Appalaches podiatry clinic

 

Located in the Kingsville medical clinic, next to Thetford Mines hospital, Appalaches Podiatry Clinic has been caring for the residents of Thetford since 2011. Here you can enjoy a welcoming environment, dedicated staff, and cutting-edge equipment, and benefit from our fast, efficient, and pain-free podiatric treatment.

Plantar orthotics, ultrasound guided injections, minor surgery: regardless of the specific treatment that you need, you can rely on the expertise of a committed, professional team to help you regain your day-to-day comfort. Back in 2017, the clinic also underwent an expansion, in order to provide you with even better service.

Dedicated to your wellbeing, the Appalaches Podiatry Clinic team offers patients a full podiatric examination, to prevent and treat any problems that may affect you.

Appalaches podiatry clinic

1351 Notre Dame E street, suite 280, Thetford Mines, Quebec G6G 0G5

1-888 506-4180 Toll free

Business hours
Monday : 10:00 - 19:00
Tuesday : 09:00 - 17:15
Wednesday : 10:00 - 18:15
Thursday : 10:00 - 18:15

A determined, professional podiatrist, capable of adapting to any difficulty

 

The journey of Dre Audrey Lessard, podiatrist and founder of the Appalaches Podiatry Clinic, has been an unconventional one. Born without hearing, the podiatrist refused to let her handicap stand in her way. Ready to care for and collaborate with you, accompanied by an interpreter, she’s a model of resilience and determination.

Completing her studies in podiatric medicine at the University of Quebec at Trois-Rivières in 2009, Dre Lessard started her career on Montreal’s South Shore, before settling in the Thetford Mines region. Highly involved in her community, the podiatrist also regularly participates in international humanitarian projects, to offer podiatric care to those most in need.

You can rely on the expertise of this one-of-a-kind professional, who puts prevention at the heart of her practice

Frequent problems

Plantar fasciitis: causes, symptoms and treatments

Plantar fasciitis is a common foot condition. A strain or break in the plantar fascia, the fibrous band that supports the arch of the foot, is at the root of this condition.

Heel discomfort is the most prominent sign of this condition. It will be felt from the first steps in the morning or after a lengthy period of sitting.

You can find plantar fasciitis symptoms, causes, and remedies are listed below.

A person with plantar fasciitis will feel discomfort when they first walk in the morning, but it will subside over the day. They will also experience discomfort after sitting for an extended period of time.

Plantar fasciitis can also cause the following symptoms:

  • Pain when palpating your arch or when pressing on your heel;
  • Standing or walking causes pain, which might worsen over time;
  • Tension on the outside of the foot, which can cause compensating foot and leg discomfort;
  • A condition that gets...

Foot bunion (hallux valgus)

Is it difficult to walk on your foot because of a deformity in the big toe area? Is your big toe extending from the base due to the same deformity? Do you have pain and inflammation in your joints?

If this is the case, consult a podiatrist right away because you most likely have a bunion (hallux valgus).

Don't be deceived if the bunion appears to be painless at first.

Hallux valgus can produce a variety of unpleasant symptoms, ranging from minor aches and pains to ingrown toenails and mobility issues.

Here's a rundown of the signs and symptoms of a bunion:

  • The appearance of a hump at the base of the big toe caused by a common joint displacement
  • Beginning of the displacement of the big toe towards the 2nd toe
  • Appearance of joint stiffness and pain when moving straight
  • Having trouble putting on shoes (widening of the forefoot)
  • Second toe deforms and becomes clawed or hammered
  • Joint...

Metatarsalgia

Do you ever get a pain in the foot that makes you feel like you have needles or pebbles in your shoes? If so, you may have metatarsalgia.

This is what we call the pain in the area of ​​the foot sole, between the arch of the foot and the toes. If you have metatarsalgia, you may experience pain in a very localized area or on your entire forefoot.

Metatarsalgia is basically caused by inflammation. Often, the patient who suffers will feel that their socks are always bunched up at the base of the toes. Sometimes they will even feel like they are walking with a pebble or needles in their shoe.

  • Burning sensation at the front of the foot
  • Swelling of the front part of the foot
  • Swelling on the front and top of feet
  • Calluses on the front part of the feet
  • Difficulty crouching down on bent toes
  • Twinge in the foot phalanges

Metatarsalgia can be caused by a number...

