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Dr. Robert D. Weaver

Dr. Jennifer Zienkowski-Zubel

Got Gout? Holiday Season Triggers Painful Toes
6 Tips to Protect Your Kids in Fall Sports
Soccer Season: Prime Time for Foot and Ankle Injuries
Taking a Vacation? Make It Easy on Your Feet
Are Your Feet Ready for Spring?
Tips for Healthy Feet & Ankles During Winter Sports
Is Your Foot Fracture an Early Sign of Osteoporosis?
Pedicure Do's and Dont's
Get Your Feet Ready For Spring Break
Icy Conditions Cause Falls and Broken Ankles

Got Gout? Holiday Season Triggers Painful Toes
December 2018

Got gout? If so, we have some recommendations for surviving the holidays: Watch what you eat and drink!

Changes in diet, including overindulging in certain foods and beverages, can cause gout attacks this time of year.

Gout and Holiday Meals

Gout attacks are extremely painful. They are caused when uric acid accumulates in the tissues and/or a joint and crystallizes. This most commonly occurs in the big toe joint. This is because the toe is the coolest part of the body and uric acid is sensitive to temperature changes.

Foods that are high in purines contribute to uric acid build-up. If you are prone to gout attacks avoid purine-rich items, such as shellfish (shrimp, crab, etc.), organ meats (kidney, liver, etc.), red meat, red wine and beer.

Gout can be treated with medications, diet changes, increasing consumption of appropriate fluids and immobilizing the foot. In some cases surgery is required to remove the uric acid crystals and repair the joint. For more information or if you are experiencing an attack, please give our office, 440-442-3113, a call. We are here to help!

6 Tips to Protect Your Kids in Fall Sports
October 2018

Back-to-school sports season linked to ankle injuries

Fall Sports Injuries

If your children are playing sports this fall, pay attention to six tips that could protect them from serious ankle injuries.

Every fall, our office notices an increase in ankle injuries among young athletes. Football, soccer and basketball are the sports most likely to lead to sprains, broken bones and other problems.

Our top recommendation for parents is to get ankle injuries treated right away.

What seems like a sprain is not always a sprain; in addition to cartilage injuries, your son or daughter might have injured other bones in the foot without knowing it. Have a qualified doctor examine the injury. The sooner rehabilitation starts, the sooner we can prevent long-term problems like instability or arthritis, and the sooner your child can get back into competition.

Parents should also follow the tips listed below from the American College of Foot and Ankle Surgeons:

  • Have old sprains checked by a doctor before the season starts. A medical check-up can reveal whether your child's previously injured ankle might be vulnerable to sprains, and could possibly benefit from wearing a supportive ankle brace during competition.
  • Buy the right shoe for the sport. Different sports require different shoe gear. Players shouldn't mix baseball cleats with football shoes.
  • Children should start the season with new shoes. Old shoes can wear down like a car tire and become uneven on the bottom, causing the ankle to tilt because the foot can't lie flat.
  • Check playing fields for dips, divots and holes. Most sports-related ankle sprains are caused by jumping and running on uneven surfaces. That's why some surgeons recommend parents walk the field, especially when children compete in non-professional settings like public parks, for spots that could catch a player's foot and throw them to the ground. Alert coaching officials to any irregularities.
  • Encourage stretching and warm-up exercises. Calf stretches and light jogging before competition helps warm up ligaments and blood vessels, reducing the risk for ankle injuries.

Please feel free to contact our office, 440-442-3113, with any questions, concerns and/or to set-up an appointment.

For more information on treating ankle sprains, visit the American College of Foot and Ankle Surgeons' patient information web site,

Soccer Season: Prime Time for Foot and Ankle Injuries
August 2018

Soccer season is in full swing and our practice strongly urges parents and coaches to think twice before coaxing young, injury-prone soccer players to “play through” foot and ankle pain. Skeletally immature kids, starting and stopping and moving side to side on cleats that are little more than moccasins with spikes are a recipe for foot and ankle sprains and worse.

