Onychomycosis is a fungal infection of the toenails. Successful treatment remains challenging, and the condition can have a significant impact on individuals. Effective management often requires months of treatment, and recurrence is common, affecting over half of successfully treated patients. Various factors contribute to the high recurrence rates. Patients with a genetic predisposition or belonging to susceptible populations, such as the elderly or diabetic people, are more likely to experience recurrence. Physical trauma can trigger recurrence in older people. Recurrence is also more common in children and may result from strong predisposing factors. Extending treatment durations beyond 48 weeks may offer better outcomes, allowing nails to grow out and eliminating nonviable fungal elements. If you have recurring toenail fungus, it is strongly suggested that you schedule an appointment with a podiatrist who can provide treatment and alleviate recurrence.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Afshin Javaherian, DPM of Dr. Java Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions please contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Foot problems can cause symptoms such as pain, swelling, and limping. Most of the time, these issues improve on their own within approximately six weeks. But there are situations when help should be sought. These include having an injury such as a bad fall or a direct blow to the foot, or if your foot changes shape after an injury. Additionally, if you have an open wound, or if your foot becomes excessively cold and changes color are reasons that may warrant immediate medical attention. Foot problems can also be caused by normal age-related changes or flare ups of existing conditions. As you get older, these issues may come and go without an apparent reason. Unfortunately, sometimes foot pain can affect areas of the body including the toes, ankle, calf, knee, and possibly the back. If you have persistent foot or ankle pain, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and appropriate treatment.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This 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

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

If you have any questions, please feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Charcot-Marie-Tooth disorder, or CMT, is an inherited neurological disorder that affects individuals globally. CMT is characterized by a gradual degeneration of muscles in the foot, lower leg, hand, and forearm, accompanied by a mild loss of sensation in limbs, fingers, and toes. The initial signs of Charcot-Marie-Tooth disorder are often a high-arched foot or difficulties in walking. Additional symptoms can include foot bone abnormalities like hammer toes, challenges with balance, occasional muscle cramping in lower legs, and loss of reflexes. While there is currently no cure for CMT, proper foot care, including wearing custom-made shoes and leg braces, can alleviate discomfort and help retain function. Moderate activity are often recommended to maintain muscle strength, with adaptive devices or surgery considered based on medical indications. Most individuals can continue to work, and wheelchair confinement is rare. For help in managing Charcot-Marie-Tooth disorder, it is suggested that you schedule an appointment with a podiatrist.

Some foot conditions may require additional professional care. If you have any concerns, contact Afshin Javaherian, DPM of Dr. Java Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Rare Foot Conditions

The majority of foot conditions are common and can be treated by a podiatrist.  Standard diagnostic procedures are generally used to identify specific conditions and treatment can be rendered. A podiatrist also treats rare foot conditions which can be difficult to diagnose and may need extra attention and care. 

There are many rare foot conditions that can affect children. Some of these can include:

• Freiberg’s disease
• Kohler’s disease
• Maffucci syndrome

Freiberg’s disease - This can be seen as a deterioration and flattening of a metatarsal bone that exists in the ball of the foot. It typically affects pre-teen and teenage girls, but can affect anyone at any age. Symptoms that can accompany this can be swelling, stiffness, and the patient may limp. 

Kohler’s disease - This often targets the bone in the arch of the foot and affects younger boys. It can lead to an interruption of the blood supply which ultimately can lead to bone deterioration. The patient may limp or experience tenderness, swelling, and redness.

Maffucci syndrome - This affects the long bones in a child’s foot leading to the development of abnormal bone lesions. They are benign growths and typically develop in early childhood and the bones may be susceptible to breaking. 

A podiatrist can properly diagnose and treat all types of rare foot conditions. If your child is affected by any of these symptoms or conditions, please don’t hesitate to call our office so the correct treatment method can begin.

If you have any questions, please feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle injuries, a common woe for sports enthusiasts, often leave you wondering: Is it a sprain or a break? Understanding the nuances is imperative for effective treatment. A sprain occurs when ligaments, which are the connectors between bones and joints, are forcefully stretched beyond their normal range. Notably, ankle sprains take the lead as the most prevalent sports injury. Conversely, a fracture entails a break in a bone, with a broken ankle indicating damage to tibia and fibula in the leg or calcaneus and talus bones of the foot. Fractures cause sudden pain and noticeable swelling, whereas stress fractures, smaller cracks in the bone, bring intense pain with less swelling. When uncertainty looms, seeking medical guidance is paramount. Consult a podiatrist if you suspect a fracture or ruptured ligament. Tenderness over a bone and an irregular shape of the leg or joint may signify a break or dislocation, necessitating immediate attention. An accurate diagnosis ensures the right intervention, whether it is rest and rehabilitation for a sprain or more intensive measures for a fracture. If you have sustained a serious ankle injury, be it a sprain or a fracture, it is suggested that you schedule an appointment with a podiatrist.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Afshin Javaherian, DPM from Dr. Java Foot & Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

• Mild to moderate bruising
• Limited mobility
• Swelling
• Discoloration of the skin (depending on severity)

Preventing a Sprain

• Wearing appropriate shoes for the occasion
• Stretching before exercises and sports
• Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

If you have any questions please feel free to contact our office located in Los Angeles, CA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.