Podiatric Medicine

Podiatric medicine is the study of the lower extremity. Our doctors have unique and specific training in disorders of the foot, ankle and lower leg. These skills are used to provide a thorough clinical evaluation and treatment plan. Your concern may be sore feet, conditions affecting muscles, joints, bones, circulation, skin conditions of the lower legs, neurological disease, injuries, and balance or walking disorders.

Our practice reaches out into community to include podogeriatrics, the treatment of foot problems of the elderly. We also have a special interest in sports medicine, diabetic foot conditions, and wound care.

Optimizing Lower Limb Health: A Holistic Approach Integrating Biomechanics, Functional Medicine, and Lifestyle Medicine

Lower limb issues encompass a range of conditions that can significantly affect an individual’s quality of life and mobility. From simple activities like walking to more complex physical tasks, the health of the feet, ankles, and surrounding structures is crucial. The prevalence of lower limb problems underscores the importance of understanding their root causes and implementing comprehensive management strategies.

Biomechanical insights are fundamental in assessing and managing lower limb issues. Walking, a basic human activity, heavily depends on the intricate interplay of biomechanics within the lower limbs. The foot and ankle serve as the foundation for this biomechanical chain, bearing the force generated with each step. Consequently, issues such as plantar fasciitis, arthritis, and generalized pain can arise, hindering not only mobility but also overall well-being. Moreover, lower limb dysfunction can affect the knees, hips, and beyond.

Detailed biomechanical examinations, including gait analysis and joint assessments, provide valuable insights into movement patterns and structural imbalances. By identifying areas of biomechanical stress and dysfunction, personalized interventions can be devised to restore optimal alignment and function. Orthotic devices, corrective exercises, and manual therapies are key modalities aimed at addressing biomechanical deficiencies and relieving symptomatic manifestations.

In addition to biomechanical insights, functional medicine offers a holistic framework for understanding the systemic contributors to lower extremity dysfunction. Inflammation, hormonal imbalances, and metabolic disturbances can all profoundly affect musculoskeletal health, predisposing individuals to chronic pain and degenerative conditions. Through comprehensive laboratory testing and clinical assessments, the functional medicine approach seeks to uncover underlying imbalances and dysregulations.

Lifestyle modifications are a critical component of holistic management, focusing on fundamental pillars of health and wellness. These modifications aim to address the root causes of inflammation and oxidative stress, ensuring a coordinated approach that tackles both biomechanical and systemic contributors to lower extremity issues. Physical activity, including targeted exercises and movement practices, promotes muscular strength, flexibility, and joint stability. Whole food plant-based nutrition provides essential nutrients and antioxidants, supporting tissue repair and reducing inflammatory burden.

Stress management techniques, such as mindfulness meditation and relaxation exercises, help mitigate the impact of psychological stressors like cortisol on musculoskeletal health. Social connection fosters emotional well-being and resilience, providing support networks crucial for navigating the challenges of chronic conditions. Restful sleep is essential for tissue regeneration and recovery, optimizing the body’s healing capacity.

Furthermore, avoiding harmful substances like tobacco and excessive alcohol consumption minimizes systemic inflammation and enhances overall health outcomes. Cultivating passions and hobbies fosters a sense of purpose and fulfillment, contributing to holistic well-being and resilience in the face of adversity.

In conclusion, managing lower extremity issues requires a comprehensive and integrative approach that addresses biomechanical, functional, and lifestyle factors. By synergistically incorporating these pillars of care, we can optimize outcomes and empower individuals to reclaim their mobility and vitality. Emphasizing patient education and self-care strategies, this holistic framework represents a paradigm shift in the management of lower extremity dysfunction, fostering long-term musculoskeletal health and well-being.

Conditions We Treat Using a Holistic Approach

Through a holistic approach, our podiatric medicine services include regular foot and ankle care, foot and ankle injuries, trauma and infection, diabetic foot care, and a diabetic shoe program and second opinions. To see the different conditions we can treat, hover of the different areas below.

Our Collaborative Efforts Used

Below you will find our collaborative efforts we use here at the Rochester Clinic to help treat specific conditions within our podiatry practice. Click on any service below to learn more about that specific treatment.

Occupational Medicine

Our Registered Dietitian Works Closely With Our Physicians And Medical Team To Provide The Best Nutrition Care Possible.

Sports Medicine

We provide comprehensive care to treat and prevent sports-related injuries using an integrated approach.

Arthritis Programs

We use a team approach to identify the root cause and severity of arthritis and develop a treatment plan for you.

wound care

Wound Care

Wound Healing Consists Of A Cascade Of Interrelating Reactions Triggered By An Injury.

Ancillary Services

Clinical Laboratory, digital x-ray, biomechanics laboratory, diabetic shoe program, and Durable medical equipment.

Group Visits

During group meetings, patients with similar medical conditions receive consultation in a group.

Our Process


Wound care, prescription drugs, surgery, manipulation, massage, physical therapy, and exercise programs are used in your care. Also available are products such as orthotic devices, custom foot wear, protective padding, braces, splints, removable casts, and other supports.

Follow Up

Because foot problems may be signs of general illnesses, such as diabetes or heart trouble, podiatrists routinely refer these findings to the primary physician for treatment.

Preventative Care

Today’s state of the art medicine brings us to a new level beyond good care. We practice preventative medicine that identifies probable or incipient conditions before problems occur or at an early stage…

Imbalances in bio-mechanics cause painful conditions or predispose to falls or injuries. Excessive pressure on parts of the foot can develop calluses or wounds when other conditions like diabetes are present. Many of our patients have avoided recurrent ingrown nails, infections, stress fractures, heel pain, and shin splints. Wellness is more than being pain free, it is helping the body to be in balance. Exercise should not result in injury, but better health.

Meet Dr. Jengyu Lai

DPM, DipABLM. Your Podiatrist

Jengyu Lai is a certified wound specialist of the Council for Medical Education and Training is the Chief Manager of Rochester Clinic and has been providing podiatric and wound care for almost two decades.

He is dedicated to operating Rochester Clinic as a source of comprehensive and high quality care, and takes pride in providing patients with a personalized and friendly experience.

Customer Testimonials

“Dr. Harman is the most professional, empathetic, informative, and personable person I have encountered in my 62 years. I would trust him with my life as well as that of my family. He is the best!”


“They have all been very helpful and very nice. I don’t feel like I am being judged by anyone for my illness and I greatly appreciate that. Thank you.”


“They helped me get my life back without controlling every aspect of my life. Without this facility I’m not sure where I would be right now.”