General Practitioners

• Warts
• Arthritis
• Plantar Fasciitis
  Plantar fasciitis is an inflammation of the band of tissue (the plantar fascia) that extends from the heel to the toes. In this condition, the fascia first becomes irritated and then inflamed-resulting in heel pain. The symptoms of Plantar Fasciitis are...
• Diabetic Foot Care

Endocrinologist

• Diabetes Care

Radiologist

• Ultrasound
  This 2017 study found that shockwave therapy and low-level laser therapy were significantly superior to ultrasound therapy. They found that after 1 month, the pain score had improved, and almost all patients by at least 2 out of 10.
• MRI
• X-Rays
• Chemotherapy
  This 2018 study was designed to evaluate the treatment of chemotherapy-induced peripheral neuropathy. This paper did look at 26 different treatment options within 35 studies when looking back on treating chemotherapy-induced peripheral neuropathy. This review article did note that low-level laser therapy is considered to be of moderate evidence based on evidence review. The literature does know that medications were also the most successful treatment options and were on part as moderate level evidence. Other forms of treatment were noted to be of lower-level treatment evidence for chemotherapy-induced peripheral neuropathy.

Surgeons

• Wound Care
  Treatment relies on early recognition of the ulceration by a podiatric surgeon, avoidance of weight bearing activities such as walking, avoidance of wearing “closed-in” shoes, and early intervention. Besides local wound care, dressings and antibiotics, other measures may be necessary to adequately relieve pressure on the area. When the use of crutches, a wheelchair, or rest is not feasible, plaster casts, braces, healing sandals, or orthoses (special shoe inserts) can be used to protect the foot while it heals. If circulation is inadequate to allow healing, a vascular surgeon can make an appropriate evaluation and possibly perform vascular reconstructive surgery.
• Ankle Surgery
  Dr. Cachat attended St. Edward High School and earned his Bachelor’s Degree from John Carroll University in University Heights, OH. He received his Doctorate in Podiatric Medicine from the Ohio College of Podiatric Medicine in Cleveland, Ohio. He has trained in the world renowned Harrison Hospital in trauma and reconstructive foot and ankle surgery.
• Bunions
  Foot deformities such as hammertoes, bunions, and metatarsal disorders have special significance in the diabetic population. Neuropathy places the foot at increased risk for developing corns, calluses, blisters, and ulcerations. If these are left untreated, serious infections may result.
• Gangrene
  Foot problems are a leading cause of hospitalization for the eight million persons in the United States who have been identified as having diabetes mellitus. Expenditures related to diabetic foot problems total hundreds of millions of dollars annually. It is estimated that 15% of all diabetics will develop a serious foot condition at some time in their lives. Common problems include infection, ulceration, or gangrene that may lead, in severe cases, to amputation of a toe, foot or leg.
• Ingrown Toenails
  Painful ingrown nails may be congenital, caused by an over-curvature of the nail or by an imbalance between the width of the nail plate and the nail bed.
• Reconstructive Surgery

Plastic Surgeons

• Hammertoe Surgery

Dermatologists

• Corns
  Corns (a buildup of skin) on the top, side, or end of the toe, or between two toes. Corns are caused by constant friction against the shoe. They may be soft or hard, depending upon their location.
• Cyst
• Ulcer
  An ulceration or ulcer is usually a painless sore at the bottom of the foot or top of the toes which results from excessive pressure at that site. Ulcers frequently underlie a pre-existing corn or callus that was allowed to build up too thickly. Trauma from heat, cold, shoe pressure, or penetration by a sharp object are also potential causes. Neuropathy allows the lesions to develop because the normal warning pain has been lost and they go unrecognized. Continued pressure or walking on the injured skin creates even further damage, and the ulcer will worsen. The open sore will frequently become infected and may even penetrate to bone.
• Calluses
  Most warts are harmless, even though they may be painful. They are often mistaken for corns or calluses, which are layers of dead skin that build up to protect an area which is being continuously irritated. The wart, however, is a viral infection.
• Fungus
  Most fungi are harmless until they penetrate the skin. A fungus can invade through minor cuts, or after injury or repeated irritation to the toes have caused the nail to separate from the bed. Fungal infections of the nail plate and nail matrix are quite common.
• Lesions
  Lasers have become a common and effective treatment. A procedure known as CO2 laser cautery is performed under local anesthesia in our office surgical setting or an outpatient surgery facility. The laser reduces post-treatment scarring and is a safe form for eliminating wart lesions.

