• Foot Care
• Ankle Care
• Diabetic Shoe Fitting
• Management of the Diabetic Foot
• Ultrasound-Diagnostic and guided injections
• X-Rays-in all offices
• Same Day Orthotics
• Ingrown Nail Surgery
• Wart Treatment and Surgery
• Injections
• Biopsies
• Products
• Lower Extremity Circulation Testing
• Diabetic Foot Examination (Medicare Guidelines)

Same Day Custom Orthotics-Satisfaction 100% Guaranteed

With so many options to choose from for extra support in your shoe gear, we offer the same day custom molded shoe orthotic. They are JM custom orthotics and require only 10-15 minutes of your time to have a custom, rigid support for your arches. They cost $80.00, and we guarantee a 100% refund if you are not completely satisfied with them. Traditional orthotics are typically $300-400 and require a 2-3 week waiting period. The JM orthotics also have the advantage of a slimmer profile so that they fit in your dress shoes and high heels, as well as your tennis shoes.

JM orthotics are beneficial for patients with:

-Heel Pain

-Bunions or following bunion surgery

-Flat foot

-High Arched feet

-Pediatric Flatfoot

-Many foot deformities

-Callusing

-Runners

-And many other condition

Vascular Testing of Feet and Lower Limb

An important aspect of preventing Diabetic foot complications, and the related morbidity rate, is ensuring that each diabetic patient has sufficient circulation to their feet. At each visit, our podiatrists check the pulses in your feet by feeling the arteries on the top of the foot and on the ankle. If the pulses are difficult to palpate and the patient has related symptoms, such as cramping in your legs while walking or while laying in bed at night, we can perform a non-invasive vascular exam. This can be done in the office in just 15 minutes. We will obtain an exact measurement of the bloodflow in which you are receiving to each foot. This measurement is recorded in your medical files and we will send a copy the doctor who is managing your diabetic care. This exam is part of the Comprehensive Diabetic Foot Examination (CDFE).

 If any concerns arise, we work closely with vascular specialists in the dayton/springfield area to further evaluate if intervention is required. All diabetics should have this test performed every 6-12 months to determine if there are any risks for diabetic foot complications.

Comprehensive Diabetic Foot Examination (CDFE)

Once you have been diagnosed with diabetes by your family doctor, they typically organize a series of visits to other specialists. Just as you have to go see your eye doctor to check your eyes, you should see a foot doctor for evaluation and management of possible diabetic foot complications. Medicare has found that the most effective treatment in lowering foot related diabetic morbidity is regular check ups to prevent complications and educate patients. They have developed guidelines for podiatrists to follow called the Comprehensive Diabetic Foot Examination (CDFE). The visit to the podiatrist for the diabetic will be more comprehensive in nature with more questions, more history taking and more diagnostic tests being performed. Each evaluation will place a diabetic patient into one of four categories based on risk factors for complication.

Table Category	Risk Factors	Frequency of Examination
0	No Neuropathy No other risk factors	Annual
1	Neuropathy	Semi-Annual
2	Neuropathy, Peripheral Vascular Disease (PVD), and/or Deformity	Quarterly
3	Previous Ulcer Or Amputation	Every Month

The visit when this exam will be performed will take slightly longer than usual, so that we can collect a thorough history and educate you the patient, or your family, in hopes of preventing any diabetic foot complications. Please schedule an appointment today or ask your family doctor if you are diabetic and have never seen a podiatrist.

In office X-Rays of Foot and Ankle

At Community Foot Specialists, we strive to accommodate all of our patient's needs and to be as convenient as possible. In order to achieve this, we offer in office x-rays so that we can diagnose what is wrong as quickly as possible and begin treatment. Each of our six offices is equipped with a certified X-ray machine and processor, so that at your first visit or any follow up, we can sit with you to review your x-rays to determine a treatment plan.