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The fifth metatarsal bone—the long bone connected to the little toe on the outside of the foot—is prone to breaks, with the two most common being Avulsion fractures and Jones fractures. Avulsion fractures usually occur from an injury that causes tendons or ligaments to pull a portion of the bone away from itself. A Jones fracture is less common, occurs either over time or suddenly, is harder to treat, and takes longer to heal due to less blood flow to the area. People suffering from either type of fifth metatarsal fracture can experience bruising or discomfort along the outside of the foot including tenderness, swelling, and pain. Some may even have difficulty walking. A podiatrist can properly diagnose the type of break and use several types of therapies and procedures to facilitate healing. 

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

  • Bruising
  • Pain
  • Redness
  • Swelling
  • Blue in color
  • Numbness
  • Cold
  • Misshapen
  • Cuts
  • Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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 Causes, Symptoms, and Treatment for a Broken Foot
Monday, 29 March 2021 00:00

Rheumatoid Arthritis in the Feet

Rheumatoid arthritis is an autoimmune disease in which the body’s immune system attacks healthy joints and surrounding tissues. This leads to joint stiffness, inflammation, swelling, and pain. Rheumatoid arthritis often affects the joints of the feet and ankles. Although this is a chronic condition and does not have a cure, rheumatoid arthritis can be treated, and its symptoms can be managed. If your arthritis affects your feet and ankles, your podiatrist can help by prescribing custom orthotics, recommending exercises, and suggesting lifestyle modifications that may reduce the symptoms of rheumatoid arthritis.

Because RA affects more than just your joints, including the joints in your feet and ankles, it is important to seek early diagnosis from your podiatrist if you feel like the pain in your feet might be caused by RA. For more information, contact Leonora Fihman, DPM of California. Our doctor will assist you with all of your podiatric concerns.

What Is Rheumatoid Arthritis?

Rheumatoid Arthritis (RA) is an autoimmune disorder in which the body’s own immune system attacks the membranes surrounding the joints. Inflammation of the lining and eventually the destruction of the joint’s cartilage and bone occur, causing severe pain and immobility.

Rheumatoid Arthritis of the Feet

Although RA usually attacks multiple bones and joints throughout the entire body, almost 90 percent of cases result in pain in the foot or ankle area.

Symptoms

  • Swelling and pain in the feet
  • Stiffness in the feet
  • Pain on the ball or sole of feet
  • Joint shift and deformation

Diagnosis

Quick diagnosis of RA in the feet is important so that the podiatrist can treat the area effectively. Your doctor will ask you about your medical history, occupation, and lifestyle to determine the origin of the condition. Rheumatoid Factor tests help to determine if someone is affected by the disease.

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 Rheumatoid Arthritis in the Feet
Monday, 22 March 2021 00:00

Types of Achilles Tendon Injuries

The Achilles tendon is a collection of fibrous tissues that connect the heel bone to the calf muscles. This tendon is responsible for our ability to walk, run, and jump, but it is very vulnerable to injury from athletic activities that put excess strain on the tendon. The three most common types of Achilles tendon injuries are an Achilles tendon tear, an Achilles tendon rupture, and Achilles tendonitis. An Achilles tendon tear, in which the tendon tears slightly, is characterized by intense pain, swelling, and difficulty moving the affected ankle. An Achilles tendon rupture, in which the tendon tears completely, may make a popping or snapping sound at the time of injury, cause severe pain, and make walking extremely difficult. Achilles tendonitis is an inflammation of the Achilles tendon. It usually causes burning pain in the calf and heel that intensifies during physical activity. If you have injured your Achilles tendon, it is suggested that you seek the care of a podiatrist. 

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 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 What are Achilles Tendon Injuries
Monday, 15 March 2021 00:00

How Does Diabetes Affect the Feet?

