If you need a more accessible version of this website, click this button on the right.Switch to Accessible Site
We are OPEN and following all CDC Guidelines
Advanced Podiatric Procedures & Services in Los Angeles, CA

Blog

Blog

Experts say that 90 percent of people with rheumatoid arthritis (RA) will experience problems with their feet and ankles. Inflammation from this disease causes pain, swelling, redness and a limited range of movement in the joints. In addition, the cartilage, ligaments, and tendons are broken down by the immune system. This, in turn, may cause difficulty in standing and walking for long periods of time. Rheumatoid arthritis can affect the ankle by making it more difficult to go up and down steps. In the hindfoot area, RA impedes the ability to walk on uneven surfaces, such as gravel. Pain generally starts on the outside of the foot, and eventually moves to the arch and the inside of the foot. It may even lead to flat feet as bones shift and become damaged. In the midfoot, the ligaments that support the feet become weaker and cause a collapse of the arch. Deformities in the toes, such as bunions and hammertoe, caused by rheumatoid arthritis may make it difficult not only to walk, but to wear shoes. If you have rheumatoid arthritis, it is a good idea to develop an ongoing relationship with a podiatrist to monitor these and other changes to your feet and ankles.


 

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.

Read more about Rheumatoid Arthritis in the Feet

Research has shown that plantar warts affect approximately ten percent of the population. They are warts that develop on the sole of the foot, and grow inward as a result of the weight the feet endure on a daily basis. They are generally caused by the human papilloma virus (HPV), and can enter the body through small cuts in the skin on the feet. They are prone to developing on the ball and heel of the foot, and are considered to be hyperkeratotic eruptions. Plantar warts can cause severe pain and discomfort, and aggressive treatment may be necessary to relieve the pain while walking. Some patients have to alter their style of walking if they have a plantar wart, and their posture may be affected. If you have a wart on the bottom of your foot, please seek the counsel of a podiatrist who can effectively treat this condition.

Plantar warts can be very uncomfortable. If you need your feet checked, contact Leonora Fihman, DPM from California. Our doctor will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

  • Lesions on the bottom of your feet, usually rough and grainy
  • Hard or thick callused spots
  • Wart seeds, which are small clotted blood vessels that look like little black spots
  • Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

  • Freezing
  • Electric tool removal
  • Laser Treatment
  • Topical Creams (prescription only)
  • Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate 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 and ankle needs.

Read more about All About Plantar Warts
Tuesday, 07 June 2022 00:00

Bone Spurs

Bone spurs or osteophytes are smooth growths of bone that can develop throughout the body, over a long period of time. Common areas for such spurs to occur include heels, ankles, and big toes. They are a natural part of aging but also can be a progression of certain medical conditions, such as osteoarthritis. In fact, joint damage from osteoarthritis is the most frequent cause of bone spurs. Bone spurs are not painful in and of themselves but can become painful when they push into surrounding tissue and nerves. If there are no symptoms, bone spurs do not have to be treated, however, if they cause pain, treatment should be undertaken. Some common suggestions for alleviating the pain of foot bone spurs include maintaining a healthy body weight to take pressure off joints and doing exercises to stretch and strengthen muscles around joints, resting, and icing the affected area. Surgery may be needed to remove bone spurs if inflammation and pain become debilitating. If you have a troublesome bone spur on your foot, it is best to see a podiatrist to discuss the best treatment to alleviate your pain.  

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot 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 care needs.

Read more about Foot Pain

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

Tuesday, 31 May 2022 00:00

Why Do Corns Develop?

A corn is a skin lesion, usually caused by excess friction that comes from wearing shoes and socks that are too tight. It is defined as a small, hardened area of skin that can be quite painful. A hard corn generally develops on top of the toes, or on the side of the pinky toe. Additionally, they may form on the top of a hammertoe or bunion. Corns that form between the toes are referred to as soft corns, and stay moist from the sweat that accumulates there. Effective prevention methods can include wearing shoes that fit correctly, and some patients find it helpful to separate the toes by using lamb’s wool or moleskin. It may be beneficial for people who are prone to developing soft corns to purchase larger shoes that may help to keep the toes apart. Corns can develop in patients who frequently wear high heels, a result of having limited space for the toes to move. If you have a corn on your foot, it is suggested that you speak with a podiatrist who can effectively treat this ailment.

