Ledderhose's disease, more commonly known as plantar fibromatosis, was named after George Ledderhose who first described it in 1894. It is a rare condition characterized by the growth of fibrous tissue in the plantar fascia, the ligament connecting the heel to the toes. This leads to the formation of nodules or lumps on the bottom of the foot, causing pain and stiffness. While the exact cause is unknown, factors such as genetics, trauma, or certain medical conditions may contribute to its development. Ledderhose's disease predominantly affects middle-aged and older adults, with men being more commonly affected than women. Treatment options for Ledderhose's disease range from conservative measures like custom-made orthotics to more invasive interventions, such as steroid injections or surgery to remove the nodules. Outcomes vary, and recurrence is possible. If you have lumps on the soles of your feet, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and personalized treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Andrew Katz, DPM of Allcare Foothealth Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

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

Multiple sclerosis, or MS, is a chronic autoimmune disease affecting the central nervous system, disrupting communication between the brain and the rest of the body. It occurs when the immune system mistakenly attacks the protective myelin sheath surrounding nerve fibers, leading to inflammation, scarring, and nerve damage. MS can cause a wide range of symptoms, including fatigue, weakness, numbness, coordination difficulties, and cognitive impairment, significantly impacting quality of life. Foot symptoms such as numbness, tingling, weakness, or difficulty in walking are common manifestations of MS. If you have MS and are experiencing foot symptoms, it is strongly suggested that you schedule an appointment with a podiatrist who can provide personalized care to help you maintain optimal foot health and overall well-being.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Andrew Katz, DPM from Allcare Foothealth Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

Diabetic limb salvage is a medical procedure designed to save the limbs of diabetes patients who have severe foot and leg complications. These limb issues could be infections, ulcers, or tissue damage that are severe enough to lead to amputation. Diabetes can cause poor blood circulation and nerve damage, making it hard for wounds to heal and increasing the risk of infection. The goal of diabetic limb salvage is to treat these conditions effectively, prevent the progression of damage, and maintain as much function of the foot and leg as possible. Various treatments are used, including surgery to improve blood flow, removing infected or dead tissue, and reconstructing the foot if necessary. Diabetic limb salvage is a team effort that includes podiatrists and other specialists working together to create a personalized treatment plan. This approach can not only help save the limb but also significantly improve the patient's quality of life and independence. It is suggested that you add a podiatrist to your care team if you are a diabetic patient experiencing wound healing issues. 

Limb salvage can be an effective way in preventing the need for limb amputation. If you have diabetes, cancer, or any other condition that could lead to foot amputation if left unchecked, consult with Andrew Katz, DPM from Allcare Foothealth Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

What Is Limb Salvage?

Limb salvage is the attempt of saving a limb, such as the foot from amputation. Podiatrists also try to make sure that there is enough function in the foot after the salvage that it is still usable. Diabetes is the number one cause of non-traumatic amputations in the United States. Those with diabetes experience poor blood circulation, which prevents proper healing of an ulcer. If the ulcer is left uncheck, it could become infected, which could result in the need for amputation.

However, there are other causes as well, such as cancer and traumatic injury. Links between higher mortality rates and amputation have been found. This translates into higher healthcare costs, and a reduced quality of life and mobility for amputees. Podiatrists have attempted to increase the prevalence of limb salvage in an attempt to solve these issues.

Diagnosis and Treatment

Limb salvage teams have grown in recent years that utilize a number of different treatments to save the infected limb. This includes podiatrists that specialize in wound care, rehabilitation, orthotics, and surgery. Through a combination of these methods, limb salvage has been found to be an effective treatment for infected limbs, and as an alternative to amputation. Podiatrists will first evaluate the potential for limb salvage and determine if the limb can be saved or must be amputated. 

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

Regular walking, with many people aiming for 10,000 steps a day, is beneficial for foot health, joint function, and overall mobility. Walking strengthens foot and ankle muscles, improves circulation, and enhances joint flexibility, reducing the risk of foot problems and arthritis. It also helps maintain a healthy weight, alleviating pressure on the feet, and preventing conditions like plantar fasciitis. Podiatrists play a vital role in guiding individuals toward safe walking routines. They assess foot biomechanics, recommend suitable footwear, and provide tailored exercise plans. Additionally, podiatrists detect early signs of foot issues and intervene promptly, ensuring optimal foot health. Incorporating regular walking, under a podiatrist's guidance, promotes healthy feet, joints, and overall mobility, whether reaching for 10,000 steps or simply embracing a more active lifestyle. If you want healthier feet and joints through a regular walking routine, it is suggested that you schedule an appointment with a podiatrist for guidance.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Andrew Katz, DPM from Allcare Foothealth Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