Morton’s neuroma

Do you suffer from foot pain that resembles electric shocks in the forefoot, followed by numbness in your toes? If you experience this, it can be symptoms caused by neuroma, also known as Morton’s neuroma.

This problem is due to a thickening of the nerves located between the toes, as a result of compression or friction. This leads to inflammation, numbness, burning or a sensation of small electrical discharges felt in the toes.

Although there is no outward sign of this condition, neuroma triggers several uncomfortable sensations in different areas of the foot.

  • Numbness and tingling in your toes
  • Sensation of burning in the forefoot
  • Sensation of having a bunched up sock under your toes
  • Sensation of small electrical shocks in your toes
  • Toe cramps

These symptoms are aggravated if you remain standing for long periods of time or if you wear narrow shoes that are not...

Ingrown toenail (onychocryptosis)

Ingrown toenails are a frequent nail issue that can be extremely painful and even incapacitating. It's identified by a toenail that grows into the flesh and punctures it.

Ingrown toenails cause irritation and, in the worst-case scenario, infection, resulting in painful toes.

As a result, it is critical to address the problem as soon as possible in order to prevent the situation from spiralling out of control.

Let's look at the causes, symptoms, and remedies for ingrown toenails.

An ingrown toenail can be identified by a variety of symptoms. Inflammatory redness, pain when squeezed, and, in some circumstances, blood or pus on the side of your nail are all possible symptoms.

However, keep in mind that an ingrown toenail has three stages;

  • First stage: there is a small inflammation and pain when pressed.
  • Second stage: we observe an infection and the wound becomes more visible.
  • Third stage: we...

Plantar warts: causes, symptoms and treatment

A viral infection is what causes a plantar wart, which is a skin lesion. It can either stay dormant for years or develop and spread quickly. It's a contagious skin condition that affects you and those around you.

The HPV, or human papillomavirus, creates these lesions. Despite the fact that it is a harmless virus, it is recommended that you get treatment as soon as possible to get rid of it.

The plantar wart frequently appears as a tiny, rough, spherical, and flat lump. It will manifest itself in a variety of ways.

  • Appearance: it consists of spongy, brownish or yellowish tissue with small black dots;
  • Size: it can measure from a few millimeters to several centimeters in diameter;
  • Pain: plantar warts can be painful, even though they are uncommon. Friction or a pressure point can produce this type of pain, which can become severe;
  • Posture problem: the foot pain caused by the plantar wart can lead to a foot positioning...

Nail fungus (Onychomycosis)

If you suffer from a nail infection like nail fungus (onychomycosis), don’t let this problem go untreated. Most often affecting the big toe, it is a fungal infection that causes pain and that is very difficult to treat.

However, if you take the time, it is possible to get rid of it. Read on for further information on nail fungus.

Onychomycosis is a fungal infection, that is, caused by fungi. It causes different symptoms in the affected individual. The main symptoms associated with this podiatric problem include:

  • Nail discoloration (it becomes white, yellow or brown)
  • Nail that grows thicker, curls up or changes shape
  • Nail that breaks more easily
  • Painful, infected nail
  • Residue under the nail

As mentioned below, it is very difficult to rid oneself of an infection like onychomycosis. So, as recommended by podiatrists, if you suffer from any of these symptoms, do not hesitate to schedule an...

Corns, calluses and severe corns

Corns, calluses and severe corns are formations of dead flesh under the feet. They can be embarrassing for people when they walk or exercise.

Often, people with delicate feet tend to suffer more. However, this foot problem is easily treated.

It is common for an individual to develop skin problems. However, it is important to know the difference between the 3 pathologies described below.

  • Corn: this is a localized area of skin that thickens a lot. When a cluster forms, it bores into the skin and causes pain similar to that of a pebble in a shoe.
  • Callus: a corn has several names, like callosity or hyperkeratosis. It is characterized by an accumulation of excessive layers of skin and can form cracks in the heel if not treated.
  • Severe corn: these are also corns, but in their case, they are more advanced. They are painful, with a brownish center. They develop because of excessive pressure on the skin that has...

Heel spur (Lenoir’s thorn)

When you place your foot on the ground, do you feel discomfort beneath your heel?

Seeing as calcification under the calcaneus is quite common, Lenoir's thorn might be the disease that affects you.

