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Advanced Podiatric Procedures & Services in Los Angeles, CA

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Tuesday, 16 April 2024 00:00

Heel Spur Facts

Heel spurs occur in two main forms. One is called heel spur syndrome and the other is termed insertional Achilles tendinitis. Heel spur syndrome involves a bony growth at the bottom of the heel, often resulting from repetitive stress or strain on the foot. Symptoms include sharp pain upon standing or walking, particularly after periods of rest. Conversely, insertional Achilles tendinitis involves inflammation where the Achilles tendon connects to the heel bone. This condition commonly arises from overuse, tight calf muscles, or poor footwear, leading to pain and swelling at the back of the heel. Treatment for both conditions typically starts with conservative measures like rest, stretching, and orthotics. If you have pain that could signify one of these types of heel spurs, it is suggested that you schedule an appointment with a podiatrist who can provide corticosteroid injections or custom shoe inserts to alleviate discomfort. In severe cases, surgical options, such as heel spur removal or Achilles tendon repair, may be considered.

Heel spurs can be incredibly painful and sometimes may make you unable to participate in physical activities. To get medical care for your heel spurs, contact Leonora Fihman, DPM from California. Our doctor will do everything possible to treat your condition.

Heels Spurs

Heel spurs are formed by calcium deposits on the back of the foot where the heel is. This can also be caused by small fragments of bone breaking off one section of the foot, attaching onto the back of the foot. Heel spurs can also be bone growth on the back of the foot and may grow in the direction of the arch of the foot.

Older individuals usually suffer from heel spurs and pain sometimes intensifies with age. One of the main condition's spurs are related to is plantar fasciitis.

Pain

The pain associated with spurs is often because of weight placed on the feet. When someone is walking, their entire weight is concentrated on the feet. Bone spurs then have the tendency to affect other bones and tissues around the foot. As the pain continues, the feet will become tender and sensitive over time.

Treatments

There are many ways to treat heel spurs. If one is suffering from heel spurs in conjunction with pain, there are several methods for healing. Medication, surgery, and herbal care are some options.

If you have any questions feel free to contact our offices located in Encino and Brentwood, Los Angeles, CA . We offer the latest in diagnostic and treatment technology to meet your needs.

Read more about Heel Spurs

Foot care is a critical aspect of diabetic management, as individuals with diabetes are prone to foot comp-lications. Maintaining skin integrity is essential, especially in diabetic feet where issues like neuropathy and poor circulation can lead to ulcers, infections, and possibly even amputations. Preventive care and regular screening are paramount in mitigating risks. A multidisciplinary team, including podiatrists, plays a pivotal role in diabetic foot care. Podiatrists specialize in assessing foot health, identifying early signs of complications, and providing tailored interventions. They offer expertise in wound care, orthotic management, and footwear recommendations, all aimed at preventing and managing foot problems. By emphasizing preventive measures, such as daily foot inspections, proper hygiene, and appropriate footwear, podiatrists collaborate with patients to minimize the likelihood of diabetic foot complications. If you are a diabetic patient, it is strongly suggested that you schedule regular appointments with a podiatrist as part of your diabetes management.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

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 Wound Care

Recovery from a high ankle sprain sustained while playing volleyball requires patience and proper care. Unlike a low ankle sprain, which affects the ligaments on the outer side of the ankle, a high ankle sprain involves damage to the ligaments connecting the tibia and fibula bones above the ankle joint. High ankle sprains often occur due to sudden twisting or rotational movements. If you play volleyball for fun or sport and have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for a comprehensive evaluation of the injury and a tailored treatment plan. This may include immobilization with a brace or cast to allow for proper healing, along with recommendations for rest, compression, and elevation. In severe cases, surgery may be necessary to repair torn ligaments. Close monitoring by a podiatrist ensures that the recovery progresses smoothly and helps prevent long-term complications.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

  • Achilles Tendonitis
  • Achilles Tendon Rupture
  • Ankle Sprains
  • Broken Foot
  • Plantar Fasciitis
  • Stress Fractures
  • Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete 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 care needs.

Read more about Sports Related Foot And Ankle Injuries

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

Tuesday, 26 March 2024 00:00

Toe Pain and the Impact of a Broken Toe

Experiencing toe pain due to a broken toe is an all-encompassing challenge that can disrupt daily life and mobility. A broken toe, often resulting from trauma or injury, can cause sharp pain, swelling, and difficulty bearing weight on the affected foot. The pain emanates from the fracture site, creating discomfort with each step and hindering the simplest of movements. Beyond the physical sensations, the inconvenience of managing daily tasks becomes palpable, as even the act of wearing shoes can exacerbate the pain. It is important to recognize the signs of a broken toe early on and it can help to seek medical attention from a podiatrist. While the road to recovery may be challenging, understanding the nature of toe pain from a broken toe and adhering to recommended treatments can significantly enhance the healing process and minimize long-term complications. If you have endured a broken toe, it is suggested that you visit this type of doctor who can guide you toward treatment and relief techniques.

