Showing posts with label torrance. Show all posts
Showing posts with label torrance. Show all posts

Monday, November 19, 2012

Medical In Office Store - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

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Medical In Office Store - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

Dr. Robert Anavian discusses Podiatric Medical In Office Store.

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

 

Torrance, Redondo Beach, Palos Verdes, CA - Foot Fracture - Podiatrist Robert Anavian, DPM

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Foot Fracture - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

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Dr. Robert Anavian discusses the symptoms, causes and treatments for Foot Fracture.

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

orrance, Redondo Beach, Palos Verdes, CA - Children’s Foot Care - Podiatrist Robert Anavian

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Children’s Foot Care- Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian

Dr. Robert Anavian discusses the Children’s Foot Care and Foot Problems.

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

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Torrance, Redondo Beach, Palos Verdes, CA - Peripheral Arterial Disease - Podiatrist - Robert Anavian, DPM

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Peripheral Arterial Disease - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

Dr. Robert Anavian discusses the symptoms, causes and treatments for Peripheral Arterial Disease (PAD).

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

 

Podiatry in Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM - Podiatrist

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Podiatrist Torrance, Redondo Beach, Palos Verdes, CA - Robert Anavian, DPM

Meet Podiatrist Dr. Robert Anavian as he discusses foot care.

http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

Visit our website: http://www.anavianfootcare.com

https://www.youtube.com/watch?v=YGw2LsqbHuY

Foot and Ankle Surgery - Torrance, Redondo Beach, Palos Verdes, CA - Podiatrist Robert Anavian

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Foot Surgery and Ankle Surgery - Torrance, Redondo Beach, Palos Verdes, CA - Podiatrist Robert Anavian, DPM

Dr. Robert Anavian discusses Foot Surgery and Ankle Surgery.

 http://www.anavianfootcare.com

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

 

Friday, January 13, 2012

Heel Pain - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

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Heel Pain Treatment - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

Dr. Derick Ball of Far West Podiatric Medical Group discusses the symptoms, causes and treatments for Heel Pain.

 http://farwestpodiatry.com

Heel Pain

Plantar fasciitis commonly traced to an inflammation of the ligament that stretches across the bottom of the foot. The condition can usually be treated effectively with conservative measures, such as use of anti-inflammatory medications, ice packs, stretching exercises, orthotic devices, and physical therapy.

Heel Pain  

Pain in the arch or heel is one of the most common foot problems, and affects all ages and activity levels.  The most sedentary to the most athletic patients present to our office with this condition. 

Heel and arch pain is most commonly caused by plantar fasciitis, an inflammation of the ligament on the bottom (plantar surface) of the foot.   

Plantar fasciitis pain is most often noticed upon arising in the morning or after a period of rest.  Pain is usually felt in the central heel or arch.  It usually feels better after you have walked a while, and then the pain often returns later. 

A full evaluation by your podiatric physician may include x-rays.  Sometimes a bone spur is present on the heel bone.  You may have heard this referred to as “heel spurs”. 

Plantar fasciitis is most often successfully treated without surgery.  Treatment options include stretching exercises, anti-inflammatory medications, biomechanical orthotics, physical therapy, and occasionally cortisone injections.   Rarely, chronic plantar fasciitis may require surgery or ESWT (extracorporeal shockwave therapy).  We will recommend a treatment plan tailored to your needs. 

The earlier treatment begins, the better the outcome. 

It is important to know that there are other possible, rarer causes of heel pain. These include fractures, masses, arthritis, injuries and others.  It is very important to have a thorough evaluation of your condition by a podiatric physician to rule out these possibilities.

Visit our website: http://farwestpodiatry.com

Ankle Sprains - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

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Ankle Sprains - Podiatrist in Redondo Beach, El Segundo and Torrance, CA

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Dr. Derick Ball of Far West Podiatric Medical Group discusses the symptoms, causes and treatments for Ankle Sprains.

 http://farwestpodiatry.com

 Ankle Sprains

Injuries to the ligaments of the ankle associated with rolling of the foot are known as ankle sprains.

The ankle ligaments provide stability to the ankle by helping to hold the ankle bone within the joint as the foot moves during the gait cycle. They give you the flexibility to adapt to uneven ground surfaces while walking or running.

The ankle ligaments most commonly injured in an ankle sprain are the three outer (or lateral) ligaments.  One or more of the ligaments may be partially or even completely torn, depending on the severity of the injury.  Fractures are not uncommon and should be ruled out.

Swelling, bruising and pain are indications of an ankle sprain or ligament rupture.  X-rays will be required to evaluate the condition.  Advanced imaging may be required for more severe cases.

Ankle sprains are often under-diagnosed and under-treated.  The absence of a fracture does not mean there is no serious injury.  Immobilization and treatment is still required to prevent chronic instability and allow return to activities.