Physical Therapists

• Sports Medicine
  Multiwave Locked System, MLS, laser therapy is provided in office in order to reduce pain, swelling, and inflammation. It is FDA approved and backed up by medical evidence that further proves its effectiveness and no known side effects. The way MLS Laser Therapy works is by using lasers with multiple wavelengths, allowing the practitioner to more accurately direct treatment to the problem spot, even if it is located deeper within the patient’s body or involves a large pained area. Once this light gets into damaged cells, it stimulates inter-cellular activity; it triggers the production of enzymes, stimulation of mitochondria and ATP synthesis; increases vasodilation and lymphatic drainage; and helps in the formation of collagen, preventing the formation of scar tissue. Overall, it stimulates cell repair, tissue healing, and healthy growth of tissues. Benefits of laser therapy includes no lengthy or costly hospital stays, a faster healing rate, and less pain/scarring/swelling. Conditions that laser therapy can treat include, but not limited to, chronic pain conditions, neuropathy, pain in the lower extremities due to numerous causes: fractures/sprains/back or neck injuries/nerve damage; arthritis and inflammation in the joints; heel pain, plantar fasciitis; Achilles tendonitis; post traumatic injury pain; Morton’s neuroma; sports injuries; and more.
• Flatfoot Correction
• Heel Pain
• Ankle Sprain

Podiatrists

• General Podiatry
  Corrigan Podiatry uses the latest ScanX 12 Digital System.  Replacing traditional film x-rays, this unit utilizes storage plates coated with an x-ray sensitive phosphor material. Upon exposure to x-rays, the plate stores a latent image which is then transformed into a fully adjustable image.  Image enhancements maximize the diagnostic information so that, among other things, small injuries can be magnified 1,000 times. Thus, fast, efficient and, most importantly, accurate x-rays can be shown to patients in five minutes.
• Achilles Tendonitis
  The studies we had mentioned earlier have proven to be very beneficial in improving the pain, function, and elasticity regarding connective tissue such as the plantar fascia. There have been no specific high-level studies aimed at Achilles tendinitis. But there is a study regarding a low-level laser therapy for Achilles Tendonitis Currently taking place in Lithuania. We are eagerly awaiting the results, and we anticipate that this will be a high outcome study.
• Ankle Sprain
• Bunions Problems
  Neuropathy can reduces one’s ability to detect sensations or vibration. It allows injuries to remain unnoticed and untreated for lengthy periods of time. It may cause burning or sharp pains in the feet and interfere with sleep. Ironically, such painful neuropathy may occur in combination with a loss of sensation. Neuropathy can also affect the nerves that supply the muscles in your feet and legs. This “motor neuropathy” can cause muscle weakness or loss of tone in the thighs, legs, and feet, and the development of hammertoes, bunions, and other foot deformities.
• Calluses
• Diabetic Foot Care
• Flat Feet
• Geriatric Foot Care
• Hammertoes
  Hammertoe is a contracture–or bending–of one or both joints of the second, third, fourth, or fifth (little) toes. This abnormal bending can put pressure on the toe when wearing shoes, causing problems to develop. Common symptoms of hammertoes include...
• Heel Spurs
  Pain on the bottom of the heel is most often caused by plantar fasciitis, a condition that is sometimes also called heel spur syndrome when a spur is present. Heel pain may also be due to other causes, such as a stress fracture, tendonitis, arthritis, nerve irritation, or, rarely, a cyst. Because there are several potential causes, it is important to have heel pain properly diagnosed.
• Heel Pain
• Foot Pain
• Ingrown Toenails
  Toe injuries that change the nail’s contour also can lead to an ingrown toenail. Toe deformities (such as a bunion that forces the big toe to lean toward the second toe), high-heeled or narrow, pointed shoes can put pressure between the nail and soft tissues, eventually forcing the nail to grow into the skin.
• Foot Injuries
• Metatarsalgia
• Foot Orthotics
• Pediatric Foot Care
• Plantar Fasciitis
  People with plantar fasciitis often describe the pain as worse when they get up in the morning or after they’ve been sitting for long periods of time. After a few minutes of walking the pain decreases, because walking stretches the fascia. For some people, the pain subsides but returns after spending long periods of time on their feet.
• Podiatric Deformities
  Foot problems in persons with diabetes are usually the result of three primary factors: neuropathy, poor circulation, and decreased resistance to infection. Also, foot deformities and trauma play major roles in causing ulcerations and infections in the presence of neuropathy or poor circulation.
• Podiatric Surgery
  Specializing in the prevention, diagnosis, conservative and surgical treatment of conditions associated with the foot and ankle, Dr. Cachat has been practicing podiatric medicine and foot surgery for over 30 years. He also provides home care service to home-bound patients and Assisted Living Facilities.