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 and Calluses
Tuesday, 24 May 2022 00:00

Facts About Ingrown Toenails

Having an ingrown toenail is annoying and painful, but it can be preventable. When the side of a toenail becomes engulfed by the skin around it, pressure can build up and cause pain. Typical signs of an ingrown toenail include redness and swelling, pain when touched, or hardened skin next to the nail. If the area gets infected, it may become filled with pus and cause bleeding. Causes of ingrown toenails include tight fitting shoes, toenails cut incorrectly or not at all, and poor foot hygiene. Home prevention techniques include cutting toenails straight across, keeping your feet clean and dried, and wearing shoes that fit properly. Anyone who has diabetes, poor peripheral circulation, or other systemic conditions that affect the feet should seek the care of a podiatrist regularly. In cases of a badly ingrown toenail, it is strongly suggested that you consult a podiatrist. Possible treatment may call for partial or complete removal of the nail to prevent further complications. 

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.

Read more about Ingrown Toenail Care

 

The plantar fascia is a connective band of tissue linking the heel with the toes. Since it is located on the bottom of the foot and is constantly used while standing, walking, running, and jumping, it may become torn, irritated, and swollen from overuse. The medical term for this condition is plantar fasciitis and it is the most common form of heel pain. Pain from plantar fasciitis is usually at its worst first thing in the morning after the plantar fascia has tightened overnight. After walking around and warming the body up, the pain typically subsides only to return later in the day. Because it can be caused by walking, running, and doing repetitive movements, plantar fasciitis has been nicknamed policeman’s heel, runner’s heel, and tennis heel. People who are elderly, obese, or work on their feet all day are more susceptible to acquiring this condition. Additionally, people who have high arches, flat fleet, or certain medical conditions are more at risk. Podiatrists have extensive experience and several effective methods for treating plantar fasciitis because it is so common. If you believe you have this condition, it is advised to make an appointment with a podiatrist who can provide a proper diagnosis, followed by starting correct treatment techniques.


 

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.

 

Read more about Plantar Fasciitis

Anyone who runs for exercise or sports, such as track and soccer, knows that injury to their feet and ankles are bound to occur at some point. The most common injuries happen as a result of overuse. Among them are plantar fasciitis (heel pain), Achilles tendonitis (back of the ankle pain), sesamoiditis (pain at the base of the toes), and stress fractures (frequently in the metatarsal bones). By far, the most common of these is plantar fasciitis, caused by inflammation of the band of tissue that holds up the arch on the foot. Some relief can be provided by stretching exercises, resting and icing the area, and finding shoes with better arch support. Pain in the back of the heel, generally caused by an inflamed Achilles tendon, is a common sign of overuse, especially among beginners who run too far, too fast. Rest, ice, compression and elevation may help, along with stretching exercises, and possibly orthotics. Pain, burning, and swelling in the ball of the foot can be caused by a pinched nerve or inflammation in the metatarsal joints. Orthotics and different running shoes can help. Stress fractures are difficult to detect and slow to heal, but cause ongoing discomfort. For help with any of these common injuries, it is best to consult with a podiatrist who can do a thorough examination and provide proper treatment options depending on the diagnosis.


 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. 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.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

  • Plantar Fasciitis
  • Plantar Fasciosis
  • Achilles Tendinitis
  • Achilles Tendon Rupture
  • Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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 Sports Related Foot and Ankle Injuries
Sunday, 08 May 2022 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.

Tuesday, 03 May 2022 00:00

Metatarsus in Your Child

Some children are born with a condition known as metatarsus adductus, which is a turning inward of the feet. The inside of the foot appears caved in and the outside more rounded. While it may be alarming to look at, this condition generally diminishes in a few years. Although no cause has been determined for metatarsus adductus, some experts believe it to be a result of the fetus being tightly packed inside the uterus before birth. The metatarsus is a collection of bones in the midfoot, known as the five metatarsals. These bones connect the toes to the heel. A podiatrist can properly examine your baby’s feet and determine which form of metatarsus is present. In flexible metatarsus, the foot can be straightened manually, and some stretching exercises may help. The condition may continue until the child is between 1 and 2 years old. In non-flexible metatarsus, the foot stays in a curved position. In this case, fittings for braces and special shoes may be required. In rare cases, surgery to reposition the foot may be suggested. A podiatrist can monitor your child’s case and prescribe appropriate treatment. 

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

  • Make sure their shoes fit properly
  • Look for any signs of in-toeing or out-toeing
  • Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
  • Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
  • Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
  • Cut toenails straight across to avoid ingrown toenails
  • Keep your child’s foot clean and dry
  • Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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 How to Care for Your Child's Feet
Page 1 of 18

accreditations

Connect with us
Leave Google Review for Podiatrist Leonora Fihman, DPM

Foot Doctor Los Angeles, CA 90049 and Encino, CA 91316 on Facebook Podiatrist Los Angeles, CA 90049 and Encino, CA 91316 on Twitter Los Angeles, Brentwood & Encino, CA Podiatry Blog
 
Los Angeles Podiatry Best Practices and Prevention Tips