EXPERT PERSONALIZED SERVICE AT
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“You don’t get that in Big Box stores or on the Internet; you get that right here at Pill Box Pharmacy & Medical Supply.” Family Owned & Operated.
Pill Box Celebrates 38 Years!
FEATURED ON PAGE 17
Your smile is our top priority and we’re here to help you achieve and maintain optimal oral health. Our experienced, compassionate and highly trained dental team is dedicated to providing personalized care for you and every member of your family.
From general to cosmetic dentistry, we offer a wide range of services to meet all your dental needs. With our state-of-theart technology and innovative treatments, you can trust us to provide you with the best quality of care. And, because we understand that dental care can sometimes have financial considerations, we offer a variety of payment options and work with many insurance plans to make sure you get the care you need.
At Pines Palm Dental, you’ll enjoy a warm and welcoming atmosphere, where we take the time to listen to your concerns and make you feel comfortable. Whether you’re visiting us for a routine check-up or a more complex procedure, we promise to do everything in our power to make your experience with us as stressfree and enjoyable as possible.
We can’t wait to meet you and help you achieve the healthy, beautiful smile you deserve!
Feel free to visit our website for more information or to schedule an appointment. We’re here for you, and we’re ready to help you achieve your best smile yet!
PUBLISHERS
Christy & Terry Jaillet publisher@ourcitymedia.com
MANAGING EDITOR
Christy Jaillet
ART DIRECTOR
Tom Rowe
GRAPHIC DESIGNER
Alana Brodie
ADVERTISING SALES MANAGER
Nancy Koval nancy@ourcitymedia.com
ACCOUNT EXECUTIVES
John Brodie, Denise Caligiuri, Adrienne Collins, Mariem Garcia, Caleb Furlong, Carlos Medina, Kenny Rodgers, Silvia Silva
CONTRIBUTING WRITERS
Terry Jaillet, Jon Duka, Dr. Robert Donoway, Dr. John Goodner, Amelis Lopez, Mayor Frank C. Ortis, Dr. Isabel Suate
ADVERTISING INFO sales@ourcitymedia.com
VISIT US ONLINE ourcitymedia.com
954-306-1007
400 Sawgrass Corporate Parkway Suite 200C • Sunrise, FL 33325
GOT NEWS? EMAIL THE EDITOR! editor@ourcitymedia.com
BEST OF PEMBROKE PINES
2023
MONDAY OPENING AT 3 PM
TUESDAY, WEDNESDAY, & THURSDAY OPENING AT 12 PM
FRIDAY - SUNDAY OPENING AT 11 AM
As we enter the fourth month of the year, we can feel the energy of new beginnings and fresh starts that come with the arrival of spring.
The start of spring represents a time of renewal, growth, and rejuvenation. The sun shines brighter, the flowers bloom, and the air feels lighter. It is a time to let go of the old and embrace the new, to take a deep breath and start afresh.
As poet and writer, Rainer Maria Rilke once said, "And now we welcome the new year, full of things that have never been." This quote perfectly encapsulates the essence of spring - a time for new experiences, new beginnings, and new possibilities.
As publishers, we believe that spring is the perfect time to start something new. Whether it's a new hobby, a new project, or a new goal, this season offers the perfect opportunity to turn over a new leaf and embark on a new adventure.
The coming of spring reminds us that summer is just around the corner. South Florida offers a plethora of summer activities for kids of all ages. Be sure to check out Our City’s Summer Camp Guide in this issue for a curated list of camp options for your kiddos!
We hope that this issue will motivate you to start something new and to embrace the beauty of the season. Let this be the month that you shed the old and welcome the new. After all, as Rilke reminds us, "spring has returned. The Earth is like a child that knows poems." Let us embrace the poetry of the season and revel in the joy of new beginnings.
Sincerely,
Christy & Terry JailletWishing a happy Passover holiday to all of our Jewish readers. Passover is a Jewish holiday that commemorates the liberation of the Israelites from slavery in ancient Egypt. It is celebrated for seven or eight days, depending on the Jewish tradition. The holiday is marked by a number of rituals and customs, the most well-known of which is the Seder. The Seder is a festive meal that takes place on the first night of Passover, during which the story of the Exodus is retold and special foods, such as matzo and bitter herbs, are eaten. The holiday is a time for family gatherings, reflection, and gratitude for freedom and deliverance.
The City of Pembroke Pines invites you to participate in our 18th Annual Art Competition! Artists 18 years or older who reside in Broward, Dade, and Palm Beach County are encouraged to virtually submit their work in an opportunity to win hundreds in cash prizes. Scan the QR code or visit call 954-961-6067 to enroll or learn more.
