Foot, Ankle & Heel Pain
Podiatrist, Foot, Ankle & Heel Pain Expert in Montebello & Burbank, CA
Heel Pain, Plantar Fasciitis & Heel Spurs
You don’t have to live with heel pain anymore!
Heel Pain symptoms include pain when you first get up in the morning, burning, numbness and increased symptoms by the end of the day. The pain is usually caused by tightening of the plantar fascia ligament located on the bottom of the foot. The plantar fascia ligament supports the arch. When you're resting, the ligament contracts. As you start to walk, the ligament pulls and may tear slightly causing pain. Heel pain can also be brought on by trauma, over exertion, ill- fitting shoes or poor foot alignment. Our Podiatrist initially treats plantar fasciitis conservatively with: Anti-inflammatory Medication, Plantar Fascia Exercise, Custom Orthotics or Cortisone Injections.
Proper foot support is one of the most important treatments we recommend. The purpose of foot support is to stop the ligament from tearing, thereby, getting at the cause of the problem. We often prescribe custom orthotics for the best possible foot support. Custom molded orthotics are inserts that fit into your shoes, which are custom molded specifically to your foot, to correct the faulty foot alignment and bring your foot into a more correct position. We find that most of our patients respond to conservative treatment with favorable outcomes. For those patients that require additional treatment surgery may be necessary.
Foot, Ankle or Toe Fractures
A broken bone is also known as a fracture. There is a common misconception that a broken bone is worse than a fracture. In reality they are the same. There are many different types of fractures or breaks. A bone can be broken and the fragments can be out of position. We call this a displaced fracture. Conversely, if they are in good alignment it's called a non-displaced fracture. If a bone is broken and you can barely see it on an x-ray, it is a hairline fracture. Finally, if a bone is broken and one of the fragments has punctured the skin, we call this an open or compound fracture. Since open fractures can easily become infected immediate surgical management is required. Broken bones are usually splinted initially to prevent bone movement and further damage to the soft tissues that surround them. If the fracture is displaced it may need to be set. In certain fractures, setting them can be difficult. In these types of fractures, surgery is also indicated. This will provide the best opportunity for healing.
Even though all of this sounds very scary, most fractures can be managed in a cast without going to the OR. Even simple fractures of the toes respond very well to this treatment. And yes, we do put casts on toes. Not the plaster or fiberglass most people think of. Instead, we use a mesh tape which holds the toe in place. If you have a foot or ankle injury call Ara Kelekian, DPM and will make every attempt to see you that day.
Tendon Injury - Achilles Tendinitis
Achilles tendinitis is a medical condition that causes pain along the back of the leg near the heel. This happens when the Achilles tendon is constantly abused. This condition is common among athletes and middle age people who are actively engaged in sport activities. The Achilles tendon is a band of tissue that connects calf muscles at the back of the lower leg to your heel bone. It allows a person to extend the foot and point the toes to the floor. This is also the thickest, longest and strongest tendon of the body. Generally, tendons such as the Achilles tendon do not heal rapidly or completely. A lifestyle change is sometimes needed to prevent the recurrence of Achilles tendinitis. The aim in treating Achilles tendinitis is to relieve the pain and reduce the swelling.
Tendon Injury Treatment includes: resting the leg, cold compression therapy, non-steroidal anti-inflammatory medication, physical therapy, heel lift and using of a brace or cast to keep the heel and tendon still. Surgery may be needed if the symptoms do not improve. Ara Kelekian, DPM medical team will assess the severity of the condition and select the best procedure to repair the Achilles tendon.
Ankle Sprains & Instabilities
Ara Kelekian, DPM can help you get ankle pain relief. Sprains are an extremely common ankle injury. They involve possible joint damage resulting in pain, instability, and swelling, to more severe damage, such as torn ligaments, bruised cartilage and broken bones. Osteochondritis is a disorder where loose bone or cartilage gets caught between joints or bones, causing stiffness, pain, and swelling, in severe cases, immobility. Twisting-type injury of the ankle can cause loose piece(s) of bone or cartilage. Untreated sprained ankles result in prolonged symptoms. These can include chronic pain or ankle instability, that makes a person prone to repetitive injury later in life and arthritic changes.
Our Ankle Specialist utilizes best in class technology to evaluate if there is a fracture, dislocation or torn ligaments. If you've sprained your ankle or have a history of ankle sprains, early evaluation and treatment is the best way to avoid arthritis, instability and pain.