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

Pain and discomfort that is felt on the ball of the foot may indicate the presence of a condition that is known as Morton’s neuroma. Additionally, the pain may be felt at the base of the toes, and patients have noticed that it feels like they are standing on pebbles. Other symptoms can include numbness or tingling, and walking may be difficult. A common cause of this condition is wearing shoes that are too tight, and which do not have adequate room for the toes to move freely in. Wearing these types of shoes can cause irritation in the nerve, gradually putting pressure on that portion of the foot. There are existing medical conditions that are often associated with Morton’s neuroma. These can include bunions, hammertoes, and flat feet. After a proper diagnosis is performed, mild relief can be found in performing stretching techniques that may be helpful in loosening the tendons, in addition to elevating and massaging the affected foot. Please consult with a podiatrist if you feel you may have developed Morton’s neuroma, so that the proper treatment can begin.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Leonora Fihman, DPM of California. Our doctor will attend to all of your foot and ankle needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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 Morton's Neuroma

The human body undergoes extensive changes during pregnancy, and many of these changes can affect the feet. A common condition that many pregnant women notice is swelling in the ankles and feet, and this is typically a result of increased blood pressure that can occur during pregnancy. The toenails may change shape, and this can cause ingrown toenails to develop. Additionally, flat feet is a common ailment during the latter stages of pregnancy, and this is often recognized by experiencing foot pain. Mild relief can be felt when the feet are elevated, and this may help to reduce existing swelling. If you are having chronic foot issues while pregnant, it is suggested that you speak with a podiatrist who can treat any foot condition

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Leonora Fihman, DPM from California. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

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 Foot Care for Pregnant Women
Monday, 05 August 2019 00:00

Why Do Blisters Develop?

A blister is defined as a small area of fluid that covers skin that has been damaged. When it occurs on the feet, it is typically a result of excessive friction that may come from wearing shoes that fit incorrectly. The fluid protects the skin as the healing process takes place, and will generally drain naturally when the skin has healed. Additional reasons why blisters may develop can come from frostbite, an allergic reaction to an insect bite, or medical conditions that may include eczema. If discomfort is felt from the socks and shoes worn, it is beneficial to cover the blister with a protective bandage. If you have developed a blister on your foot, and it has become infected, it is advised that you seek the counsel of a podiatrist who can properly treat this condition.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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 Blisters on the Feet
Monday, 29 July 2019 00:00

All About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, also known as TTS, occurs when the posterior tibial nerve becomes compressed and damaged, in turn causing inflammation. This is usually caused by continual overuse of the foot and ankle such as prolonged walking, running, standing, or exercising. If left untreated, TTS can cause permanent nerve damage. Some common treatments are wearing specialized shoes and inserts, over-the-counter pain and anti-inflammatory medications, physical therapy and rest. Strengthening exercises should be done to help prevent problems. These exercises include heel-toe raises, pencil toe lifts and balance exercises. If not treated right away, TTS can lead to the risk of developing other conditions such as flat feet, fallen arches, rheumatoid arthritis, varicose veins and the susceptibility to becoming overweight. If you notice any symptoms of TTS, it is important that you see a podiatrist right away. 


 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

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 Treating Tarsal Tunnel Syndrome
Tuesday, 23 July 2019 00:00

Gout Pain Can Be Managed

Gout is a form of arthritis that can affect anyone. Schedule a visit to learn about how gout can be managed and treated.

The purpose of the circulation system in the body is to carry oxygen and nutrients that are found in the blood throughout the body. The symptoms that are associated with poor circulation often include muscle cramps, a tingling sensation that is felt in the lower extremities, and the feet feeling numb. There are a variety of reasons why poor circulation may occur. These can include peripheral artery disease (PAD), blood clots, or medical ailments such as diabetes and Raynaud’s disease. It may be helpful to wear compression socks that can relieve any pain or swelling that may accompany poor circulation. Additionally, performing specific exercise programs may be an effective way to increase circulation. If you have any of these symptoms, it is suggested that you schedule a consultation with a podiatrist who can properly treat poor circulation. 