Calling all Runners and Walkers! Take steps to raise funds and awareness to end hunger in South Florida. Prepare a company team, your running group, and social club to work together to Outrun Hunger or participate for your own personal best. This course takes you along Hollywood’s Charnow beachfront park that overlooks the ocean. This scenic run is a must-do in support of a great cause. The race kicks off at 7:30 am at Charnow Park, 300 Connecticut Street, Hollywood. Scan the QR code to register or for more info.
Hop, Skip, and Jump over to Pembroke Pines’ annual Egg Hunts! This year there are two locations open for this very popular event, with over 54,000 eggs!. Gates will open at the Pines Recreation Center and at Pembroke Shores Park at 9:30 am sharp. The hunts kick-off at 10:00 am. The first 500 children will receive a FREE pair of bunny ears. For additional event details please contact the Special Events office at 954-3922116 or visit www.ppines.com. Reminder: This is an EGG-sclusive event for Pembroke Pines Residents ONLY!
Wondering what's going on with your orchids? Join The Flamingo Gardens Orchid Society for a presentation on "Diseases in Orchids: Diagnosis, Treatment, and Prevention." This month’s speaker will be Dr. Romina Gazis, Assistant Professor Plant Pathology - Director, Plant Diagnostic Center, UF/IFAS Tropical Research and Education Center (Trec). The meeting will take place at Flamingo Gardens, Mary N Porter Learning Center at 7:00 pm. For info, email flamingogardensorchidsociety@gmail.com.
Happy Easter to all of Our City’s Christian readers. Easter is a Christian holiday that celebrates the resurrection of Jesus Christ from the dead. For Christians, the holiday represents the triumph of Jesus over death and sin and the promise of eternal life. The week leading up to Easter Sunday, known as Holy Week, includes special services and observances such as Palm Sunday, Maundy Thursday, and Good Friday.
Dhiraj Patel, MD • Kishor Karia, MD
Alsu Leykind, APRN (English, Spanish, Russian, Hindi, Gujarati) Pines Palm Office Park 10011 Pines Blvd, Suite 106 • Pembroke Pines, FL 33024 954-704-1828
We Offer Several Convenient Services:
● On-Site Lab Draws & Diagnostic Tests (Without Additional Costs)
● Same Day & Next Day Appointments Available
● In-Depth Yearly Medical Exams
● Expedited Referrals
● Never a Long Wait to See the Doctor
WE ACCEPT MOST MEDICARE ADVANTAGE PLANS
commonhealthcare.com
TAKE A TOUR of Our Office & Meet Our Team
BRING A FRIEND & Both Will Receive a Publix $10 Gift Card
RSVP for Tours 954-529-8647
Coral Springs 8130 Royal Palm Blvd, Suite 200 954-346-5044
Hollywood 2600 Van Buren St 954-921-7533
Hollywood 4510 Sheridan St 954-893-8900
Ft. Lauderdale 3109 Stirling Rd Suite 106 954-963-4112
Pembroke Pines 10011 Pines Blvd Suite 106 954-704-1828
Deerfield Beach 1874 W. Hillsboro Blvd, Suite F 954-698-6266
Rock the Ocean’s Tortuga Music Festival returns to Fort Lauderdale Beach. 46 artists and bands will hit the stages over Tortuga’s three days. Headlines Luke Combs, Thomas Rhett and Morgan Wallen are sure to bring the house down. Passes and more info are available at www.TortugaMusicFestival.com.
Join more than 1 Billion people around the world! Take action to make our planet better for generations to come. Gather with neighbors to remove trash from local wetlands, reduce your carbon footprint, support a worthy charity or join a “beach keepers” group. Earth Day was first celebrated in 1970 and is now celebrated by people from every walk of life.
Don’t forget to file your tax return (or request an extension). All United States taxpayers are required to file a return with the Internal Revenue Service that shows their income from last year. Did you know that the Federal income tax was first introduced in 1861 as a way to help pay for the Civil War? The original law was subsequently found to be unconstitutional and revoked. The Sixteenth Amendment to the U.S. Constitution reinstated the national income tax in 1913.
Aspiring space travelers: Jump into your Celebrate Pembroke Pines’ 63rd birthday at the Charles F. Dodge City Center. The celebration will take place from 4:00 pm - 8:00 pm and will include refreshments, live entertainment and much more. Open to the whole family. For more info, visit www.ppines.com
The Pembroke Pines YMCA Family Center will host its annual Healthy Kids Day. The free community event is a chance for children and parents to explore the many opportunities available at the Y this summer to keep kids’ minds and bodies active. 9:00 am till Noon. For more info turn to page 18.