The heel spur, known as Lenoir's thorn, is a bony protrusion on the inside of your heel. This anatomical structure can be seen by X-ray.

People with this condition frequently experience pain in their heels while taking their first steps in the morning or after sitting for a long period. They may also notice a painful spot in their heel, such as a spur.

Imaging is usually used to detect this structure. It is very difficult to feel by touch.

Let's take a look at what makes heel spurs develop, as well as the therapies that can help you get rid of the discomfort they produce.

Heel spurs usually do not cause any symptoms.

When walking or standing for lengthy periods of time, the majority of persons with this...

Diabetic foot

Diabetic foot develops as a result of the neuropathy that comes with poorly managed diabetes. When blood sugar levels are excessively high for an extended length of time, it impairs a person's neurological system.

The injury results in a lack of sensation in the lower limbs, among other things. Peripheral neuropathy is the medical term for this condition.

Blood vessel constriction is also caused by poorly managed blood sugar levels. Wounds and ulcers form more easily and heal more slowly as a result of inadequate circulation.

If left untreated, these two factors explain the dangers of a diabetic foot. A diabetic foot sufferer may have trouble recognizing a wound or a temperature change. As a result, individuals may be unable to discern between discomfort that requires the attention of a podiatrist or other health care provider.

Diabetic foot is a severe disease that can lead to gangrene and, in the worst-case scenario, amputation. That's...

Treatments provided

Cortisone injections

Cortisone injections, sometimes referred to as “cortisone infiltration,” are often a beneficial podiatry treatment used to relieve acute or chronic pain related to various musculoskeletal issues. Actually, cortisone is a hormone frequently used as an anti-inflammatory to relieve certain joint pains, rashes, inflammation or swelling.

Learn more about cortisone injections, an effective treatment with numerous benefits, but which must generally be used in the short term, with care and discernment, by a healthcare professional.

Foot ultrasound imaging

A musculo-skeletal ultrasound of the foot is a medical imaging technique used to examine pathologies that affect soft tissues such as ligaments, tendons, nerves and muscles. Complementary to the clinical examination, a foot ultrasound provides an accurate diagnosis and is used to design a more structured treatment plan for patients.

A foot ultrasound is an imaging technique that does not use radiation, and is completely safe. Children, adults and seniors can all benefit from this service, regardless of their physical condition.

Easily administered, a foot ultrasound provides results almost equivalent to those of an MRI, ensuring rapid...

Evaluating Children’s Feet

Children’s bone structure remains malleable until the growth process is complete. Having your children’s feet evaluated by a competent foot care professional will ensure proper management of any foot pathology that may worsen over the years.

Thus, when taken care of early enough, it is possible to improve your child’s postural development and correct any foot issues for the rest of their lives!

Biomechanical exam

Comprehensive biomechanical examinations are carried out in a podiatric clinic in order to make an accurate diagnosis of your condition. It is thus possible to establish the best possible treatment plan. During your visit, podiatric doctors who provide advanced expertise will evaluate you.

A complete examination done in a podiatric clinic includes:

Ultrasound guided injection

Ultrasound-guided injection can be used to deliver treatment directly to the affected area.

It may contain an anti-inflammatory solution, similar to the cortisone injection in the foot.

Ultrasound-guided injections, however, are more typically utilized to guide a medical practitioner during surgery on minor foot structures.

This type of infiltration not only relieves pain in pathologies including osteoarthritis of the big toe, plantar fasciitis, Morton's neuroma, and other plantar ailments, but it also allows for viscosupplementation and hyaluronic acid injection into particular joints.

This treatment offers pain alleviation that is both effective and safe.

Discover what makes this modern process unique, as well as how it can be beneficial for you.

Podiatrists can work safely and efficiently with ultrasound injection.

Although such a guiding device is occasionally required for cortisone injection in the...

Therapeutic foot taping

Therapeutic taping consists of adhesive bandage that is strategically applied to specific areas in order to increase muscle tone or reduce pain associated with certain movements.

Contrary to popular belief, therapeutic taping helps more than just for athletes.

While its use is widespread among runners and tennis players, therapeutic taping is also suitable for the general population.

It is efficient for relieving very specific joint and muscle pain, however therapeutic taping cannot be applied just anywhere at random.

That's why it's important to trust a qualified professional such as a podiatrist to perform the taping.

