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Advanced Podiatric Procedures & Services in Los Angeles, CA

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Sunday, 08 May 2022 00:00

Gout Pain Can Be Managed

Gout is a painful, inflammatory form of arthritis. Those affected will typically feel an intense stiffness in the joints of their feet, particularly in the big toe. Schedule a visit to learn about how gout can be managed and treated.

Tuesday, 03 May 2022 00:00

Metatarsus in Your Child

Some children are born with a condition known as metatarsus adductus, which is a turning inward of the feet. The inside of the foot appears caved in and the outside more rounded. While it may be alarming to look at, this condition generally diminishes in a few years. Although no cause has been determined for metatarsus adductus, some experts believe it to be a result of the fetus being tightly packed inside the uterus before birth. The metatarsus is a collection of bones in the midfoot, known as the five metatarsals. These bones connect the toes to the heel. A podiatrist can properly examine your baby’s feet and determine which form of metatarsus is present. In flexible metatarsus, the foot can be straightened manually, and some stretching exercises may help. The condition may continue until the child is between 1 and 2 years old. In non-flexible metatarsus, the foot stays in a curved position. In this case, fittings for braces and special shoes may be required. In rare cases, surgery to reposition the foot may be suggested. A podiatrist can monitor your child’s case and prescribe appropriate treatment. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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 How to Care for Your Child's Feet

Heel pain can be caused by a variety of conditions, with the most common being plantar fasciitis: an inflammation of the plantar fasciitis tissue on the bottom of the foot. Identifying where the pain is specifically located in the heel can sometimes help your podiatrist diagnose your condition. For instance, plantar fasciitis usually causes pain in the bottom/middle of the heel which is at its worst when you first wake up in the morning. Other conditions, such as heel stress fractures, nerve issues, or heel pad atrophy can also cause pain on the bottom of the heel. Pain in the back of the heel may be caused by problems with your Achilles tendon, which connects the heel bone to the calf muscles. These conditions include Achilles tendinopathy/tendinitis, which is usually an overuse injury to the tendon, Haglund’s deformity, which produces a bump at the back of the heel due to shoes exerting pressure on the tendon, and Sever’s disease, which is due to stress on the heel’s growth plate in growing children. Pain in the middle of the heel can sometimes be caused by an entrapped nerve in the ankle (tarsal tunnel syndrome). Sinus tarsi syndrome, typically due to flat feet or following an ankle sprain, can cause pain in the middle/side portion of the heel. Any type of heel pain should be examined by a podiatrist to receive proper diagnosis and treatment.

Many people suffer from bouts of heel pain. For more information, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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 Heel Pain

Walking and running are two completely different activities that impact different parts of the feet. Research has shown it is beneficial to wear shoes that can complement different running and walking styles. One of the differences between the two types of shoes has to do with the type of sole. Running shoes have stiffer and sturdier soles than walking shoes. This is helpful in providing the necessary stability while running. Proper walking shoes have a flexible sole, and the heels tend to be heavier than those of running shoes. Additionally, the shoes are made of different materials. Running shoes are made of breathable fabrics, which can help when feet become sweaty. A portion of the shoe that is referred to as the counter can help provide a secure fit. In walking shoes, the heel is tilted, and the toe area is stiff. Please confer with a podiatrist who can provide you with more information about the differences between walking and running shoes.

For more information about walking shoes versus running shoes, consult with Leonora Fihman, DPM from California. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

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 Differences between Walking and Running Shoes
Tuesday, 12 April 2022 00:00

How to Deal With Arthritic Foot Pain

Arthritis, a painful inflammatory condition, can affect many parts of the body including the feet, particularly as you age. Arthritic foot pain often comes with stiff joints, as well as a loss of strength, flexibility, and mobility in the affected area. Various things can be done to relieve pain and slow the progression of this disease, including foot massages to improve circulation and decrease tension in the joint, using heat (to loosen the muscles and reduce stiffness), or using ice (to constrict blood vessels and reduce blood flow to the problem area).  Wearing proper footwear (wide enough to accommodate orthotics or other foot aids and with proper arch support to stabilize the joints and feet) and continuing to move despite the pain may also help.  Other suggestions include maintaining a healthy body weight, participating in physical therapy, using non-steroidal anti-inflammatory medications, topical creams, and;/or steroid injections. While there is no cure for arthritis, a podiatrist can help determine the best way to handle your arthritic foot pain.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

  • Swelling
  • Pain
  • Stiffness
  • Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

  • Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
  • Obesity – Excess weight can contribute to osteoarthritis development
  • Infection – Microbial agents can infect the joints and trigger arthritis
  • Joint Injuries – Damage to joints may lead to osteoarthritis
  • Age – Risk increases with age
  • Gender –Most types are more common in women
  • Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best 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 care needs.