Treatment

It is critically important to begin treatment as soon as possible after an ankle sprain.  Failing to appropriately immobilize the ankle often results in chronic ankle instability.  A period of immobilization, anti-inflammatory medication and rest are usually recommended.

Aggressive physical therapy and step down bracing are often utilized as well.  Any treatment provided is to allow the ligaments to heal in the correct position and at the correct length. 

Surgical Treatment 

Surgical treatment of the ankle ligaments is performed when there is chronic instability or complete rupture.

Visit our website: http://farwestpodiatry.com

Podiatrist in Redondo Beach, El Segundo and Torrance, CA - Derick Ball, DPM

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Podiatrist in Redondo Beach, El Segundo and Torrance, CA - Derick Ball, DPM

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Meet Podiatrist Dr. Derick Ball as he discusses foot care at Far West Podiatric Medical Group Inc.

http://farwestpodiatry.com

 Far West Podiatric Medical Group specializes in the medical and surgical treatment of the foot and ankle. Our physicians and staff place special emphasis on the focused team approach to patient needs. We use the latest in techniques and technology to provide the most comprehensive foot and ankle care available with a genuine concern for you, our patient.

We at Far West Podiatric Medical Group have been providing the highest quality foot and ankle care in our area since 1988.  You will benefit from a team of dedicated professionals who will give you the individualized attention you deserve. You can count on our staff to attend to your needs promptly.

Our doctors are recognized leaders in podiatric medicine, maintaining the highest standards of continuing education and current technologies.  Our group is the referral choice of most Primary Care Physicians in our area.

We believe that informed patients are better prepared to make decisions regarding their health and well being.  Our strength is patient education and communication.  We encourage you to utilize this website to become further informed about your particular condition.

When you visit our office, a full explanation and discussion will precede all treatment.

At Far West Podiatric Medical Group we continue to strive to make our office as efficient and convenient as possible for you.  That includes extended office hours, easy parking, convenient location, state of the art facility, in office DME dispensary, and in office x-ray.

Most importantly, at our friendly office you will find short waiting times.  We pay you the ultimate in respect- your time

Visit our website: http://farwestpodiatry.com      

Wednesday, November 23, 2011

Foot Warts Treatment - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Foot Warts (Plantar Warts) - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses the symptoms, causes and treatments for Foot Warts (Plantar Warts).

Plantar Warts

The common wart is known as verruca vulgaris. They are caused by a viral infection of the skin. This occurs as a result of direct contact with the virus. They do not spread through the blood stream. They occur more commonly in children than adults. When they occur on the bottom of the foot, they are called plantar warts. This name is derived from the location of the foot on which they are found; the bottom of the foot is called the plantar aspect of the foot. A common misconception is that plantar warts have seeds or roots that grow through the skin and can attach to the bone. The wart may appear to have a root or seeds, but these are in fact small clusters of the wart just beneath the top layer of the skin. The wart cannot live in any tissue except the skin. Moist, sweaty feet can predispose to infection by the wart virus. They can be picked up in showers and around swimming pools. They are not highly contagious, but being exposed in just the right situation will lead to the development of the wart. Avoiding contact in the general environment is nearly impossible. If a member of the family has the infection, care should be taken to keep shower and tile floor clean. Children who have plantar warts should not share their shoes with other people. Young girls often share shoes with their friends and this should be discouraged.

Diagnosis

The warts have the appearance of thick, scaly skin. They can occur as small, single warts or can cluster into large areas. These clustered warts are called mosaic warts. They often resemble plantar calluses. A simple way to tell the difference between a wart and a callus is to squeeze the lesion between your fingers in a pinching fashion. If this is painful, it is likely that the lesion is a wart. A callus is generally not painful with this maneuver but is tender with direct pressure by pressing directly on the lesion. Other lesions on the bottom of the foot that are often confused with plantars warts are porokeratoses and inclusion cysts.

Treatment

There are a variety of ways to treat warts. The over-the-counter medications have a difficult time penetrating the thick skin on the bottom of the foot, so they do not work well in this area. Professional treatment consists of burning the wart with topical acids, freezing with liquid nitrogen, laser surgery or cutting them out. All methods have the possibility of the wart coming back. Surgical excision of the wart has the highest success rate with a relatively low rate of recurrence. There is some mild discomfort with this procedure and it takes several weeks for the area to completely heal. Normal activity can generally be resumed in a few days depending on the size and number of warts that have been removed. The risks associated with surgical removal of warts are the possibility of infection, or the formation of a scar, which can be painful when weight is applied while walking.

