If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
Advanced Podiatric Procedures & Services in Los Angeles, CA

Blog

Blog

Tuesday, 14 May 2024 00:00

What Is a Diabetic Foot Ulcer?

Diabetic foot ulcers are a common and serious complication of diabetes. Ulcers are open sores or wounds that typically appear on the bottom of the foot. They often start as small blisters or cuts but can evolve into deeper wounds due to poor circulation and nerve damage in the feet. This nerve damage, also known as neuropathy, is common in people with diabetes. Neuropathy diminishes the ability to feel pain, allowing injuries to go unnoticed and untreated. Poor blood circulation also reduces the ability of the body to heal, making even minor wounds potentially serious. A diabetic foot ulcer looks like a red crater in the skin, which may weep fluid. The area around the ulcer may be swollen, red, and warm to the touch. Prompt treatment is important to prevent infection and further serious complications, such as gangrene or amputation. Regular foot inspections, maintaining blood sugar levels, and appropriate footwear are key preventative measures for those with diabetes to minimize the risk of developing ulcers. If you have foot ulcers due to diabetes, it is suggested that you consult a podiatrist for regular check-ups. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Care for Diabetic Foot

Wearing appropriate footwear in healthcare settings holds immense importance, impacting the well-being of healthcare professionals and the quality of patient care. Healthcare environments are dynamic and demanding, requiring individuals to be on their feet for extended periods. Proper footwear provides essential support, stability, and protection against workplace hazards such as spills, sharp objects, and potential exposure to biological hazards. Additionally, wearing quality footwear plays an essential role in preventing foot fatigue, discomfort, and musculoskeletal injuries commonly associated with prolonged standing or walking. Furthermore, wearing closed-toe shoes with slip-resistant soles reduces the risk of slips, trips, and falls, promoting a safer working environment for staff and patients. By prioritizing the selection of appropriate footwear, healthcare professionals can enhance their comfort, productivity, and overall well-being, ensuring they can focus on delivering optimal care to those in need while minimizing the risk of workplace-related injuries. If you have foot pain while working, contact a podiatrist who can treat foot conditions and guide you toward the right shoe choices for your working day.

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Wednesday, 01 May 2024 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

Orthotics play an essential role in alleviating various foot and lower limb conditions. When prescribing orthotics, several factors are considered, including biomechanical alignment, patient aesthetics, compliance, and joint stability. Biomechanical assessments evaluate gait patterns, foot structure, and joint range of motion to determine the most effective orthotic design. Aesthetics consideration involves ensuring that orthotics fit comfortably into the patient's shoes and lifestyle. Patient compliance is vital for long-term success, as orthotics must be worn consistently to achieve desired outcomes. Custom-made orthotics are preferred for their tailored fit and targeted support. They address specific biomechanical issues, providing support, stability, and alignment correction as needed. These orthotics are crafted based on precise measurements and molds of the patient's feet, ensuring optimal functionality and comfort. If you would like to learn how custom-made orthotics can improve your mobility and quality of life, it is suggested that you schedule an appointment with a podiatrist for an evaluation and further discussion.

If you are having discomfort in your feet and would like to try orthotics, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Ankle Foot Orthotics for Athletes

Peripheral artery disease, or PAD, is a condition characterized by narrowing or blockage of the arteries, typically in the legs, due to the buildup of fatty deposits. This restricts blood flow to the limbs, affecting the feet and causing various symptoms. Those at risk include smokers, diabetic patients, individuals with high blood pressure or cholesterol, and those with a family history of cardiovascular disease. Symptoms may include leg pain, cramping, numbness, weakness, or coldness in the feet and legs, especially during physical activity. However, some people with PAD may not experience any symptoms, a condition known as asymptomatic PAD. A podiatrist evaluates PAD through a comprehensive consultation, which may include assessing symptoms, and medical history, and performing tests like ankle-brachial index measurements or Doppler ultrasound to determine blood flow. Treatment focuses on managing symptoms, improving circulation, and reducing the risk of complications through lifestyle changes, medications, or surgical interventions. If you suffer from foot symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist for care.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

If you have any questions, please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Peripheral Artery Disease
Tuesday, 16 April 2024 00:00

