New Year, New Look

  • By Ruth Ann Cooper
  • 13 Jun, 2016

My office was remodeled the last week of January and we are very happy with the results. Although I have been in practice for over twenty-six years, I have been at my present location since 2000 so it was time for an update.

In 1989, I joined Tri-State Podiatric Surgical Association and worked there until I opened my solo practice in 1994. It consisted of two exam rooms and much of the space served more than one purpose. I had one medical assistant, one receptionist, a billing specialist and a part time office manager. There were no co-pays and very few plans with deductibles. The doctor/patient relationship was still sacred with little to no interference from health insurance companies and government regulations. I worked very hard to build my practice. Within a few years, I knew I needed a larger office.

2000 was the year I opened my present office adjacent to what was then called The Surgery Center of Cincinnati. The surgery center is now owned by Mercy Health. Nearly all health insurance plans have co-pays, co-insurance and/or high deductibles. I have two receptionists, two medical assistants, a scribe, two billing specialists and a business manager. We are heavily regulated and routinely have to battle with health insurance carriers to get paid for our work. Nearly everything we do is digital and there are always challenges with electronic medical records and software updates. It is a dynamic industry.

However, I still love the work I do to keep my patients on their feet, active and healthy. My staff is professional and does great work and my patients are some of the best people I know. Therefore, I have remodeled my office, updated my website and practice management software, and continue to move forward with the constantly evolving health care industry. Although my scalpel is still my primary tool, I now perform much of my work with lasers, ultrasound, shockwave therapy and platelet-rich plasma injections. This new technology excites me about the future of medicine. These non-invasive procedures are providing better outcomes for my patients with far less risk than traditional invasive procedures and medications.

What keeps me passionate about being a foot and ankle specialist, is the healing relationships I cultivate with my patients and seeing them return to active and healthy lifestyles. I feel I have fulfilled my calling by becoming a healer of the foot and ankle. I wish to thank each of you who have trusted me with your healthcare.

Dr. Ruth Ann Cooper

By Ruth Ann Cooper 05 Jan, 2018

Most Americans will have walked 75,000 miles by the time they turn 50 years of age according to the American Podiatric Medical Association (APMA). Is it little wonder, then, that foot pain affects daily activities- walking, exercising or standing for long periods of time- of a majority of Americans?

 

APMA offers advice for keeping feet healthy in common winter scenarios:

Winter is skiing and snowboarding season, activities enjoyed by nearly 10 million Americans, according to the National Ski Areas Association. Never ski or snowboard in footwear other than ski boots specifically designed for that purpose. Make sure your boots fit properly; you should be able to wiggle your toes, but the boot should immobilize your heel, instep and ball of your foot. You can use orthotics (foot devices that go inside shoes) to help control the foot’s movement inside ski boots or ice skates.

Committed runners don’t need to let the cold stop them. A variety of warm, lightweight, moisture-wicking active wear available at most running or sporting goods stores helps ensure runners stay warm and dry in bitter temperatures. However, some runners may compensate for icy conditions by altering how their foot strikes the ground. Instead of changing your footstrike pattern, shorten your stride to help maintain stability. And remember, it’s more important than ever to stretch before your run. Cold weather can make you less flexible in winter than you are in summer, so it is important to warm muscles before running.

Boots are must-have footwear in winter climates, especially when dealing with precipitation. Between the waterproof material of the boots and the warm socks you wear to keep toes toasty, you may find your feet sweat a lot. Damp, sweaty feet can chill more easily and are more susceptible to bacterial infections. To keep feet clean and dry, consider using foot powder inside socks and incorporating extra foot baths into your foot-care regimen this winter.

Be size smart. It may be tempting to buy pricey specialty footwear (like winter boots or ski boots) for children in a slightly larger size, thinking they’ll be able to get two seasons of wear out of them. But unlike coats that children can grow into, footwear needs to fit properly right away. Properly fitted skates and boots can help prevent blisters, chafing and ankle or foot injuries. Likewise, if socks are too small, they can force toes to bunch together and that friction can cause painful blisters or corns.