Laser removal of the wart works by burning the wart with a laser beam. The area must be numbed with an anesthetic prior to the procedure. There is little advantage to removing warts with a laser unless the warts are very large (mosaic warts) or there are a large number to be removed. The risks associated with the use of the laser are the same as for cutting the warts out. These risks include infection and the development of a scar after healing. A new type of laser has been developed to treat several different types of skin lesions called the Pulsed Dye Laser. This new laser has promise in the effective treatment of warts.

Freezing the wart with liquid nitrogen is another form of treatment. This form of treatment when the warts are on the bottom of the foot can be very painful and take several days or weeks to heal.

Topical acids can also be a useful means of treating warts. The advantage to this form of treatment is the fact that they are nearly painless and there is no restriction of activity. The down side to this form of treatment is that it frequently requires several treatments and the failure rate is higher than surgical excision of the wart.

Visit our website: http://www.anavianfootcare.com

Technology and Podiatry - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Podiatry Technology - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Dr. Robert Anavian discusses the Podiatry Technology.

Our practice offers the following services:

  • Comprehensive care of foot and ankle disorders
  • Full diagnostic facility with On-Site X-ray Capabilities
  • Non-surgical and surgical treatment of athletic injuries
  • Biomechanical Analysis
  • Fabrication of Biomechanically Correct Custom Made Orthotics (arch supports)
  • Difficult Biomechanical cases including patients who have failed with previous orthotic therapy
  • Fabrication of Custom Ankle Braces
  • Diabetic Shoe Program
  • Children's Foot Care

Medical and surgical treatment of:

  • Heel and Arch Disorders - Plantar Fasciitis
  • Arthritis
  • Bunions
  • Burning Pain
  • Corns and Calluses
  • Diabetic Foot Care
  • Hammertoes
  • Heel Pain
  • Heel Spurs
  • Infections and Ulcerations
  • Ingrown Toenails
  • Fungal and Deformed Toenails
  • Neuromas / Pain in the Ball of the Foot
  • Soft Tissue Masses and Tumors
  • Sports Injuries
  • Tendon and Joint Pain
  • Trauma and Athletic Injuries
  • Warts

Visit our website: http://www.anavianfootcare.com

Runner’s Feet - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Runner’s Foot Problems - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA   [[posterous-content:pid___0]]           

Dr. Robert Anavian discusses the symptoms, causes and treatments for Runner’s Foot Problems.

http://www.anavianfootcare.com

 

 The Anatomy of a Running Shoe

As all runners know, running begins with a good foundation. And where do we find that foundation? At the ground level where the rubber meets the road.

In other words, your shoes, the pieces of leather and rubber that separate your feet from the hard concrete of the road.

Let's look at the anatomy of a running shoe, and the four sections of the shoe that make it complete.

The uppers of the shoe may be made of leather or, for the lighter shoes, a synthetic which is lighter, washable and breathable (to reduce heat from the foot). Another component of the upper is the tongue of the shoe, which should be padded in order to cushion the top of the foot against lace pressure. At the back of the shoe, the ankle collar should also be padded to prevent rubbing and irritation of the Achilles tendon.

The outersole of the shoe is the treaded layer which is glued to the bottom of the midsole. It resists wear, provides traction, and absorbs shock. This is probably the most important layer for the "street fighter" or road runner. The outer sole usually consists of blown rubber, hard carbon rubber, or a combination. The blown rubber is the lightest, but is not durable as pure carbon. The stud or waffle outersoles are excellent for running on soft surfaces such as grass or dirt; they improve traction and stability. On the flip side, the ripple sole is better designed for running on asphalt or concrete surfaces.

The heel counter is the inflexible material surrounding the heel. It must be made of a material that is both rigid and durable to support and stabilize the heel. Just look at any old shoes, and you will see the wear and breakdown of the inner heel counter, which, over a period of time, tends to lose its stiffness. That's why an external counter is typically placed between the midsole and the base of the heel counter. You will also see a wedge that adds height to the heel and enhances the shoe's ability to absorb shock and reduce strain. The advantage to the added heel height is that it will shorten the Achilles and Gastrocnemius-soleus muscle, reducing the strain upon those important posterior running structures. The downside is that the higher heel height may feel less stable, causing reduced flexibility in the tendon structure.

The midsole is located between the outersole and the upper. Many regard it as the most important part of the running shoe. It provides cushioning and shock absorption while concomitantly controlling excessive foot motion (pronation/supination).

The primary materials used in midsoles are ethylene vinyl acetate (EVA) and polyurethane (PU). EVA is a foam that is light and has good to excellent cushioning. The problem is that this material breaks down quickly. In fact, it can break down just sitting in a box in your closet. Compression-molded EVA is one answer, making it harder and more durable. PU is also a foam, usually denser, heavier, and more durable than EVA. PU will stand up longer, but you will give up some of that precious cushioning in return.

