Items filtered by date: January 2026

Ingrown toenails occur when the edge of a nail grows into the surrounding skin instead of over it, most commonly affecting the big toe. The toe may look red, swollen, or shiny, and in more advanced cases there may be drainage, infection, or excess skin along the nail border. It often feels tender at first, then progresses to sharp pain, throbbing, warmth, and discomfort when walking or wearing shoes. Causes include improper nail trimming, tight or narrow footwear, toe injuries, and genetic factors. A podiatrist can help from the start by diagnosing the condition and determining whether infection or other complications are present. Initial treatment may include relieving pressure, reducing inflammation, and proper nail care. If necessary, care can then move to in-office procedures to remove the ingrown portion of the nail, along with education to prevent recurrence. Prompt care helps restore comfort and foot health. If you have a painful ingrown toenail, it is suggested that you make an appointment with a podiatrist.

Ingrown toenails can become painful if they are not treated properly. For more information about ingrown toenails, contact Leonora Fihman, DPM of California. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails occur when a toenail grows sideways into the bed of the nail, causing pain, swelling, and possibly infection.

Causes

• Bacterial infections
• Improper nail cutting such as cutting it too short or not straight across
• Trauma to the toe, such as stubbing, which causes the nail to grow back irregularly
• Ill-fitting shoes that bunch the toes too close together
• Genetic predisposition

Prevention

Wearing proper fitting shoes and using proper cutting techniques will also help decrease your risk of developing ingrown toenails.

Treatment

Ingrown toenails are a very treatable foot condition. In minor cases, soaking the affected area in salt or antibacterial soaps will not only help with the ingrown nail itself, but also help prevent any infections from occurring. In more severe cases, surgery is an option. In either case, speaking to your podiatrist about this condition will help you get a better understanding of specific treatment options that are right for you.

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.

Gout is a painful inflammatory condition that commonly affects the foot, most often the big toe. It is caused by a buildup of uric acid in the blood, which forms sharp crystals inside the joint. The area may look red, shiny, and warm, sometimes with tight or stretched skin. It often feels like sudden intense pain, burning, and extreme tenderness that can make walking or even light contact uncomfortable. Symptoms frequently begin at night and may come on suddenly. Causes include dehydration, kidney problems, and diets high in purines such as red meat, seafood, and alcohol. A podiatrist can help from the start by evaluating symptoms, confirming the diagnosis through examination and imaging, and coordinating lab testing when needed. Treatment may begin with pain and inflammation control, footwear guidance, and activity modification, then move into long-term management, education, and preventive care. If you are dealing with gout, it is suggested that you make an appointment with a podiatrist.

Gout is a foot condition that requires certain treatment and care. 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 type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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.

Rock climbing places intense demands on the feet, especially when tight climbing shoes are worn for extended periods. These shoes are designed for precision but can lead to overstrain in the ankle and forefoot as toes are forced into unnatural positions. Common foot injuries in rock climbers include tendon strain, joint irritation, nerve compression, and pain in the ball of the foot. Repeated pressure and limited movement may also contribute to stiffness and reduced circulation. Over time, these stresses can affect balance, strength, and overall climbing performance. A podiatrist can assess foot mechanics, identify sources of strain, and recommend treatment options like activity modification, stretching, footwear guidance, or custom orthotics for support outside of climbing shoes. If foot or ankle pain is interfering with your climbing goals, it is suggested that you schedule an appointment with a podiatrist who can treat various foot and ankle injuries, and guide you on tips on how to protect your feet while rock climbing. 

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
• 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 contact our office located in Encino, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Morton’s neuroma, sometimes referred to as an interdigital nerve irritation or Intermetatarsal neuroma, develops when a nerve between the toes becomes compressed by surrounding tissues. This pressure can create a burning or tingling feeling in the ball of the foot, often described as walking on a small pebble. Some people notice numbness between the toes or a sudden sharp sensation when wearing tighter shoes or standing for long periods of time.The discomfort may improve briefly when the shoe is removed, but it often returns with activity. A podiatrist can evaluate the area, review footwear habits, and identify mechanical issues that place extra stress on the nerve. Treatment may include supportive inserts, shoe changes, padding, or targeted therapies that calm the irritated tissue and restore comfort. If the sensation between your toes persists or begins affecting daily movement, it is suggested that you see a podiatrist for effective relief and treatment solutions.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Leonora Fihman, DPM of California. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.