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Tuesday, 18 January 2022 00:00

How Did I Get a Foot Wart?

Plantar warts are rough growths that appear on the skin of the foot in response to a human papillomavirus (HPV) infection. This virus can enter the body through cuts or cracks in the skin. You can come in contact with HPV through direct skin-to-skin contact with an infected person, or through indirect contact with an infected surface, such as the towels, socks, shoes, or personal hygiene products of somebody who is carrying the virus. Warmth and moisture contribute to the virus’ growth, which is why people who wear closed shoes and socks and those who have sweaty feet are more likely to develop plantar warts. Plantar warts typically occur on parts of the foot that experience pressure and friction, such as the balls and heels of the feet. If you have a plantar wart, it is suggested that you see a podiatrist for treatment.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Leonora Fihman, DPM from California. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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 What Are Plantar Warts?
Tuesday, 11 January 2022 00:00

Do You Have an Ingrown Toenail?

When the corner of a toenail grows into the surrounding skin instead of over it, an ingrown toenail can form. While an ingrown toenail can happen to any of the toes, it usually occurs on the big toe. Ingrown toenails can develop for several reasons like cutting the toenail too short, rounding the corner of the nail when cutting it, wearing shoes that are too tight, or trauma, such as stubbing the toe. The most prevalent symptom of an ingrown toenail is pain where the nail is growing into the skin, and a red or swollen appearance to the affected skin. Ingrown toenails can also get infected and may drain pus. If you have an infected ingrown toenail or one that is very painful, it is suggested that you consult with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

  • Bacterial infections
  • Improper nail cutting such as cutting it too short or not straight across
  • Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
  • Ill-fitting shoes that bunch the toes too close together
  • Genetic predisposition

Prevention

Because ingrown toenails are not something found outside of shoe-wearing cultures, going barefoot as often as possible will decrease the likeliness of developing ingrown toenails. Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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 Ingrown Toenails
Saturday, 08 January 2022 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.

Tuesday, 04 January 2022 00:00

Morton’s Neuroma in Runners and Others

Many runners develop a condition known as Morton’s neuroma which is a thickening of a nerve in the foot. It usually affects the large nerve between the third and fourth toe, which is more susceptible to pressure, irritation and injury, and results in painful inflammation. Runners and people playing sports that involve pressure on the ball of the foot are more apt to develop this condition. Also, women wearing high heels, with a lack of room in the toe box and improper cushioning are susceptible. People with flat feet, high arches, bunions or hammertoes are also at risk. Morton’s neuroma is thought to be a progressive ailment, and for that reason diagnosis is often delayed until the condition becomes more severe. At some point, the symptoms become more painful and frequent and last longer. Many people complain of having a pebble in their shoe or feel like their sock is bunched up. It is suggested that you consult with a podiatrist at the earliest onset of such symptoms for a diagnosis and treatment plan.

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 care 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 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 What is Morton's Neuroma?

The bones in your child’s feet will develop over time— from the cartilage they were born with to ossified bones that are fully formed around the age of 18. For the first few months of their lives, babies’ feet are quite delicate. That is why the type of footwear you choose for your child is very important. You don’t want your child’s developing feet to be distorted by footwear that does not fit properly. Make sure footwear and socks are never tight. While your child’s feet are developing, the nerve endings in their feet are developing too and may not be able to signal if their feet are being squeezed or compressed. Since no two feet are the same, avoid hand-me-down shoes that may not be right for your child’s feet. Keep their toenails trimmed straight across without curving them or cutting them so short that it puts them at risk of developing an ingrown toenail. For more advice on how to best protect your child’s feet as they grow, it is suggested that you contact a podiatrist.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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 What to Do to Keep Your Child’s Feet Healthy
Tuesday, 21 December 2021 00:00

Foot and Ankle Edema in Pregnancy

Pregnant women often experience swelling, or edema, in their feet and ankles. This occurs due to the natural increase in fluids throughout the body during pregnancy. Gravity pulls fluids down, causing them to pool at the feet and ankles. Swelling usually begins between the 22nd and 27th weeks of pregnancy and persists until you give birth. It tends to increase in the evenings and during warm weather. Fluid retention in the feet can make it difficult to fit into your favorite shoes and may cause aches and pains. You may be able to alleviate swelling and some of its associated symptoms by resting your feet, doing gentle exercises like walking or swimming, wearing comfortable shoes, and staying hydrated. For more information about how to keep your feet and ankles healthy during pregnancy, please consult with a podiatrist.

