Items filtered by date: July 2025

A diabetic foot ulcer is an open wound or sore that develops on the foot, commonly in individuals with diabetes. It is caused by a combination of poor circulation, nerve damage, and delayed wound healing. Symptoms include redness, swelling, drainage, and, in some cases, infection or foul odor. Among the risk factors are uncontrolled blood sugar, poor foot hygiene, wearing ill-fitting shoes, and a history of foot ulcers. Proper management involves keeping the wound clean, relieving pressure, and monitoring for infection. A podiatrist plays a critical role by providing wound care, custom footwear options, and education to prevent complications. If you have diabetes, it is suggested that you are under the care of a podiatrist who can help you to manage this serious condition. 

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other 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.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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.

Turf toe is a sprain of the big toe joint that usually happens when the toe bends too far upward. It often occurs during sports or quick movements, especially on hard surfaces like artificial turf. The injury can be sudden or develop slowly from repeated stress. Symptoms include pain, swelling, and limited movement in the toe. Pushing off the foot may feel difficult, and the joint can become stiff or tender to the touch. While mild cases may heal with rest, more severe sprains might need bracing or therapy. Ignoring turf toe can lead to long-term joint problems or reduced performance. If your big toe hurts after activity or does not improve with rest, it is suggested that you see a podiatrist for a proper diagnosis and care plan that supports recovery and prevents reinjury. 

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 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.

Gout is a type of inflammatory arthritis caused by a buildup of uric acid crystals in the joints, leading to sudden pain, redness, and swelling. While it is more common in men, women can develop gout later in life, often after menopause when hormonal changes reduce the protective effect of estrogen. While gout predominantly affects the big toe in both women and men, women may also experience gout in the knees, wrists, fingers, and ankles. Symptoms can also be less intense among women at first making diagnosis harder. A podiatrist can evaluate joint pain, confirm a diagnosis, and recommend lifestyle changes and treatment. If you have symptoms of gout, it is suggested that you consult a podiatrist to help you manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Leonora Fihman, DPM from California. Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

• Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
• Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
• Inflammation and Redness -Affected joints may become swollen, tender, warm and red
• Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

• Genetics - If family members have gout, you’re more likely to have it
• Medications - Diuretic medications can raise uric acid levels
• Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
• Diet - Eating red meat and shellfish increases your risk
• Alcohol - Having more than two alcoholic drinks per day increases your risk
• Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment 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.

Achilles tendon enthesopathy is a condition where the tendon that connects the calf muscle to the heel becomes irritated where it attaches to the bone. This area can become stiff, sore, or swollen, especially after being active or spending a lot of time on your feet. It may be harder to walk comfortably in the morning or after sitting for long periods of time. This condition can develop from repeated stress, wearing poor footwear, or tight calf muscles. Stretching, supportive shoes, and rest can sometimes ease the symptoms, but ignoring the discomfort can lead to more serious problems. Some people benefit from custom inserts, targeted exercises, or other treatments to relieve pressure on the heel and help the tendon heal. If you are having ongoing pain near the back of your heel that does not improve with simple care, it is suggested that you consult a podiatrist for proper evaluation 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 offices located in Encino and Brentwood, Los Angeles, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Podiatric biomechanics is the study of how the structure and function of the feet affect movement. It looks at how bones, muscles, tendons, and joints all work together to support walking, standing, and balance. When one part of the foot is misaligned or not working correctly, it can affect the way a person moves, leading to discomfort or inefficiency. Certain gait issues, such as overpronation or limping, are often tied to poor foot function. These problems may place extra stress on the ankles, knees, hips, or back. By understanding the mechanics of walking and how the feet interact with the ground, podiatrists can identify the root of dysfunction. Treatment may include custom orthotics, targeted exercises, or footwear changes. If your walking pattern feels off or you have recurring pain when moving, it is suggested that you meet with a podiatrist to explore possible causes and solutions.

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.