If you “feel the need for speed” then head to Fort Lauderdale Beach on the last weekend of April and look to the skies. The Fort Lauderdale Air, one of the most anticipated aviation events in the country, will be on full display. It showcases the best of military and civilian aircraft, as well as thrilling aerobatic performances and skydiving stunts.
Pines Lakes Elementary was one of the 34 media centers that were fully renovated in 2022 as part of the SMART Program. The media center renovations were finalized in November 2022 and included brandnew furniture, carpeting, books, supplies, and technology for both the students and teachers, which will be especially useful during this month when reading is being incentivized not only in our county but all over the US.
March was National Reading Month, and Pines Lakes Elementary School celebrated it in a fully renovated media center, thanks to the SMART Bond Program. The SMART Bond Program focuses on improving the learning environment in the areas of Safety, Music & Art, Athletics, Renovation and Technology (SMART) at school campuses throughout Broward County Public Schools (BCPS).
Pines Lakes Elementary has one of the 34 media centers that were fully renovated through the SMART Bond Program in 2022. Final touches on the improvements were finalized in November 2022 and included brand-new furniture, carpeting, books, supplies and technology for both the students and teachers. The space will be especially useful during this month when reading is being incentivized not only in our county but all over the US.
The media center puts the world of books and information at students’ fingertips. Parents can encourage their children to visit the media center, check out books and see the wonderful improvements that have been made. The media center also provides teachers with additional technology to help enhance their teaching methods.
Media centers are an incredibly crucial part of the SMART Bond Program. At Pines Lakes Elementary, the allocated budget of $2.9 million included the media center renovation as well as a new fire sprinkler system, new water pipes, a new ceiling in the administration area and corridors, a new HVAC (heating, ventilation, air, and conditioning) system and roofing improvements. The investment in Pines Lakes Elementary delivers on the promise of creating a space that empowers students to go further in their education and to equip teachers with the tools necessary to provide world-class education.
▸ To date, the SMART Bond Program has invested $1.4 billion in schools across the District and completed 200 of the 232 school projects that make up the program. The program is projected to fully reach substantial completion by 2025. You can learn more about the SMART Bond Program by visiting bcpssmartfutures.com.
Pill Box Pharmacy & Medical Supply is located at 1700 NW 122nd Terrace in Pembroke Pines. Stop by, visit them online at www.pillbox123.com or call 954.432.PILL (7455).
OTHER LOCATIONS:
Pill Box Weston 954-389-PILL(7455)
Pill Box Pines West 954-443-PILL(7455)
Pill Box Davie 954-475-PILL(7455)
Compounding Pharmacy
Compound Medications are at the core of what Pill Box Pharmacy & Medical Supply offers. Steve and his team of compounding pharmacists work with physicians, veterinarians, dentists, and other health care practitioners to prepare patient-specific medications. Their compounding services allow them to create formulations in unique strengths and dosage forms.
In addition to prescriptions, Pill Box Pharmacy has a large selection of quality Vitamins, Supplements, Natural medications, Homeopathics, and much more. They also specialize in Hormone Replacement Therapy for men and women and offer private consultations for physicians and patients as well.
Pill Box Pharmacy & Medical Supply has the best and largest selection of medical equipment and specialty health care products in the area. More importantly, the highly-trained staff are experts at fitting compression devices and braces. Every patient is treated like a valued family member.
“See Me, Feel Me, Touch Me, Try Me,” said Steve, “You don’t get that in Big Box stores or on the Internet; you get that right here at Pill Box Pharmacy & Medical Supply.”
Pill Box is the kind of place where you know everyone on a first-name basis after visiting just a couple of times. In many ways, it is the antithesis of a big chain store. Steve Pressman wouldn’t have it any other way.
“38 years after opening our doors and Pill Box is now a destination location - not just a pharmacy. You have to SEE It to believe it!”
Steve is also an accomplished photographer. He has traveled the world photographing exotic wildlife and locations. Check out his portfolio at www.yougottalovenature.com.
Get a head start on summer fun at Healthy Kids Day at the Weston YMCA Family Center on Saturday, April 29th. The free community event is a chance for children and parents to explore the many opportunities available at the Y this summer to keep kids’ minds and bodies active.
