Starting them young! My time with Upper Dublin High School

I had a great experience last week when my friend Megan Gallagher invited me to speak about podiatry to students at Upper Dublin High School.
I’ve been blessed to have alot of experience with public speaking from QVC to podiatry conferences, but from some reason, I was very nervous about speaking to a group of 16-18 year olds.
I thought about when I was 18 years old at Archbishop Wood High School and the last thing I wanted to do was look at people’s feet all day! How would I deliver a message to myself at 18 that would hit home. Why did I become a podiatrist?
It was simple: To Help People.
I told the students my background, about medical school, my residency, a couple showstopper stories (maggots and other unique experiences) but I decided to pushed the “why” of our profession.  (I love this TED talk in the link)
Podiatrists have the ability of preventing and treating problems that can be life changing. Most patients will see their podiatrist more often than any other doctor because of their periodic appointments. It is at these appointments that we may either treat a problem or direct them to the proper physician.
You know doc, I’ve been dizzy” or “You know doc, I’ve been falling alot.” These passing statements need to be acted on to prevent worse issue.
So when I was talking to the students, I explained to them that it is not always about the feet, but in my practice, it’s about treating the PERSON.
If anyone has been my patient, I joke that sometimes their appointments are more like a SOCIAL HOUR than a doctor’s appointment. It’s that friendly approach that allows my patients to be comfortable, open up and discuss their lives.
So remember students, Podiatry is a specialty that focuses on care of the feet, but more importantly, it’s about the care of the PERSON.

Barking Dogs Podiatry Family Business
Have a problem, give us a call and set up an appointment!
484.681.9485 or visit us at

Hey Drew Brees and Peyton, Let me tell you about Shockwave!

This year elite NFL quarterbacks Drew Brees and Peyton Manning have been stricken with a very common foot problem, plantar Fasciitis with tearing of the fascia.  I’ve also been stricken with a horrendous fantasy football team due to this foot ailment, but that’s another story.

I’ve personally suffered from plantar fasciitis as discussed in a previous blog and it can be very disabling.  It puts it into perspective that these elite athletes, with the best tretament options and care available are still suffering and don’t heal immediately.

Imagine the recovery time for your 37 year old podiatrist who has no personal trainers and a 3 and a 1 year child to chase around 24/7. (No rest).

Plantar Fasciitis is inflammation of a ligament that extends from the heel to the forefoot and is responsible for maintaining the integrity of you foot structure.  It’s extremely important. When you experience tearing and inflammation, every step can hurt.

Treatment consists of stretching, rest and supporting any foot deformity that may cause your issue. Injections can be helpful and physical therapy has been wonderful for my patient.

But I have something NEW:

Treatment Method for Sports Medicine injuries

Extracorporeal Sound Wave Therapy

Extracoporeal Sound Wave Therapy is a new treatment option (also known as EPAT) that has become a staple in my practice.

Extracorporeal Pulse Activation Technology (EPAT®) is the most advanced and highly effective non-invasive treatment method based on the use of pressure waves that stimulate healing in areas of injury (like the plantar fascia) by enhancing blood circulation to speed up the healing process. Damaged tissue is able to reform and heals.

This is a great option to avoid steroid use, limit non-steroidal antiinflammatory drugs (to avoid side effects) and allow my patients to continue to live their lives while healing.   One appointment a week and a range of 3-7 treatments total for recovery.  The treatments take between 15-30 mintues at a time. I perform the treatments.

This new option has made such an incredible difference for my patients!

So if you are like our NFL superstars or a weekend warrior like myself and you are suffering from tendon pain, Ankle Sprains, Heel pain, neuromas and other sports injruies, avoid the needles and boots and come in for an evaluation.

You deserve to get better!

To make an appointment call: 484-681-9485 or email us at


Spread Holiday Spirit for Local Families with Barking Dogs and the Angel Tree!

Barking Dogs is excited to be part of the Salvation Army’s Angel Tree program. Participation is easy!  Just stop by the office at:

1000 Germantown PIke; Suite C3

Plymouth Meeting, PA 19462

Pick an “Angel Tag” off of the tree and purchase a gift for the age group on the tag.  For less than $15 you can make the holidays brighter for someone in need.

Please help us make this a success and put a smile on a child’s face! For further directions, please visit our website at:

Barking Dogs Foot and Ankle Care

Angel Tags

Angel Tags

From the Salvation Army:

Along with the familiar Red Kettles, the Angel Tree program is one of The Salvation Army’s highest profile Christmas efforts. Angel Tree was created by The Salvation Army in 1979 by Majors Charles and Shirley White when they worked with a Lynchburg, Virginia shopping mall to provide clothing and toys for children at Christmas time. Since then, the tradition has expanded and now is the cornerstone of The Salvation Army’s Christmas efforts.

Summer Announcements and the Montgomery County Hall of Fame!

Very proud to be part of a Hall of Fame! Thanks again to all who voted! Starting in the fall, increased hours including Monday and Thursday Hours and a Runner’s Night at Barking Dogs Foot and Ankle Care featuring local coaches, physical therapists, authors, new running shoes and screenings by Dr. Pagano!
Get excited for the fall but enjoy the Summer!!!

Please click on the link to read more about our practice!

Hall of Fame, Dest Doctor, Montgomery County
Montco happening list hall of fame

Namaste or “That Nasty” Wart: Tales from a Yogi with Skin Troubles

I love yoga for my patients! Its an excellent way to keep yourself in great shape and the overall health benefits are endless.

My wife always makes sure to bring her own yoga mat to her classes.   Everytime I would go with her to class, (I’m the shakey, sweaty guy hiding in the back of class),  I always use the community mat without a problem.  But there is a benefit to having your own mat.

Yoga is practiced barefoot; potentially exposing you to the virus that causes warts. Warts enter  through an opening in the skin and begin growing. It can be slow growing or rapid, but the major complaint is pain.  These warts tend to spread, both on your foot and to your friends!

So while you are doing your tree poses and warriors, you have to remember that the skin on your feet is at war.  The human pappilloma virus is looking for a home and the results can be painful skin lesions.  This can limit your activity and affect your daily life. Also, THEY CAN SPREAD and they are CONTAGIOUS.

Treatment is best if intitiated early.  Chemical treatments and excision are the standard of care. I prefer to try to treat with chemicals and vitamin supplements prior to cutting them out and putting my patients through a long healing process and wound care.

In the meantime, make sure you keep your mat clean, allow it to air out between use. If you need to use a community mat, bring along some cleaning wipes to remove bacteria, fungus and viruses.

Take these precautions and you’ll be able to enjoy your Shavasana to the fullest. Namaste!

If you think you have a wart or are concerned about an odd skin lesion, please give a call and make an appointment at 484-681-9485!

Barking Dogs is Proud to be a Part of the Wissahickon 10K Trail Classic

We are excited to be a sponsor for the best Trail race in the area. Join us tomorrow at the 10th Annual Wissahickon Trail Classic 10K starting at 9AM. Dr. Pagano will be running and he plans on spending a lot of time on the course!

Click on the link to join us or donate to a great cause!

Wissahickon Trail Classic Website

T-shirt by Gary Bernard