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Advanced Podiatric Procedures & Services in Los Angeles, CA

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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 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 Effect of High Heels on the Feet
Monday, 24 August 2020 00:00

Achilles Tendonitis: An Overview

If you play a sport or follow sports news, then you have likely heard of Achilles tendon injuries. Achilles tendonitis is extremely common among athletes, although anyone can incur an Achilles tendon injury. This type of injury stems from overuse. When the calf muscles that connect the heel bone to the Achilles tendon are overloaded, the tendon can become swollen, painful, and tender to the touch. The most common symptom is pain at the back of the calf. Treatment involves at-home care, such as rest and taking anti-inflammatory drugs, under the supervision of your doctor. If you have an Achilles tendon injury, it is suggested that you consult with a podiatrist as soon as possible.

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, 17 August 2020 00:00

Surgical Treatment of Corns

A corn is a thick layer of skin that forms due to excess pressure and friction. They work as the body’s mechanism for protection of the skin. Corns can form due to an enlarged joint, tight shoes or a toe deformity. While more conservative treatment options can be used on a corn, surgery may be necessary to remove the corn. Surgery usually involves a small incision (of about 2 cm), removal of the head of the corn, and then repairing the skin. After the surgery, your podiatrist will be able to provide recommendations for caring for the surgical wound. If you have a corn that is painful, consult with your podiatrist on what treatment options are best for you.  

Corns can make walking very painful and should be treated immediately. If you have questions regarding your feet and ankles, contact Leonora Fihman, DPM of California. Our doctor will treat your foot and ankle needs.

Corns: What Are They? And How Do You Get Rid of Them?
Corns are thickened areas on the skin that can become painful. They are caused by excessive pressure and friction on the skin. Corns press into the deeper layers of the skin and are usually round in shape.

Ways to Prevent Corns
There are many ways to get rid of painful corns such as:

  • Wearing properly fitting shoes that have been measured by a professional
  • Wearing shoes that are not sharply pointed or have high heels
  • Wearing only shoes that offer support

Treating Corns

Although most corns slowly disappear when the friction or pressure stops, this isn’t always the case. Consult with your podiatrist to determine the best treatment option for your case of corns.

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 Corns: What Are They, and How Do You Get Rid of Them

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

Monday, 10 August 2020 00:00

How Does Morton's Neuroma Feel?

Morton’s neuroma is a condition which causes swelling along a nerve in the foot. The affected nerve is typically between the third and fourth toes, or the second and third toes. The symptoms of this condition include tingling, burning, numbness, pain, and the sensation that you are stepping on something inside your shoe. Symptoms typically begin gradually, often while wearing narrow shoes or performing certain physical activities, and go away with rest. However, as the condition progresses, the symptoms may worsen and persist for days or even weeks as the swelling along the nerve enlarges. If you are experiencing the symptoms of Morton’s neuroma, it is recommended that you seek the care of a podiatrist.

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 Morton's Neuroma
Monday, 03 August 2020 00:00

Various Types of Ankle Pain

An ankle sprain can cause severe pain and discomfort. It may affect the structures surrounding the ankle joint, and many patients have said they experience extreme swelling. Anterior ankle pain can involve damage that has occurred to the cartilage bone. This type of pain can happen as a result of participating in running and jumping activities. There may be a limited range of motion in the ankle and it may be difficult to walk. Ballet dancers may be susceptible to posterior ankle pain. This can occur from putting pressure on the ankle as various dance positions are perfected. If you have pain in any part of your ankle, it is strongly suggested that you speak to a podiatrist as quickly as possible who can properly diagnose and treat any type of ankle pain.

Ankle pain can have many different causes and the pain may potentially be serious. If you have ankle pain, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 Ankle Pain
Monday, 27 July 2020 00:00

The Ankle-Brachial Index

The ankle-brachial index (ABI) is a quick and non-invasive form of vascular testing that your podiatrist may perform during a routine visit. It is frequently used to assess the presence or severity of peripheral artery disease, a potentially dangerous condition that results in poor circulation to the lower limbs. The ankle-brachial index test is performed in several steps. Similarly to typical checkups at your physician’s office, first, the doctor will measure your blood pressure around your upper arm. Then, the doctor will measure your blood pressure around your ankle. The two numbers are compared to find the ankle-brachial index value, a number that is used to determine the presence or severity of peripheral artery disease. The lower the ABI value is, the greater the chance that you have arterial disease. If you suspect you have poor circulation to your lower limbs, it is recommended that you visit a podiatrist, who can perform an ankle-brachial index test, as well as other vascular tests to assess blood flow to your feet and ankles. 

 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

  • Ankle-Brachial Index (ABI) examination
  • Doppler examination
  • Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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 Vascular Testing in Podiatry

Ankle sprains are generally the result of the ligaments in the ankle turning in or out. Falling is the most common cause of ankle sprains, or it may take place while stepping off of a curb unexpectedly. Research has indicated ankle sprains may be prevented when stretching exercises are frequently performed. This helps to maintain balance, flexibility, and strength. An effective ankle stretch consists of leaning against a wall and bending one leg while keeping the other leg straight. A gentle stretch can be felt in the back heel while bending forward, and then repeated after switching legs. Additionally, performing heel raises can have positive results on strengthening the ankles. If you would like more information about how to possibly prevent ankle sprains, please consult with a podiatrist.

Ankle sprains are common but need immediate attention. 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.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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 Ankle Sprains
Friday, 17 July 2020 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.

Monday, 13 July 2020 00:00

Causes of Heel Pain

Heel pain can vary in severity and type. Since the heel is the first part of the foot to make contact with the ground, it absorbs the full force of impact and bears the most weight while walking. One of the most common causes of heel pain is plantar fasciitis. This occurs when the ligament that attaches the heel to the ball of the foot, known as the plantar fascia, becomes irritated. Heel spurs, which are bone growths at the bottom of the heel, can also cause heel pain. Other issues that can cause heel pain include repetitive stress or shock to the heel, standing for too long, or osteoarthritis.  If you are experiencing heel pain, it is important to consult with a podiatrist to help diagnose and treat the painful condition.

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
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