 

Finally- and although this one seems like it should go without saying, it bears spelling out- do not try to tip-toe through winter snow, ice and temperatures in summer footwear.

 

MORE THAN ONE NEWS SHOE ACROSS THE COUNTRY HAS AIRED IMAGES OF PEOPLE IN SNEAKERS, SANDALS AND EVEN FLIP-FLOPS DURING OUR CURRENT SEVERE COLD SNAP. EXPOSING FEET TO EXTREME TEMPERATURES MEANS RISKING FROSTBITE AND INJURY. CHOOSE WINTER FOOTWEAR THAT WILL KEEP YOUR FEET WARM, DRY AND WELL-SUPPORTED.

By Ruth Ann Cooper 14 Dec, 2017

Women’s winter boots with high, spiked heels and narrow, pointed toes may seem like the epitome of haute couture but these boots can make feet and ankles unstable on snow and ice covered surfaces.

Falls from high-heeled winter boots can lead to a number of injuries depending on how you lose your balance. If your ankles roll inward or outward, they can break. If your ankles twist, ligaments can be stretched or torn, causing an ankle sprain. Slipping or falling in high-heeled boots can also cause broken toe, metatarsal and heel bones.

Shop for a low-heeled boot this winter and be sure to scuff the soles of new boots or buy adhesive rubber soles to provide greater traction.

No matter what style of boot you decide to wear this season, if you suffer a fall in Cincinnati or Southwest Ohio, call my office for prompt evaluation and treatment and follow the RICE (Rest, Ice, Compression, Elevation) protocol:

REST. Stay off the injured foot since walking can cause further damage.

ICE. To reduce swelling and pain, apply a bag of ice over a thin towel to the affected area. Do not put ice directly against the skin. Use ice for 20 minutes and then wait at least 40 minutes before icing again.

COMPRESSION. An elastic wrap (Coban) should be used to control swelling.

ELEVATION. Keep the foot elevated to reduce the swelling. Your foot should be even with or slightly above the level of your heart.

By Ruth Ann Cooper 22 Nov, 2017

1.       If the shoe fits, wear it. When hitting the dance floor or shopping malls this holiday season, do not compromise comfort and safety when choosing the right shoes to wear. Narrow shoes, overly high-heeled ones or shoes not often worn, such as dress shoes, can irritate feet and lead to blisters, calluses, swelling and even severe ankle injuries. Select a shoe that has a low heel and fits your foot in length, depth and width while you are standing.

2.       Do not overindulge in holiday cheer.   Did you know your feet can feel the effects of too much holiday cheer? Certain foods and beverages high in purines, such as shellfish, red meat, red wine and beer can trigger extremely painful gout attacks, a condition in which uric acid accumulates and crystallizes in and around your joints. The big toe is most often affected first since the toe is the coolest part of the body, and uric acid is sensitive to temperature change.

3.       Be safety - conscious about pedicures. Nail salons can be a breeding ground for bacteria, including MRSA. To reduce your risk of infection during a pedicure, choose a salon that follows proper sanitation practices and is licensed by the state. Also, consider purchasing your own pedicure instruments to bring along to your appointment.

4.       Watch for ice and snow . Holiday winter wonderlands can be beautiful but also dangerous. Use caution when traveling outdoors and watch for patches of ice or snow along your trail. The ankle joint can be more vulnerable to serious injury from falling on ice. If you experience a fall, take a break from activities until you can be seen in my office. Use RICE therapy (Rest, Ice, Compression and Elevation) to help reduce pain and control swelling at the site of the injury.

5.       Protect your feet from cold temperatures . Wear insulated, water-resistant boots and moisture-wicking socks to prevent frostbite, chilblains-an inflammation of the small blood vessels in the hands or feet when they are exposed to cold air- or other cold weather-related injuries to the feet and toes.

6.       Listen to your feet . Inspect your feet regularly for any evidence of ingrown toenails, swelling, blisters, dry skin or calluses. If you notice any pain, swelling or signs of problems, call my wonderful office staff to make an appointment to see me.

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