If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site

We are Open

Click here for an important statement on the Coronavirus (COVID-19)
Now offering Telehealth visits, please call the office for details

Blog

Blog

Thursday, 15 October 2020 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Monday, 19 October 2020 00:00

All About Plantar Hyperhidrosis

Plantar hyperhidrosis is a condition that causes excessively sweaty feet. It is fairly common, affecting 1-3% of the population. Plantar hyperhidrosis typically begins during childhood or adolescence. If you have this condition, you will find that both feet are often excessively sweaty, though the amount of sweating can range from mild to severe and constant. More severe cases of plantar hyperhidrosis can increase your risk of developing other foot problems, such as fungal or bacterial infections and friction blisters. If you suffer from plantar hyperhidrosis, there are many treatments available, including topical antiperspirants, iontophoresis, botox injections, and oral medications. To find out which treatments may be right for you, please consult with a podiatrist today.

If you are suffering from hyperhidrosis contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to attend to all of your foot and ankle needs.

Hyperhidrosis of the Feet

Hyperhidrosis is a rare disorder that can cause people to have excessive sweating of their feet. This can usually occur all on its own without rigorous activity involved. People who suffer from hyperhidrosis may also experience sweaty palms.

Although it is said that sweating is a healthy process meant to cool down the body temperature and to maintain a proper internal temperature, hyperhidrosis may prove to be a huge hindrance on a person’s everyday life.

Plantar hyperhidrosis is considered to be the main form of hyperhidrosis. Secondary hyperhidrosis can refer to sweating that occurs in areas other than the feet or hands and armpits. Often this may be a sign of it being related to another medical condition such as menopause, hyperthyroidism and even Parkinson’s disease.

In order to alleviate this condition, it is important to see your doctor so that they may prescribe the necessary medications so that you can begin to live a normal life again. If this is left untreated, it is said that it will persist throughout an individual’s life.

A last resort approach would be surgery, but it is best to speak with your doctor to find out what may be the best treatment for you.

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

Read more about Hyperhidrosis of the Feet
Monday, 12 October 2020 00:00

What Kind of Shoe Should I Work Out In?

When it comes to working out, one of the most important accessories you can have is a pair of workout shoes designed for the type of exercise you like to practice. For example, if you’re going to be practicing weight lifting, you’re not going to want to wear thick-soled running shoes. Weight-lifting is best practiced with flat-soled shoes as they help with keeping proper form, and provide a firm grip on the ground. Cardio and strength training require a different style of shoe. Because you’ll be constantly moving and jumping around, you’ll want a shoe with extra cushion and support, as well as a wide toe. For professional advice on which shoes you should be wearing while working out, please speak with a podiatrist.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

  • Be sure the shoes fit correctly right away
  • Ensure the ball of your foot fits comfortably in the widest portion of the shoes
  • Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
  • Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

Read more about How to Get a Proper Shoe Fit
Monday, 05 October 2020 00:00

Types of Achilles Tendon Injuries

Tendons are bands of tissue that connect muscles and bones together. The Achilles tendon is located on the back of the ankle and connects the calf muscles to the heel. Tendonitis occurs when the tendon becomes inflamed. Tendinosis occurs when the tendon degenerates, usually due to overuse. Paratenonitis is a result of tissue around the tendon becoming inflamed and thickened, eventually attaching to the tendon. Insertional Achilles tendinopathy happens when the fibers attaching to the heel bone inflame and eventually degenerate. Another serious injury that can happen is an Achilles tendon rupture, which will make walking and standing extremely difficult and will likely require surgery. Because of the seriousness of Achilles tendon injuries, seeing a podiatrist for diagnosis and treatment is very important.

