Items filtered by date: March 2021

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.

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.

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.

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.

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.