February 2022

Chronic venous insufficiency is a condition in which the walls and valves of veins in the lower limbs do not function properly. This causes excessive pooling of blood in the lower limbs, resulting in heaviness, tension, swelling, aching, and cramping in the lower legs. One way to diagnose chronic venous insufficiency is through a venous Doppler ultrasound, which uses sound waves to show what the blood flow in the lower legs looks like. Ultrasounds are fast, safe, painless, and provide a great deal of data to help your doctor determine the correct diagnosis and monitor the health of your lower limbs. For more information about chronic venous insufficiency, please consult with a podiatrist. 

Vascular testing plays an important part in diagnosing disease like peripheral artery disease. If you have symptoms of peripheral artery disease, or diabetes, consult with one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Vascular Testing?

Vascular testing checks for how well blood circulation is in the veins and arteries. This is most often done to determine and treat a patient for peripheral artery disease (PAD), stroke, and aneurysms. Podiatrists utilize vascular testing when a patient has symptoms of PAD or if they believe they might. If a patient has diabetes, a podiatrist may determine a vascular test to be prudent to check for poor blood circulation.

How Is it Conducted?

Most forms of vascular testing are non-invasive. Podiatrists will first conduct a visual inspection for any wounds, discoloration, and any abnormal signs prior to a vascular test.

 The most common tests include:

• Ankle-Brachial Index (ABI) examination
• Doppler examination
• Pedal pulses

These tests are safe, painless, and easy to do. Once finished, the podiatrist can then provide a diagnosis and the best course for treatment.

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

Joints predominantly connect bones with each other. Sesamoid bones, however, do not connect to other bones; they are small, oval shaped bones embedded within tendons. Sesamoid bones are found in the knees and hands, and two are located underneath the big toe joint of the foot. This pair of hardworking sesamoids plays a vital role in bearing weight and movement. Sesamoids help the big toe move and push off forcefully when walking and running, and they act as shock absorbers for the long metatarsal bone in the forefoot that attaches to the big toe. Physical activities such as football, basketball, running, tennis and ballet can apply excessive pressure on the ball of the foot and cause various injuries to the sesamoids and surrounding tissue and tendons. Sesamoiditis is one such injury. Sesamoiditis is a chronic inflammation of the sesamoid bones and tendons that can produce a fluctuating dull pain under the big toe joint. There are several types of treatment—both conservative and surgical (if necessary)—that your podiatrist can go over with you if you are diagnosed with sesamoiditis.

Sesamoiditis is an unpleasant foot condition characterized by pain in the balls of the feet. If you think you’re struggling with sesamoiditis, contact one of our podiatrists of Advanced Foot & Ankle Medical Center . Our doctors will treat your condition thoroughly and effectively.

Sesamoiditis

Sesamoiditis is a condition of the foot that affects the ball of the foot. It is more common in younger people than it is in older people. It can also occur with people who have begun a new exercise program, since their bodies are adjusting to the new physical regimen. Pain may also be caused by the inflammation of tendons surrounding the bones. It is important to seek treatment in its early stages because if you ignore the pain, this condition can lead to more serious problems such as severe irritation and bone fractures.

Causes of Sesamoiditis

• Sudden increase in activity
• Increase in physically strenuous movement without a proper warm up or build up
• Foot structure: those who have smaller, bonier feet or those with a high arch may be more susceptible

Treatment for sesamoiditis is non-invasive and simple. Doctors may recommend a strict rest period where the patient forgoes most physical activity. This will help give the patient time to heal their feet through limited activity. For serious cases, it is best to speak with your doctor to determine a treatment option that will help your specific needs.

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

Plantar warts, which may also be referred to as verrucae, grow on the soles of the feet or around the toes because of the Human Papilloma Virus (or HPV). This is a highly contagious virus that thrives in warm and moist environments, such as pools, locker rooms and communal showers. HPV is both contagious through person to person contact and simply by walking through the same floor area as someone who has a wart. When  plantar warts form, they will appear as a small growth with a tiny black dot in the center (usually dried blood), and they can be very painful. Plantar warts can grow as large as a centimeter in diameter, or can even form into a cluster of multiple warts. While plantar warts may be very painful, especially when pressure is applied, they are harmless. However, patients who are have a painful plantar wart, or recurring plantar warts, would be wise to schedule a visit with a podiatrist. 

Plantar warts can be very uncomfortable. If you need your feet checked, contact one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors will assist you with all of your foot and ankle needs.

About Plantar Warts

Plantar warts are the result of HPV, or human papillomavirus, getting into open wounds on the feet. They are mostly found on the heels or balls of the feet.

While plantar warts are generally harmless, those experiencing excessive pain or those suffering from diabetes or a compromised immune system require immediate medical care. Plantar warts are easily diagnosed, usually through scraping off a bit of rough skin or by getting a biopsy.

Symptoms

• Lesions on the bottom of your feet, usually rough and grainy
• Hard or thick callused spots
• Wart seeds, which are small clotted blood vessels that look like little black spots
• Pain, discomfort, or tenderness of your feet when walking or standing

Treatment

• Freezing
• Electric tool removal
• Laser Treatment
• Topical Creams (prescription only)
• Over-the-counter medications

To help prevent developing plantar warts, avoid walking barefoot over abrasive surfaces that can cause cuts or wounds for HPV to get into. Avoiding direct contact with other warts, as well as not picking or rubbing existing warts, can help prevent the further spread of plantar warts. However, if you think you have developed plantar warts, speak to your podiatrist. He or she can diagnose the warts on your feet and recommend the appropriate treatment options.

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

Multiple sclerosis (MS) is an autoimmune disease in which the immune system attacks and destroys otherwise healthy nerve cell linings in the brain and spinal cord. This impairs nerve function and causes symptoms throughout the body – including in the feet. Many people who have MS suffer from dysesthesia, or abnormal sensations in the skin. When dysesthesia affects the feet, you may experience symptoms ranging from a mild itching or burning sensation or pins and needles, to a severe feeling of the feet “being on fire” or “electrically shocked.” Despite any sensations of heat, the feet themselves will remain cool to the touch. This is because the burning sensations are caused by impaired nervous system functioning. Fortunately, there are things you can do to relieve pain, such as wearing special pressure socks. If you have MS, a podiatrist can help you manage your foot health. 

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with one of our podiatrists from Advanced Foot & Ankle Medical Center . Our doctors will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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