Most shoes today are cushioned with gel, foam, or other manufacturer-specific materials that are designed within the midsole. This type of cushioning will extend the life of the midsole while simultaneously adding increased stability and shock absorption. This typically is where you will see the greatest quality difference between the various companies shoes and their models. And this is where the technology wars are being waged.

Remember, shock absorption is related to how compressible the midsole material can be made. The more the material compresses, the more movement within the shoe is seen. The less the compression of the material, the better the shoe's motion control, but there is a tradeoff in shock absorption. In this case, the shoe may feel harder, and not as soft as the first case scenario.

Know Your Foot Type

So how important is it to know what type of foot I have, and how I run?

Very important! You need to know the basics of running gait and foot types.

First, when you run, the heel strikes the ground first, usually on the outside (supination). Next, the foot rolls inward and flattens out along the longitudinal arch-pronation. The foot then resupinates by rolling through the ball and rotating outwards. At this point, the foot becomes a rigid lever as it again prepares to push off the ground.

To find a runner who supinates or pronates just the right amount is rare. Typically, most runners, particularly those who become injured with knee pain, Achilles tendonitis, shin splints, I.T.Band, or heel pain, suffer from either excessive pronation or supination.

So let's look at those terms again, and how they relate on a runner's gait. Everyone thinks pronation is an evil thing. Wrong! Your foot needs to pronate in order to adapt to uneven surfaces. We all have to pronate to a certain degree. However, excessive pronators whose feet roll inwards too much while running are the runners who develop over-use injuries. The overpronator generally has a flattened type of foot (low arches). You can check this yourself by wetting your feet, and walking on a piece of paper. If you see the whole foot print, including the arch, you can bet you're an overpronator. If you check an old pair of shoes, you will see a wear pattern to the inside of your shoes, particularly around the big toe.

Overpronators generally have flexible feet, which creates a very unstable foot. This can lead to many of the overuse injuries previously mentioned. If you are an overpronator, look for a shoe with a lot of motion control, preferably with a board last. A straight-lasted shoe is also recommended for overpronators.

What about you supinators? The supinator's feet typically roll outward, both in the heel and in the forefoot. You're the ones with the high arches. If you want to see if this is your foot type, go ahead and wet your feet and walk on a piece of paper. If you only see a wet spot of your heel and the ball of the foot, you know you over supinate. When you look at an old pair of shoes, you will see that they wear excessively on the outside border of the heel, and on the outside of the forefoot near your little toe. You're not in the majority here in this case. Supinators are definitely in the minority compared to pronators.

The high-arched, supinators feet are more rigid, and cannot absorb shock as well as an overpronator's feet. Therefore, it stands to reason that with a rigid type of foot the supinator will be subject to more lateral ankle sprains, stress fractures, and pain on the outside of the shin and knee. Supinators should look for a shoe that has better than normal cushioning for added shock absorption, as well as flexibility. Many supinators feel more comfortable with a semi-curved or curved last, due to the shape of their foot.

Shopping Tips

So what are some tips for selecting a good running shoe? Both the American Running and Fitness Association and the American Academy of Podiatric Sports Medicine make the following recommendations:

  • Try on both shoes, because your feet may not be the same size and the shoes may not be made symmetrically. Walk and jog around the store for a few minutes; climb stairs, or try jogging on a treadmill if available.
  • Try on a couple of different models and sizes so you can make a good comparison. Don't rush your selection.
  • The lacing area and tongue should be padded, especially if you have a bony bump (met-cuneiform) on your instep.
  • Be sure the sole flexes easily where your foot flexes. Buy shoes with removable insoles so you can modify or replace them with orthotics.
  • Allow a half-inch in front of your longest toe when you stand up. Fit shoes in the afternoon or after a workout, when your feet are larger. Feet swell as much as a full size during a good workout.
  • The key to finding the best shoe is comfort, not price or brand name. Don't rely on a break-in period;. Shoes should feel good the day you buy them.
  • The toe box should allow your toes room to move around. The mid-part of the shoe when laced should hold your foot snugly so that it doesn't slide forward and jam your toes with each step. If the shoe feels tight across your instep, start the laces on the second pair of eyelets.
  • The heel counter should fit snugly so your heel won't slip and rub.
  • Check the quality control of the shoes. Put them on a flat surface near eye level. The mid-line of the heel counter should be perpendicular to the surface.
  • Try on shoes with the socks, inserts, or orthotic devices you plan on wearing.

It is always suggested that when looking for a good running shoe, first select a good specialty running shoe store with competent salespeople. They are the ones who know the latest in shoe design and performance. Typically, these "fitters" are runners like yourself. They have been hired because of their love of running and their interest in their fellow runners. So search them out, and develop a relationship with a store and a person who has been fitting shoes for a period of time. If you have had a history of injury due to a shoe or a biomechanical problem, seek out a podiatrist in your area. He or she will be able to detect what your problem may be, and the right shoe or shoes to look for.