Achilles tendon injuries need immediate attention to avoid future complications. 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 Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Read more about Achilles Tendon Injuries
Monday, 28 September 2020 00:00

Four Exercises for the Feet

Exercising and stretching the feet is important for maintaining foot health. There are several different exercises that can help strengthen the feet. Weaving your fingers between each of your toes, and then stretching and massaging the toes and ball of your foot, can help relieve bunion symptoms. Standing on a towel and scrunching it up with your toes is a good stretch to help with plantar fasciitis pain. Lifting your heels off the floor then slowly bringing them back down several times is a good stretch for strengthening the ankles and calves. Flexing your toes outwards and then squeezing them in can help restore flexibility and relieve pain from bunions and hammertoes. For more information about stretching the feet, speak with a podiatrist today. 

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

  • Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
  • Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
  • Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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

Read more about Stretching Your Feet
Monday, 21 September 2020 00:00

Poor Foot Biomechanics

There are a variety of biomechanical issues in the feet that can lead to potential injury. Some of these issues include fallen arches, over-pronation, or supination. Pronation occurs when the foot rolls inward at the ankle, the midfoot bulges and the arch flattens. Supination occurs when the foot rolls out at the ankle and the arch is raised, which leads to issues absorbing shock. When poor foot biomechanics can cause specific foot injuries such as plantar fasciitis, Achilles tendonitis, or a Morton’s neuroma, pain in the ankles, heels, and arches is a common result. Poor foot biomechanics can also lead to issues in other parts of the body that include knee pain, hip pain, shin splints and lower back pain. If you are concerned about your foot biomechanics, consult with a podiatrist.

If you have any 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.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Read more about The Importance of Biomechanics in Podiatry
Tuesday, 15 September 2020 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!

Monday, 14 September 2020 00:00

Who Is Most Likely to Get Gout?

Gout is a type of arthritis that typically affects the big toe joints. This condition is caused by a buildup of uric acid in the bloodstream, which forms crystals in the joints. This typically causes pain, and hot, stiff, swollen joints. Men are more likely to get gout than women. Sometimes, gout can be caused by genetic factors, so if you have a family member with gout, you may be more at risk of developing it yourself. Your chances of getting gout can also increase because of certain lifestyle factors, such as being overweight, drinking alcohol, or eating too many foods that are rich in purines. If you are suffering from gout, it is suggested that you seek the care of a podiatrist, who can diagnose and treat your condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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

Read more about Everything You Need to Know About Gout
Tuesday, 08 September 2020 00:00

What Are Orthotics?

Orthotics are inserts placed into shoes that are used to treat a variety of conditions including arthritis, bunions, bursitis, diabetes, flat feet, hammertoes, heel spurs, high arches, plantar fasciitis, and much more. Orthotics provide the feet with additional cushioning and support. There are several different types of orthotics, varying by style and material, but the custom orthotic you receive will depend on your specific needs. For example, a podiatrist might prescribe a soft custom molded orthotic if you have a mild to moderate toe or foot deformity, or a loss of protective sensation in the foot. Having a proper fitting for your orthotics is very important. Once you are given your inserts, you and your podiatrist should monitor your foot carefully to ensure the orthotics fit correctly and continue to benefit your foot health. For more information about orthotics, consult with a podiatrist.

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 office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Orthotics
Monday, 31 August 2020 00:00

Minimizing the Harm From High Heels

High heels are a style staple for many people, but unfortunately, these beautiful shoes can wreak havoc on the feet. Still, giving up your favorite pair of heels can be a big ask. If you would like to continue wearing high heels, you can take several measures to reduce your risk of pain and injuries. Limit the time that you spend wearing your high heels by wearing them on days when you will not be doing much walking or standing, or alternate wearing high heels with wearing flats. Be sure that you are wearing the correct size and that your shoes fit comfortably. Look for well-constructed, supportive shoes when you buy your next pair. You may want to opt for a lower heel of one to two inches as well. For more information on what you can do to protect your feet, speak with a podiatrist today.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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

Read more about Effect of High Heels on the Feet
Page 1 of 10

accreditations

Connect with us