Kids will play with lingering, nagging heel pain that, upon testing, turns out to be a stress fracture that neither they, their parents nor their coaches were aware of. By playing with pain, they can’t give their team 100 percent and make their injuries worse, which prolongs their time out of soccer.

Kids Playing Soccer

Symptoms of stress fractures include pain during normal activity and when touching the area, and swelling without bruising. Treatment usually involves rest and sometimes casting. Some stress fractures heal poorly and often require surgery, such as a break in the elongated bone near the little toe, known as a Jones fracture.

Other types of overuse injuries are Achilles tendonitis and plantar fasciitis (heel pain caused by inflammation of the tissue extending from the heel to the toes).

Quick, out-of-nowhere ankle sprains are also common to soccer. Ankle sprains should be evaluated by a physician to assess the extent of the injury. If the ankle stays swollen for days and is painful to walk or even stand on, it could be a fracture.

Collisions between soccer players take their toll on toes. When two feet are coming at the ball simultaneously, that ball turns into cement block and goes nowhere. The weakest point in that transaction is usually the foot, with broken toes being the outcome. The toes swell up so much the player can’t get a shoe on, which is a good sign for young athletes and their parents: If they are having trouble just getting a shoe on, they shouldn’t play.

For further information about various foot conditions, contact our office, 440-442-3113 or visit, sponsored by the American College of Foot and Ankle Surgeons. We are here to help and keep your children playing!

Taking a Vacation? Make It Easy on Your Feet
July 2018

Foot care on vacation

Although rest and relaxation are the goals for most vacations, they usually involve a lot of walking and a lot of walking usually involves sore feet.

Walking is great exercise and one of the most reliable forms of transportation, however, if your feet aren’t in the best shape or you don’t have the right shoes, too much walking can cause foot problems.

  • Wear thick, absorbent socks (acrylic instead of cotton).
  • Dry feet thoroughly after bathing, making sure to dry between toes. Use powder before putting on shoes.
  • Nails should be cut regularly, straight across the toe.
  • Bunions, hammertoes or any other serious foot problems should be evaluated by a foot and ankle surgeon.

The right shoe is also important to healthy walking. The ideal walking shoe should be stable from side to side, and well-cushioned, and it should enable you to walk smoothly. Many running shoes will fit the bill.

There are also shoes made especially for walking. Walking shoes tend to be slightly less cushioned, yet not as bulky, and lighter than running shoes. Whether a walking or running shoe, the shoes need to feel stable and comfortable.

Warming up exercises to help alleviate any muscle stiffness or pulled muscles are also advised before walking. Loosening up the heel cords (Achilles and calf) and thigh muscles before a walk is especially effective.

If you’re not accustomed to long walks, start slowly and rest if your feet start hurting, however, above all, have fun!!!

Contact our office, 440-840-0616, for more information. We are here to help!

Are Your Feet Ready for Spring?
April 2018

Foot care in the Spring

Its spring, believe it or not! The flowers are about to bloom, the weather will eventually get warmer. All over the country, people are shaking off their winter blues, and getting ready for a season of active outdoor fun. But chances are, not many of them will have feet on their mind– and that may be what puts them on the sidelines when you’re out in the sun! To make sure that you’re not one of the unfortunate souls who has to stay inside this season, we encourage you to follow the tips listed below to prepare your feet for spring:

Treat your feet right!

Your feet are easy to forget. Especially after a winter of wrapping them in wool socks and heavy boots, it can be hard to remember to take care of them. But this neglect can take its toll: a winter’s worth of wear can lead to dead skin build-up, leading to unsightly calluses and possible corns. Be sure to take care of these with a pumice stone or foot-file, and make sure to wash and dry your feet thoroughly and regularly.

Are you moisturizing? You should be!

Make sure to stretch!

