Ballet dancing places unique demands on the feet, requiring controlled movements, pointed positions, and repeated impact. Foot injuries in ballet often occur because dancers put significant pressure on their toes, arches, and ankles during training and performances. The definition of ballet-related foot injuries includes any damage or irritation affecting the bones, joints, or soft tissues of the foot caused by dance activity. Individual foot structure can influence how a dancer responds to these demands.

Common symptoms include soreness, swelling, and pain during or after practice. Dancers may experience problems such as ingrown toenails, tendon inflammation, and stress injuries. The way the toes are positioned during ballet can place pressure on the nails, causing them to grow into the surrounding skin. Toe length also affects how weight is distributed when shaping the foot and performing movements. Some dancers may experience discomfort because their foot shape does not match the demands of specific techniques or footwear.

Risk factors include repetitive training, inadequate rest, and improper shoe fit. The natural structure of the foot, including toe length and heel shape, can influence injury development. A heel that does not fit securely may allow the foot to slide inside the shoe, increasing friction and pressure. Dancers with certain foot shapes may need specialized support to maintain proper alignment. Weak foot muscles, limited flexibility, and sudden increases in training intensity can also contribute to injuries.

Protecting ballet feet involves choosing properly fitted shoes, strengthening the muscles of the feet, and addressing pain early. Dancers should avoid ignoring symptoms, as minor problems can become more serious over time. A podiatrist can evaluate foot structure, identify injury risks, and recommend appropriate treatment options. If you have developed foot injuries from ballet, it is suggested that you seek care from a podiatrist for an accurate diagnosis and appropriate 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 office located in Encino, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Pregnancy brings many changes that can affect the feet and ankles. As body weight increases, the feet carry more pressure with every step. Hormonal changes also cause ligaments, which are strong bands of tissue connecting bones, to become more flexible. This can allow the arches to lower and the feet to become slightly longer or wider. Many women notice foot pain, swelling, and increased fatigue while walking. Balance can also change as the body's center of gravity shifts forward. These changes sometimes continue after pregnancy, making early attention important. A podiatrist can evaluate these changes, explain what is happening, and recommend treatment that improves comfort. Research has shown that pregnancy-related changes in foot structure can affect movement and place extra stress on the feet.

Several foot problems can develop during pregnancy because of these physical changes. Heel pain, arch pain, and flat feet can become more noticeable as pressure on the feet increases. Swelling surrounding the ankles and feet can also make shoes feel tighter and less comfortable. Shoes that lack proper support can increase strain on the feet and make symptoms worse. A podiatrist examines foot alignment, walking patterns, and areas of increased pressure to identify the source of discomfort. This detailed evaluation helps guide treatment that supports healthier foot function and improves stability throughout pregnancy.

A podiatrist creates a treatment plan based on each patient's symptoms and foot structure. Treatment includes custom orthotics, wearing supportive shoes, and regular monitoring of foot health. Orthotics help improve alignment and reduce stress on painful areas. Supportive shoes improve stability and comfort while walking. Early treatment can reduce discomfort, improve mobility, and help prevent long-lasting foot problems after pregnancy. Regular podiatry visits also allow changes in the feet to be monitored as pregnancy progresses. If you have symptoms of pregnancy-related foot problems, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips. 

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 care needs.

Achilles tendon injuries can make every step painful because this strong, fibrous band connects the calf muscles to the heel bone. It provides the strength and flexibility needed for running, jumping, and walking. The tendon handles significant stress during daily activities and sports, making it vulnerable to injury. When the tendon becomes inflamed, swollen, and irritated, the condition is called tendonitis. Repeated strain, tight calf muscles, or a sudden increase in activity can all contribute to tendon damage. A bone spur where the tendon attaches to the heel can also increase irritation. 

Achilles tendon injuries include inflammation, partial tears, and complete ruptures. Inflammation, or tendonitis, causes pain along the back of the leg near the heel. Other symptoms are swelling, thickening of the tendon, or discomfort that becomes worse with activity. There are two forms of tendonitis. One affects the middle portion of the tendon, while the other develops where the tendon attaches to the heel bone. A rupture is more serious and can produce a sudden sharp pain along with a popping sound in the back of the ankle or calf. This type of injury requires immediate medical attention because the tendon can no longer function normally.

A podiatrist performs a detailed examination to determine the exact cause of Achilles tendon pain. The evaluation includes checking the tendon for tenderness, swelling, and movement of the ankle. Imaging tests can confirm the extent of the injury and identify bone spurs or tendon tears. Treatment depends on the diagnosis and includes protecting the tendon and reducing stress on the injured area. Custom orthotics or surgery may be needed for severe ruptures or damage that cannot heal properly. Early diagnosis helps reduce complications and supports a safer return to normal activities. If you have injured your Achilles tendon, it is suggested that you schedule an appointment with a podiatrist for diagnosis and appropriate treatment.

Achilles tendon injuries need immediate attention to avoid future complications. 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 Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Chronic ankle instability is a condition that develops when the ankle repeatedly gives way due to weakened ligaments following an ankle sprain. It is defined as a loss of stability in the ankle joint, often caused by incomplete healing or repeated injury. When a sprain stretches or tears the supporting ligaments, the joint may not regain full strength, leaving it vulnerable to further damage. Over time, this instability can affect balance, coordination, and overall foot function.

Common symptoms of ankle instability include a feeling of the ankle giving out, especially on uneven surfaces or during physical activity. Patients may experience persistent swelling, discomfort, and tenderness around the joint. Recurrent ankle sprains are a key sign, as unstable ankle joints can easily be twisted again. Some individuals also report weakness, reduced range of motion, and difficulty maintaining balance during movement.

Several causes and risk factors contribute to the development of chronic ankle instability. A previous ankle sprain is the most significant factor, particularly if it was not properly treated or rehabilitated. Ligament laxity, muscle weakness, and poor proprioception can also increase the risk. Athletes and individuals who participate in high impact activities are more prone to repeated injuries. Wearing unsupportive footwear and walking on uneven surfaces may further increase the likelihood of instability.

Proper management is essential to restore strength and prevent future sprains. Treatment may include targeted exercises to improve balance and stability, supportive bracing, and custom orthotics to enhance alignment. Early care can reduce the risk of long term joint damage. If you have sprained your ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition, which may include appropriate stretches to prevent recurring ankle sprains.

Although ankle sprains are common, they aren’t always minor injuries. If you need your ankle injury looked at, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains are the result of a tear in the ligaments within the ankle. These injuries may happen when you make a rapid shifting movement while your foot is planted. A less common way to sprain your ankle is when your ankle rolls inward while your foot turns outward.

What Are the Symptoms?

• Pain at the sight of the tear
• Bruising/Swelling
• Ankle area is tender to touch
• In severe cases, may hear/feel something tear
• Skin discoloration

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

In many cases, the RICE method (Rest, Ice, Compression, and Elevate) is used to treat ankle sprains. However, you should see a podiatrist to see which treatment option would work best with your injury. In severe cases, surgery may be required.

It is important to ask your doctor about rehab options after you receive treatment for your injury. Stretching, strength training, and balance exercises may help the ankle heal while also preventing further injury.

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.