If you have been struggling with muscle pain or tension for some time, therapeutic taping may be right for you.

Taping is often used in addition to physiotherapy and plays a therapeutic role for many people.

This comes in 3 types: athletic taping, neuro-proprioceptive taping and finally...

Podopediatrics treatments

It can be difficult to distinguish between a problematic and a healthy foot in a growing child.

Early detection, on the other hand, allows the podiatrist to react more quickly before the foot takes its final shape.

As a result, the prescribed treatments can be more effective.

This article will cover some of the podopediatric treatments available for children's foot pain.

Before prescribing any treatment, the podiatrist must ensure that they have a thorough understanding of the child's pathology.

They do this by using a variety of analysis techniques, including:

  • The biomechanical exam
  • The postural assessment
  • A digital X-ray of the feet 
  • Digital impressions in 2D and 3D

The podiatrist will observe the impact of the feet on the child's whole body using the aforementioned techniques.As a result, a child's evaluation allows for the detection of postural abnormalities and...

Foot orthotics

The primary goal of plantar orthotics is to improve the function of your foot in order to correct various biomechanical flaws or posture issues. They are used to compensate for certain deficiencies in your foot. Because they are custom designed specifically for your condition, the orthosis is perfectly adapted to the shape of your foot to optimize its function.

In addition to relieving any pain you may experience, a custom-made foot orthosis is adapted to the morphology of your feet, and redistributes the pressure exerted on them. It can therefore be used to treat many pathologies and deformities. Remember that the health of your feet is important to be able to perform your daily activities.  

To ensure your orthotics treatment provides effective results, the podiatrist will have to evaluate you and design a custom casting of your feet. You will be cared for during all stages of the process, to ensure you receive the correct orthosis, which you can...

ShockWave therapy

ShockWave therapy was first used to break up kidney stones.

This therapeutic technology, however, has been adapted to other medicinal purposes as well. Nowadays, podiatrists use it in the clinic to treat difficult-to-repair musculoskeletal injuries.Acoustic waves are at the core of the ShockWave therapy. Through a sequence of high-speed shocks, it strengthens the body and aids in the recovery of painful foot disorders. Most notably, it is used to treat plantar fasciitis, Achilles tendinitis, and heel spur.

In the case of ShockWave therapy, the podiatrist treats plantar conditions with a special device that includes an applicator.

When the applicator emits a high-intensity pulse, it is transmitted through the skin to the tissue that requires treatment.

By inducing microtrauma around the affected region, this technique aims to cause an inflammatory response in the body.

While it may appear counterproductive, it is a powerful...

Foot care – Nails, corns and calluses treatment

Performed by a podiatrist, foot care includes many treatments and assessments aimed at preventing pain, reducing restrictions and promoting comfort. They can even be performed at home by a specialized caregiver.

A versatile professional, the podiatrist uses a variety of treatments to the benefit of your feet:

  • Physical treatments;
  • Pharmacological treatments;
  • Orthopedic treatments;
  • Surgical treatments.

A number of cases require foot care to be performed in a professional clinic. Therefore, the podiatrist and their team can provide you with a complete service to prevent and treat your foot pathologies. Naturally, all of this is done with clean, sterilized equipment.

Read on to learn more about the different treatment options.

Among the common foot treatments performed in podiatry you can find:

  • The application of special creams;
  • The prescription of medicines;
  • Foot...

Stress fracture in the foot

A stress fracture in the foot doesn't happen due to a single trauma, unlike a normal fracture.

Instead, it occurs in response to multiple repeated small stresses to the same bone in the foot.

While painful, this foot injury is particularly difficult to spot.

Therefore, to avoid unintentionally aggravating it, it is important to know how to recognize the symptoms and how to medically treat a stress fracture.

Read on to learn more about the stress fracture in the foot.

Predominantly found in athletes, stress fractures are usually located in the heel or midfoot.

Stress fracture in the heel: This part of the foot is instrumental in absorbing shock during stride. Therefore, it is not surprising that runners experience stress fractures in the heel.

However, the symptoms of a heel fracture can be similar to other foot problems such as:

  • Talalgia
  • Plantar fasciitis
  • Heel...

Treatment for excessive foot sweating

Excessive sweating is a symptom of hyperhidrosis, a medical disorder that affects the sweat glands.

