Health and Wellness - Summer 2022 by Times Media Group

Special Supplement to The Glendale Star and Peoria Times

HEALTH

WELLNESS Your Local Guide to Better Living

Summer 2022

INSIDE

This Issue

BEATITUDES .......... 4 Independent living campus is a move in the right direction

MORRIS HALL........ 8 Law ﬁrm helps explain an advance directive

BENEVILLA BENEFITNESS ...... 11 Adaptive gym opens to the public

Ironwood expanding to Goodyear next summer BY LAURA LATZKO

ronwood Cancer and Research Centers provides academic care but in a community setting at 15 Valley locations. Soon, it will expand to Goodyear after it breaks ground on Tuesday, Sept. 20, at 159th Avenue and McDowell Road. It will open next summer as a 28,000-square-foot center. When it’s finished, it will be 45,000 square feet. Ironwood Executive Director Brian Washburn said the new building will have a modern aesthetic and a patient-centered layout. “It will be designed with a smooth patient-flow process, so that depending on the purpose of the visit, the modality, the specialty, it will make for an easy flow for the patient through the various departments,” Washburn said. Patient demand called for the expansion of the company, which also includes West Valley locations in Avondale, Glendale and Sun City. “With all of the growth in the West Valley and all of the growth in our practice, we decided it was time to expand and develop that new site,” Washburn said. “Some of our patients are having to drive past the area to get to us. … We don’t want patients to have to wait for their care or have any undue hardships to get to see one of our providers.” Dr. Joseph Nabong, chief of strategy and development and a board-certified oncologist for Ironwood, said the need traces back to 2015. He’s in the Avondale office

You Want to

Ironwood Executive Director Brian Washburn said the expansion “will be designed with a smooth patient-ﬂow process” to make it easy for the patient to move through various departments. (Ironwood/Submitted)

but will move to Goodyear once it is completed. “The office is so busy with the need around the area with these hospitals,” Nabong said. “We provide care not only in the office but in the hospitals themselves. … The need is there, and the growth is there, and we know for a fact that this area is growing tremendously compared to any other area in Arizona.” Ironwood was founded in 1993 by Dr. Parvinderjit Khanuja with one location and has grown over the years through mergers with other patient-focused cancer and oncology centers. Washburn said independent practices

Communicate More Effectively. We Are Your Healthcare Team.

like Ironwood are increasingly rare, as cancer centers around the country are being purchased by private equities and hospitals. “It’s getting harder and harder to run a practice, especially an oncology practice, which can be very costly. This is a very strong, growing, developing practice,” Washburn said. “For the community to have something like this that isn’t tied to a larger entity, where the physicians get to make decisions, that is so unique. The physicians get to make the decisions for the direction of

Ironwood...continued on page 2 Midwestern University Ther apy Institute Your Family’s Home for Healthcare

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Health & Wellness

Summer 2022

Does my child have a pediatric feeding disorder?

BY STEPHANIE TEALE-SANCHEZ, M.S., CCC-SLP Midwestern University

ediatricians may suspect pediatric feeding disorder (PFD) at annual checkups if children are not growing as anticipated or if they are not progressing with their diet as expected. However, parents often identify signs of PFD first, due to difficulties their child experiences during nursing, bottle feeding or mealtimes. Below are common signs of PFD: • Difficulty transitioning to baby food from the bottle or from the bottle to a cup. • Facial grimacing or turning the head away from food or liquids. • Crying during feedings or frequent temper tantrums during meals. • Coughing, gagging, retching and/or choking during or after swallowing. • Taking longer than 30 minutes to finish a meal or snack. • Refusing foods of certain textures or colors, or only eating certain types of

food with a complete unwillingness to try new foods or different brands. • Holding food in the mouth, stuffing the mouth, or spitting out partially chewed food. The Infant and Child Feeding Questionnaire developed by Feeding Matters LLC is available at feedingmatters. org on the family support page in the resources and support section. Filling out this questionnaire identifies “red flags” for PFD, and parents should discuss these concerns with their child’s pediatrician for possible specialist referrals. Early diagnosis is important — children with PFD will not grow out of it without intervention. The information contained in this article is not intended to be a substitute for professional medical advice, diagnosis, care or treatment. Always consult a qualiﬁed healthcare provider with questions regarding any possible health or medical condition. Stephanie Teale-Sanchez, M.S., CCC-SLP, is director of clinical edu-