While poor circulation itself isn’t a condition; it is a symptom of another underlying health condition you may have. If you have any concerns with poor circulation in your feet contact Leonora Fihman, DPM of California. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Peripheral artery disease (PAD) can potentially lead to poor circulation in the lower extremities. PAD is a condition that causes the blood vessels and arteries to narrow. In a linked condition called atherosclerosis, the arteries stiffen up due to a buildup of plaque in the arteries and blood vessels. These two conditions can cause a decrease in the amount of blood that flows to your extremities, therefore resulting in pain.

Symptoms

Some of the most common symptoms of poor circulation are:

  • Numbness
  • Tingling
  • Throbbing or stinging pain in limbs
  • Pain
  • Muscle Cramps

Treatment for poor circulation often depends on the underlying condition that causes it. Methods for treatment may include insulin for diabetes, special exercise programs, surgery for varicose veins, or compression socks for swollen legs.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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 Causes Symptoms and Treatment for Poor Circulation in the Feet
Monday, 15 July 2019 00:00

Different Types of Toe Fractures

The toes play a significant role in maintaining balance in the body while standing, in addition to pursuing walking and running activities. The bones are small, and can easily break if something heavy is dropped on one of them, or if it bangs against a piece of furniture. There are noticeable symptoms of a broken toe. These often consist of immediate pain, discomfort, redness, and the affected area may appear to be bruised and swollen. Research has shown there are several different types of breaks. A traumatic fracture consists of a sudden break, and this can occur from falling, or severely stubbing the toe. Additionally, if extended periods of time are spent in running activities, the toes may endure stress fractures. This can be a result of a gradual weakening of the bones in the toes.  A fracture is considered to be severe if a bone is protruding from the skin, and an infection may occur from the open wound. If you have broken your toe, it is suggested to seek the counsel of a podiatrist who can properly diagnose and treat this condition.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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 What to Know About a Broken Toe
Monday, 08 July 2019 00:00

Flat Feet May Cause Foot Pain

The medical condition that is known as flat feet can also be referred to as fallen arches. Patients who have this condition have little or no arch in their foot, and this can cause discomfort while engaging in daily activities. This can be a result of strained muscles and ligaments, and most likely will affect the inside of the ankle. There are several reasons why flat feet may develop. These can include genetic factors, medical conditions such as rheumatoid arthritis, or if an injury has occurred to the foot or ankle. Pregnant women may develop flat feet, which is often the result of additional weight that is gained during this time. If you have flat feet and are experiencing chronic foot pain, it is advised that you consult with a podiatrist who can provide you with proper treatment options.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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 What is Flexible Flat Foot?
Monday, 01 July 2019 00:00

Why are Flip-Flops Bad for Your Feet?

Many people enjoy the ease of wearing flip-flops. They are a simple shoe, easy to wear, and designed in a variety of colors. Despite their popularity, there are foot conditions that can develop from wearing this type of shoe. Ligaments and tendons may slowly pull out of alignment, and a bunion can form. Additionally, if there is little or no arch support, this may trigger the onset of heel pain, which could be indicative of plantar fasciitis or heel spurs. Many flip-flops are constructed of a porous material, and this can be the perfect area for fungus to grow. This can lead to athlete’s foot and toenail fungus. If flip-flops are frequently worn, hammertoe can develop as a result of the toes grasping the shoe to stay on the foot. If you would like additional information about the consequences of wearing flip flops, please consult with a podiatrist.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Leonora Fihman, DPM from California. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

  • Ankle problems
  • Hip problems
  • Lower back problems
  • Pain in the balls of the feet
  • Problems with foot arches
  • Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

  • Sprained ankles
  • Blisters
  • Infections
  • Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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 Flipping Out About Flip Flops
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