Diabetes can lead to various foot problems due to its effects on circulation and nerve function. Peripheral neuropathy, a common complication of diabetes, causes numbness, tingling, or loss of sensation in the feet, increasing the risk of injuries going unnoticed. Poor circulation can impair wound healing, leading to infections and ulcers. To give themselves the best chance of maintaining healthy feet, individuals with diabetes should prioritize proper foot care. This includes daily inspection for any cuts, blisters, or changes in skin color or temperature, wearing well-fitted shoes and socks, and keeping blood sugar levels under control. Regular visits to a podiatrist are important for diabetic foot care. Podiatrists can perform comprehensive foot exams, provide guidance on preventive measures, such as proper nail trimming and callus removal, and offer treatment for foot conditions, including wound care, infection management, and custom-made orthotic devices to alleviate pressure points. If you have diabetes, it is strongly suggested that you are under a podiatrist’s care to prevent and manage diabetic foot problems.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Andrew Katz, DPM from Allcare Foothealth Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

• Routinely inspect your feet for bruises or sores.
• Wear socks that fit your feet comfortably.
• Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

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

Finding the cause of cold feet is important for both comfort and overall health. While environmental factors may contribute to occasional coldness in the extremities, persistent cold feet could indicate underlying issues. One major issue is poor circulation, often linked to heart conditions, sedentary lifestyles, or smoking. Iron-deficiency anemia is another common cause of cold feet, necessitating dietary changes and supplementation. Diabetes, particularly types 1 and 2, can lead to cold feet from nerve damage, underscoring the importance of blood sugar management. Further, hypothyroidism, peripheral vascular disease, Raynaud’s phenomenon, and arteriosclerosis can all contribute to cold feet. If you are experiencing recurrent cold feet or associated symptoms, like numbness or tingling, it's suggested that you make an appointment with a podiatrist for an evaluation, diagnosis, and treatment options. 

Poor circulation is a serious condition and needs immediate medical attention. If you have any concerns with poor circulation in your feet contact Andrew Katz, DPM of Allcare Foothealth Center. Our doctor will treat your foot and ankle needs.

Poor Circulation in the Feet

Poor blood circulation in the feet and legs is can be caused by peripheral artery disease (PAD), which is the result of a buildup of plaque in the arteries.

Plaque buildup or atherosclerosis results from excess calcium and cholesterol in the bloodstream. This can restrict the amount of blood which can flow through the arteries. Poor blood circulation in the feet and legs are sometimes caused by inflammation in the blood vessels, known as vasculitis.

Causes

Lack of oxygen and oxygen from poor blood circulation restricts muscle growth and development. It can also cause:

• Muscle pain, stiffness, or weakness 
• Numbness or cramping in the legs
• Skin discoloration
• Slower nail & hair growth
• Erectile dysfunction

Those who have diabetes or smoke are at greatest risk for poor circulation, as are those who are over 50. If you have poor circulation in the feet and legs it may be caused by PAD and is important to make changes to your lifestyle in order to reduce risk of getting a heart attack or stroke. Exercise and maintaining a healthy lifestyle will dramatically improve conditions.

As always, see a podiatrist as he or she will assist in finding a regimen that suits you. A podiatrist can also prescribe you any needed medication. 

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

Ainhum is a rare condition characterized by the spontaneous development of a constricting band around the base of the fifth toe. This can lead to progressive constriction, tissue loss, and eventual auto-amputation if left untreated. Podiatrists play a vital role in diagnosing and managing ainhum. They can provide early intervention by carefully monitoring the condition and relieving pressure on the affected toe. These foot doctors can offer treatments, such as surgical release of the constricting band or orthotic devices to alleviate discomfort and prevent further tissue damage. Podiatrists also can educate patients about proper foot care techniques and regular monitoring to detect any changes in the condition early on. If you notice a ring around one of your toes with a squeezing sensation, it is strongly suggested that you make an appointment with a podiatrist for a timely diagnosis and immediate treatment.

Some foot conditions may require additional professional care. If you have any concerns, contact Andrew Katz, DPM of Allcare Foothealth Center. 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 Palmdale, CA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

If one of your toe joints points upward instead of lying flat, it might indicate a condition known as hammertoe, where weakened toe muscles exert pressure on tendons and joints. This deformity can hinder walking and limit certain activities. Early intervention and preventive measures can help to avoid complications. Hammertoes affect the proximal interphalangeal joint, or PIPJ, causing the middle joint to flex upward. Ill-fitting shoes, especially those with narrow fronts or high heels, commonly trigger this condition. Rheumatoid arthritis or bunions can also contribute. Treatment includes wearing properly sized shoes and using splints or orthotic inserts. Surgery may be necessary for severe cases. Home exercises like toe stretches can help alleviate symptoms. Prioritize footwear comfort to prevent hammertoes and bunions from forming due to prolonged pressure on the toes. If you have a hammertoe that is causing you discomfort, it is suggested that you make an appointment with a podiatrist for an examination and relief methods.

Hammertoes can be a painful condition to live with. For more information, contact Andrew Katz, DPM of Allcare Foothealth Center. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

• Painful and/or difficult toe movement
• Swelling
• Joint stiffness
• Calluses/Corns
• Physical deformity

Risk Factors

• Age – The risk of hammertoe increases with age
• Sex – Women are more likely to have hammertoe compared to men
• Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
• Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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