The soles of the feet have a high concentration of these glands, therefore they are more likely to be impacted by excessive perspiration.

Although there are various home therapies for hyperhidrosis, a more serious problem will almost certainly necessitate expert help.

Let's look at some of the treatment options for dealing with excessive foot sweating.

Electrotherapy and its influence on excessive sweat secretion are at the heart of iontophoresis's mechanism of action.

A typical iontophoresis foot treatment session goes like this:

  • The patient is asked to sit in a chair barefoot.
  • The feet are immersed in a water-filled therapy tub.
  • A control device sends a very mild electric current into the basin.
  • An iontophoresis session typically lasts 20 to 30 minutes.

    Patients who...

    Treatment of foot pain by the podiatrist

    Foot pain can appear in many ways and cause many accompanying symptoms every day.

    Thanks to the high level of the podiatrist's expertise, however, you can count on treatment that is completely customized to your needs and condition. These professionals possess the latest technology to treat your pain quickly and accurately.

    It is the podiatrist's duty to keep up with the latest intervention techniques to get rid of your foot pain. Thanks to their continuous training, you can be sure that your feet are in good hands.

    Discover the most important treatments that podiatrists use every day to remedy foot pain.

    Thanks to technological advances in the world of podiatry, patients can rely on a completely safe and effective method of treating joint, tendon or ligament problems: ultrasound-guided injection.

    Unlike in the past, when injections were performed rather crudely, this type of ultrasound procedure helps the podiatrist to act...

    Treating frostbite on the feet and toes

    Often linked to mountain climbing and other winter activities, frostbite can also occur in anyone exposed to the cold.

    Of course, most Quebecers naturally anticipate the onset of winter with some exasperation, but many have no clue about the extent of the damage frostbite can cause.

    The extremities of the body are particularly susceptible to drastic drops in temperature, therefore special attention should be paid to the feet.

    Read on to learn about medical treatments for frostbite on the toes and feet.

    Frostbite, as a true cold burn, is usually treated according to the severity of the lesions it causes.

    Two types are generally distinguished: superficial frostbite and deep frostbite.

    Superficial frostbite results in redness and the appearance of small blisters on the skin.

    Deep frostbite, on the other hand, numbs the skin and paves the way for more damaging lesions such as the death of...

    Thick and malformed toenails

    Toenails that become thick, hardened, misshapen, or even yellowed as a result of moisture or traumatic injury can affect anyone.

    To help with this type of inconvenience, several treatment options are available to the patient.

    If you're dealing with deformed nails, dystrophy, or onycholysis, podiatrists will help you get to the root of the issue.

    Let's look into some of the treatment choices for thick, misshapen nails.

    The term "toenail deformity" refers to a change in the shape of the toenails as a result of trauma or infection.

    Toenail dystrophy, on the other hand, has to do with texture changes.

    The deformations of the toenails are caused by a variety of factors.

    We may consider, for example:

    • Fungal infections, like nail fungus
    • Trauma of the nail plate, by crushing or cutting
    • Shock trauma to the nail matrix
    • Poor healing after shock
    • Fractures or infections...

    Ingrown toenail treatment by a podiatrist

    An ingrown toenail (onychocryptosis) is an inflammation caused by a portion of a nail (usually on the big toe) penetrating the surrounding skin.

    While usually minor, it is nonetheless a common nail problem that can result in pain and inconvenience in your daily life. If the ingrown toenail is not treated, it may lead to inflammation and exacerbate the pain in the foot.

    Do not worry, however, as there are a variety of useful therapies available to help you get rid of ingrown toenails and get your feet back on track. Learn more in this article. 

    Medical nail clipping is one of the most traditional nail care procedures. Nail clipping is a common solution for ingrown toenail problems that is performed by a podiatrist or a specialized nurse (assistant). Professionals in the field of foot care can customize a cut to your nail's condition.

    Nail care, on the other hand, is more than simple nail trimming, as antibiotic creams or baths can...

    A podiatrist’s treatment for plantar warts

    Plantar warts are common skin lesions that can be quite unsightly. They are often harmless, although they can be infectious and unpleasant.

    In reality, these growths on the foot might cause bleeding or create other issues such as irritation, pain, or infectious cellulitis in the long run.

    Furthermore, if you are diabetic, elderly, or immunosuppressed, your plantar warts are more likely to cause problems.