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Children who only eat speciﬁc foods or cough during feedings or meals may have problems with feeding or swallowing that could affect their growth and development. Speech-Language Pathology services can help children diagnosed with pediatric feeding disorder (PFD), a new diagnosis code that encompasses various difficulties with eating or swallowing. (Midwestern University/Submitted)

cation and clinic coordinator for the Speech-Language Pathology Program at the Midwestern University College of Health Sciences and supervises clinical services for speech and language disorders at the Midwestern University Therapy Institute in Glendale. The Speech-Language Pathology clinical

team utilizes the latest technology and research to evaluate and treat a wide range of speech, language and swallowing disorders for both children and adults at affordable prices. For more information or to schedule an appointment, call 623-537-6000 or visit https://bit.ly/MUTherapy.

Ironwood...continued from page 1

multiple locations,” Washburn said. Ironwood facilities offer services like social work, survivorship, integrative medicine support, art activities, tai chi and drumming experiences. Being an academic, community-based organization means the practice has close ties to the communities it serves. “We are ingrained in the community,” Nabong said. “We work in these community hospitals. We interact with all of the community doctors. They know us personally, and they know they can send their patients to us to get the best care they can. It’s comparable to any academic center in the country,” Nabong said. The new facility will be focused on oncology care and treatment for patients but is expected to become a research hub offering clinical trials. “We are committed to the advance-

their patients’ care and the direction of the practice.” Ironwood employs more than 100 providers and over 700 employees in five cancer centers that offer comprehensive services and a growing women’s oncology program. Some doctors and key staff will move to the new facility from other locations, but many of the physicians and staff will be new. “We’re going to have a large healthy staff there of academically strong and highly trained physicians,” Washburn said. The Goodyear facility will offer treatments such as medical and women’s oncology, chemotherapy, radiology and immunotherapy. “They are going to be able to get these treatments at a single site. It’s going to make it much more convenient for the patient, rather than traveling to

Ironwood...continued on page 11

Summer 2022

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Summer 2022

Beatitudes Campus is a move in the right direction BY MILLIE OAKESON

Beatitudes Campus Director of Sales and Marketing

eatitudes Campus epitomizes the essence of independent living in the heart of Central Phoenix. You may choose to live in a month-to-month rental apartment or to live in a lovely refundable entrance fee apartment. Living at Beatitudes, residents have the peace of mind that a continuum of health care, including assisted living, skilled nursing and memory support are readily available. The Promenade is the next addition to the 27-acre campus as part of a master redevelopment project started in 2018. It will offer choice and elegance, in living space and lifestyle. The four-story Promenade building encloses a beautifully landscaped garden area that creates another focal

point for activities. The floor plans and sizes range from 867 to 1,481 square feet and include large windows and balconies with views of the mountains and city. The new Union Café will add a creative twist on dining — think coffeehouse during the day but in the evening converts to a lounge for residents to enjoy happy hour with a variety of beverages, small plates and entertainment. The Club B fitness center will have best-in-class wellness program, complemented by Studio B, a motion center for fitness classes. Beatitudes Campus provides an engaging array of events, excursions and lifelong learning opportunities that encourage continued growth, stimulation and connections. “Our No. 1 goal at Beatitudes Campus is to help our residents live longer, healthier and happier lives,” said Millie Oakeson, sales and marketing director. “We believe anyone, at any age, in

Promenade Residences are the next part of the 27-acre campus, which began its master redevelopment plan in 2018. (Beatitudes Campus/Submitted)

any condition, can improve the quality of their life. We embrace a wellness philosophy in all that we do, achieved through our wellness programs, de-

