Items filtered by date: January 2023

There is an area that connects the Achilles tendon and the plantar fascia to the heel. It is called the growth center, and the medical term for this is known as the calcaneal apophysis. It is fully developed at approximately 12 to 14 years old, as it fuses to the bone. If the heel undergoes direct impact, resulting in excessive tension on the Achilles tendon and plantar fascia, it may result in Sever’s disease. This condition generally affects children and young teenagers between the ages of 9 and 13, and can cause considerable heel pain. Children who frequently participate in running and jumping activities may be prone to developing Sever’s disease. Mild relief may be found when the activity is temporarily stopped that caused the condition, and the foot is elevated and rested. It is beneficial to perform specific stretches that may help to accelerate the healing process. If your child has heel pain, please schedule an appointment with a podiatrist who can confirm the diagnosis of Sever's disease, and treat it accordingly.  

Sever's disease often occurs in children and teens. If your child is experiencing foot or ankle pain, see Leonora Fihman, DPM from California. Our doctor can treat your child’s foot and ankle needs.

Sever’s Disease

Sever’s disease is also known as calcaneal apophysitis, which is a medical condition that causes heel pain I none or both feet. The disease is known to affect children between the ages of 8 and 14.

Sever’s disease occurs when part of the child’s heel known as the growth plate (calcaneal epiphysis) is attached to the Achilles tendon. This area can suffer injury when the muscles and tendons of the growing foot do not keep pace with bone growth. Therefore, the constant pain which one experiences at the back of the heel will make the child unable to put any weight on the heel. The child is then forced to walk on their toes.

Symptoms

Acute pain – Pain associated with Sever’s disease is usually felt in the heel when the child engages in physical activity such as walking, jumping and or running.

Highly active – Children who are very active are among the most susceptible in experiencing Sever’s disease, because of the stress and tension placed on their 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 injuries.

The symptoms that are associated with gout can include debilitating pain and inflamed joints in the big toe. Many patients have swelling and redness, and it can be difficult to walk. Gout is considered to be a form of arthritis, and can be caused by genetic factors. Additionally, eating foods that have high levels of purines may lead to getting gout. Purines break down into uric acid which can form crystals in the joints of the big toe. These types of foods may include red meat, shellfish, or drinking large amounts of alcohol. A proper diagnosis typically consists of extracting a sample of fluid from the inflamed joint, and having it analyzed. Effective prevention methods can consist of drinking plenty of water daily, eating fresh fruits and vegetables, and limiting the amount of red meat, shellfish, and alcohol from the eating routine. Please contact a podiatrist as quickly as possible who can help you manage the pain from gout and offer you additional prevention methods.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Fatigue and hairline fractures are also known as stress fractures. They are small cracks that happens to one or more bones in the foot from overuse. They can be common among athletes or children who frequently participate in sporting activities.  It can happen from increasing speed and mileage too quickly, in addition to having an abnormal foot structure. Research has shown that patients who have high arches or flat feet may be prone to developing stress fractures, possibly as a result of a lack of shock absorption that comes from the surrounding muscles. Additionally, wearing shoes that do not fit correctly may lead to getting a stress fracture, or it may happen from running on hard surfaces. Relief may be found when the activity that caused the fracture is temporarily ceased, and the affected foot is elevated. If you have endured a stress fracture of the foot, please consult a podiatrist who can offer you effective treatment methods.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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.

Obese individuals can be more susceptible to developing any number of foot conditions. This is because having an unhealthy level of extra body weight can wreak havoc on the feet and lower legs in different ways. One often overlooked consequence that obesity can have on the feet is swelling, or edema, in the feet. When a person carries an excessive amount of body weight around, they are essentially putting more pressure on the joints, especially those in the feet. Obese individuals can put an extreme amount of pressure on the ankle joints in particular. As a result, there can be a significant amount of fluid retention in the affected areas, as well as the storage of hormones in fat cells. Consequently, the body can experience a pesky kind of swelling in the ankles, feet, and lower legs. If you are someone that struggles with obesity, contact a podiatrist today to learn what you can do to combat any foot swelling that you are currently experiencing.  

Obesity has become very problematic at this point in time and can have extremely negative effects on the feet. If you’re an obese individual and are concerned 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.

Obesity and Your Feet

Since your feet are what support your entire weight when standing, any additional weight can result in pain and swelling. Being overweight is one of the main contributors to foot complications.

Problems & Complications

Extra Weight – Even putting on just a few extra pounds could create serious complications for your feet. As your weight increases, your balance and body will shift, creating new stresses on your feet. This uneven weight distribution can cause pain, even while doing the simplest tasks, such as walking.

Diabetes – People who are overweight are at serious risk of developing type-2 diabetes, which has a drastic impact on the health of your feet. As you get older, your diabetes might worsen, which could lead to loss of feeling in your feet, sores, and bruises. You could also become more prone to various infections.

Plantar fasciitis – Pressure and stress that is placed on muscles, joints, and tendons can trigger plantar fasciitis, which is an inflammation of tissue that forms along the bottom of the foot. 

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.

One of the most common side effects of pregnancy is swollen feet. It happens as a result of increased fluids that are necessary for the fetus’s development, and can be quite uncomfortable. It often becomes worse as the pregnancy progresses, which may happen from the pressure the growing baby puts on the veins. The majority of women cannot prevent swollen feet from occurring during their pregnancy, although there are methods that can be implemented which can reduce its severity. Walking during the day is instrumental in maintaining good circulation, and drinking plenty of water daily can help to shed excess sodium. Sleeping on the left side may take pressure off of the vein that causes the swelling, and wearing compression socks may lead the feet to feeling better. If you would like more information about how to reduce swollen feet, please ask a podiatrist who can offer you effective relief tips.

Swollen feet can be a sign of an underlying condition. 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.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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.