Arthur Segall, DPM

Dr. Segall attended undergraduate school at Vanderbilt University in Nashville, Tennessee and upon graduation, attended Barry University School of Podiatric Medicine in Miami Shores, Florida where he received his Doctorate in Podiatric Medicine. Afterwards he completed an Internship/Residency at Hialeah and Palmetto Hospital in Hialeah, Florida. Dr. Segall was then awarded an AO Orthopedic Fellowship in Foot & Ankle Trauma and Reconstructive Surgery, which he completed in Liestal, Switzerland. Upon returning, he took an associate position in 1993 with Orthopaedic Associates, in Dade, Broward, and Palm Beach Counties, Florida, heading their Foot and Ankle Center. In 2003, Dr. Segall opened Advanced Foot & Ankle Center of Weston with offices in Broward and Dade Counties. Dr Segall's practice deals with both professionals and weekend warriors involved in work and sports related injuries. He utilizes the newest techniques and equipment in an attempt to return each patient to their normal and usual activities more quickly and safely and at the same time educate the patient on ways to decrease the chances of re-injury. Dr Segall does numerous in-service lectures for many of the local hospitals, community organizations and insurance companies in hopes to prevent injuries before they occur as well as what to expect when treating most foot and ankle injuries. Dr. Segall is board certified in Foot and Ankle Surgery and Foot and Ankle Orthopedics and Primary Podiatric Medicine. Also, Dr. Segall is a nationally board certified Wound Care Specialist who deals with a large acute and chronic wound care population.

April Chin, DPM

Dr. Chin attended undergraduate school at the University of Maryland in College Park, Maryland and upon graduation, attended Barry University School of Podiatric Medicine in Miami Shores, Florida where she received her Doctorate in Podiatric Medicine. Afterwards she completed a three year Internship/Residency program in foot and ankle reconstructive surgery at the Department of Veterans Affairs in Miami, Florida. Upon completion, Dr. Chin joined Advanced Foot & Ankle Center of Weston in 2008. Dr. Chin is an active member of the Westside Regional Medical Center, Weston Outpatient Surgical Center, North Shore Medical Center , Outpatient Surgical Services, and Jesse Trice Community Health Center medical staff. Dr. Chin is also a member of the American Podiatric Medical Association, National Association of Professional Women, and Pi Delta National Honor Society. Dr. Chin remains active in an international outreach program where she travels to Jamaica to treat indigent adults and children who have limited access to healthcare.

Anesthesia-Pain Medicine 

First Resort, Not Last

Lawrence Gorfine, M.D.

It has long been accepted that physicians have three basic options to alleviate suffering: surgery, physical therapy or pain medication. We have recently learned that there is an even better option - pain alleviating, minimally-invasive procedures used as the method of first resort, not last.

Trauma and injury cause inflammation.  Blood vessels leak protein and fluids into the injured area, and this causes swelling. Bradykinin is released, causing an increased sensitivity to pain. Arachidonic acid is generated after tissue injury.  This chemical begins a cascade to a large number of other complex chemicals responsible for the inflammatory reaction.

We have learned in recent years that these chemical reactions can be controlled and often stopped by well known and commonly used medications.  These medications need to be delivered to the point of injury. The sooner these medications reach the area of early inflammation, the sooner the destructive processes will be terminated and the less tissue damage will occur.

Pain Medicine is a new and modern science, utilizing creative and innovative solutions to previously persistent and difficult to cure painful injuries. Early use of Pain Medicine techniques deliver or inject medications quickly to the injured areas. The injured victim quickly resumes normal activities, making surgery, physical therapy and medication management unnecessary. Rapid injury resolution limits the financial costs to the injured person and the loss of work.  Pain Medicine is now the First treatment of choice. By returning injured workers back to work rapidly, employers, employees and insurance all benefit.

According to Lawrence Gorfine, M.D., Past-President of the Florida Academy of Pain Medicine, "Over the last twenty years, many chemical and anatomic pain pathways have been identified and studied. Anesthesia Board Certified Pain Medicine specialists perform diagnostic injections, usually with enhanced fluoroscopic guidance. These injections isolate and confirm the source of the patient's pain. Once identified, if these painful structures are quickly treated, inflammation stops.  Tissues heal and patients quickly return to normal activities."  Dr. Douglas MacLear, University of Pittsburg Fellowship Trained adds, "Rather than simply administering pain medication, Anesthesia Board Certified Pain Medicine physicians diagnose the sources of pain and provide pain relief through these and other minimally invasive techniques.  The results are dramatic.  The paradigm of treatment of injury has changed.  Patients and society benefits if Anesthesia Pain Medicine is the first resort, not the last."