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Debridement is a key procedure in managing diabetic foot ulcers, involving a podiatrist removing dead and infected tissue to promote healing and prevent infection spread. This process is vital because the buildup of necrotic tissue can obscure the true extent of the ulcer. There are several methods of debridement. Surgical debridement involves a podiatrist using tools like scalpels to precisely remove dead tissue, often performed at the bedside or in an operating room for more severe cases. Mechanical debridement employs saline-soaked pads that adhere to and remove dead tissue upon removal, though this can be painful and may also disturb healthy tissue. Chemical debridement uses enzymes to dissolve dead material. Biological debridement, utilizing maggots, effectively cleanses wounds by consuming only dead tissue. Before any debridement, the podiatrist will assess the patient’s overall health, and the wound will be cleaned with a saline solution. If you have diabetic foot ulcers, it is suggested that you make a podiatrist a part of your medical team for expert wound care options.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our doctors from Advanced Foot & Ankle Medical Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A sprained ankle occurs when the ligaments that support the ankle stretch or tear due to sudden twisting, rolling, or turning of the foot. This injury is common in sports, walking on uneven surfaces, or missteps that put the ankle in an awkward position. Symptoms of a sprained ankle can include pain, swelling, bruising, and difficulty bearing weight on the affected foot. You might also hear a popping sound at the time of the injury. To determine if you have a sprain, pay attention to the severity of pain and swelling, any instability in the ankle, and whether the pain worsens with movement. Initial treatment for a sprained ankle involves rest, compression, and elevation. Avoid putting weight on the ankle and consider using crutches. Anti-inflammatory pain relievers can help manage pain and discomfort. Proper rehabilitation, including targeted stretching exercises, is essential for healing and preventing future injuries. If you think you have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and comprehensive treatment plan.

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 one of our doctors from Advanced Foot & Ankle Medical Center. Our doctors 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 feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

The popularity of running for fitness and exercise has led to a rise in stress fractures of the foot. These injuries are often seen in first-time runners who enter races with inadequate or improper training. The repetitive impact of running can cause hairline fractures in the foot bones, especially when mileage is increased too quickly or training becomes more intense without sufficient rest. Runners at all levels risk stress fractures if they wear unsuitable shoes, have flat feet or bunions, or osteoporosis. Symptoms of a stress fracture include pain, swelling, redness, and bruising. Pain often subsides after activity. Early diagnosis and treatment are vital for proper healing to prevent the fracture from progressing to a complete break. Runners can reduce their risk of stress fractures by wearing supportive athletic shoes and gradually increasing their activity levels. If you are experiencing foot pain after running, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact one of our doctors from Advanced Foot & Ankle Medical Center. Our doctors can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Toe swelling can result from a variety of causes, ranging from minor issues to more serious health conditions. One common cause is injury, such as stubbing your toe or dropping something heavy on it, which can lead to bruising and swelling. Infections, including fungal infections like athlete's foot or bacterial infections, can also cause swelling and redness. Arthritis, particularly gout, is another culprit, often leading to painful, swollen toes due to the buildup of uric acid crystals. Poor circulation, which can be associated with conditions like diabetes or peripheral artery disease, may cause fluid buildup in the toes, resulting in swelling. Additionally, wearing ill-fitting shoes that pinch or put pressure on the toes can lead to swelling and discomfort. If you have swollen toes, it is suggested that you consult a podiatrist who can determine what the cause is, and offer appropriate treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our doctors of Advanced Foot & Ankle Medical Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Plantar fasciitis causes heel pain, resulting from inflammation of the plantar fascia, the thick band of tissue that runs along the bottom of the foot and connects the heel bone to the toes. It typically occurs due to repetitive strain or overuse, often seen in runners, individuals with high arches or flat feet, and those who stand for prolonged periods. The pain from plantar fasciitis is usually sharp and most intense with the first steps in the morning or after periods of inactivity. It may decrease with movement but can return after long periods of standing or walking. Relief can consist of rest, stretching exercises, and taking anti-inflammatory medication. Wearing supportive shoes and using orthotic inserts can also help. Preventative measures involve maintaining a healthy weight, performing regular foot stretches, and avoiding excessive strain on the feet. If left untreated, plantar fasciitis can lead to chronic heel pain and other complications. If you have heel pain, it is suggested that you visit a podiatrist for a proper diagnosis and an effective treatment plan. 