To extend the life of the shoe, wear them only for running, and let them dry out slowly when wet.

 

Visit our website: http://www.anavianfootcare.com

 

Treatment of Neuromas - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Morton’s Neuromas - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses the symptoms, causes and treatments for Morton’s Neuromas.

 http://www.anavianfootcare.com

Neuroma

A neuroma is the swelling of nerve that is a result of a compression or trauma. They are often described as nerve tumors. However, they are not in the purest sense a tumor. They are a swelling within the nerve that may result in permanent nerve damage. The most common site for a neuroma is on the ball of the foot. The most common cause of neuroma in ball of the foot is the abnormal movement of the long bones behind the toes called metatarsal bones. A small nerve passes between the spaces of the metatarsals. At the base of the toes, the nerves split forming a "Y" and enter the toes. It is in this area the nerve gets pinched and swells, forming the neuroma. Burning pain, tingling, and numbness in one or two of the toes is a common symptom. Sometimes this pain can become so severe, it can bring tears to a patient's eyes. Removing the shoe and rubbing the ball of the foot helps to ease the pain. As the nerve swells, it can be felt as a popping sensation when walking. Pain is intermittent and is aggravated by anything that results in further pinching of the nerve. When the neuroma is present in the space between the third and fourth toes, it is called a Morton's Neuroma. This is the most common area for a neuroma to form. Another common area is between the second and third toes. Neuromas can occur in one or both of these areas and in one or both feet at the same time. Neuromas are very rare in the spaces between the big toe and second toe, and between the fourth and fifth toes. Neuromas have been identified in the heel area, resulting in heel pain.

A puncture wound or laceration that injures a nerve can cause a neuroma. These are called traumatic Neuromas. Neuromas can also result following a surgery that may result in the cutting of a nerve.

Diagnosis

The diagnosis of Neuromas is made by a physical exam and a thorough history of the patient's complaint. Conditions that mimic the pain associated with Neuromas are stress fracture of the metatarsals, inflammation of the tendons in the bottom of the toes, arthritis of the joint between the metatarsal bone and the toe, or nerve compression or nerve damage further up in the foot, ankle, knee, hip, or back. X-rays are generally taken to rule out a possible stress fracture or arthritis. Because nerve tissue is not seen on an x-ray, the x-ray will not show the neuroma. A skilled foot specialist will be able to actually feel the neuroma on his exam of the foot. Special studies such as MRI, CT Scan, and nerve conduction studies have little value in the diagnosis of a neuroma. Additionally, these studies can be very expensive and generally the results do not alter the doctor's treatment plan. If the doctor on his exam cannot feel the neuroma, and if the patient's symptoms are not what is commonly seen, then nerve compression at another level should be suspected. In this instance, one area to be examined is the ankle.

Just below the ankle bone on the inside of the ankle, a large nerve passes into the foot. At this level, the nerve can become inflamed. This condition is called Tarsal Tunnel Syndrome. Generally, there is not pain at this site of the inflamed nerve at the inside of the ankle. Pain may instead be experienced in the bottom of the foot or in the toes. This can be a difficult diagnosis to make in certain circumstances. Neuromas, however, occur more commonly than Tarsal Tunnel Syndrome.

Treatment

Treatment for the neuroma consists of cortisone injections, orthotics, chemical destruction of the nerve, or surgery. Cortisone injections are generally used as an initial form of treatment. Cortisone is useful when injected around the nerve, because is can shrink the swelling of the nerve. This relieves the pressure on the nerve. Cortisone may provide relief for many months, but is often not a cure for the condition. The abnormal movements of the metatarsal bones continue to aggravate the condition over a period of time.

To address the abnormal movement of the metatarsal bones, a functional foot orthotic can be used. These devices are custom-made inserts for the shoes that correct abnormal function of the foot. The combination treatment of cortisone injections and orthotics can be a very successful form of treatment. If, however, there is significant damage to the nerve, then failure to this treatment can occur. When there is permanent nerve damage, the patient is left with three choices: live with the pain, chemical destruction of the nerve, or surgical removal or decompression of the nerve (see neuroma surgery).