After an entire season without much exercise, it can become clear quickly that your body just isn’t used to moving like it was last Autumn. Jumping into physical activity without proper preparation can lead to some serious issues, like plantar fasciitis and other tendon-based problems. It’s important to build up to your activity peak gradually, and warm up to each new adventure. For a full list of foot-prepping stretches and strength-training exercises, make an appointment with our office. We will help you get on your feet and stay there all summer long.

Wear the right shoes!

Your feet take a lot of punishment. Without the proper shoes and orthotics, the build-up of damage on your feet and ankles may culminate to something that requires more in-depth treatment. Fortunately, we can help can prescribe the right shoe for the job! We are equipped with the know-how to get you the orthotics you need for the adventures you love. A proper orthotic is invaluable– preventing everything from microfractures to tendon issues and more. If you have any questions about proper springtime footcare, don’t hesitate to give our office a call, we are here to help, 440-442-3113! We have the knowledge and expertise to keep your feet strong this and future seasons!

Tips for Healthy Feet & Ankles During Winter Sports
January 2018

From the rush of downhill skiing and snowboarding to cross country skiing to ice skating, cold weather sports provide a fast track for fun and cardiovascular heath, but the colder temperatures and exhilarating speeds attained during such sports can expose your foot and ankles to debilitating injuries.

Healthy Feet During the Winter

Healthy feet and ankles act as accelerators, brakes and shock absorbers in winter sports and help keep the body upright and out of the line of danger. Therefore, avoiding foot/ankle problems is key to full enjoyment during these activities.

To ensure an injury–free winter season follow the recommendations listed below:

  • Keep your feet warm and dry:

    Proper footwear, insulated, waterproof boots or shoes, and thick cotton socks, to wick away moisture is as important as coats, hats and gloves during cold weather activities.

  • Proper fitting footwear:

    Is the single most important factor in safe and successful skiing and ice skating. Without a snug and accurate fit, the pressure exerted from constant forward motion and side movement of skiing and quick turns of skating can result in discomfort and injury. Additionally, boots or skates that are too big can cause irritation in the toes due to excess motion or ones that are too small can inhibit circulation to the toes and cause cold feet.

  • Stretch before and after participating in winter sports:

    Stretching the lower extremity prevents muscle pulls and tears and prepares the muscles for the movements required in the activities.

Follow the tips listed above and enjoy the remainder of this winter season.

If you have sustained an injury during a winter sporting activity please give our office a call, 1-440-442-3113, we are here to help!

Is Your Foot Fracture an Early Sign of Osteoporosis?
January 2018

Unexplained foot fractures may be the first sign of osteoporosis, a bone thinning disease which affects over 28 million Americans and accounts for 1.5 million bone fractures a year.


Osteoporosis is frequently referred to as the “silent crippler” since it often progresses without any symptoms or isn’t diagnosed until a person experiences pain from a bone fracture. The porous nature of bones in people with osteoporosis makes them more susceptible to bone fractures, especially in the feet. Because the bones are in a weakened state, normal weight-bearing actions like walking can cause the bones in the foot to break.

While osteoporosis is most commonly seen in women over age 50, younger people and men are also affected. Early symptoms can include increased pain with walking accompanied by redness and swelling on the top of the foot. Oftentimes patients don’t seek treatment for their symptoms for weeks or even months, thinking the pain will pass. The best advice is, don’t ignore foot pain of any type. Early intervention can make all the difference in your treatment and recovery.”

Diagnose of osteoporosis is made through bone densitometry tests, which measure calcium and mineral levels in the bones through low-dose radiation x-ray, or possibly through a routine x-ray. This is why prevention and early intervention are key; women should make sure bone densitometry tests are part of their wellness examinations when indicated by their physicians.

If you are diagnosed with osteoporosis, it’s important to protect your feet from stress fractures. Wear shoes that provide support and cushioning, such as athletic running shoes, to provide extra shock absorption and protection. Custom orthotics may also be recommended to protect the foot from pressure and provide shock absorption, particularly during exercise.