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Sun City CAN’s other ser- fundraiser will be conducted to reduce the time it takes to do the returns and we are re- vices remain available, in- soon, he added. searching the possibility of cluding the water rebate for “I anticipate us breaking being open on Saturdays.” condo owners andHealth help with& Wellness even or maybe even being a However, he stressed these electricity bills for low-in- little in the black a little bit,” plans are preliminary and de- come residents. he said. pendent on whether AARP Mr. Duncan said officials CAN officials also hope to Foundation officials allow the are in the process of apply- increase their exposure to program. ing for grant funds from the community, providing Training volunteers could Arizona Public Service Co. more opportunity for resialso present a problem due for the electricity program. dents to understand what the to space. Last year training Southwest Gas, which does organization offers. was conducted at one of the not have a grant application BY THE Ms. PALAZZO Rode told the board Recreation Centers of Sun process, donated $1,000, douduring Sept. 8 meeting he its Palazzo is a gated, sity of Connecticut School City facilities. ble the company’s normal that Radiant Church, continuing care 10701 commuof Dentistry and studied “Plus at this point I don’t amount, for the Blvd.,independent new to nity offering dental implants at Crisis MischAs- W. Boswell have any idea how many of sistance program. Sun City, officials are trying assisted living, skilled International Implant In- living, the volunteers will return if Funds from that program to start a weekly food distrinursing, rehabilitation stitute. we do have a program,” Mr. are used for the water rebate, bution, socialization and ed- and A electricity, member gas, of taxi the ticket Inter-and memory Graff said. ucationcare. event in which othhas organizations studios, onenational Oral When the Tax-Aire pro“PaintCongress the Town,”of a new pro- It er service can and Implantologists, gram returns, whether it be gram just added.Samain two-bedroom participate. apartments in the in 2021 or the next year, resis niceon being an inde- various “We are looking into being neighborhoods providprides“It herself listening

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Chronic wounds reaching unprecedented levels BY CIC FOOT & ANKLE

he rate of nonhealing sores in America is alarming. According to the National Institutes of Health, more than 6 million people in the United States are affected by slow or nonhealing wounds. A wound can be anything from a scrape that never really heals to an open sore that slowly gets larger. “When people hear the word ‘wound,’ they sometimes don’t realize it’s a sore or cut on your leg or foot that is considered nonhealing because it doesn’t get better and over time may get worse,” explained Dr. Daniel Schulman, CIC Foot & Ankle. Diabetes, neuropathy, obesity or poor circulation all contribute to how people develop wounds and if they heal or not. “Patients with diabetes need to be particularly careful because their feet may be numb and they don’t feel pain,” Schulman said. “For them, a blister can turn into a wound before they realize it, and if they walk barefoot, they might step on

Diabetes, neuropathy, obesity or poor circulation all contribute to how people develop wounds and if they heal or not. (Stock image)

something that can create a sore.” He recommended they check their feet daily and look for changes. When wounds don’t get better, it’s because there is not enough blood supply to sustain healing.

“Poor circulation is the primary reason why a wound starts in the first place and why it doesn’t heal,” Schulman said. “Blood carries nutrients and oxygen throughout the body. If it’s not flowing to your feet, it affects the healing process.”

It’s important to start treatment as soon as possible. “There’s not time to see if it will get better on its own,” Schulman cautioned. “If you watch it, what will happen is you’ll watch it get worse.”

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What is an advance directive?

Health & Wellness

BY ANDREA L. CLAUS

Morris Hall Partner and Attorney at Law

n advance directive is a legal document that allows you to plan and make your own end-of-life wishes known if you are unable to communicate those wishes at some later time. In the state of Arizona, the following two types of advance directives are recognized: • Health care power of attorney: This allows you to appoint an agent to make decisions about your medical care — including decisions about life sustaining treatments — if you can no longer speak for yourself. • Living will: Lets you state your wishes about medical care in the event that you develop a terminal condition or are permanently unconscious and can no longer make your own medical decisions. Your living will may control or guide your agent’s decisions

regarding your health care treatment. Consider the following five reasons you need one: • Maintaining control: In the absence of an advance directive, someone not of your choosing could end up making critical health care decisions for you. • Preventing litigation: Without an advance directive in place, your loved ones could wind up in a costly and ultimately divisive court battle over the right to make health care decisions for you. • Ensuring your wishes are honored: If you have strong beliefs about receiving life-sustaining medical care at the end of your life, the only way to ensure those beliefs will be honored is to have an advance directive in place that legally requires them to be honored. • Making things easier on loved ones:

Summer 2022

No matter how often you have discussed the matter, your close loved ones may genuinely not remember what your wishes are regarding endof-life medical treatment given the stress they are under. Moreover, if you do not wish to receive life-sustaining treatment or care, your loved ones may not be capable of following those wishes because they do not An advance directive is a legal document that allows you to plan want to let you go. and make your own end-of-life wishes known if you are unable to In that case, only communicate those wishes at some later time. (Stock image) an advance direcus at 1-888-222-1328 or visit us at tive can override their wishes. morristrust.com to schedule a free conFor more information, please call sultation.

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La Siena is a luxurious senior living community in North Central Phoenix. (La Siena/Submitted)

Experts offer tips on retirement communities BY LA SIENA

ow more than ever, retirement living offers residents value, services and safeguards in a supportive setting. Below are three things the senior living experts at La Siena suggest you consider when making your decision. 1. Start early: Begin researching in advance, before the need arises. Ask family, friends and valued advisers for their recommendations. Waiting until the need arises can often result in hastier or short-term decisions that might fail to meet your long-term needs. 2. Create a list: Determine which type of senior living community best fits your needs. Not all retirement communities are the same. Continuing care retirement communities (CCRCs) require larger, upfront entrance fees. “Rental” communities can offer similar services with the flexibility of a monthly fee. Ask for a “value check-

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list” to compare your needs and current monthly expenses, delivery services, transportation costs, meal expenditures and the upkeep of a house with the monthly fee of a retirement community. 3. Ask questions: Get to know the community. A tour or information presentation can provide you a feel for a community’s amenities, services and safeguards, such as if residents have received the COVID-19 vaccine. But also ask about lifestyle. Learn about a community’s fitness, art classes or other interests you may enjoy. Accreditation, which provides the assurance that high standards of quality care, service and safeguards are maintained is another important topic to discuss. For more information about the engaging senior living lifestyle and supportive services offered at La Siena, call 602-635-6968 or visit us at lasienaseniorliving.com.

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Summer 2022

Airman & Family Readiness Center is never the wrong place BY AIRMAN & FAMILY READINESS CENTER

