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Posts for category: Education

By Skokie Foot & Ankle Specialists, Ltd.
November 15, 2018
Category: Education

Doctor holding cigarettePhysicians are to be the authority on promoting and restoring health.

This trust was exploited decades ago when actors appeared in magazines dressed as doctors to promote smoking. This marketing ploy stopped when the health hazards became more widely known.

There are many laws prohibiting deceptive practices. In one instance, the United States Federal Trade Commission required pomegranate products not be advertised to treat or prevent heart disease and prostate cancer without at least one randomized, well-controlled human clinical trial. 

So what about television personalities like Dr. Oz who promote undocumented therapies? One of the loopholes is that Dr. Oz doesn't have a financial stake in the remedies he endorses.

In podiatry, many over-the-counter products give the perception to eradicate toenail fungus but have never been proven to work. Some bone implants have long-term complications. Caveat emptor.

To find out if a treatment is effective and safe, contact Dr. Steven Miller by calling (847) 675-3400.

By Dr. Steven Miller
November 09, 2014
Category: Education
Tags: winter   cold   toes   Raynaud  

Raynaud toesAs the temperature drops and winter approaches, just the phrase "polar vortex" can make a person shiver. However, those with Raynaud's phenomenon have to be especially careful.

Named after French physician Maurice Raynaud (1834–1881), this condition is believed to be the result of vasospasms that decrease blood supply to the extremities in response to cold or emotional stress.

Toes and fingers change color (pale or blue) during a spasm and can be painful.  Nails may also develop longitudinal ridges.  Often the underlying cause is not known.

The following tips may help individuals with Raynaud's phenomenon stay comfortable during the upcoming winter:
  ◦  wear leggings and use activated heat packs (handwarmers)
  ◦  keep moving when in cold temperatures
  ◦  recognize and adapt to stressful situations
  ◦  avoid smoking and vasoconstrictive medication (including some blood pressure medication and over-the-counter cold remedies)

If you need additional guidance, schedule an appointment at Skokie Foot & Ankle Specialists by calling (847) 675-3400 or by clicking

April 02, 2014
Category: Education

A fish pedicure involves patrons dipping their feet in a tub of water filled with small fish called Garra rufa. Garra rufa eat the dead skin, leaving newer skin exposed. 

The Centers for Disease Control and Prevention is not aware of any published reports on illnesses resulting from fish pedicures. However fish pedicures are not permitted in some states, including Illinois. Reasons for banning fish pedicures include: 

  • The fish pedicure tubs cannot be sufficiently cleaned between customers.
  • Live fish cannot be disinfected or sanitized.
  • Chinchin, another species of fish that is often mislabeled as Garra rufa, grows teeth and can draw blood, increasing the risk of infection.


By Skokie Foot & Ankle Specialists
March 18, 2014
Category: Education
Tags: bacteria   nail salon   footbath  

An investigation by the television show 20/20 found that some nail salons are unsanitary. In one case, high levels of tuberculosis-related bacteria were identified in footbaths. The owner admitted that he never cleaned the suction screens in the footbaths where debris from hair, skin and nails accumulate — that is where the bacteria is believed to have built up.

Other salons revealed more disturbing practices. Disposable nail buffers and emery boards were used on multiple customers. Disinfectants were excessively diluted. Some were caught using razor-sharp blades to scrap calluses from customers' feet.

Each state has guidelines to assist salons in providing a safe and healthy experience. These can be found at:

If you have any questions or concerns about your feet, please call (847) 675-3400 or go to to schedule an appointment. Our office is dedicated to education and providing quality and comfortable treatment.

By Dr. Steven Miller
July 26, 2013
Category: Education
Tags: technology   ACA   APMA  

Use of technology, including electronic medical records and digital radiographs, enhances our ability to deliver health care services efficiently in accordance with the goals outlined in the Affordable Care Act (ACA). This was one of the topics of discussion at a seminar I attended earlier this week sponsored by the American Podiatric Medical Association (APMA) and its affiliates.