For 30 years, Healthy Kids Day has been where fun and play become lifelong memories. Join the community for a day of healthy, fun activities that celebrate kids being kids. This is a FREE event, and it is open to the community. Healthy Kids Day is part of a national YMCA initiative to improve health and well-being for children and families. It will feature activities such as Y-Fit games and arts and crafts, as well as educational information on nutrition and healthy living designed to motivate and teach families how to develop a healthy routine at home.
Research shows that children gain weight two to three times faster during the summer vacation than during the school year. The YMCA wants to help them stay
active and continue learning through our summer programs which have health and educational components.
The Y promotes family fun and fitness during the summer months. It encourages families to step away from the TV or computer screen and spend time outdoors, engaging in playful activity together for at least an hour a day.
At Healthy Kids Day, children can enroll in the Y-Fit youth wellness program, which combines fun and active play. Physical activity is a large component of the Y’s summer camp programs. Families can learn more about the many options available to all ages from preschool through high school. There will also be demonstrations from some of the Y’s new camps.
The event is hosted at the Weston YMCA from 9:00 am till noon.
Healthy Kids Day is a great way to figure out exactly what your child wants to do this summer. Just because school is out doesn’t mean learning needs to stop. The Y supports families in their efforts to teach healthy habits and keep kids active and learning, preparing them for a brighter future. It’s part of the Y’s promise to strengthen the communities we serve.
▸ To learn more about Family Fund Day or to sign up for a one-day free pass to the Y, scan the QR code.
In 1960, the 425 residents of the Village of Pembroke Pines voted to incorporate and became the City of Pembroke Pines. The city grew slowly at first, but Hurricane Andrew changed everything. A large influx of new residents made Pembroke Pines one of the fastest-growing cities in America throughout the 1990s. It is hard to believe that little village grew into the city we now know and love.
Each year, residents of Pembroke Pines celebrate the birth of the city on Pines Day. All are welcome to help the City of Pembroke Pines celebrate its 63rd birthday on Pines Day, April 22, 2023 from 4:00 pm to 8:00 pm at the Charles F. Dodge City Center, located at 601 City Center Way.
The long-awaited birthday celebration will include musical and dance performances from local artists, free rides, free cotton candy, free popcorn, and a kid’s friendly business expo. A Little Miss Sweetheart and Miss Pembroke Pines 2022 Pageant will also occur in the Commission Chambers with a rehearsal at 4:00 pm and the pageant at
4:30 pm. Eight young ladies will be crowned and become the newest city ambassadors. One of the best parts of Pembroke Pines is its family-friendly environment. The city has a reputation for being safe and having excellent schools, making it an ideal place for families with children. Pembroke Pines also has numerous parks and recreational
areas, providing plenty of opportunities for outdoor activities such as hiking, biking, and picnicking.
And, a celebration wouldn’t be complete without the city’s traditionally fun cake cutting ceremony on the plaza for all to enjoy. There will also be a free concert featuring country rock artist Tim Charron.
The City of Pembroke Pines Annual Art Competition is a juried art competition open to artists, 18 years and older who live, work or attend school in Pembroke Pines. The competition is organized by the city's Recreation and Cultural Arts Department and the Arts & Culture Advisory Board, and it aims to recognize and showcase the work of local artists.
The competition is open to artists of all skill levels, and there are several categories for artists to submit their work. The entries are judged by a panel of art experts, who select the winners based on creativity, technical skill, and overall aesthetic appeal. Prize categories include:
• Best of Show
• Best Digital Art
• Best Drawing
• Best Mixed Media
• Best Painting
• Best Photography
• Best Sculpture
• Best Watercolor
Winners of the competition receive $200 cash prizes, with the Best of Show winning $500. The submitted work is exhibited at the City of Pembroke Pines Glass Gallery, a public gallery located in the Pembroke Pines City Center. The exhibition is open to the public, and it provides an opportunity for residents and visitors to view and appreciate the artistic talents of the local community.
The City of Pembroke Pines Annual Art Competition is a great way for local artists to gain recognition for their work and contribute to the cultural vibrancy of the city. Additionally, it provides an opportunity for residents and visitors to engage with the local arts scene and discover new talent in the community.
Scan the QR code to enter your work in the 18th Annual Art Competition!
Looking for a way to keep your child engaged and active during the summer months?