 

Visit our website: http://www.anavianfootcare.com

Ingrown Toenails Treatment - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Ingrown Toenails - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA            

Dr. Robert Anavian discusses the symptoms, causes and treatments for Ingrown Toenails.

 http://www.anavianfootcare.com

Ingrown Toenails

Ingrown toenails are due to the penetration of the edges of the nail plate into the soft tissue of the toe. It begins with a painful irritation that often becomes infected. With bacterial invasion, the nail margin becomes red and swollen often demonstrating drainage or pus. In people who have diabetes or poor circulation, this relatively minor problem can be become quite severe. In this instance, a simple ingrown toenail can result in gangrene of the toe. Patients with joint replacements or pace makers are at risk of bacterial spread through the blood stream resulting in the spread of infection to these sites. These patients should seek medical attention at the earliest sign of an ingrown toenail. There are several causes of ingrown toenails: a hereditary tendency to form ingrown toenails, improperly cutting the toenails either too short or cutting into the side of the nail, and ill-fitting shoes can cause them. Children will often develop ingrown toenails as a result of pealing or tearing their toenails off instead of trimming them with a nail clipper. Once an ingrown toenail starts, they will often reoccur. Many people perform "bathroom" surgery to cut the nail margin out only to have it reoccur months later as the nail grows out.

Treatment

Treatment for ingrown toenails is relatively painless. The injection to numb the toe may hurt some, but a skilled doctor has techniques to minimize this discomfort. Once the toe is numb, the nail margin is removed and the nail root in this area is destroyed. Most commonly, the doctor will use an acid to kill the root of the nail, but other techniques are also available. It may take a few weeks for the nail margin to completely heal, but there are generally no restrictions in activity, bathing, or wearing shoes. Once the numbness wears off, there may be some very mild discomfort but rarely does this require pain medicine. A resumption of sports activities and exercise is generally permitted the following day.

There are very few complications associated with this procedure. Reoccurrence of the ingrown toenail can occur a small percentage of the time. Continuation of the infection is possible which can be controlled easily with oral antibiotics. On occasion, the remaining nail may become loose from the nail bed and fall off. A new nail will grow out to replace it over several months. With removal of the nail margin, the nail will be narrower and this should be expected.

To prevent ingrown toenails it is recommended to wear properly fitting shoes and to trim the toenails straight across and not too short.

 

Visit our website: http://www.anavianfootcare.com

Tuesday, November 22, 2011

Podiatrist Torrance, Palos Verdes, Redondo Beach, CA - Robert Anavian, DPM

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Podiatrist Torrance, Palos Verdes, Redondo Beach, CA - Robert Anavian, DPM

Meet Podiatrist Dr. Robert Anavian as he discusses foot care.

http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

Visit our website: http://www.anavianfootcare.com

 

Fungal Toenails - Podiatrist Torrance, Palos Verdes, Redondo Beach, CA

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Toenail Fungus - PodiatryTorrance, Redondo Beach, Palos Verdes, CA

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Dr. Robert Anavian discusses the symptoms, causes and treatments for Fungal Toenails.

 http://www.anavianfootcare.com

Fungal Toenails, Yellowed or Deformed Toenails

The most common cause of yellowed, thick and /or deformed toenails is a fungal infection of the toenail. The fungus that infects the nail, most commonly, is the same fungus that causes athletes foot. It tends to be slowly progressive, damaging the nail to a greater and greater degree over time. The infection usually starts at the tip of the nail and works its way back. It usually is not painful and often not noticed until it has gotten well established. A single toenail or any number of nails can be affected. It can also occur on just one foot. Over time, the nail becomes thickened, crumbly, and distorted in appearance. Sweaty feet contribute to the initial infection process and contribute to its spread. The fungus prefers an environment that is moist, dark, and warm, which is why it affects the toenails much more often than fingernails. It does not spread through the blood stream. The infection limits itself to the nails and skin. It is often found in association with areas of dry scaly skin on the bottom of the foot or between the toes. The dry scaling skin is frequently found to be chronic athletes' foot. It is not highly contagious, and family members are almost as likely to contract it from some other source as they are from the family member who has the infection. Keeping common showering areas clean is recommended, and sharing shoes should be avoided.

Diagnosis

Not all thicken or yellowed toenails are caused by a fungal infection. Injury to a toenail can cause the toenail to grow in a thickened or malformed fashion. This can be due to an established fungal infection or may be due to the damage caused to the nail root when it was injured. In these instances, treatment with anti-fungal medications will not correct the malformed nail. Other causes of thickened toenails are small bone spurs that can form under the toenail and psoriasis. Taking a scraping of the toenail and culturing it makes the diagnosis.

Treatment

It is best to treat the condition as soon as it is noticed. In early cases, over the counter medications may be sufficient. It is also important to treat any concomitant athlete’s foot that may be present. In more advanced cases, a prescription medication may be needed. There are effective topical and oral medications available for the treatment of fungal toenails. If sweating feet are a problem, changing shoes and socks during the day is recommended. There are some topical medications available that help to reduce the sweating of the feet. On occasion, your doctor may recommend removing the toenail.

