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Tuesday, 23 July 2024 00:00

Managing Your Flat Feet

Flat feet, or fallen arches, occur when the arches of the feet collapse, causing the entire sole to touch the ground. While some individuals have flat feet from childhood, others may develop them later in life. A primary cause of flat feet is genetics. If your parents or grandparents had flat feet, there is a higher likelihood of inheriting the condition. Additionally, injuries or stress to the feet's tendons and ligaments or standing for long periods of time can lead to flat feet. Symptoms may include foot pain, swelling, and difficulty with movement. In severe cases, surgical intervention may be necessary to reconstruct the arches. To accurately diagnose the extent of flat feet and determine what the most effective treatment plan is, it is important to consult a podiatrist. They can provide expert assessment, recommend appropriate interventions like custom orthotics, and ensure ongoing management to alleviate symptoms and improve foot function. It is suggested that you schedule an appointment with a podiatrist for personalized care and relief from flat feet.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of 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.

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Plantar fasciitis is a foot condition characterized by inflammation and degeneration of the plantar fascia, a thick band of tissue that runs along the bottom of the foot, connecting the heel to the toes. This condition often develops gradually over time, resulting from repetitive strain and stress on the plantar fascia. Activities that involve prolonged standing, walking, or running, especially on hard surfaces, can worsen the problem. Additionally, factors such as obesity, tight calf muscles, high arches, flat feet, and non-supportive footwear can increase the risk of developing plantar fasciitis. Symptoms include heel pain, particularly in the morning or after periods of inactivity, which can worsen with activity. While plantar fasciitis can be challenging to manage, various treatment options, including rest, stretching exercises, orthotic devices, and in severe cases, corticosteroid injections or surgery, can help alleviate pain and promote healing. If you have persistent heel pain, it is strongly suggested that you consult a podiatrist who can accurately diagnose and treat the cause.

Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.

What Causes Plantar Fasciitis?

  • Excessive running
  • Having high arches in your feet
  • Other foot issues such as flat feet
  • Pregnancy (due to the sudden weight gain)
  • Being on your feet very often

There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.

Prevention

  • Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
  • Maintain a healthy weight
  • If you are a runner, alternate running with other sports that won’t cause heel pain

There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option 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.

 

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Friction blisters of the feet are painful lesions caused by repetitive rubbing against the skin. These blisters typically occur on areas of the feet that experience frequent pressure or friction, such as the heels or toes. They appear as fluid-filled sacs beneath the top layer of skin and may cause discomfort when participating in daily activities, such as walking or even wearing shoes. Proper footwear, cushioning, and moisture control are essential for preventing friction blisters. If a friction blister develops, it's important to cover it with a bandage or blister pad, rather than popping it, to minimize the risk of infection. Establishing a hygiene routine for your feet is advised to decrease the likelihood of friction blisters. Additionally, wearing moisture-wicking socks can help maintain a dry environment in your shoes. If you notice signs of a friction blister developing on the foot, it is suggested to discuss personalized care and treatment options with a podiatrist to alleviate discomfort and prevent future blisters. 

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

  • Bubble of skin filled with fluid
  • Redness
  • Moderate to severe pain
  • Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

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Tuesday, 09 July 2024 00:00

How to Tell if You Have Gout

Gout is a type of arthritis characterized by sudden, severe attacks of pain, redness, and tenderness in joints, often the big toe. Recognizing the symptoms of gout can be straightforward when experiencing intense, painful swelling in a single joint that subsides and reappears, sometimes in different joints. However, pinpointing gout can be challenging if symptoms are less typical. A podiatrist can provide a definitive diagnosis through various tests. Lab tests for gout measure uric acid levels in the blood and joint fluid analysis to detect uric acid crystals. Imaging tests like X-rays, ultrasounds, and other types of scans can help rule out other conditions and identify joint damage or uric acid crystal deposits. Post-diagnosis, ongoing monitoring through blood tests ensures that uric acid levels remain controlled, preventing further attacks and complications. These tests, coupled with a podiatrist's expertise and certain pain relief medications, help manage and treat gout effectively. If you are experiencing symptoms of gout, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment options.

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.

Read more about Gout
Tuesday, 02 July 2024 00:00

Severe Corns and Calluses on the Feet

Severe calluses are thickened areas of skin that develop on the feet due to repeated pressure or friction. They often occur on the heels, soles, and sides of the feet. Corns are similar to calluses but are smaller, with a hard center surrounded by inflamed skin, typically forming on the toes. These conditions can happen as a result of wearing tight or ill-fitting shoes, high-heeled shoes, or abnormal gait patterns. Calluses look like rough, thick patches of skin, while corns appear as hard, round bumps. They can cause discomfort, pain, and tenderness, making walking difficult. Relief can consist of soaking the feet in warm water, using pumice stones or foot files to remove thickened skin, moisturizing, and wearing properly fitted shoes. Complications can arise if calluses and corns are left untreated, leading to skin ulcers or infections, especially in individuals with diabetes. If you suffer from these ailments, it is suggested that you schedule an appointment with a podiatrist who can effectively treat uncomfortable corns and calluses.