Look no further than Summer Camp! With a variety of programs available, Summer Camp provides an excellent opportunity for children to socialize with peers, try new activities, and build self-confidence. And for busy parents, summer camp also offers the chance to enjoy some muchneeded downtime.
www.AWorldofKnowledgeKids.com
954 -430-7077
A World of Knowledge Preschool offers summer camp programs for kids ages 1-8. Little ones enjoy “journeys around the world,” water days, field trips, arts & crafts, dance, face painting, play time, academic reviews, and much more. Your child will celebrate their creativity and playfulness as well as learn about all the wonderful places around the world.
www.AmericanTigersMartialArts.com
954-529-8619
Give your kid a balanced, yet fun summer break. American Tigers Martial Arts’ summer camp focuses on athletics & academics. Tutors will help children improve reading and math skills. Certified instructors will teach anti-bullying & self-defense education, with an emphasis on Taekwondo martial arts training. Camp activities also include tie-dying camp t-shirts, games, music appreciation and lots of fun.
www.appletreemont.com
954-252-9250
Children can build their minds and bodies at Apple Tree Montessori’s Summer Camp. The program combines traditional summer camp activities like playtime, field trips, and arts & crafts with the school’s individualized learning environment. Certified, experienced teachers work with campers to help them grow emotionally, academically, and socially.
www.attbaga.com
954-349-4900
At American Top Team, campers will be introduced to the benefits of martial arts, learning the basics of Brazilian Jiu Jitsu, Sanshou, Muay Thai, and mixed martial arts (MMA). The program focuses on building the child’s coordination and motor skills combined with life skills such as discipline, focus and team work. Campers will build dynamic martial arts capabilities while gaining courage and confidence.
www.AcademyOfArtsInc.com
954-704-0068
Academy of Arts offers exciting classes for all ages and skill levels. The dance studio provides a creative outlet for preschool through high. The dance-intensive summer camp is a perfect venue for dancers to hone their skills and gain confidence and discipline. The skills learned during the summer will help campers both on and off the dance floor.
www.BillClarkTennis.com
954-275-9991
Are your kids nuts about tennis? There is no better place to become masters of the game than the Bill Clark Tennis Academy. Tennis training includes drills, point play and match-specific situations that focus on the development of competitive strategy and mental toughness. Fitness training is included in the on-court drills. Each player’s speed, agility, balance, and quickness will be improved through the use of tennis-specific footwork drills and plyometrics.
www.Bar-b-ranch.com
954-424-1060
At Bar-B-Ranch kids ages 7-15 can learn to ride and care for horses. They have programs for all skill levels. Every aspect of horsemanship is included in the program. Summer Camps and year-round programs are available.
www.BrowardCenter.org
954-462-0222
Discover the star within! Don’t miss the fun when the curtain rises for a summer filled with the excitement and magic of live musical theater. The camp offers students the chance to study singing, dancing and acting while rehearsing for a theatrical production will culminate in a final performance on stage at the Broward Center. Students will also enjoy theater games, arts & crafts.
www.CampCardinal.com
954-381-2335
Camp Cardinal allows your child to explore the world around them. Each session has a theme, with activities centered around that theme. Your campers will enjoy swimming, canoeing, science, arts & crafts, sports, fishing, movies, talent shows,
and theater every session. There are different activities rotating on various days during each week.
https://camps.endeavorschools.com/ 954-389-8245
Give your child a fun and productive summer camp experience at Creative Child Learning Center. Each week, our camps offer a whole new theme where children get to participate in activities and games to learn about a new topic. From arts and sports to science, children get the chance to see, experience, and learn while making new friends in a safe and supportive atmosphere. Weekly themes include topics such as Friends of the Rainforest, Mad About Meteorology and It’s Showtime.
Artists 18 years or older residing in Broward, Dade or Palm Beach counties are eligible to participate in the 18th Annual Art Competition to win cash prizes. Artists can submit up to three (3) pieces of artwork ($15 per piece) in one category.
For more information contact: Amelia Mohamed at amohamed@ppines.com
www.CampLingua.com
954-642-2267
Camp Lingua is a unique Language Immersion Summer Camp Program where children enjoy an enriching, fun experience while developing language and critical thinking skills. Camp activities include language classes and cultural experiences, as well as arts and crafts, sports, horseback riding, water days, exercise classes, field trips and much more.
www.CampLiveOakFl.com
954-563-4880
Camp Live Oak is the only American Camp Association (ACA) accredited camp in Broward County. The Environmental Day Camp, held at Birch State Park, offers various water sports such as swimming, paddle boarding, canoeing and kayaking, as well as
fishing, arts and crafts, and more, while the Marine Science Day Camp, held at Mizell-Eula Johnson State Park, focuses on conservation, including an in-depth sea turtle curriculum.
