Items filtered by date: October 2025
The Struggle to Keep Moving

Plantar fasciitis is a common inflammation of the tissue connecting your heel to your toes. This condition can turn even a simple walk into a painful challenge. Walking with it often feels like a sharp, burning sensation deep in the heel, particularly after sitting or first getting out of bed. The pain can cause you to change your gait, which can lead to knee or back issues. The body struggles to repair the inflamed tissue while under constant stress from walking. To help yourself, choose supportive footwear with good arch support, even around the house. Avoid old, worn out shoes and running on hard surfaces. Stretching your calves and feet multiple times a day is also important for reducing tension. If you have consistent heel pain, it is suggested that you seek a proper diagnosis and treatment from a podiatrist.
Plantar fasciitis is a common foot condition that is often caused by a strain injury. 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 one of the most common causes of heel pain. The plantar fascia is a ligament that connects your heel to the front of your foot. When this ligament becomes inflamed, plantar fasciitis is the result. If you have plantar fasciitis you will have a stabbing pain that usually occurs with your first steps in the morning. As the day progresses and you walk around more, this pain will start to disappear, but it will return after long periods of standing or sitting.
What Causes Plantar Fasciitis?
- Excessive running
- Having high arches in your feet
- Other foot issues such as flat feet
- Pregnancy (due to the sudden weight gain)
- Being on your feet very often
There are some risk factors that may make you more likely to develop plantar fasciitis compared to others. The condition most commonly affects adults between the ages of 40 and 60. It also tends to affect people who are obese because the extra pounds result in extra stress being placed on the plantar fascia.
Prevention
- Take good care of your feet – Wear shoes that have good arch support and heel cushioning.
- Maintain a healthy weight
- If you are a runner, alternate running with other sports that won’t cause heel pain
There are a variety of treatment options available for plantar fasciitis along with the pain that accompanies it. Additionally, physical therapy is a very important component in the treatment process. It is important that you meet with your podiatrist to determine which treatment option is best for you.
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.
Protecting Foot Health in People with Rheumatoid Arthritis

Rheumatoid arthritis often affects the small joints of the feet, leading to pain, stiffness, and deformity that can make walking difficult. Inflammation can weaken ligaments and change the alignment of the toes and arches, increasing pressure in certain areas and raising the risk of corns, calluses, and ulcers. Proper foot care plays a vital role in managing these symptoms and maintaining mobility. Wearing supportive shoes with cushioned soles, a wide toe box, and custom orthotics help reduce stress on painful joints. Regular podiatric care allows early detection of changes that may require adjustments in footwear or treatment. Stretching, gentle exercise, and controlling inflammation through medical management can further protect joint function. If you are suffering with foot or ankle pain from rheumatoid arthritis, it is suggested that you seek professional guidance from a podiatrist.
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 care needs.
Scleroderma and Its Impact on the Legs and Feet

Scleroderma is a rare condition that causes the skin and connective tissue to thicken and tighten. When it affects the lower limbs, it can create a number of challenges. Skin on the legs and feet may feel tight, shiny, or hard, which can limit flexibility and make walking uncomfortable. Swelling surrounding the ankles or feet is also common. Poor circulation is another concern, often leading to cold feet, color changes in the skin, or slow healing of small cuts and sores. Some people may develop painful ulcers on the toes or heels. Joint stiffness, muscle weakness, or nerve symptoms such as tingling can add to the difficulty. Because these issues can interfere with daily mobility, early management is important. If you notice changes in your legs or feet linked to scleroderma, it is suggested that you see a podiatrist for supportive care and guidance.
When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly. If you have any concerns about your feet and ankles contact Leonora Fihman, DPM from California. Our doctor will assist you with all of your podiatric needs.
Systemic Diseases of the Feet
Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable. Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.
Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.
Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.
Diabetes of the Feet
Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.
Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet.
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.
Training Your Feet for Better Function

Strong, flexible feet are essential for balance and overall mobility. The alphabet exercise involves sitting and tracing the alphabet in the air with your toes to improve ankle flexibility. The towel scrunch is done by placing a towel on the floor and using your toes to pull it toward you to strengthen foot muscles. The toe point involves pointing your toes forward while seated, holding briefly, and relaxing to enhance control. Additionally, the toe stretch is done by gently pulling back on your toes to stretch the arch. A podiatrist can assess foot strength, recommend exercises, and prescribe custom orthotics, if needed. If you have foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and recommend additional foot strengthening exercises.
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 care needs.

