It turns out, I am more of a leader than I thought I was.

Dr. Lamichhane: What will you miss most?

Nicole: I will miss the Frederick Community. It has been a huge part of who I have become and it is going to be hard leaving Frederick. In addition to Frederick Foot & Ankle and the community that I have grown to love I will also miss my second job. On Sundays I am Nursery Supervisor for young children, and it will be so hard saying good bye after watching them grow-up over the last five years.

Dr. Lamichhane: What was the process like applying to podiatry school?

Taking the Medial College Admissions Test (MCAT) was the hardest part. The common application was simple to figure out and made it easy to apply to multiple schools. Writing the essay was a breeze, I just spoke a defining moment at work that made me realize this was the career path for me. Overall, when you are passionate about something it makes the process seem easier.

Dr. Lamichhane: And for one fun question ... if you were an app on a phone, which one would you be and why?

I feel like I would be the clock app particularly the alarm because I am always up before my alarm and I always make sure everyone else is up on time.

By Isaac Neequaye
June 07, 2018
Tags: Washington DC   Stanley Cup   Injury   achilles   Hockey   Sports  

Playoff season for the NHL is upon us and it is no secret that fans in our area are beyond excited as our very own Washington Capitals continue their race to the Stanley Cup. While we watch history in the making begin to unfold, the thought of foot and ankle injuries always plague the back of my mind. Hockey is universally known as one of the more aggressive high-impact sports, and no one knows that better than the doctors and athletic trainers who treat these players.

At Frederick Foot & Ankle, we’ve treated hockey players of all ages. It may come as no surprise that we see injuries on all areas of the foot and ankle from this sport, but aside from the obvious breaks and strains that come along with any high impact sport, we see an incredible amount of repeated use injuries. These injuries are caused by redundant movements on specific areas of the body that wear on players until they have pain that they can no longer ignore.

One of the most common injuries is Achilles tendonitis, which we see in not just our hockey players, but anyone ranging from runners and athletes to business men and women. The Achilles connects the calf muscle to the heel bone and has been known to cause soreness in the back of the heel that can range anywhere to mild aches in the morning that are relieved by walking throughout the day, to debilitating pain that causes issues with a patient’s gait. If not treated in a timely manner, Achilles tendonitis can increase the risk of an Achilles tear, which is a much more severe injury that can require surgery. Luckily, we offer a range of conservative treatment options for patients which allow us to address the underlying inflammation and relieve pain so that players aren’t slowed down.

Another incredibly common injury among athlete’s that affects the foot and ankle in surprising ways would be injuries to the back such as herniated disks or nerve impingement. The sciatic nerve runs along the spine and controls sensations all the way down to the foot. These types of injuries could cause sharp, shooting pains as well as numbness and the sensation of pins and needles in the lower extremities. Because of the nature of these pains, we see patients who have acquired these types of injuries a great deal. Our doctors will evaluate the signs and symptoms of the patients and may order an MRI to get a clear picture of the spinal column and, based on the results of the study, can then refer patients to a specialist to have the problem addressed at the source instead of masking the symptoms.

As we continue to watch the Capitals go above and beyond to win the title of Stanley Cup Champions, I’d recommend that our own aspiring hockey stars continue preventative care at home and on the ice. Stretching, wearing proper padding and safety gear, and tending to minor injuries such as blisters at the time they occur can be the difference between a season-ending injury and a minor blip on a player’s radar. If a trauma or repeated-use injury should try to ruin your season, be sure to schedule a trip to a board-certified podiatrist. At Frederick Foot & Ankle, we treat an enormous range of injuries below the knee to keep our patients moving. Let’s Go Caps!

Maryland school for the Deaf (MSD) was established in Frederick in 1868 and opened its doors to 34 students. The school was initially housed in the Hessian Barracks, these stone buildings were erected during the revolutionary war by the British mercenaries.  Today there are over 14 buildings on MSD’s Frederick campus with a 500 plus student enrollment.

In the 1970’s Maryland needed additional seats to accommodate the increasing enrollment rate of deaf students. In response to the influx of students a satellite campus in Columbia was opened in 1973. Currently, the Columbia campus is in operation with 155 pupils ranging from elementary to middle school aged children.  

MSD’s Frederick campus hosts deaf and hard-of-hearing students Kindergarten through 12th grade, tuition free. MSD attendees come during the day for class or they can reside on the campus in the dormitories through-out the week. Students learn directly from staff through American Sign Language (ASL) instructors, as opposed to learning through an interpreter.  The school has many resources available to the students on campus including; after school activities, lounges, and athletics. Additionally, the campus is adjacent to historic downtown Frederick where there are many educational and entertainment outlets to choose from.

MSD is an integral part of the Frederick community and we love to see patients that attend this very notable establishment. The school’s mission statement is worth mentioning as it clearly lays out the institutions goals as “a diverse, bilingual community, in partnership with families, provides an equitable and exemplary education in a nurturing, engaging, and challenging environment to ensure our students achieve personal excellence and become responsible lifelong learners”

If you would like to be seen for your foot and ankle concerns and need an ASL interpreter, please contact us through the following link and mention your request in the comments section. We hope to meet the podiatric needs of all the members in our community!

“I Love You” is signed above by our Front Desk Coordinator, Hannah K.

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