Visit our website: http://www.anavianfootcare.com

Foot and Ankle Surgery - Podiatrist Torrance, Palos Verdes, Redondo Beach, CA

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Foot and Ankle Surgeon - Podiatrist Torrance, Redondo Beach, Palos Verdes, California

Dr. Robert Anavian discusses Foot and Ankle Surgery.

 http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

Visit our website: http://www.anavianfootcare.com

 

Monday, November 21, 2011

Diabetic Foot - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Diabetic Foot Care - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA                    

Dr. Robert Anavian discusses the symptoms, causes and treatments for Diabetic Feet.

 http://www.anavianfootcare.com

Tips for the Diabetic Patient

Ulcerations, infections and gangrene are the most common foot and ankle problems that the patient with diabetes must face. As a result, thousands of diabetic patients require amputations each year. Foot infections are the most common reason for hospitalization of diabetic patients. Ulcerations of the feet may take months or even years to heal. It takes 20 times more energy to heal a wound than to maintain a health foot.

There are two major causes of foot problems in diabetes:

  1. Nerve Damage (neuropathy): This causes loss of feeling in the foot, which normally protects the foot from injury. The protective sensations of sharp/dull, hot /cold, pressure and vibration become altered or lost completely. Furthermore, nerve damage causes toe deformities, collapse of the arch, and dry skin. These problems may result in foot ulcers and infections, which may progress rapidly to gangrene and amputation. However: Daily foot care and regular visits to the podiatrist can prevent ulcerations and infections.

 

  1. Loss of circulation (angiopathy): Poor circulation may be difficult to treat. If circulation is poor gangrene and amputation may be unavoidable. Cigarette smoking should be avoided. Smoking can significantly reduce the circulation to the feet significantly. There are certain medications available for improving circulation (Trental) and by-pass surgery may be necessary to improve circulation to the feet. Chelation therapy is an alternative form of treatment for circulatory problems that is not well recognized by the medical community at large. Daily foot care and regular visits to the podiatrist can often prevent or delay the need for amputation.

Do the Following to Protect Your Feet

1. Examine Your Feet Daily

·        Use your eyes and hands, or have a family member help.

·        Check between your toes.

·        Use a mirror to observe the bottom of your feet.

·        Look for these Danger Signs:

         Swelling (especially new, increased or involving one foot)
         Redness (may be a sign of a pressure sore or infection)
         Blisters (may be a sign of rubbing or pressure sore)
         Cuts or Scratches or Bleeding (may become infected)
         Nail Problems (may rub on skin, cause ulceration or become infected)
         Maceration, Drainage (between toes)

If you observe any of these danger signs, call your podiatrist at once.

2. Examine Your Shoes Daily

Check the insides of your shoes, using your hands, for:
         Irregularities (rough areas, seams)
         Foreign Objects (stones, tacks)

3. Daily Washing and Foot Care

·        Wash your feet daily.

·        Avoid water that is too hot or too cold. Use lukewarm water.

·        Dry off the feet after washing, especially between the toes.

·        If your skin is dry, use a small amount of lubricant on the skin.

·        Use lambs wool (Not cotton) between the toes to keep these areas dry.

4. Fitting Shoes and Socks

·        Make sure that the shoes and socks are not to tight

·        The toe box of the shoe should have extra room and be made of a soft upper material that can "breath"

·        New shoes should be removed after 5-10 minutes to check for redness, which could be a sign of too much pressure: if there is redness, do not wear the shoe. If there is no redness, check again after each half hour during the first day of use.

·        Rotate your shoes

·        Ask your podiatrist about therapeutic (prescription) footwear, which is a covered benefit for diabetic patients in many insurance plans.

·        Tell your shoe salesman that you have diabetes.

5. Medical Care

·        See your podiatrist on a regular basis

·        Ask your primary care doctor to check your feet on every visit.

·        Call your doctor if you observe any of the above danger signs.

Do Not Do These Dangerous Acts

  • Do Not Walk Barefoot - Sharp objects or rough surfaces can cause cuts, blisters, and other injuries.
  • Do Not Use Heat on the Feet - Heat can cause a serious burn, especially if the patient has neuropathy.
  • Do Not Apply a Heating Pad to the Feet
  • Do Not Soak Your Feet in Hot Water
  • Do Not Use Chemicals or Sharp Instruments to Trim Calluses - This could cause cuts and blisters that may become infected.
  • Do Not Cut Nails into the Corners - cut nails straight across.
  • Do Not Smoke - smoking reduces the circulation to your feet.