If you are suffering from foot pain or suspect you may have osteoporosis, please call our office, 440-442-3113. We are here to help!

Pedicure Dos and Don'ts
July 2017

Whether you like to get a pedicure in the nail salon or perform your own pedicure at home, please follow these easy Dos and Don'ts provided by the American Podiatric Medical Association to keep your feet looking and feeling their best.

Pedicure Dos and Donts


  • If you have diabetes or poor circulation in your feet, please contact our office, 440-442-3113, for a recommendation on a customized pedicure that you and/or your salon can follow for optimal foot health.
  • Schedule your pedicure first thing in the morning. Salon foot baths are typically cleanest earlier in the day. If you're not a morning person, make sure that the salon filters and cleans the foot bath between clients.
  • Bring your own pedicure utensils to the salon. Bacteria and fungus can move easily from one person to the next if the salon doesn't use proper sterilization techniques.
  • When eliminating thick, dead skin build-up, also known as calluses, on the heel, ball and sides of the feet, use a pumice stone, foot file or exfoliating scrub. Soak feet in warm water for at least five minutes, then use the stone, scrub, or foot file to gently smooth calluses and other rough patches.
  • When trimming nails, use a toenail clipper with a straight edge to ensure your toenail is cut straight across. Other tools like manicure scissors or fingernail clippers increase the risk of ingrown toenails because of their small, curved shape. Please contact our office for an appointment if you have a tendency to develop ingrown toenails.
  • To smooth nail edges, use an emery board. File lightly in one direction without using too much pressure, being sure not to scrape the nail's surface.
  • Gently run a wooden or rubber manicure stick under your nails to keep them clean. This helps remove the dirt and build-up you may or may not be able to see.
  • Maintain the proper moisture balance of the skin on your feet by applying emollient-enriched moisturizer to keep soles soft.
  • Make sure to remove polish regularly using non-acetone nail polish remover.


  • Resist the urge to shave your legs before receiving a pedicure. Freshly shaven legs or small cuts on your legs may allow bacteria to enter.
  • If you are receiving a pedicure and/or manicure, don't use the same tools for both services as bacteria and fungus can transfer between fingers and toes.
  • Although certain salons offer this technique, don't allow technicians to use a foot razor to remove dead skin. Using a razor can result in permanent damage if used incorrectly and can easily cause infection if too much skin is removed.
  • Don't round the edges of your toenails. This type of shape increases the chances that painful ingrown toenails will develop.
  • Emery boards are extremely porous and can trap germs that spread. Since they can't be sterilized, don't share nail files with friends and be sure to bring your own to the salon, unless you are sure that the salon replaces them with each customer.
  • Don't use any sharp tools to clean under nails. Using anything sharp makes it easy to puncture the skin, leaving it vulnerable to infection.
  • Be sure that you don't leave any moisture between toes. Anything left behind can promote the development of athlete's foot or a fungal infection.
  • If you suffer from thick and discolored toenails, which could be a sign of a fungal infection, don't apply nail polish to cover up the problem. Nail polish locks out moisture and doesn't allow the nail bed to "breathe." Once you fix the underlying issue, then it is safe to paint nails. If the problem persists, please call the office for an appointment, 440-442-3113. We are here to help!!!!

Get Your Feet Ready For Spring Break
March 2017

Are you or your family beach-bound for spring break? Are you going to replace your toasty Uggs for sandals? This dream vacation can come with its own set of problems for your tootsies. Even if you are lounging, soaking up the rays poolside, your feet are still vulnerable. You can sunburn your feet and no matter how upscale your hotel, athlete's foot can lurk in all public pool areas.

