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Tuesday, 30 November 2021 00:00

Plantar Fasciitis: A Common Form of Heel Pain

Plantar fasciitis is the most common type of heel pain that podiatrists treat. This condition occurs in the plantar fascia, which is a long band of tissue on the sole of the foot that spans from the heel through the arch to the front of the foot. Because of its location and key role in walking, running, and jumping, the plantar fascia can become overly stretched, stressed, and even torn, causing it to become inflamed and painful. This is known as plantar (sole of the foot) fasciitis (inflammation of the fascia). Some factors that contribute to plantar fasciitis include obesity, working on your feet or standing for extended periods of time on a regular basis, having tight calf muscles, flat feet, or high arches. Contact a podiatrist for relief from the pain of plantar fasciitis.

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
Tuesday, 23 November 2021 00:00

How Do I Keep My Toddler From Falling?

When it comes to falling and the many foot and ankle injuries associated with it, the elderly are not the only group at risk. Young children fall frequently as they learn to walk, climb, run, and explore the world around them. While you may not be able to prevent every fall, you can take steps to prevent any major injuries. Around the home, lock doors that lead to dangerous areas and use sliding gates on stairways. Ensure that all carpets and rugs are held securely in place to prevent tripping or slipping. Keep hallways, stairs, and walking areas around the house free of clutter. Keep an eye on your child while they play and don’t allow them to climb high furniture. For more information about preventing falls for your loved ones of all ages, please consult with a podiatrist.  

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

  • Enrolling in strength and balance exercise program to increase balance and strength
  • Periodically having your sight and hearing checked
  • Discuss any medications you have with a doctor to see if it increases the risk of falling
  • Clearing the house of falling hazards and installing devices like grab bars and railings
  • Utilizing a walker or cane
  • Wearing shoes that provide good support and cushioning
  • Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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 Falls Prevention
Tuesday, 16 November 2021 00:00

Why You Should Strengthen Your Foot Core

Strengthening the core of the feet is often neglected in training regimes for athletes, with more attention being given to the legs and thighs. But keeping the foot core muscles in good shape is essential, not only for overall foot health, but also for preventing injury. Foot core muscles are responsible for maintaining arch shape and shock absorption. Neglecting this area of the foot can lead to plantar fasciitis and even stress fractures. Typical exercises concentrating on the core include the short foot exercise, big toe press, and toe splay. It’s always a good idea to check in with a podiatrist for further information.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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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Tuesday, 09 November 2021 00:00

Why Is My Ankle in Pain?

Ankle pain can be caused by a variety of factors. For instance, you may have an ankle sprain or fracture. Ankle sprains occur when ligaments that support the ankle get stretched or torn, and fractures are actual breaks in one or more bones that make up the ankle joint. Pain in the ankle may also be caused by gout, rheumatoid arthritis, osteoarthritis and other types of arthritis which affect the ankle joint. There are other conditions such as nerve injuries, heel injuries, and blockages in blood vessels that may produce ankle pain. Pain due to tarsal tunnel syndrome (a compression of the tibial nerve in the tarsal tunnel) can be felt anywhere along the nerve, including the ankle. There may be painful damage to the cartilage or tendons in the ankle. If you are feeling pain in your ankle, get your condition evaluated and diagnosed by a podiatrist who can also create a treatment plan based on their findings.

Ankle pain can be caused by a number of problems and may be potentially serious. If you have ankle pain, consult with Leonora Fihman, DPM from California. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Ankle pain is any condition that causes pain in the ankle. Due to the fact that the ankle consists of tendons, muscles, bones, and ligaments, ankle pain can come from a number of different conditions.

Causes

The most common causes of ankle pain include:

  • Types of arthritis (rheumatoid, osteoarthritis, and gout)
  • Ankle sprains
  • Broken ankles
  • Achilles tendinitis
  • Achilles tendon rupture
  • Stress fractures
  • Bursitis
  • Tarsal tunnel syndrome
  • Plantar fasciitis

Symptoms

Symptoms of ankle injury vary based upon the condition. Pain may include general pain and discomfort, swelling, aching, redness, bruising, burning or stabbing sensations, and/or loss of sensation.