www.USchool.Nova.edu/summer
954-262-4506
Camp Nova at NSU University School provides campers with a summer full of smiles, laughs, fun with new friends, and plenty of good memories. If offers programs for students in kindergarten to grade 11. Shark Camp and Minnow Camp offer a traditional day camp experience, but children can also try one of Camp Nova’s numerous specialty camps such as Drobots, Marine Science, Sports, Musical Theatre and more. The Summer Scholars program provides learning experiences in Reading, Mathematics, Foreign Language, Writing, and Language Arts within a challenging and supportive environment.
www.FunkyFishKidsDay.com
954-712-9900
Quench your kids’ thirst for curiosity. Funky Fish offers an extraordinary week filled with snorkeling, boogie boarding, skimboarding, eco-art and marine science. Geared towards children aged 4-17 and a ratio of 1 Instructor – 7 kids.
www.FLCT.org
954-763-6882
Florida Children’s Theatre serves as an educational center for theatre arts serving children and families across South Florida. The oldest documented children’s theatre in the state of Florida, FLCT was founded in 1952 by two mothers in a garage. The theatre quickly grew to be the first children’s theatre organization to perform at Parker Playhouse, the Broward County Main Library Theatre, and Dillard Center.
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for the Arts. Each summer, FLCT hosts a vibrant summer camp for children interested in theatre at the Fine Arts Theatre at Broward College Central Campus in Davie. The summer camp is open to children in grades 2-10 and will feature productions of Shrek The Musical Jr., and The Little Mermaid Jr.
www.MODS.org
954-713-0930
Give your child a S.A.F.E. (Science. Affordable. Fun. Educational) and unforgettable STEM experience at Camp Discovery’s multi-day camp program for children ages 6 through 12 (entering grades 1–6). MODS provides campers with interactive exploration and immersive learning opportunities.
www.SchoolofRock.com
954-252-7625
Every kid dreams of starring on The Voice or American Idol at on time or another. School of Rock teaches kids how to play music in the most fun way possible: by performing. They are offering online and in-person programs this summer on virtually every instrument your child might be interested in. Check out the “ultimate music school” today.
www.TreeofLifeAcademy.com
954-842-2238
Tree of Life Christian Academy
Preschool offers “A Higher Level of Care & Education” to its campers. Their All Day Summer Camp offers great child care, healthy organic meals,
and exciting fun themed in-house activities & special guests for ages 1–5 years old. Discover fun, grow, and learn this Summer with us at Tree Of Life Christian Academy!
Artists:
flat foot or fallen arch is referred to medically as pes planus. Foot and ankle specialists understand that flatfoot is a frequently encountered problem in children. In this condition, the foot collapses or loses the gentle curving arch on the inner side of the sole. A pediatric flatfoot is generally divided into 2 sub-groups. The first, a flexible flatfoot is characterized by a normal arch during non-weightbearing and a flattened arch while standing. The flexible flatfoot may be painful (symptomatic) or not painful (asymptomatic). The second of the subgroup is referred to as a rigid flatfoot which is characterized by a stiff flattened arch regardless of whether the child is weight-bearing or not. Such deformities include a congenital vertical talus, a tarsal coalition (a condition where the bones in the foot did not separate properly by childbirth), peroneal spastic flatfoot or traumatic causes. A flatfoot may exist as an isolated problem, or as part of a larger clinical entity. This may include genetically lax ligaments, neurologic or muscular problems, genetic syndromes, and other collagen vascular disorders such as rheumatoid arthritis.
Flexible flat feet are generally considered normal in young children as babies lack a normal arch. The arch subsequently forms fully between the ages of 7 and 10. A study published in a reputable medical journal evaluated 835 children, approximately half of which were boys and girls equally. Using a laser surface scanner, the children’s feet were measured carefully. The results indicated that the prevalence of flexible flatfoot in the group of 3-6-year old children was 44% but the prevalence of symptomatic (painful or pathological) flatfoot was less than 1%. Additionally, 13% of the children were overweight or obese. During adulthood, 15-25% of people may have flexible flatfeet. Most of these adults never develop symptoms. Adults with flexible flat feet likely inherited their condition due to the laxity of their ligaments.
Pediatricians and parents are often the first to recognize foot deformities in infants and children, but too often the problem may go unrecognized for a long period of time.