Spring Foot Care

Wouldn't you rather spend time collecting sea shells than doctor's bills? No worries. Listed below are ways to prevent these future foot predicaments, so you can go back to your sun-kissed dreams:

  • Limit walking barefoot as it exposes feet to sunburn, as well as plantar warts, athlete's foot, ringworm, and other infections and also increases risk of injury to your feet.
  • Wear shoes or flip-flops around the pool, to the beach, in the locker room and even on the carpeting or in the bathroom of your hotel room to prevent injuries and limit the likelihood of contracting any bacterial infections.
  • Apply sunscreen all over your feet, especially the tops and fronts of ankles, and don't forget to reapply after you've been in the water.
  • Stay hydrated by drinking plenty of water throughout the day. This will not only help with overall health, but will also minimize any foot swelling caused by the heat.
  • Keep blood flowing with periodic ankle flexes, toe wiggles, and calf stretches.
  • Some activities at the beach, lake or river may require different types of footwear to be worn, so be sure to ask the contact at each activity if specific shoes are needed. To be safe, always pack an extra pair of sneakers or protective water shoes. If your shoes will be getting wet, they should be dried out completely before your next wearing to prevent bacteria or fungus from growing.

In case of minor foot problems, be prepared with the following:

  • Flip flops – for the pool, spa, hotel room, and airport security check points.
  • Sterile bandages – for covering minor cuts and scrapes.
  • Antibiotic cream – to treat any skin injury.
  • Emollient-enriched cream – to hydrate feet.
  • Blister pads or moleskin – to protect against blisters.
  • Toenail clippers – to keep toenails trimmed.
  • Emery board – to smooth rough edges or broken nails.
  • Sunscreen – to protect against the scorching sun.
  • Aloe vera or Silvadene cream – to relieve sunburns.

If you experience any foot problems while on vacation, please give our an office a call when you return, 440-442-3113, we are here to help!

Icy Conditions Cause Falls and Broken Ankles
January 2017

Foot care and the holidays

With winter still present here in Northeast Ohio, serious injuries from ice-related falls inevitably occur. Falls on icy surfaces are a major cause of ankle sprains and fractures, and it’s critical to seek prompt treatment to prevent further damage that can prolong recovery.

The ankle joint is vulnerable to serious injury from hard falls on ice. Ice accelerates the fall and often causes more severe trauma because the foot can go in any direction after slipping.

In cases of less severe fractures and sprains, it’s possible to walk and mistakenly believe the injury doesn’t require medical treatment. Never assume the ability to walk means your ankle isn’t broken or badly sprained. Putting weight on the injured joint can worsen the problem and lead to chronic instability, joint pain and arthritis later in life.

Some people may fracture and sprain an ankle at the same time, and a bad sprain can mask the fracture.

It’s best to have an injured ankle evaluated as soon as possible for proper diagnosis and treatment. If you can’t see a foot and ankle surgeon or visit the emergency room right away, follow the RICE technique – Rest, Ice, Compression and Elevation – until medical care is available.

Symptoms of ankle sprains and fractures are similar, fractures are associated with:

  • Pain at the site of the fracture that can extend from the foot to the knee
  • Significant swelling
  • Blisters over the fracture site
  • Bruising soon after the injury
  • Bone protruding through the skin—a compound fracture, which requires immediate attention!

Most ankle fractures and some sprains are treated by immobilizing the joint in a cast or splint to foster union and healing. However, surgery may be needed to repair fractures with significant malalignment to unite bone fragments and realign them properly.

Please schedule an appointment if you have injured your ankle in any way. We are here to help, 440-442-3113!

Dr. Robert D. Weaver, DPM
Dr. Jennifer Zienkowski-Zubel, DPM

510 Fifth Avenue
Chardon, OH 44024
Tel: 440.286.4945
Fax: 440.279.1516
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6551 Wilson Mills Road
Suite 104
Mayfield Village, OH 44143
Tel: 440.442.3113
Fax: 440.442.5137
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26151 Euclid Avenue
Suite 105
Euclid, Ohio 44132
Tel: 440.442.3113
Fax: 440.442.5137
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