My Blog
December 29, 2020
Category: Uncategorized
Tags: Untagged

A lot has happened since the COVID-19 pandemic began. We are happy that our office has been able to continue to serve our patients throughout this time. 

As mentioned in an earlier post, we remain open. We did revamp the office flow, including our schedule, to reduce the number of people in the office at one time. We now open earlier and close later and have extra office time on Thursday and Friday afternoons to accommodate our patient's needs.

The staff is regularly sanitizing all touch surfaces in the office--about every 2 hours. All staff are masked and all patients are asked to mask as well. With very few exceptions, all of our patients have masked. Those who have not masked were unable to due to medical reasons. The staff verifies all appointments and asks during these calls for those who have recently tested positive for COVID to postpone their appointments. 

Dr Clement has continued to treat patients at the hospital including inpatients who are COVID positive. Surgeries have continued, including emergency and elective surgery. 

We are proud that to date neither Dr Clement nor any of our office staff have either tested positive for or been sick with COVID. To our knowledge none of our patients have acquired the illness due to visiting our office. 

The best news is that a vaccine is available and being administered around the world. Dr Clement and several staff members have received their first doses, and the remaining office staff will likely be getting their first doses in the coming days. Dr Clement recommends that all who are able get a vaccine. Vaccines are the most effective and safest way to eradicate this disease. For more information about vaccines, contact your primary care physician's office or the Pinal County Health Department.

This has been a difficult time for all. Our sympathies go out to all who have become sick, those who have died, those of you who grieve the loss of loved ones, and all who have suffered financially, mentally and emotionally due to this pandemic. 

We will continue to remain open to serve you and look forward to the day--very soon--that this is all behind us. There is definitely light at the end of this long tunnel. 

COVID-19 has taken the world by storm. It was only weeks ago we were living our lives: traveling, getting together with friends, family, community. Much has changed in just a few short weeks. We hope you and your loved ones are well. 

Our office has a committment to heatlh care. So how does the current COVID-19 pandemic relate affect our practice?

First, we will remain open. We will maintain the same office hours. We are restricting office visits to minimize the numbers of patients in our waiting room and exam rooms in order to accommodate recommended social distancing. Many of you may have been or will be asked to reschedule routine appointments until after social distancing restrictions are eased. Thank you for your patience. 

We are still seeing patients for post-surgery follow-up visits, injury follow-ups, infections, open wounds, diabetic wounds, and other needs. One of our responisibilities during the COVID-19 pandemic is to keep our foot and ankle patients out of the ER, Urgent Care and hospital to reduce your risk of COVID-19 exposure, and to help reduce the demands on our hospitals. Please call us and schedule an appointment if you have an urgent foot care need. We can easily accommate you the same day (Monday through Friday).

We are now offering limited Telehealth visits. These are covered by your insurance and depending on your plan may not have a copay during the COVID-19 pandemic. Please call the office for details.

We are taking many precautions in our office to reduce your and our staff members' risk. If our lobby has more than one or two people waiting, we may ask you to wait outside in our shaded courtyard or in your car to minimize social contact. In addition to our usual sanitizing of exam tables and instruments between patients, we are increasing the frequency of sanitizing our frequently contacted surfaces including door knobs, guest chairs, etc. Hand sanitizer stations, as always, are located in all exam rooms and hallways and are available for your use. A facemask is available to at risk patients. 

We also ask that we restrict patient escorts to one person with them in the lobby or exam room. Additional escorts are asked to wait outside or in your vehicle. 

If you have any questions regarding COVID-19 please call our office. Also please refer to the Centers for Disease Control (CDC) website for the most up-to-date guidance for your and your famlies. 

Thank you!

Dr Clement and Staff

By Foot and Ankle Center
April 15, 2016
Category: Foot Care
Tags: Hammertoes  

Hammertoes plague people of all ages and walks of life. Typically recognized by your Casa Grande, AZ podiatrist as an upward deformity of the middle toe joint, but sometimes of the first joint nearest the toe nail, hammertoes cause people discomfort and Hammertoesembarrassment. The podiatrists of the Foot and Ankle Center diagnose and treats this common foot problem in their Casa Grande office.