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 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 Pregnancy and Foot Health
Tuesday, 14 December 2021 00:00

Tips for Preventing Running Injuries

Most runners experience injuries from time to time, and pushing the body too far is probably the most common cause of foot and ankle injuries. Stress fractures and heel pain can also be caused by inefficient running habits. Increasing your cadence slowly, (the number of steps per minute) can help to prevent injury. An efficient running cadence is thought to be between 85 and 100 steps per minute, counting on one leg. Anything under 75 may increase your chances of injury. Another way to avoid injury is to reduce the amount of time your feet are on the ground while running. A third suggestion is to slightly lean into the run and let gravity help propel you forward. These changes can help to reduce the impact that causes stress on the bones and muscles. If you are experiencing foot or heel pain while or after running, please see a podiatrist as soon as possible for a diagnosis and treatment plan before continuing activity.

All runners should take extra precaution when trying to avoid injury. If you have any concerns about your feet, contact Leonora Fihman, DPM of California. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

There are a lot of mistakes a runner can make prior to a workout that can induce injury. A lot of athletes tend to overstretch before running, instead of saving those workouts for a post-run routine. Deep lunges and hand-to-toe hamstring pulls should be performed after a workout instead of during a warmup. Another common mistake is jumping into an intense routine before your body is physically prepared for it. You should try to ease your way into long-distance running instead of forcing yourself to rush into it.

More Tips for Preventing Injury

  • Incorporate Strength Training into Workouts - This will help improve the body’s overall athleticism
  • Improve and Maintain Your Flexibility – Stretching everyday will help improve overall performance
  • “Warm Up” Before Running and “Cool Down” Afterward – A warm up of 5-10 minutes helps get rid of lactic acid in the muscles and prevents delayed muscle soreness
  • Cross-Training is Crucial
  • Wear Proper Running Shoes
  • Have a Formal Gait Analysis – Poor biomechanics can easily cause injury

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 Preventing Running Injuries
Thursday, 09 December 2021 00:00

Wounds That Don't Heal Need to Be Checked

Your feet are covered most of the day. If you're diabetic, periodic screening is important for good health. Numbness is often a sign of diabetic foot and can mask a sore or wound.

Tuesday, 07 December 2021 00:00

Do You Need to See a Podiatrist?

Podiatrists are doctors who are specifically trained to diagnose and treat conditions of the feet and ankles. The feet are vulnerable to a variety of issues because they have a quarter of all the bones in the body along with a variety of muscles, ligaments, tendons, and joints. Podiatrists are important because they are trained to understand the structure and movements of all these parts. Patients who notice pain in their heel or foot, or have ingrown toenails, discolored toenails, rashes, or recently sustained a foot injury should consult with a podiatrist. Additionally, podiatrists are able to help with foot ailments that are caused by conditions such as arthritis, poor blood flow, and diabetes. Podiatrists can even evaluate the way a patient walks (biomechanics) to see how it impacts other parts of the body. Ultimately, if you have any questions or concerns about your feet, don’t hesitate to visit a podiatrist.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to 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 a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

  • Physical therapy
  • Drugs
  • Orthotic inserts or soles
  • Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

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 What is a Podiatrist?
Tuesday, 30 November 2021 00:00

Plantar Fasciitis: A Common Form of Heel Pain

Plantar fasciitis is the most common type of heel pain that podiatrists treat. This condition occurs in the plantar fascia, which is a long band of tissue on the sole of the foot that spans from the heel through the arch to the front of the foot. Because of its location and key role in walking, running, and jumping, the plantar fascia can become overly stretched, stressed, and even torn, causing it to become inflamed and painful. This is known as plantar (sole of the foot) fasciitis (inflammation of the fascia). Some factors that contribute to plantar fasciitis include obesity, working on your feet or standing for extended periods of time on a regular basis, having tight calf muscles, flat feet, or high arches. Contact a podiatrist for relief from the pain of plantar fasciitis.

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
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