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

Plantar fasciitis, a common cause of heel pain, can be a debilitating condition that affects daily activities. However, incorporating specific exercises into your routine can help alleviate symptoms and promote healing. Stretching exercises such as calf stretches and towel stretches target the tight muscles and fascia in the foot, reducing tension and relieving pain. Additionally, rolling a frozen water bottle or a tennis ball under the arch of the foot provides gentle massage and helps decrease inflammation. Strengthening exercises like toe curls and marble pickups improve foot stability and support, reducing strain on the plantar fascia. Additionally, practicing foot arch exercises, such as arch lifts and toe spreads, can help strengthen the arch and alleviate pressure on the plantar fascia. Consistency is key when performing these exercises, and it is important to start slowly and gradually increase intensity to avoid making symptoms worse. If you have plantar fasciitis, it is strongly suggested that you are under the care of a podiatrist who can help you manage this condition, which often includes suitable exercises and stretches.

Plantar fasciitis can be very painful and inconvenient. 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 the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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 Plantar Fasciitis

Pregnancy is a transformative journey marked by numerous bodily changes, including those affecting the feet. As the body undergoes hormonal shifts and weight gain, the feet bear the brunt of these transformations, often resulting in the development of various foot conditions. Swelling, or edema, is a common occurrence due to fluid retention, causing the feet to appear puffy and uncomfortable. Additionally, the increased pressure on the arches may lead to the onset or exacerbation of conditions such as plantar fasciitis or flat feet. Hormonal changes can also impact ligaments and joints, potentially causing instability and discomfort in the ankles and feet. To mitigate these issues, pregnant individuals are advised to wear supportive footwear, elevate their feet when possible, and engage in gentle exercises to improve circulation and alleviate swelling. If you have developed foot conditions during your pregnancy, it is suggested that you schedule an appointment with a podiatrist who can guide you toward finding relief.

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 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 Care for Pregnant Women

Laser treatment for toenail fungus, also known as laser therapy or laser nail therapy, has gained popularity as a non-invasive approach to combat stubborn fungal infections. This innovative procedure involves directing a concentrated beam of light onto the infected nail, which penetrates the nail bed to target and destroy the fungal organisms causing the infection. Laser therapy works by generating heat that effectively eradicates the fungus while sparing the surrounding tissue. The procedure is relatively painless and typically requires multiple sessions for optimal results. While laser treatment offers several advantages, including minimal side effects and no downtime, its effectiveness varies among individuals and depends on the severity of the infection. Additionally, laser therapy may not be suitable for everyone, and results may not be immediate, requiring patience and commitment to the treatment regimen. If you have toenail fungus and are considering laser therapy, it is suggested that you consult a podiatrist who can determine if this type of treatment is appropriate for you.

Laser treatment can be an effective way to get rid of toenail fungus. If you have any questions about laser treatment, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality treatment for fungal nails.

What Are Toenail Fungal Infections?

Onychomycosis, or fungal infection of the nail, is a relatively common and non-serious condition. Around 10 percent of U.S. citizens are afflicted with fungal nails. Common forms of fungus that infect the nail include dermatophytes, yeasts, and molds.

Symptoms of Toenail Fungal Infections Include:

  • Nail thickening
  • Brittleness of the nail
  • Discoloration of the nail

Diagnosis for Fungal Nails

Fungal infections are diagnosed by fungal culture and microscopy. This will rule out any other conditions such as nail trauma, psoriasis, lichen planus, and onychogryphosis.

What Is Laser Treatment?

Laser treatment is a non-invasive, safe, quick, and painless procedure that uses the heat from a laser to kill fungus in the nail. Each infected nail is targeted with a laser for several minutes. The treatment is usually utilized several different times over a select period. During this time, a podiatrist will keep an eye on the infection.

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 Laser Treatment for Fungal Nails
Friday, 01 March 2024 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, 27 February 2024 00:00

Symptoms and Risk Factors of PAD

Peripheral artery disease, or PAD, is a widespread, yet often overlooked vascular condition affecting millions of Americans. Despite its prevalence, PAD's symptoms can be subtle, leading to under-diagnosis. These symptoms can include pain in the calves during activity, numbness, tingling, and slow-healing sores on the legs or feet. Peripheral artery disease occurs due to the accumulation of plaque in the blood vessels, which restricts blood flow to the lower extremities. Individuals with diabetes face a heightened risk as sores or bruises may not heal properly, leading to the formation of ulcers on the feet and lower legs. Risk factors for PAD include a family history of heart disease and hypertension. High cholesterol, smoking, obesity, and physical inactivity may also be factors. If you believe you have symptoms of PAD, it is suggested that you schedule an appointment with a podiatrist who is medically trained to manage this condition.

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.

Symptoms

Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.

Diagnosis

While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.

Treatment

Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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 Peripheral Artery Disease
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