    Fortunately, plantar warts may be treated in a variety of ways to reduce the risk of infection and consequences. Let's have a look at those.

    Your podiatrist can write you a prescription for painless wart treatment at home. The majority of these medicines are used topically.

    Prescription medication care can:

    • Treat plantar warts at home;
    • Treat plantar warts completely painlessly.

    However, this type of treatment...

    • Is usually longer lasting;
    • Must be flawlessly...

    Therapeutic laser treatment

    Minimally invasive and highly effective, the therapeutic laser is a modern treatment for foot pain.

    The laser treatment performed in the clinic relies on technology that thoroughly heals the damaged tissue through photobiomodulation.

    This method accelerates the body's natural healing process, similarly to ShockWave therapy.

    The therapeutic laser treatment provides relief from chronic pain, acute pain as well as post-surgery complaints.

    This treatment uses safe beams of light, also known as high-power laser therapy.

    When these light beams hit the skin, they penetrate the structures at the surface. Adding slight pressure may also allow the laser to reach deeper into the affected tissues.

    Once they have penetrated the epidermis, the beams of radiation that reach the tissue are absorbed by melanin and hemoglobin.

    As a result, the patient feels almost immediate relief when this energetic phenomenon is then...

    Treatments for paronychia of the toe

    Much like the ingrown nail, paronychia involves inflammation or infection of the cuticle of a toenail.

    The inflammation of the skin around the affected nail is often caused by the bacterium Candida albicans (candidiasis thrush).

    This results in a throbbing pain, redness and swelling of the affected toe.

    If left untreated, this condition can eventually lead to pus accumulation and infection that spreads further to the toe or even the foot.

    Learn more about the medical treatments for paronychia available at podiatry clinics.

    As mentioned earlier, when the foot contacts a candidiasis-like bacteria, it can develop an infection of the cuticle.

    As a result, this infection can lead to the accumulation of pus under the top layer of skin.

    In this case, the podiatrist may suggest treating the purulent area with drainage.

    Usually drainage of the subungual abscess happens as follows:

  • The...
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    Dr. Audrey Lessard podiatrist

    Learn more

    Dr. Audrey Lessard podiatrist

    Holding a diploma in podiatric medicine from the University of Quebec at Trois-Rivières (UQTR) since 2009, podiatrist Dre Audrey Lessard stands out due to her professionalism, perseverance, and dedication. Born without hearing, the podiatrist has succeeded in ignoring this obstacle, and committed to offering her patients the very best care.

    After working on Montreal’s South Shore for a year, Dre Lessard DPM opened her first clinic in Lévis in 2010. She subsequently returned to the region where she was born, founding the Appalaches Podiatry Clinic in 2011. She has dedicated her life to the needs of the community in Thetford Mines and the local area, helping them to get access to the best podiatric treatment available.

    A committed, attentive, and dedicated podiatrist

    Specializing in ultrasound guided injections and in minor foot surgery, podiatrist Audrey

    Lessard is capable of utilizing every podiatric treatment necessary for your health and wellbeing. She holds licenses in both radiology and ultrasonography, allowing her to make more accurate diagnoses.

    Lessard always remains attentive to your own specific, practical needs, accompanied by her assistant. She is capable of doing this so well partly because of her extensive, expert training, which includes a clerkship at the New York College of Podiatric Medicine (NYCPM).

    An exceptional career has seen podiatrist Dre Lessard work with a huge number of patients over the years. Notably, she was involved for 5 years with members of the Gaspesian community who previously lacked direct access to podiatric treatment. She has also participated in international humanitarian projects, with the Podiatrists Without Borders organization.

    Valuable life experiences

    Though she’s already heavily involved in her local community, podiatrist Dre Lessard has no intention of stopping there! She’s also seeking to inspire people by organizing international conferences on the topic of deafness, as well as sharing her own experiences of living with a handicap. This is her way of demonstrating an important idea – that with resilience and perseverance, anything is possible!

    This is a philosophy that also informs her medical practice, and makes her into a more humane, sensitive, conscientious, and compassionate professional. It makes her an invaluable asset to her patients, who can rely on this caring, attentive podiatrist to help improve their health and wellbeing.

    Inspirational and multi-skilled, podiatrist Audrey Lessard is a model of determination, discipline, and attention. Take advantage of her expertise and her exceptional approach to life.

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