Items filtered by date: May 2023

The toenails are easily ignored when thinking about basic healthcare, but there are many simple ways to keep them pain and problem free. Probably the two most common ailments are ingrown toenails and toenail fungus. An ingrown toenail is usually the result of the nail being cut incorrectly. It is suggested that cutting toenails straight across and not too short can prevent the nail from growing into the nail bed rather than over it. Fungal infections of the toenails can easily be spread in warm and moist areas, such as gym locker rooms and indoor swimming pools. Wearing protective foot coverings is a good way to prevent this annoying infection. Fungal toenail infections are extremely contagious, so it’s wise to keep from touching the infected area. If you have toenail fungal infections that recur, even after applying commercial anti-fungal remedies, it is a good idea to make an appointment with a podiatrist who can prescribe more powerful medication. In addition, trying to fix an ingrown toenail can lead to a bacterial infection. It is suggested that you make an appointment with a podiatrist who can safely deal with the problem. 

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. 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.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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.

Those who suffer from pain in the joints of their feet may be suffering from a form of arthritis. Rheumatoid arthritis, or RA, is a type of inflammatory arthritis that can affect the joints in the feet. With this autoimmune disorder, the immune system attempts to destroy the lining of the joints, called synovium, as well as the fluid in the joints. Pain may be felt in the joints, as well as the ligaments of the feet, which are bands of tissue that connect bones. Rheumatoid arthritis can also cause heel pain, compressed nerves, skin rashes, and nodules on the feet. Over time, RA causes cartilage erosion, and the joints in the feet may become deformed. Discomfort is often worse after prolonged time on the feet, and wearing shoes can be difficult. This condition can significantly impact the ability to walk, and it is beneficial for the patient to do what they can to manage the pain. If you suffer from rheumatoid arthritis and your feet are affected, it is suggested that you visit a podiatrist regularly who can help you effectively manage this condition.

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.

Ingrown toenails happen when the toenail grows into its surrounding skin. This can be uncomfortable, as the nail pierces the skin and becomes tender, red, and swollen. The big toe is the most often affected by this affliction, and if not tended to, it can bleed and become infected. If one is diabetic and has an ingrown toenail, they need to obtain immediate medical care as this can turn into a serious complication with their propensity towards infections and slower healing. To prevent ingrown toenails, it is important to cut toenails straight across rather than in a curved fashion, wear shoes that fit well and do not bind the toes in any way, and wear socks or other foot coverings to protect the feet. Examining the feet for excessive sweat or injury can help in the prevention of ingrown toenails as well. Wet feet can cause the toenails to soften, and it becomes easier for the nail to grow into the skin. Even a stubbed toe can cause a toenail to pierce the skin. If you develop an ingrown toenail, it is suggested that you make an appointment with a podiatrist who can provide the best treatment option for you.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. 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 are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

• Improper toenail trimming
• Genetics
• Improper shoe fitting
• Injury from pedicures or nail picking
• Abnormal gait
• Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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.

Tending to the health of the feet is critical in helping seniors maintain balance, mobility, and independence for as long as possible. Senior feet need extra care since aging takes its toll on them. As one ages, the feet flatten and become wider. The padding on the foot wears away, and bones and joints are less protected. One foot injury or problem, such as an ingrown toenail, can lead to further health issues in this population. Foot care tips to help seniors maintain the health of their feet include keeping the feet clean, dry, and moisturized, in addition to trimming the nails straight across, and wearing properly fitted footwear. Caregivers can help seniors who cannot take care of their feet on their own to maintain foot health. If you are a senior, or are caring for one, it is suggested that you include a podiatrist on your health care team. If problems arise, this medical professional can promptly help you to them.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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.

It is common for new parents to be nervous that their newborn is healthy. When foot problems are detected prior to or at birth, parents are naturally concerned. Common congenital foot problems include rotational issues, such as in-toeing or out-toeing and flat feet. In-toeing are when the baby’s feet turn inward; out-toeing is the opposite. Children are born with flat feet and the arch of the foot can either be flexible or rigid. This usually resolves itself as the child grows. Most of the time, parents simply need to be reassured that their child will grow out of the condition they are noticing. However, surgery may be required for children after age 8 if a deformity interferes with normal functioning. If you are expecting a baby or have recently given birth, it is suggested that you consult with a podiatrist to discuss newborn feet, have any concerns put to rest, and treat any feet problems that may need attention.

Congenital foot problems require 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.

Congenital foot problems are deformities affecting the feet, toes, and/or ankles that children are born with. Some of these conditions have a genetic cause while others just happen. Some specific foot ailments that children may be born with include clubfeet, polydactyly/macrodactyly, and cleft foot. There are several other foot anomalies that can occur congenitally. What all of these conditions have in common is that a child may experience difficulty walking or performing everyday activities, as well as trouble finding footwear that fits their foot deformity. Some of these conditions are more serious than others. Consulting with a podiatrist as early as possible will help in properly diagnosing a child’s foot condition while getting the necessary treatment underway.

What are Causes of Congenital Foot Problem?

A congenital foot problem is one that happens to a child at birth. These conditions can be caused by a genetic predisposition, developmental or positional abnormalities during gestation, or with no known cause.

What are Symptoms of Congenital Foot Problems?

Symptoms vary by the congenital condition. Symptoms may consist of the following:

• Clubfoot, where tendons are shortened, bones are shaped differently, and the Achilles tendon is tight, causing the foot to point in and down. It is also possible for the soles of the feet to face each other.
• Polydactyly, which usually consists of a nubbin or small lump of tissue without a bone, a toe that is partially formed but has no joints, or an extra toe.
• Vertical talus, where the talus bone forms in the wrong position causing other bones in the foot to line up improperly, the front of the foot to point up, and the bottom of the foot to stiffen, with no arch, and to curve out.
• Tarsal coalition, when there is an abnormal connection of two or more bones in the foot leading to severe, rigid flatfoot.
• Cleft foot, where there are missing toes, a V-shaped cleft, and other anatomical differences.
• Macrodactyly, when the toes are abnormally large due to overgrowth of the underlying bone or soft tissue.

Treatment and Prevention

While there is nothing one can do to prevent congenital foot problems, raising awareness and receiving neonatal screenings are important. Early detection by taking your child to a podiatrist leads to the best outcome possible.

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.