Heel Spur Facts

Heel spurs occur in two main forms. One is called heel spur syndrome and the other is termed insertional Achilles tendinitis. Heel spur syndrome involves a bony growth at the bottom of the heel, often resulting from repetitive stress or strain on the foot. Symptoms include sharp pain upon standing or walking, particularly after periods of rest. Conversely, insertional Achilles tendinitis involves inflammation where the Achilles tendon connects to the heel bone. This condition commonly arises from overuse, tight calf muscles, or poor footwear, leading to pain and swelling at the back of the heel. Treatment for both conditions typically starts with conservative measures like rest, stretching, and orthotics. If you have pain that could signify one of these types of heel spurs, it is suggested that you schedule an appointment with a podiatrist who can provide corticosteroid injections or custom shoe inserts to alleviate discomfort. In severe cases, surgical options, such as heel spur removal or Achilles tendon repair, may be considered.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Leonora Fihman, DPM from California. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs

Foot care is a critical aspect of diabetic management, as individuals with diabetes are prone to foot comp-lications. Maintaining skin integrity is essential, especially in diabetic feet where issues like neuropathy and poor circulation can lead to ulcers, infections, and possibly even amputations. Preventive care and regular screening are paramount in mitigating risks. A multidisciplinary team, including podiatrists, plays a pivotal role in diabetic foot care. Podiatrists specialize in assessing foot health, identifying early signs of complications, and providing tailored interventions. They offer expertise in wound care, orthotic management, and footwear recommendations, all aimed at preventing and managing foot problems. By emphasizing preventive measures, such as daily foot inspections, proper hygiene, and appropriate footwear, podiatrists collaborate with patients to minimize the likelihood of diabetic foot complications. If you are a diabetic patient, it is strongly suggested that you schedule regular appointments with a podiatrist as part of your diabetes management.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Wound Care

Recovery from a high ankle sprain sustained while playing volleyball requires patience and proper care. Unlike a low ankle sprain, which affects the ligaments on the outer side of the ankle, a high ankle sprain involves damage to the ligaments connecting the tibia and fibula bones above the ankle joint. High ankle sprains often occur due to sudden twisting or rotational movements. If you play volleyball for fun or sport and have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for a comprehensive evaluation of the injury and a tailored treatment plan. This may include immobilization with a brace or cast to allow for proper healing, along with recommendations for rest, compression, and elevation. In severe cases, surgery may be necessary to repair torn ligaments. Close monitoring by a podiatrist ensures that the recovery progresses smoothly and helps prevent long-term complications.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

If you have any questions, please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Sports Related Foot And Ankle Injuries

If you are suffering from tenderness, pain, or stiffness in the joints of your feet or ankles, call us to schedule an appointment.

Tuesday, 26 March 2024 00:00

Toe Pain and the Impact of a Broken Toe

Experiencing toe pain due to a broken toe is an all-encompassing challenge that can disrupt daily life and mobility. A broken toe, often resulting from trauma or injury, can cause sharp pain, swelling, and difficulty bearing weight on the affected foot. The pain emanates from the fracture site, creating discomfort with each step and hindering the simplest of movements. Beyond the physical sensations, the inconvenience of managing daily tasks becomes palpable, as even the act of wearing shoes can exacerbate the pain. It is important to recognize the signs of a broken toe early on and it can help to seek medical attention from a podiatrist. While the road to recovery may be challenging, understanding the nature of toe pain from a broken toe and adhering to recommended treatments can significantly enhance the healing process and minimize long-term complications. If you have endured a broken toe, it is suggested that you visit this type of doctor who can guide you toward treatment and relief techniques.

Toe pain can disrupt your daily activities. If you have any concerns, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Toe Pain
Page 1 of 27

accreditations

Connect with us
Leave Google Review for Podiatrist Leonora Fihman, DPM

Foot Doctor Los Angeles, CA 90049 and Encino, CA 91316 on Facebook Podiatrist Los Angeles, CA 90049 and Encino, CA 91316 on Twitter Los Angeles, Brentwood & Encino, CA Podiatry Blog
 
Los Angeles Podiatry Best Practices and Prevention Tips