Read more about How to Care for Your Arthritic Foot

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Diabetes, which is a disease caused by a blood sugar imbalance, can cause problems in parts of the body, most commonly the feet, ankles, and lower legs. The problem is reduced circulation, which keeps the blood from reaching these areas. This can damage the nerves (neuropathy) and can result in numbness, tingling, pain and other discomfort. It can also slow the healing process if you have sores or cuts on the foot or ankle, which may turn into ulcers and become infected. You can prevent more serious problems by taking time each day to wash and thoroughly dry your feet, avoid going barefoot, wearing shoes that fit properly, and checking for sores and cuts. If you notice cracked skin, blisters and sores that will not heal, it is a good idea to consult a podiatrist and set up a regular plan for treatment.

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 Diabetic Foot Conditions
Tuesday, 29 March 2022 00:00

Dealing With Peripheral Artery Disease

When blood flow to the extremities slows, particularly to the feet, it most likely is caused by a blockage of the arteries. This condition, called peripheral arterial disease (PAD), is very common. Smoking, obesity, poor eating habits, and being sedentary are major factors in the development of PAD. Other maladies, such as diabetes and hypertension, can further cause the blood vessels to narrow. Symptoms of PAD include pain and cramping in the legs and feet when walking, numbness, sores that don’t heal, and foot pain when at rest. Some life changes can help reduce the symptoms, such as lowering fats and cholesterol in your diet, moving around more, reducing stress, stopping smoking, and lowering your blood pressure. If you develop sores on your feet and ankles that refuse to heal, and are experiencing other PAD symptoms, it is a good idea to make an appointment with a podiatrist for an examination and ongoing treatment plan.

 

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, 22 March 2022 00:00

Ballet Can Cause Foot Injuries

Foot damage is frequent among ballet dancers. Such injuries from ballet can include broken and ingrown toenails, blisters, bunions, corns, and strain from balancing one’s entire weight on their toes (dancing on pointe), as well as ankle injuries from jumping and lifting. With repeated movement and not enough rest, these can be minor issues that   turn into serious problems, like ulcerated sores, stress fractures, and complete breaks. Regular visits to a podiatrist for proper diagnosis and treatment of foot problems from dancing is important, as are follow-through and allowing time for proper healing.

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
Tuesday, 15 March 2022 00:00

Ways to Deal With Toenail Fungus

When a fungal infection develops in your toenails the effects are usually easy to spot. The toenail typically changes both in color and consistency – appearing thickened, yellowish, crusty, and brittle. Several anti-fungal creams are available over the counter, although they may take many months to eradicate the infection. Nail-softening creams can allow you to scrape off the infection, though caution is recommended because fungal infections are highly transmissible and can spread to other parts of your body, such as your fingernails. In the meantime, try to keep your feet clean and dry, avoid sharing towels, change your socks daily, and wear protective foot coverings in locker rooms, pools, and showers. If the infection persists or worsens, it’s a good idea to consult a podiatrist who can prescribe stronger medication, check if any underlying conditions may be exacerbating the infection, and determine further treatment options.

For more information about treatment, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Toenail Fungus Treatment

Toenail fungus is a condition that affects many people and can be especially hard to get rid of. Fortunately, there are several methods to go about treating and avoiding it.

Antifungals & Deterrence

Oral antifungal medicine has been shown to be effective in many cases. It is important to consult with a podiatrist to determine the proper regiment for you, or potentially explore other options.

Applying foot powder on the feet and shoes helps keep the feet free of moisture and sweat.

Sandals or open toed shoes – Wearing these will allow air movement and help keep feet dry. They also expose your feet to light, which fungus cannot tolerate. Socks with moisture wicking material also help as well.

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 Toenail Fungus
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