 

Visit our website: http://www.anavianfootcare.com

Dancer’s Foot Injuries - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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Dancer’s Foot Problems - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA         

Dr. Robert Anavian discusses the symptoms, causes and treatments for Dancer’s Foot Problems

 http://www.anavianfootcare.com

Welcome to our podiatry practice in Torrance, California. Dr. Anavian provides the latest in podiatric care for infants to seniors. Treating patients in a caring and ethical manner is our number one priority. We provide a wide range of podiatric services from conservative care to reconstructive foot surgery. Our office provides patients with the latest innovations in Biomechanics and custom made functional Orthotics. We believe that prompt diagnosis, early intervention and prevention are essential for the care and treatment of your foot condition. Dr. Anavian and his highly trained staff are committed to giving you the best personalized care available.

This web site has been designed to offer information and answer frequently asked questions. We want you to feel comfortable in our office. Please do not hesitate to discuss areas of concern. Everyone in this office is a trained professional and works as a team member, taking pride in their work.

We welcome you to our practice.

Robert Anavian, DPM, FACFAOM
Diplomate, American Board of Podiatric Orthopedics
Fellow, American College of Foot & Ankle Orthopedics & Medicine

 

Visit our website: http://www.anavianfootcare.com

Custom Orthotics - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

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What are Custom Orthotics?  - Podiatrist Torrance, Redondo Beach, Palos Verdes, CA

Dr. Robert Anavian discusses Custom Orthotics treatment for Foot Problems.

 http://www.anavianfootcare.com

Custom Made Orthotics

Custom made functional orthotics are one of the most valuable tools available in podiatry to combat foot pain and keep patient's active and pain free. Many times, custom made orthoses help patients avoid the need for more invasive treatments like surgery. The type of orthotics that are made by this office are unlike anything you can buy in a store. Our orthotics are custom made from an actual mold of your foot. In addition, the amount of correction in the orthotic is based on extensive measurements taken during your exam, analysis of your gait, and from your X-ray findings. The type of material used is also based on your foot condition, age, weight and symptoms. The ones bought over the counter or in specialty stores are the same for everyone.

We currently have been making a new type of custom made orthotic which is the most advanced on the market. This new type of orthotic gives full contact to the arch. These orthotics are unlike any others in that they are Calibrated to your body weight and flexibility. These orthotics are the most advanced on the market and we have found they are not only helping our patients foot pain, but also helping with their knee, leg and low back pain as well.

Custom Made Orthotics may help with the following conditions:

  • Achilles Tendonitis
  • Arch and Heel pain
  • Bunions
  • Hammertoes
  • Knee Pain
  • Low Back Pain
  • Neuromas
  • Protect Diabetic Feet
  • Shin Splints
  • Tarsal Tunnel Syndrome

Frequently Asked Questions:

Question 1: I have seen orthotics in stores and advertised on T.V., Why should I have custom made orthotics?

Answer: Over the counter orthotics are the same for everyone. They are based on shoe size. Any one with the same shoe size wears the same orthotic. Our orthotics are custom made to you, no one else could wear your orthotic. They are calibrated to your weight, your flexibility and designed to alleviate the problems you are having.

Question 2: Why should a Podiatrist make my orthotics?

Answer: A Podiatrist is uniquely qualified in this field. Podiatrists have extensive training in Biomechanics. A Podiatrist can prescribe an orthotic that will help with your problems. Also, a Podiatrist will be able to determine when other treatments may be needed in addition to orthotics. A Podiatrist will be better able to keep you active and on your feet.

Question 3: Why are custom made orthotics more expensive than the kind you find in stores?

Answer: Custom made orthotics are made to an actual mold or model of your foot. Also, Custom made orthotics are made from much better materials. Custom made orthotics will last much longer because of this. In addition, they will be just as corrective a year after you get them as on the first day. The kind you buy in stores wear out very quickly, after wearing for only one week, they will have already started to flatten out. A custom made orthotic will last for many years. In the long run, custom made orthotics are a great value.

Question 4: I have painful bunions and I do not want surgery at this time, will custom made orthotics help?

Answer: For most patients the answer is Yes. Custom made orthotics will not make your bunion smaller, but they will improve the function of the big toe joint. For most patients this will mean that their bunion pain gets much better and sometimes is completely resolved.

Question 5: Can I run and do sports in my orthotics?

Answer: Yes! Runners and all types of athletes find that orthotics help greatly with sports. They lessen fatigue and help prevent injuries.

Question 6: Can I wear the same orthotic for sports and everyday use?

Answer: Yes, most patients transfer their orthotic from their daily shoes to their athletic shoes. Some patients who are very active in a particular sport prefer to have a pair made just for that sport.

Question 7: Will my health insurance cover my orthotics?

Answer: Many insurance companies do cover orthotics. Coverage is based on your policy and diagnosis. Our office can help you in determining if orthotics are a covered service.

Visit our website: http://www.anavianfootcare.com