Custom Orthotics and Achilles Pain

Custom Orthotic Devices can be a crucial adjunct in the treatment of achilles tendon problems.

The achilles tendon, like the patellar tendon and the hamstrings, are primarily sagittal plane movers. The more you put them in the center, not deviated in the transverse and frontal planes, the better they work.

Designing custom orthotics that hold the heel near subtalar neutral and tibial-calcaneal neutral, can have great influence on achilles rehabilitation.

These 3 images below emphasize the pull of the achilles when the heel to leg alignment is (left to right): heel everted to the leg (achilles contracting with a potentially twisted alignment), heel centered to the leg (best position for sagittal plane motion), and the heel inverted to the leg (also twisted while contracting).

The achilles is the strongest tendon in the body, and therefore asked to move heavy loads (up to 11x body weight). How can we help this tendon out, as our athletes require it to perform great tasks? We can measure flexibility, and keep the tendon from being too tight or too loose. We can measure its strength (typically by the ability of one-sided straight knee and bent knee heel raises), and encourage the maintenance of optimal tone. We can design orthotic devices with the emphasis on subtalar neutral positioning. We can encourage shoes with good heel lift for stressful activities (10 mm heel drop or more).

Having the right orthotic can save you from deteriorating knee arthritis that could lead you to knee surgery and replacement one day.

Call Dr. Sara Shirazi, Foot and Ankle Specialist, Surgeon, and Podiatrist today for an evaluation at 626-517-0022.

Laser Treatment for Nail Fungus

Fungal nail infections, also known as onychomycosis, are a common and persistent problem for many people. They can cause the nails to become discolored, thickened, and brittle, and may even lead to pain and discomfort. They also make the nails more prone to becoming ingrown. While there are several treatment options available, laser treatment for fungal nails has gained popularity in recent years due to its effectiveness and non-invasive nature. Many people are not good candidates for oral therapy and the topical treatments are often ineffective on their own.

If you are interested in learning more about laser treatment for fungal nails, be sure to consult with Dr. Sara Shirazi at Pasadena Orthopedics today! 626-517-0022

What is Laser Treatment for Fungal Nails?

Laser treatment for fungal nails involves the use of a specialized laser that emits energy in the form of light to target and destroy the fungi responsible for the infection. The laser is directed at the affected nail and heats it to a temperature that is lethal to the fungus, while leaving the surrounding tissue unharmed. The procedure typically takes 20-30 minutes for both feet, and is performed in a doctor's office. There is no down-time post treatment and you may return to full activity. The only ask is that you bring a fresh pair of socks to the appointment! If you prefer a consultation prior to treatment, Dr. Shirazi would be happy to go into detail what laser treatment entails and answer all your questions prior to treatment.

Benefits of Laser Treatment for Fungal Nails

One of the biggest advantages of laser treatment for fungal nails is its high success rate. According to studies, laser treatment can achieve a clearance rate of up to 90% in some cases, making it a highly effective option for those who have not responded well to other treatments such as topical antifungal medications or oral medications.

In addition, laser treatment is a non-invasive procedure that does not require any anesthesia or incisions, which means that patients can return to their normal activities immediately after the treatment. There is also no pain or discomfort associated with the procedure, and the risk of side effects is very low. This is even a safe therapy in pregnant patients!

Finally, laser treatment is a quick and convenient option for those with busy schedules, as it only requires a single session to be effective. This is in contrast to other treatments, which may require multiple visits to the doctor's office or ongoing use of medications. Dr. Shirazi does recommend a 6 month touch up to maintain clearance of the fungus on a long-term basis.

Potential Drawbacks of Laser Treatment for Fungal Nails

While laser treatment for fungal nails is generally safe and effective, there are some potential drawbacks to consider. One is the cost of the procedure, which is not covered by insurance.

Another consideration is that laser treatment may not be effective for everyone. While the success rate is high, there is still a small chance that the infection may persist or recur after treatment.

In conclusion . . . .

Overall, laser treatment for fungal nails is a highly effective and convenient option for those who are struggling with persistent nail fungus or ingrown toenails secondary to thickened nails. It offers a non-invasive and pain-free alternative to other treatments, and can achieve a high rate of success in just a single session. While it may not be suitable for everyone (such as neuropathic diabetics), it is certainly worth considering as a potential solution for those seeking relief from fungal nail infections. If you are interested in learning more about laser treatment for fungal nails, be sure to consult with Dr. Sara Shirazi at Pasadena Orthopedics today! 626-517-0022

Neuroma

Morton’s neuroma is a painful foot condition that affects the nerves that run between the toes, most commonly between the third and fourth toes. However, a neuroma CAN effect other webspaces as well. This condition can cause a range of symptoms, including pain, tingling, numbness, sensation of a pebble in the shoe, and burning sensations in the affected area. Morton’s neuroma is caused by the thickening of the tissue surrounding the nerves in the foot, which can compress and irritate the nerves, leading to the symptoms of the condition.

Morton’s neuroma is most commonly seen in women, and is often caused by wearing high heels or tight-fitting shoes that put pressure on the toes. Other contributing factors can include foot injuries, certain foot deformities, and repetitive stress on the foot. Symptoms of Morton’s neuroma can be aggravated by activities that involve standing or walking for prolonged periods of time.

Treatment for Morton’s neuroma typically begins with conservative measures, such as wearing properly fitting shoes with plenty of room in the toe box and using orthotics or shoe inserts to help distribute pressure evenly across the foot. Over-the-counter pain medications, platelet rich plasma injections (PRP) or corticosteroid injections may also be used to help alleviate pain and inflammation.

In more severe cases, surgery may be necessary to remove the thickened tissue around the nerve, or to release the nerve from compression. However, surgery is generally considered a last resort, and most cases of Morton’s neuroma can be effectively managed with conservative treatments.

Preventing Morton’s neuroma involves taking proactive steps to protect the feet. This includes wearing properly fitting shoes with plenty of room in the toe box, avoiding high heels or tight-fitting shoes, and using arch supports or orthotics to help distribute pressure evenly across the foot. Stretching exercises can also help improve foot flexibility and reduce the risk of developing Morton’s neuroma.

In conclusion, Morton’s neuroma is a painful foot condition that can be caused by a variety of factors, including footwear choices, foot injuries, and repetitive stress on the foot. If you are experiencing foot pain or have concerns about your foot health, consult with a podiatrist to receive the care you need. With proper treatment and preventative measures, Morton’s neuroma can be effectively managed, allowing you to enjoy a pain-free, active lifestyle. Call Pasadena Orthopedics to see a specialist today.

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