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Monday, 16 September 2019 00:00

Are Ingrown Toenails Painful?

Patients who have had ingrown toenails are often familiar with the pain and discomfort that is often associated with them. It occurs as a result of the edge of the toenail growing into the surrounding skin. This can happen if shoes that are worn do not fit correctly, and the toes may be crammed together. Additionally, this condition may be caused by trimming the toenails in a rounded fashion instead of straight across. Common symptoms that many patients notice are pain around the edge of the toenail, redness, and swelling. Moderate relief can be found when the feet are soaked in warm water, as this will be beneficial in softening the affected area. If it becomes infected, it is strongly advised to seek the counsel of a podiatrist who can properly treat this ailment.

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 office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Ingrown Toenails
Monday, 09 September 2019 00:00

Possible Dangers Of Wearing Flip Flops

Research has indicated that wearing most styles of flip flops, may cause injuries to the feet. This can be a result of a lack of arch support, which may play a significant role in how you walk. Painful foot conditions, that can include plantar fasciitis, may develop from having inadequate cushioning to protect the soles of the feet. Additionally, the toes may become strained from excessive grasping in order to keep the sandals on the feet. The entire foot may feel tired, and this may come from overall muscle strain. People who choose to wear flip flops enjoy the convenience of wearing these types of shoes, and may not know the potential dangers they may cause to the feet. If you would like additional information about how flip flops can affect your feet, it is suggested that you speak to a podiatrist.

Flip-flops can cause a lot of problems for your feet. If you have any concerns about your feet or ankles, contact Leonora Fihman, DPM from California. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

Flip-flops have managed to become a summer essential for a lot of people. While the shoes may be stylish and easy to slip on and off, they can be dangerous to those who wear them too often. These shoes might protect you from fungal infections such as athlete’s foot, but they can also give you foot pain and sprained ankles if you trip while wearing them.

When Are They Okay to Wear?

Flip-flops should only be worn for very short periods of time. They can help protect your feet in places that are crawling with fungi, such as gym locker rooms. Athlete’s foot and plantar warts are two common fungi that flip-flops may help protect your feet against.

Why Are They Bad for My Feet?

These shoes do not offer any arch support, so they are not ideal for everyday use. They also do not provide shock absorption or heel cushioning which can be problematic for your feet. Additionally, you may suffer from glass cuts, puncture wounds, and stubbed toes since they offer little protection for your feet.

More Reasons Why They Are Bad for Your Feet

  • They Slow You Down
  • May Cause Blisters and Calluses
  • Expose Your Feet to Bacteria

If you have any questions, please feel free to contact our office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Flip Flops and Feet
Monday, 02 September 2019 00:00

Older Patients and Proper Foot Care

Many elderly patients may experience difficulty in taking care of their feet. They may find it challenging to bend down to properly trim their toenails, which could cause ingrown toenails to develop. Elderly people may find it helpful to use the services of caregivers to monitor the condition of their feet. They can help the patient to look for existing cuts, scrapes or bruises that may be on the bottom of the feet. This is beneficial if the patient is diabetic, and may be crucial in possibly preventing foot ulcers. The feet may feel better when they are soaked in warm water, followed by applying a moisturizer on them. Additionally, the feet can become stronger when gentle stretching techniques are performed. If you would like additional information about the importance of elderly foot care, it is suggested to seek the counsel of a podiatrist.

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 office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Elderly Foot Care
Monday, 26 August 2019 00:00

Is Hammertoe a Deformity?

Patients who have a medical condition known as hammertoe are familiar with the deformity of the second toe overlapping the third or big toe. It is considered to be a muscle imbalance, and it can be caused from a variety of factors. These can include genetic traits, having a history of toe injuries, or wearing shoes that do not have adequate room for the toes to move freely in. The toe muscles can gradually become weaker, and the toe may become difficult to straighten out. Some patients find relief in performing specific exercises that are designed to strengthen the toes. These can include picking up items off the floor with the toes, and practicing overall foot stretches. For severe cases of hammertoe, surgery may be a viable option to permanently straighten the toes. If you are afflicted with this condition, it is strongly suggested that you seek the counsel of a podiatrist who can advise you on the proper treatment options that are correct for you.