Diabetes is a disease that affects your blood sugar - so how can this condition affect the feet, too? The prolonged episodes of high blood sugar that are characteristic of diabetes often cause damage to the blood vessels throughout your body, including those that supply your lower limbs. Poor blood flow to the feet can lead to complications such as poorly healing wounds and a loss of sensation. Diabetes is associated with multiple conditions that affect the feet, including diabetic neuropathy, Charcot foot, peripheral artery disease, and gangrene. Signs of diabetes affecting the feet include swelling, tingling, numbness, weakness, skin discoloration, and foot wounds, among many others. If you have diabetes, it is suggested that you are under the care of a podiatrist, who can help you manage any foot-related symptoms.

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

Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Monday, 08 March 2021 00:00

Treating Plantar Fasciitis

Plantar fasciitis is a condition in which the plantar fascia, a ligament that runs along the bottom of the foot, becomes injured, inflamed, and painful. Plantar fasciitis has a variety of causes, including spending too much time on your feet, engaging in high-impact repetitive activities like running, and wearing improper shoes that do not adequately support the foot. Plantar fasciitis can be treated conservatively by taking nonsteroidal anti-inflammatory medications to manage pain, stretching the feet each day, resting the feet regularly, massaging the feet, and wearing comfortable, supportive shoes. If you have plantar fasciitis, it is recommended that you see a podiatrist for treatment.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Leonora Fihman, DPM  from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 Plantar Fasciitis
Monday, 01 March 2021 00:00

Common Reasons a Bunion Can Develop

A bunion is a bony protrusion that forms at the base or side of the big toe and can gradually develop for genetic reasons. Additionally, wearing shoes that do not fit correctly may also contribute to the formation of a bunion. It appears as a deformity that can cause pain and discomfort. Some patients find mild relief when a protective pad is worn over the bunion, and it may be necessary to wear orthotics. Additionally, it can help to perform specific stretches that can strengthen the toes and surrounding muscles. If you notice a bunion is developing, it is suggested that you consult with a podiatrist who can offer treatment options, such as surgery for permanent removal.

If you are suffering from bunion pain, 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 a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

  • Genetics – some people inherit feet that are more prone to bunion development
  • Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

  • Redness and inflammation
  • Pain and tenderness
  • Callus or corns on the bump
  • Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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 Bunions
Monday, 22 February 2021 00:00

Is My Wound Infected?

Wounds can occur on any part of the body but they are especially common on the feet and lower legs, especially in people who have diabetes. Often, a combination of diabetes, poor circulation, and peripheral neuropathy can lead to slow-healing wounds forming on the lower limbs and going unnoticed for a period of time due to a lack of sensation. This can increase the chances of the wound becoming infected. Symptoms of infection include increased pain, redness, warmth, and swelling around the wound, yellow or green discharge or an unpleasant odor from the wound, fever or chills, aches, pain, nausea and vomiting. If you have wounds showing signs of infection, it is strongly recommended that you seek treatment as soon as possible. If you have diabetes and are prone to foot wounds, a podiatrist can help you maintain the health of your feet. 

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
Monday, 15 February 2021 00:00

Properly Fitting Golf Shoes

People who enjoy the sport of golf are often unaware of the importance of wearing the correct golf shoes. Research has shown the average golfer to walk approximately 10,000 steps, and it is beneficial to wear golf shoes that fit correctly. Using a Brannock device will help you to determine a proper foot measurement. If the second toe is longer than the big toe, it is suggested to increase by a half size. Additionally, it is advised to measure the feet at the end of the day, when they are at their largest. The inside of the shoes and the cleats can help you to understand what type of walker you are, and this is helpful in choosing the correct golf shoes. If you would like more information about how to purchase golf shoes, please consult with a podiatrist who can provide you with helpful information.

It is important to find shoes that fit you properly in order to avoid a variety of different 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

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

  • Select a shoe that is shaped like your foot
  • Don’t buy shoes that fit too tight, expecting them to stretch to fit
  • Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
  • Walk in the shoes to make sure they fit and feel right
  • Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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 Proper Shoe Fitting
Friday, 12 February 2021 00:00

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

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