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact one of our doctors  from Advanced Foot & Ankle Medical Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

• Excessive running
• Non-supportive shoes
• Overpronation
• Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

• Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
• Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
• Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

During pregnancy, changes in foot size are normal due to various factors. Hormonal shifts can cause water retention, which can cause swelling in the feet and ankles, known as edema. This can cause discomfort. The swelling can temporarily increase foot size by a shoe size or more. The hormone relaxin, which loosens ligaments in preparation for childbirth, can also affect the structure of the feet, causing them to spread out and possibly increase in size. As a result, many pregnant women find that their shoes feel tighter or that they need to switch to larger sizes during pregnancy. Expectant mothers need to prioritize comfortable, supportive footwear to alleviate discomfort and reduce the risk of foot problems. If you are having problems in the feet and ankles during pregnancy, it is suggested that you make an appointment with a podiatrist for an exam and appropriate treatment options.

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 one of our doctors from Advanced Foot & Ankle Medical Center. Our doctors 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 offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot and ankle injuries have become increasingly prevalent in highly active children, posing significant challenges to their athletic pursuits. With a growing number of youngsters participating in organized sports, the incidence of both acute and overuse injuries has surged. These injuries often stem from the rigorous demands of training routines, with many young athletes engaging in multiple sports and activities throughout the week. Overuse injuries arise from the repetitive strain placed on the child’s musculoskeletal system without sufficient rest. This is especially true during periods of heightened training intensity like the beginning of a new season, tournaments, or sports camps. Biomechanical factors such as flat feet, limb length discrepancies, and improper footwear can further increase the risk of injury. Child athletes are particularly susceptible to injuries at tendon attachment sites, joint surfaces, and growth plates. Conditions like Sever’s disease and stress fractures are common. These conditions necessitate prompt diagnosis and tailored treatment plans from a foot doctor. If your active child experiences heel pain, foot swelling, or discomfort while wearing shoes, it is suggested that you schedule an appointment with a podiatrist. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our doctors of Advanced Foot & Ankle Medical Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Swollen feet can stem from various unexpected sources beyond the usual suspects like injury or fluid retention. One such cause of swelling, or edema, may be your footwear. Wearing ill-fitting shoes or high heels for prolonged periods of time can impede proper circulation, leading to swelling. A lesser-known cause could be dietary habits, particularly excessive salt intake, which can cause water retention in the body, resulting as swollen feet. Certain medications, such as antidepressants or blood pressure drugs, might also induce swollen feet as a side effect. In some cases, allergies to ingredients in skincare or cosmetic products can trigger inflammation, including in the feet. Additionally, long flights or car rides, where prolonged sitting limits movement, can result in swollen feet due to decreased blood circulation. If your feet have become swollen and remain so, it is suggested that you visit a podiatrist who can help you to manage this condition.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact one of our doctors of Advanced Foot & Ankle Medical Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Ensuring your shoes fit properly is critical for comfort and foot health. Begin by measuring your feet later in the day when they are at their largest, and stand while measuring to mimic weight-bearing conditions. Take note of both length and width, including the arch length, as this affects shoe fit. Keep in mind that sizes can vary between shoe brands, so always prioritize fit over the number on the label. If your feet are different sizes, opt for the larger size to prevent discomfort. During fitting, wear the same type of socks or foot coverings you plan to wear with the shoes. Leave a thumb's width of space at the front and back of the shoes to accommodate natural foot swelling and movement. For personalized advice and to address any specific concerns, it is suggested you schedule an appointment with a podiatrist who can offer you invaluable guidance.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact one of our doctors from Advanced Foot & Ankle Medical Center. Our doctors will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

If you have any questions please feel free to contact our offices located in Agoura Hills, Simi Valley, Thousand Oaks Marin St., and Thousand Oaks Haaland Drive, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.