Diagnosis

Due to the wide variety of potential causes of ankle pain, podiatrists will utilize a number of different methods to properly diagnose ankle pain. This can include asking for personal and family medical histories and of any recent injuries. Further diagnosis may include sensation tests, a physical examination, and potentially x-rays or other imaging tests.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are rest, ice packs, keeping pressure off the foot, orthotics and braces, medication for inflammation and pain, and surgery.

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 November 2021 00:00

It's Time for Beautiful Feet

You don't need an excuse to have beautiful nails. Step outside without worrying about the appearance of your feet.

Tuesday, 02 November 2021 00:00

Rheumatoid Arthritis in the Feet

Rheumatoid Arthritis is a chronic progressive disease that causes pain, stiffness, and swelling in joints. It often emerges first in smaller joints such as those in the feet and hands. Left untreated, this painful condition may cause erosions in the affected joint, changes in the foot’s shape, and mobility issues. A podiatrist can help manage the pain of rheumatoid arthritis while helping maintain and improve the foot’s functionality and mobility. The treatment options a podiatrist may utilize include custom orthotics, physical therapy, bracing, compression, pain relievers, steroid injections, and even surgery to correct extensive damage. If you have pain in any joint in your foot or ankle make an appointment right away with a podiatrist. Early diagnosis and treatment can help reduce the chances of future deformity and disability.

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
Tuesday, 26 October 2021 00:00

What Are the Different Types of Fractures?

There are many ways to break a bone. Acute fractures occur suddenly and are caused by direct trauma. Stress fractures are small and caused by repetitive damage from overuse. Fractures can be closed or open. In a closed or simple fracture, the skin remains intact. In an open or compound fracture, the bone breaks the surface of the skin. Fractures can further be categorized based on how the bone is broken. A transverse fracture means that the bone is broken in a straight line, while an oblique fracture means that the bone is broken diagonally. A spiral fracture circles around the bone. A comminuted fracture is when the bone breaks into more than one piece. An avulsion fracture is when a ligament or tendon tears and pulls a small piece of bone away with it. If you have broken a bone in your feet or ankles, please seek the care of a podiatrist. 

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
Tuesday, 19 October 2021 00:00

What Is Heel Fat Pad Syndrome?

The heels of our feet are cushioned by fatty tissues that form a heel pad. This structure acts as a shock absorber, protecting our heel bones from injury. Acute or chronic trauma to the foot and aging can both wear away the heel pad, causing deep, bruise-like pain. People who are older or obese, and those who have rheumatoid arthritis or receive corticosteroid injections into the feet are at an increased risk of developing this condition. Treatment for heel fat pad syndrome is typically conservative and involves resting and icing the affected foot, wearing more comfortable shoes or orthotics, and taking non-steroidal anti-inflammatory drugs to reduce pain. If you are experiencing heel pain, it is suggested that you seek the care of a podiatrist.  

Many people suffer from bouts of heel pain. 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.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please 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 Heel Pain
Tuesday, 12 October 2021 00:00

Abnormal Gaits

An abnormal gait is a dysfunctional walking pattern. It typically occurs due to biomechanical problems win the feet and ankles. In a normal gait, the feet both spend roughly an equal amount of time in contact with the ground. Many patients complain of a painful (antalgic) gait. This type of gait is usually due to a foot or ankle injury. The patient avoids bearing weight on the injured foot, resulting in an altered gait with shorter strides and an inequality in the amount of time each foot spends in contact with the ground (with the injured foot on the ground less). A high steppage gait is a walking pattern characterized by bending the knee more than is normal while walking. Patients do this to compensate for weak anterior compartment muscles, which can cause their foot to drop or slap onto the ground. If you have an abnormal gait, it is strongly suggested that you see a podiatrist for diagnosis and treatment. 

If you have any concerns about your feet, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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 Biomechanics in Podiatry
Sunday, 10 October 2021 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.

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