Hammertoes can be a painful condition to live with. For more information, contact Leonora Fihman, DPM of California. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

If you have any questions, please feel free to contact our office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Hammertoe

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

Pain and discomfort that is felt on the ball of the foot may indicate the presence of a condition that is known as Morton’s neuroma. Additionally, the pain may be felt at the base of the toes, and patients have noticed that it feels like they are standing on pebbles. Other symptoms can include numbness or tingling, and walking may be difficult. A common cause of this condition is wearing shoes that are too tight, and which do not have adequate room for the toes to move freely in. Wearing these types of shoes can cause irritation in the nerve, gradually putting pressure on that portion of the foot. There are existing medical conditions that are often associated with Morton’s neuroma. These can include bunions, hammertoes, and flat feet. After a proper diagnosis is performed, mild relief can be found in performing stretching techniques that may be helpful in loosening the tendons, in addition to elevating and massaging the affected foot. Please consult with a podiatrist if you feel you may have developed Morton’s neuroma, so that the proper treatment can begin.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Leonora Fihman, DPM of California. Our doctor will attend to all of your foot and ankle needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

  • Ill-fitting high heels or shoes that add pressure to the toe or foot
  • Jogging, running or any sport that involves constant impact to the foot
  • Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

If you have any questions, please feel free to contact our office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Morton's Neuroma

The human body undergoes extensive changes during pregnancy, and many of these changes can affect the feet. A common condition that many pregnant women notice is swelling in the ankles and feet, and this is typically a result of increased blood pressure that can occur during pregnancy. The toenails may change shape, and this can cause ingrown toenails to develop. Additionally, flat feet is a common ailment during the latter stages of pregnancy, and this is often recognized by experiencing foot pain. Mild relief can be felt when the feet are elevated, and this may help to reduce existing swelling. If you are having chronic foot issues while pregnant, it is suggested that you speak with a podiatrist who can treat any foot condition

Pregnant women with swollen feet can be treated with a variety of different methods that are readily available. For more information about other cures for swollen feet during pregnancy, consult with Leonora Fihman, DPM from California. Our doctor will attend to all of your foot and ankle needs.

What Foot Problems Can Arise During Pregnancy?

One problem that can occur is overpronation, which occurs when the arch of the foot flattens and tends to roll inward.  This can cause pain and discomfort in your heels while you’re walking or even just standing up, trying to support your baby.  

Another problem is edema, or swelling in the extremities. This often affects the feet during pregnancy but tends to occur in the later stages. 

How Can I Keep My Feet Healthy During Pregnancy?

  • Wearing orthotics can provide extra support for the feet and help distribute weight evenly
  • Minimize the amount of time spent walking barefoot
  • Wear shoes with good arch support
  • Wear shoes that allow for good circulation to the feet
  • Elevate feet if you experience swelling
  • Massage your feet
  • Get regular, light exercise, such as walking, to promote blood circulation to the feet

If you have any questions please feel free to contact our office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Foot Care for Pregnant Women
Monday, 05 August 2019 00:00

Why Do Blisters Develop?

A blister is defined as a small area of fluid that covers skin that has been damaged. When it occurs on the feet, it is typically a result of excessive friction that may come from wearing shoes that fit incorrectly. The fluid protects the skin as the healing process takes place, and will generally drain naturally when the skin has healed. Additional reasons why blisters may develop can come from frostbite, an allergic reaction to an insect bite, or medical conditions that may include eczema. If discomfort is felt from the socks and shoes worn, it is beneficial to cover the blister with a protective bandage. If you have developed a blister on your foot, and it has become infected, it is advised that you seek the counsel of a podiatrist who can properly treat this condition.

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 office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Blisters on the Feet
Monday, 29 July 2019 00:00

All About Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, also known as TTS, occurs when the posterior tibial nerve becomes compressed and damaged, in turn causing inflammation. This is usually caused by continual overuse of the foot and ankle such as prolonged walking, running, standing, or exercising. If left untreated, TTS can cause permanent nerve damage. Some common treatments are wearing specialized shoes and inserts, over-the-counter pain and anti-inflammatory medications, physical therapy and rest. Strengthening exercises should be done to help prevent problems. These exercises include heel-toe raises, pencil toe lifts and balance exercises. If not treated right away, TTS can lead to the risk of developing other conditions such as flat feet, fallen arches, rheumatoid arthritis, varicose veins and the susceptibility to becoming overweight. If you notice any symptoms of TTS, it is important that you see a podiatrist right away. 


 

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

  • Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
  • Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
  • At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

  • Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
  • The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
  • If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please feel free to contact our office located in Encino, CA. We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Treating Tarsal Tunnel Syndrome
Tuesday, 23 July 2019 00:00

Gout Pain Can Be Managed

Gout is a form of arthritis that can affect anyone. Schedule a visit to learn about how gout can be managed and treated.

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