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Advanced Podiatric Procedures & Services in Los Angeles, CA

October 2018

There are many women who enjoy wearing high heels despite knowing foot pain may develop from wearing these specific type of shoes. Research has shown that when the heel is high, the arch in the foot may become inflamed and this may typically cause pain and discomfort. If high heels are worn on a frequent basis, the toes may undergo stress, and this may possibly cause corns and calluses to develop. The likelihood of incurring a fall may increase as a result of the line of gravity being altered by the height of the heel. There are several ways to enjoy wearing high heels while keeping your feet as comfortable as possible. These may include slipping off your shoes at an appropriate time and performing gentle stretching exercises, including pointing, flexing and rolling your ankles. Additionally, circulation in the feet may be increased by wiggling the toes. Your feet may benefit by wearing shoes that are more comfortable the following day, which may allow the foot muscles to rest. Please speak to a podiatrist if you would like additional information concerning the dangers of wearing high heels.

High heels have a history of causing foot and ankle problems. If you have any concerns about your feet or ankles, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Effects of High Heels on the Feet

High heels are popular shoes among women because of their many styles and societal appeal.  Despite this, high heels can still cause many health problems if worn too frequently.

Which Parts of My Body Will Be Affected by High Heels?

  • Ankle Joints
  • Achilles Tendon – May shorten and stiffen with prolonged wear
  • Balls of the Feet
  • Knees – Heels cause the knees to bend constantly, creating stress on them
  • Back – They decrease the spine’s ability to absorb shock, which may lead to back pain.  The vertebrae of the lower back may compress.

What Kinds of Foot Problems Can Develop from Wearing High Heels?

  • Corns
  • Calluses
  • Hammertoe
  • Bunions
  • Morton’s Neuroma
  • Plantar Fasciitis

How Can I Still Wear High Heels and Maintain Foot Health?

If you want to wear high heeled shoes, make sure that you are not wearing them every day, as this will help prevent long term physical problems.  Try wearing thicker heels as opposed to stilettos to distribute weight more evenly across the feet.  Always make sure you are wearing the proper shoes for the right occasion, such as sneakers for exercising.  If you walk to work, try carrying your heels with you and changing into them once you arrive at work.  Adding inserts to your heels can help cushion your feet and absorb shock. Full foot inserts or metatarsal pads are available. 

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 Why High Heels Are Not Ideal for Healthy Feet
Published in Blog
Wednesday, 24 October 2018 00:00

Reminder: When Was the Last Time...?

Custom orthotics, or shoe inserts, should be periodically replaced. Orthotics must fit properly to give you the best results. Protect your feet and ankles!

Published in Blog
Monday, 22 October 2018 00:00

Possible Treatments of a Broken Ankle

Research has shown the ankle is comprised of three bones that interlock together. If an injury is endured that fractures one or more of these bones, it is often referred to as a broken ankle. There are several ligaments and tendons that are attached to these specific bones and may become displaced if the ankle becomes fractured. This typically may occur if a fall has happened and the ankle twists unnaturally. The noticeable symptoms may often include severe pain in and around the affected ankle, unsightly bruising, or difficulty in moving the toes. There are several ways to treat this condition, including wearing a protective boot, taping or wrapping the ankle, which may provide additional support, or possible surgery, which is often determined by the severity of the fracture. If you have broken your ankle, it’s advised to speak with a podiatrist as quickly as possible so the correct choice of treatment can begin.

Broken ankles need immediate treatment. If you are seeking treatment, contact Leonora Fihman, DPM from California. Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

  • Excessive pain when the area is touched or when any pressure is placed on the ankle
  •  Swelling around the area
  •  Bruising of the area
  • Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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 All About Broken Ankles
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Monday, 15 October 2018 00:00

Different Types of Foot Surgery

There are several reasons why it may be necessary to have foot surgery performed. These may include having a foot deformity corrected, relieving severe pain and discomfort, or to have normal function returned to your foot or ankle. A common surgery that involves having the toenail removed may be a suitable cure for specific foot conditions such as ingrown toenails. Additionally, for people who suffer from the constant pain of an ankle disorder, a procedure that is known as open ankle fusion surgery may be a viable option to obtain moderate or full relief. Bunion surgery may be necessary for the permanent removal of painful bunions if all other options should fail. If you are contemplating foot surgery, it’s advised to speak with a podiatrist who can properly inform you of any information you need to know, so a proper decision can be reached.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Leonora Fihman, DPM of California. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

  • Removing foot deformities like bunions and bone spurs
  • Severe arthritis that has caused bone issues
  • Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

  • Bunionectomy for painful bunions
  • Surgical fusion for realignment of bones
  • Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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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Published in Blog
Monday, 08 October 2018 00:00

Are Plantar Warts Painful?

The majority of warts can be unsightly and painful, and a plantar wart is no exception. This type of wart develops on the heel of the foot and will grow inward as a result of the pressure the feet endures on a daily basis. It is known to be caused by the human papillomavirus, which is also referred to as HPV, and may be more prevalent in children and people who have compromised immune systems. This contagious virus can be transmitted by direct contact with a person who may carry the germ or from an object that may have been contaminated. Some of the symptoms that might be associated with plantar warts may include a small area that may be rough in texture on the heel of the foot. Additionally, there may be tiny black dots in the center of the wart, and you may experience pain while walking or standing. If you are afflicted with plantar warts, it’s suggested to speak with a podiatrist who can offer correct treatment options that may include removal of the wart.

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.

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Research has shown that if the feet are enduring structural problems, it may lead to improper foot function, which may affect the body. Some of these misalignments of the feet may include low arches, feet that have a tendency to roll inward, also referred to as overpronation, or supinated feet, which is the term for feet that roll outward. If these conditions are present, some of the symptoms that may be experienced may include ankle pain, discomfort in or around the arch of the foot, and pain involving the Achilles tendon. If you are experiencing ailments that may include shin splints, heel pain or uneasiness during walking or running, it is suggested to consult with a podiatrist so a proper analysis can be performed. Additionally, a discussion about correct treatment options may be advised. This may include performing exercises, which may strengthen weak muscles and wearing orthotics that are specifically fitted to your foot.

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 The Importance of Biomechanics in Podiatry
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