cal counseling to service members and their families. MFLCs ctive-duty members augment existing military and their spouses who support programs worldwide. are expecting a baby, Through the MFLC Program, or new mothers assigned to licensed clinical providers asan Air Force installation, are sist service members and their encouraged to contact the families with issues they may Airman & Family Readiness face through the cycle of deCenter to sign up for a Bunployment — from leaving their dles for Babies/Kids Ride loved ones and possibly living Safe class. and working in harm’s way to Parents can receive a free reintegrating with their comcar seat and learn about propmunity and family. er installation in their vehicle, The MFLC program proparenting skills and finances, vides support for a range of meet other expectant parents, individual and family issues. and receive a bundle of supPsycho-educational presentaplies. That includes a large, tions on reunion/reintegration, canvas tote bag with AFAS stress/coping, grief/loss and logo, thermal receiving blandeployment are provided to ket, hooded towel and washcommands Family Readiness cloth, white knit crib sheet, Groups, Soldier Readiness Profor Babies/Kids Ride Safe class offers a free car seat so parents can learn about proper installation. printed knit crib sheet, three- Bundles cessing and other requested lo(Airman & Family Readiness Center/Submitted) pack sleep-n-play, five-pack cations. MFLC support is also onesies, two pairs of booties, two bibs Classes are open to all ranks and are The transition from singlehood to provided to the Child and Youth Program and three burp cloths. not limited to a first pregnancy. married life is tough, and marrying and specifically for the summer DoDEA/ a military member can pose its own CYP summer enrichment program. unique challenges. Heart Link is a proSupport for these issues empowers gram designed to familiarize civilian individuals during the problem-solvspouses with the military and alleviate ing process, increases individual and some of these issues. family competency, confidence in hanFrom military protocol to traditions dling the stressors of military life and and lingo, Heart Link teaches civilian ensures that issues do not impair operMILITARY MEMBERS, DOD CIVILIANS* & FAMILIES spouses what their military counter- ational readiness. SERVICES AVAILABLE: parts deal with daily. Spouses are introExceptional Family Member ProMonthly • Bundles for Babies • School Liaison Officer Dept. of Lab • Military & Family Life Consultant Assistance Addresses educational issues duced to the military community. They gram (EFMP) is designed to provide o r • Heart Link (New Spouse Orientation) TAP Employm involving military children have an important role to play: They support to military family members en • Employment Assistance and youth in the local Workshop t • Transition Services (Active Duty to Civilian) school community are keeping up the homefront while with special needs. EFMP services • Hearts Apart Support Activities their spouses are deployed and being a include a variety of personnel, medi• Relocation & Sponsorship Services • Financial Counseling/Education source of support for the airmen. cal and family support functions. The • New or Expectant Mothers Class Heart Link, which is geared toward Exceptional Family Member Pro• Emergency Financial Assistance • Family Strengthening newlyweds, is designed to help connect gram-Family Support (EFMP-FS) is a Programs & Resources military members with their spouses. community support function provided • Personal Development Information & Resources By integrating spouses into the mili- by the Airman & Family Readiness • Exceptional Family Member Program tary, it helps enhance mission readi- Center that includes, but is not limitProvides support to Military family members with special needs ness. Participants learn about military ed to, on- and off-base information and • Information and Referral Services protocol as well as military and Air referral, parent training, support group, • Discovery Center - Resources for relocations, transition, employment, Force traditions, including the role of relocation assistance, financial manhousing, schools, and more! coining and the Air Force song. Learn- agement and school information. • AMVETS - Provides medical records screening and assistance with VA ing these things helps them understand For more information, call 623-856disability claims military culture. 6550 or email 56fss.fsfr@luke.af.mil, Contact us for further information: (623) 856-6550 Military Family Life Consultants or visit 7282 N. 137th Avenue, Building Email: 56fss.fsfr@luke.af.mil (MFLC) provides short-term, nonmedi- 1113, Luke AFB, AZ 85309. 7282 N. 137th Ave. Bldg.1113 Luke AFB, AZ. 85309 “We’re never the wrong place to go!”

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Benevilla Beneﬁtness adaptive gym opens to the public BY BENEVILLA

enevilla unveils to the public the Benefitness Adaptive Gym, its latest program designed to meet a vital community need. “We are excited to offer such an amazing resource to those in our community facing the challenges of aging and adults with different abilities and special considerations,” said Lorrie Karn, Benevilla director of Benefitness. Benevilla is accepting memberships. To celebrate the launch of the gym, it is running a special promotion on pricing packages and accepting reservations for its founding members club, offering exclusive discounts for the first 25 elite members and first 25 premier members. The founding members will also receive an introductory swag bag filled with Benefitness branded items. For more information or a behindthe-scenes tour, call Benefitness at 623-584-0065. The adaptive gym provides specialized equipment and individual and group fitness instruction to adults with

differing abilities and special physical considerations. That includes those with early onset diagnoses of Parkinson’s, dementia, multiple sclerosis and more looking to improve physical performance, mental acuity, strength, balance and overall well-being. Members will be mindfully guided to work out at their own ability level, yet coached to gain strength, mobility and quality of life. Benefitness is the perfect gym for those just beginning their fitness journey; recovering from a fall, illness or injury; or having a progressive diagnosis. Register today for specialized training classes during which certified “coaches” will provide individual and small-group instruction including Rock Steady Boxing, circuit training, BeneBoxing, fall and injury prevention, and stretch and range of motion. The gym will offer modified equipment for individuals in wheelchairs, people who have limited motion, and those who are differently abled. If would like more information or would like to take a behind-the-scenes tour, call Benefitness at 623-584-0065.

BENEVILLA

Started by the community and for the community in 1981, Benevilla is a not-for-profit family services agency dedicated to enriching the lives of West Valley residents by providing care services for older adults, adults with disabilities, children, and families. For more information on services, volunteer opportunities, to take a tour or donate to Benevilla, call 623-584-4999 or visit www.benevilla.org.