Causes of Hammertoes

As with so many medical problems, heredity plays a part in the development of hammertoes, bunions and other foot and ankle deformities. Simple foot structure issues such as high arches, flat feet and tight or lax calf muscles contribute to hammertoe formation.

In addition, a bunion, a boney protuberance on the side of the foot at the base of the big toe, often co-exists with hammertoes. A bunion turns the big toe inward, sometimes crossing it over the second and even third toe. The extra pressure causes the first or middle joint of the second or third toe to change in shape, resulting in a hammertoe.

Diabetics and arthritics are prone to hammertoes as are women in general because of narrow-toed shoes and high heels that put additional stress on the front of the foot and the toes. Corns and calluses frequently form on the first or second joint of hammertoes, says the American Orthopaedic Foot and Ankle Society.

Treatment of Hammertoes

Hammertoe repairs range from minimally-invasive treatments to surgery on the affected foot. One of the best interventions is a change in shoes. Wider, higher toe boxes relieve pressure on the toes. In-shoe padding of the affected area helps, too, as do custom-made orthotics, or shoe inserts. Specialized hammertoe splints support the painful toe, pad it and help it take a straighter position.

Your Casa Grande podiatrist diagnoses hammertoes with simple visual inspection and x-rays. He may also check a patient's gait and look at the range of motion in the foot and ankle.

Call about Foot Pain

Drs. Myskiw and Clement help scores of patients with hammertoes. If you are in pain, or simply are tired of how your feet look, contact your Casa Grande, CA podiatrist. Get your feet, ankles and legs feeling good and functioning best for your daily activities. Call (520) 836-2962 for an appointment at the Foot and Ankle Center.

By Foot and Ankle Center
February 18, 2016
Category: Foot Care
Tags: bunions  

Find out the best treatment options for reducing bunion pain and discomfort.

It can be a challenge figuring out the ideal ways to reduce your bunion-related symptoms. If you are stumped, turn to your Casa Grande, bunionsAZ podiatrists Dr. Peter Myskiw and Dr. Dean Clement to find out the most common treatment options to help relieve your pain.

Conservative Measures

The first line of defense against treating any foot condition is to always start small and to progress to more aggressive treatments if the need calls for it. After all, who wants to go through longer or more intense treatments when simple at-home measures can do the trick? Here are some treatment options that your foot doctors in Casa Grande may recommend when you come in for care:


Not all medications need to be prescription strength in order to do the trick. Many patients find the relief they need with over-the-counter anti-inflammatory medications such as ibuprofen or naproxen, which can target both pain and inflammation.

Cold therapy

Whether you just don’t like the idea of taking medications or you are looking for another remedy to ease pain and swelling, applying ice to your bunion can also help with your symptoms. Of course, you never want to apply ice directly to the skin, which can cause severe burns. Always wrap an ice pack in a towel before applying to the bunion. You can ice the area for about 15 to 20 minutes at a time several times a day.

Stretching exercises

To reduce stiffness in the affected toe joint, you may want to consider performing a series of stretching exercises each day to improve the mobility of your joint. Talk to us about the best exercises you can perform to correct your foot’s form and function despite bunions.

Footwear and Orthotics

It may not seem important but the shoes you wear can certainly exacerbate any foot problems you have, including bunions. Throw away any shoes that don’t offer your feet enough support, that rub or irritate the bunion, or are too tight. Also, steer clear of high heels, which can put too much pressure on the sides of your feet.

Also, depending on your foot’s structure and the severity of your condition we may advise you to wear custom-made orthotics to help fix any biomechanical issues you may have that may be making your bunion symptoms worse.

If trying these at-home measures for a few weeks doesn’t provide you with the pain relief you thought it would then it’s time to talk to us about other options. Sometimes cortisone injections can be administered to alleviate pain around the base of the big toe. Those with severe bunions that cause chronic, debilitating pain may need to consider surgery.

We are here to answer all of your foot health questions. Schedule an appointment today with Foot and Ankle Center in Casa Grande, AZ.

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