When a flatfoot is being evaluated, a foot and ankle specialist would include a thorough family history which involves a review of the medical conditions including a history of trauma or problems during childbirth. Investigating the progressive flatfoot in a child’s family often gives
Aa physician an idea how the condition will evolve. After this, a comprehensive physical exam should be conducted. The foot and ankle specialist will want to evaluate the foot for areas of tenderness and observe the child during gait (walking). There is a prominent bulge in the arch, a heel that leans to the outside resulting in toes that are easily visualized from behind and referred to as the "too many toes sign". Besides evaluating the foot, the child with a flat foot must be examined for possible contributing factors occurring above the level of the foot and ankle which would cause the foot to compensate by becoming flat. This would include the hip and knee, and lower leg. At times a leg length discrepancy may result in a flatfoot condition as well.
The flatfoot is often associated with a number of subjective symptoms which would include pain in the foot leg and knee as well as other postural complaints. Interestingly a flatfoot has been shown to have a direct relationship with medial compartment knee arthritis and bunion deformities later in life. Additionally, a study published in a pediatric journal indicated that a relationship between adolescent bunions and flat feet was 8 to 24 times greater than expected. The flatfoot can result in decreased endurance and voluntary withdrawal from physical activities. At times apparent may relate that the child is clumsy and prone to falling frequently. Children may find it difficult to climb or run and prefer not to participate in sports.
Imaging studies may include standing x-rays, CT scans or magnetic resonance imaging. This will help make a determination as to what the cause of the flatfoot deformity is, particularly if it is rigid. Additionally, a blood test can be ordered to rule out certain arthritic or inflammatory conditions if a larger clinical picture is suspected.
The nonpainful or asymptomatic flexible flatfoot may be physiologic or non-physiologic. Most flexible flat feet are physiologic, asymptomatic, and require no treatment. Physiologic flat feet follow a natural history of improvement over time. Periodic observation may be indicated to monitor for signs of progression. In these patient’s treatment is generally not indicated and patients often do very well.
The non-physiologic flatfoot is characterized by progression over time. The degree of deformity is much more severe in non-physiologic than in physiologic flexible flatfoot. The degree of
deformity is visibly much more evident causing the patient to compensate in several ways. Pain and symptoms resulting from flexible flat feet include discomfort on the inside of the foot pain, on the outside of the ankle, leg, and knee.
Initial treatment for the flatfoot deformity includes stretching exercises, orthotics, at times immobilization if the patient is limping, physical therapy to strengthen muscles and tendons which hold up the arch, and stretching exercises for the heel cord which is often very tight. Nonsteroidal anti-inflammatories may also be used, but not advised on a chronic basis. If there is a positive clinical response and symptoms improve the patient will just be monitored.
Lastly, when all non-surgical treatment options have been exhausted surgical intervention can be considered. This may be provided in a variety of ways depending on the diagnosis and degree of deformity. Surgical treatment may consist of tightening of the ligaments and lengthening of tendons, a technique referred to as arthroereisis which involves the insertion of a small metallic implant through a small incision between the joints of the foot to restore the arch, to more aggressive traditional treatments such as cutting and realigning bones, known as osteotomies, or fusing the bones in the hindfoot together to stabilize the very deformed unstable flatfoot. In conditions such as a tarsal coalition, the area involved in the coalition is cut away so the bones can move more freely on each other.
▸ Dr. Michael Cohen is a Board-Certified Foot and Ankle Surgeon and Diplomate of the American Board of Foot and Ankle Surgery. He is a Fellow of the American Board of Foot and Ankle Surgeons and Board Certified and Diplomat of the American Board of Podiatric Medicine. He practices with the Foot, Ankle and Leg Specialists of South Florida specializing in lower leg injuries and reconstructive surgery of the foot and ankle. The South Florida Institute of Sports Medicine in Weston is located at 1600 Town Center Blvd., Suite C, (954) 3895900 and in Pembroke Pines at 17842 NW 2nd Street, (954) 430-9901. The practice website is www.SOUTHFLORIDASPORTSMEDICINE.org.