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
Sunday, 30 June 2024 00:00

Heel Pain Can Be Treated!

Do you suffer from heel pain when you get up in the morning? If so, you should seek the professional help of your podiatrist and have a proper diagnosis performed. Heel pain can be caused by several different foot-related conditions.

Tuesday, 25 June 2024 00:00

Healing From Hammertoe Surgery

Recovering from hammertoe surgery requires attentive care to ensure proper healing and prevent complications. Follow your doctor's instructions regarding pain relief and any prescribed antibiotics to avoid infection. Keeping the pain under control will also help you stay mobile and adhere to post-surgery exercises. A balanced diet rich in vitamins and minerals supports the healing process, with particular emphasis on nutrients like vitamin C and protein to aid tissue repair. Incision care is vital for preventing infections includes keeping the surgical site clean and dry and following your podiatrist's guidelines on changing dressings. Avoid soaking the foot until the incision is fully healed, and watch for signs of infection like increased redness, swelling, or discharge. Elevating the foot and limiting activity as recommended will reduce swelling and promote faster recovery. If you have had hammertoe surgery, it is suggested that you keep in close contact with your podiatrist who can monitor your recovery. 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Leonora Fihman, DPM of California. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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 Foot and Ankle Surgery
Tuesday, 18 June 2024 00:00

Causes of Swollen Feet and Ankles

Swelling in the feet and ankles can signal underlying health issues that may need attention. Edema, or fluid buildup, is a common cause of swelling, particularly in older individuals. Gravity contributes to this condition, making the lower body areas more prone to noticeable swelling. Causes of foot swelling include excessive weight, blood clots, infections, and venous insufficiency. Among other causes are injuries, surgeries, and certain medications like antidepressants, blood pressure drugs, hormones, and steroids. Lifestyle factors, such as long flights, as well as prolonged standing and hormonal changes during pregnancy can also trigger swelling. Some cases of edema can be managed with leg elevation, exercise, a low-salt diet, and wearing support stockings. However, it's extremely important to seek medical attention if swelling is severe, accompanies shortness of breath or chest pain, or doesn't improve with self-care measures. If you're experiencing persistent swelling in the feet or ankles, it is suggested that you make an appointment with a podiatrist for an exam. This foot doctor will conduct a thorough exam and may recommend diagnostic tests to determine the underlying cause.

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.


 

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Tuesday, 11 June 2024 00:00

Managing Your Child's Toe Walking

Idiopathic toe walking, as it's called, occurs when a child continues to favor their toes for walking or running. This behavior, if left unchecked, can lead to tight calf muscles and decreased ankle movement. However, there are methods to address toe walking effectively. For children under six, treatment may involve calf stretches, Achilles tendon stretches, and sit-to-stand exercises. Older children may benefit from calf stretches, marching in place, and walking uphill. Other exercises include walking on uneven surfaces, heel walking, and squats. These aim to stretch and strengthen the calf muscles, while promoting a heel-to-toe walking pattern. It is important for parents to identify toe walking early to prevent potential complications, such as muscle tightness and weakness. If your child exhibits persistent toe walking beyond three years of age, it is suggested that you schedule an appointment with a podiatrist who can assess the extent of your child's condition, and provide recommendations tailored to their specific needs. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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 What to Do to Keep Your Child’s Feet Healthy
Tuesday, 04 June 2024 00:00

Causes of Children's Toe Injuries

In the world of childhood mishaps, toe injuries rank among the most prevalent, encompassing a spectrum of ailments from jammed toes to fractures. Jammed toes often occur during vigorous play or sports, where sudden stops or collisions can cause the toe to forcefully bend, leading to pain and swelling. Toenail injuries are another common occurrence, typically the result of stubbing or dropping heavy objects on the toe, causing pain, bleeding, or even toenail loss. Additionally, subungual hematoma, characterized by blood pooling under the toenail, often arises from trauma or repetitive pressure on the toe, causing discomfort and discoloration. Fractures, though less frequent, can happen due to severe impact or twisting motions, resulting in pain, swelling, and potential deformity. If your child has endured a toe injury, it is suggested that you contact a podiatrist who can offer appropriate treatment options.

Toe pain can disrupt your daily activities. 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 Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

  • Trauma
  • Sports injury
  • Wearing shoes that are too tight
  • Arthritis
  • Gout
  • Corns and calluses
  • Hammertoe
  • Bunions
  • Blisters
  • Ingrown toenails
  • Sprains
  • Fractures (broken bones)
  • Dislocations

When to See a Podiatrist

  • Severe pain
  • Persistent pain that lasts more than a week
  • Signs of infection
  • Continued swelling
  • Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as 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.

Read more about Toe Pain
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