Ironwood...continued from page 2 ment of our patients’ care as well as our medical knowledge,” Washburn said. “We have collaborated with national pharmaceutical and device companies to conduct clinical trials for oncology, which are generally not available to the public. As an instrumental partner with these national companies, we have been able to bring new oncology drugs to the market as well as novel treatments for breast and lung cancer, which aren’t normally available as a research option for some of these patients. “We have research studies at many of

our sites, but we are excited this will likely become our hub because of the sheer size.” The facility will be part of the Goodyear Medical Innovation Corridor, one of the West Valley’s largest growing health care and medical districts. The area also includes the Abrazo West Campus hospital. “I think it will be a great complement to our mission and what we are trying to accomplish,” Washburn said. “We wanted to be near the other medical providers, for those additional services, making it convenient for the patient. The location is ideal for the patients, being right there off the I-10 and the 303.”

Benevilla “Lucy Anne’s Place” Life Enrichment Adult Day Program members test equipment in the Rock Steady Boxing room as the Beneﬁtness Adaptive gym is now open to the public. (Benevilla/Submitted)

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Summer 2022

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Neuropathy Is Often Misdiagnosed Muscle cramping, difficulty walking, burning, tingling, numbness, and pain in the legs or feet are symptoms of neuropathy people live with every day,” explains Dr. Kerry Zang, podiatric medical director of CIC Foot & Ankle. “The thing is PAD has very similar symptoms. So similar that in many cases, people are told it’s neuropathy when it may not be.” Medicine is often prescribed. “Pills aren’t a cure, they just suppress the symptoms,” says Zang. “If neuropathy

isn’t causing the symptoms, the real problem could get worse.” It’s important to determine if PAD (peripheral artery disease) is causing the pain or making it worse. PAD is plaque in the arteries which causes poor circulation. “Blood brings oxygen and nutrients to your feet which they need to stay healthy,” explains Zang, “When your feet aren’t getting an adequate supply, they start sending signals.” Those signals include pain, burning, tingling, numbness, or cramping. The good news is PAD is treatable in

an office setting. Dr. Joel Rainwater, MD endovascular specialist explains, “We go into the bloodstream to find the blockage using imaging guidance. Then with small tools that can go into the smallest arteries, remove the blockage, and restore blood flow.” Getting the proper diagnosis is the first step to getting better. “It’s all about finding out what’s causing the problem,” says Zang. “When your feet burn, tingle, or feel numb, it’s your body telling you it needs help, and you should listen.”

If your neuropathy medication is not working, your symptoms may be an indication of another condition.

Stiff Joints Interfere with Everyday Living

HELP! Don’t wait for your feet to yell at you. If your feet hurt, they are talking to you. Our doctors can help tell you what they are saying. Y / N

Does foot pain prevent you from doing your favorite activity? Do you have burning or tingling in your legs or feet? Do you have leg or foot cramps with activity or at rest?

If you’ve answered “yes” to any of these questions, call our office today to see how our doctors can help.

(602) 954-0777 azfeet.com Dr. Kerry Zang • Dr. Shah Askari • Dr. Dan Schulman • Dr. Kim Leach Dr. Barry Kaplan • Dr. Jeff Weiss • Dr. Patrick Gillihan

One in 40 people over the age of 50 may find themselves limiting their activity because of a condition called hallux rigidus. It’s a degenerative disease of the big toe joint. As it progresses, the pain in the joint increases and motion decreases. “People don’t realize the impact their big toe has on their life. It plays a role in balance, shock absorption, and forward movement as you walk,” explains Dr. Daniel Schulman, of CiC Foot & Ankle. “When the joint is stiff, it’s not able to bend and rotate properly, and it changes how we walk without us even realizing it.” These changes can lead to back or knee pain as well as discomfort in other parts of the foot. “It always concerns me to hear that someone is playing less golf or staying home because they’re in pain,” says Schulman. “There are ways to help.”

The goal is to protect your feet from the repetitive stress of everyday activities. “We have several treatment options to not only relieve foot pain but help improve how your feet work. If we can help your feet function better, in many cases the need for surgery can be avoided or at the very least postponed,” says Schulman. “Patients are always happy to learn about ways to alleviate their symptoms.”

For golfers, a stiff big toe can make their game suffer.