NEW PATIENT $300 | FOLLOW UP (WITHOUT X-RAY) $100
$800
SURGERY CONSULT $350 | X-RAYS $50 PER AREA | PRP $800
INJECTIONS
$550
STEM CELLS $1200 | SHOCKWAVE (5 SESSIONS) $600 | INJECTIONS
ORTHOTICS $400 | CASTS $200 | LACERATION REPAIR $550
MEDICARE | BLUE CROSS | BRIGHT | UHC | CIGNA | AETNA | AMBETTER | TRICARE | WORKERS COMP | ACCIDENTS/LOPS
SIMPLY | SUNSHINE | OSCAR | MEMORIAL PHO
Dr. Carlo Messina Serving
MEDICARE | BLUE CROSS | BRIGHT | UHC | CIGNA | AETNA | AV MED AMBETTER | TRICARE | WORKERS COMP | ACCIDENTS/LOPS
SIMPLY | SUNSHINE | OSCAR | MEMORIAL PHO
NEW PATIENT $300 | FOLLOW UP (WITHOUT X-RAY) $100
SURGERY CONSULT $350 | X-RAYS $50 PER AREA | PRP
STEM CELLS $1200 | SHOCKWAVE (5 SESSIONS) $600 |
ORTHOTICS $400 | CASTS $200 | LACERATION REPAIR
NEW PATIENT $300
Thank you for choosing the Miramar Pembroke Pines Regional Chamber of Commerce as Our City’s Best Organization in Miramar! For over 50 years, our Chamber of Commerce has been the premier networking organization for the business community. But do you know all that a chamber offers? It’s much more than networking! It’s also celebrating new businesses with ribbon cuttings, coming together to pool marketing resources and cost saving programs, and creating skills and leadership development opportunities. It’s also advocating on behalf of the best interests of our businesses, especially our small businesses and entrepreneurs.
With the current Florida legislative session at its halfway point, the Chamber is staying abreast of the proposed bills making their way through committee. In anticipation, our Government & Legislative Affairs committee has been updating the Chamber’s legislative agenda, with priority focused on education, taxes, tort reform, economic development and affordable housing. We are staying in touch with our elected officials, and will make sure they visit our events to report on the progress of our priority issues when they return to South Florida next month.
By making your business our business, the Chamber of Commerce is engaged in the priorities of our membership, businesses, community, and future generations of professionals and their business needs. Now and in the future, the Chamber is dedicated to being a Convener of Leaders, a Catalyst for positive change, and a Champion for a strong business community. For more information and our event calendar, visit www. miramarpembrokepines.org.
Yours in Service,
ear Readers, While we may not notice too much here in South Florida, Spring has sprung and it’s a great time to go outside, explore our parks and have fun at the many events planned around the city. While outside, I urge everyone to take a moment before our Florida weather gets too hot to enjoy a bit of relaxing in the shade under the many trees throughout our city, due in large part to our efforts. It’s one of the reasons why Pembroke Pines has once again been named Tree City USA by the Arbor Day Foundation. Each year through a dedicated commitment, we achieve this recognition by meeting the program’s four requirements: a tree board or department, a tree-care ordinance, an annual community forestry budget and an Arbor Day observance and proclamation. We are very proud of our city’s commitment to these goals.
In April we also celebrate Earth Day.
By Frank C. OrtisDThis year, on April 22nd, Earth Day’s theme is “Invest in Our Planet.” Many of our City’s Master Plans focus on this investment and in improving the quality of life for our residents. And, so I encourage everyone to enjoy our outdoors, our trees and all the city has to offer in activities and programs.
A very popular activity, especially for our younger residents and families is our Annual Egg Hunt. It will take place on Saturday, April 8, 2023, at two locations. More than 54,000 eggs in total will be scattered at Pines Recreation Center, located at 7400 Pines Blvd., and Pembroke Shores Park, located at 501 SW 172 Ave. Gates will open at 9:30 and the egg hunt starts at 10 a.m. Admission at both locations is free. There will also be bounce houses, games, prizes and a visit with the big Bunny himself.
I especially hope to see everyone at our 63rd Annual Pines Day “Birthday Bonanza” on Saturday, April 22, 2023, from 4:00 p.m. - 8:00 p.m. at the Charles F. Dodge City Center, located at 601 City Center Way. In true western-themed
fashion, all ages will have fun with free rides, music, games, a Petting Farm, visiting with special character “guests” and learning to lasso with the “Cowgirl Circus” entertainer. There will be food trucks, a Kids Konnection Business Expo, performances, Cupcake Towers and so much more. Please visit www.pinesday.com for all event information or call our Special Events office at 954-392-2116.
And with Spring comes Spring cleaning. You may want to take advantage of the Pembroke Pines Police Department Communities Affairs Unit’s Shred-A-Thon being held on Saturday, April 8th from 9 a.m. to Noon at the Charles F. Dodge City Center. This is open to Pembroke Pines Residents only, with ID. This event allows, up to 5 boxes of paper goods only per car. For additional information please call 954-436-3274.
As always, if you have any questions or concerns, please do not hesitate to contact my office at 954-450-1020, or by email at fortis@ppines.com.