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When we think of a podiatrist, we tend to think of a doctor that treats fractures, ingrown nails, bunions, neuromas and performs foot and ankle surgery. But did you know, podiatrists can also treat several dermatology issues related to your feet?



Just some of the most common issues treated include: Dermatitis, Athlete’s Foot, Melanomas, Warts and Venous Stasis Dermatitis.

Dermatitis What is it? Dermatitis is a very common condition resulting in inflammation of the skin. Causes/Symptoms: Dermatitis can occur when you have contact with a substance that causes an allergic reaction, such as, lotions, adhesives, nickel, poison ivy and even medications. Treatment: Treatment includes a prescription for topical steroids or moisturizers. Dr. Shirazi will also want to determine the cause for your allergic reaction and eliminate exposure.

Athlete’s Foot (tinea pedis) What is it? Athlete’s Foot is a fungal infection that usually occurs between the toes but can also affect other areas of the foot. Causes/Symptoms: Fungus thrives in warm, damp environments, which are commonly found inside your shoe, around pools and showers. Symptoms include: dry skin, peeling skin, itching, burning, swelling and blisters. Treatment: Treatment includes a prescription for an anti-fungal, as well as, encouragement to keep your feet dry, and to wear proper footwear around pools and in public places like showers.

Melanomas of the Foot What is it? “Melanoma is a cancer that begins in the cells of the skin that produce pigmentation (coloration). ” It can occur on your skin, but also be present in your finger nail or toe nail bed. Causes/Symptoms: Most cases are caused by too much exposure to ultraviolet rays from the sun or tanning beds, but can also come from exposure to radiation. Signs to look for on your skin ABCDs of melanoma: Asymmetry- one half of the spot is different in shape than the other half. Border- border is irregular. The edge/ border is typically ragged, notched or blurred Color- Mix of colors or hues are present. It is not uniform in color. Diameter- Melanoma grows, whereas moles will remain small. A spot larger than a pencil eraser is cause for concern.

Signs to look for on your nail bed: A pigmented band, the length of your nail, that does not grow out with your nail. Overtime it can become wider, the color can change throughout the band, development of a nodule can occur, or may even cause the nail to crack. Treatment: Treatment begins with examining area of concern and then taking a biopsy. If biopsy determines the area to be cancerous, your podiatrist will recommend the best course of treatment.

Warts What is it? Warts are a viral infection caused by the humanpapiloma virus (HPV). They are often mistaken as corns or calluses. They are also often mistreated altogether - often times by other doctors. They occur when HPV enters the skin through a small cut or abrasion. Children and teenagers are more susceptible to getting warts, than adults. Causes/Symptoms: Warts are spread by touching, scratching or contact with skin shed from another wart. If left untreated, wart clusters can form. Warts look like small rough growths on your skin. Treatment: If self-care approaches have not helped, Dr. Shirazi can provide you with a few different treatment options including the latest advancements and most effective treatments. Cryotherapy is no longer first-line treatment!

Venous Stasis Dermatitis What is it? Venous Stasis is when the veins in the leg are no longer properly carrying blood back to the heart. This also results in blood building up in the feet, ankles and legs. “The pigmentation from the red blood cells stains the skin from the inside, and a reddish-brown discoloration develops on the skin, which is called Venous Stasis Dermatitis (VSD). ” Causes/Symptoms: Venous Stasis is when the veins in the leg are no longer properly carrying blood back to the heart. This also results in blood building up in the feet, ankles and legs. “The pigmentation from the red blood cells stains the skin from the inside, and a reddish- brown discoloration develops on the skin, which is called Venous Stasis Dermatitis (VSD). ” Early symptoms of VSD include: -heaviness or aching when you stand or walk for extended periods of time. -swelling at the ankle at the end of the day. -varicose veins -skin is itchy, dry, red or sore

Symptoms as VSD progresses include: -swelling beyond the ankle -dry cracked skin -red to violet colored open sores -shiny skin Treatment: Types of treatment include: -compression socks -mechanical compression to help move fluid away from the leg -corticosteroid creams -vein surgery to repair damaged veins (such as placement of a stint) If you think you are experiencing a dermatological issue related to your foot or ankle, call Dr. Shirazi today. Try not to wait on a skin issue that is causing you discomfort or concern.


Pasadena Orthopedics

959 E. Walnut Street Suite 220

Pasadena CA 91106

Phone: 626-517-0022.


 

Dr. Sara Shirazi employs the latest techniques and advancements in foot and ankle surgery for her patients. She strongly believes in early weight bearing to get the active patient back on their feet as soon as it is safe to do so. Non-weight bearing for 6-8 weeks is a thing of the past!


Early ambulation prevents most common post-operative issues such as stiffness, muscle loss, blood clots, limited mobility and range of motion, extended physical therapy course, and so on.


Contact Pasadena Orthopedics at 626-517-0022 to see if you are a candidate for minimally invasive bunion surgery.


















The Cycle of Chronic Ankle Instability

  • The initial inversion injury occurs: your foot suddenly rolls inwardly and your weight shifts onto the outside edge of your ankle

  • The forced rotation of your ankle joint causes the supporting ligaments to stretch or tear

  • Stretched and torn ligaments are weaker and may not heal properly

  • Unable to play their role supporting the ankle joint, your ligaments give way easily, resulting in more sprains

  • The result is chronic ankle instability and an unending cycle of ankle sprains

  • Over time, and without treatment, repeated injury to the ankle ligaments can lead to degenerative changes and possibly osteoarthritis

Progression of Instability, Pain, and Arthritis



So, you’ve been diagnosed with chronic ankle instability...Now what?

Know that chronic ankle instability is a long-term condition that may not heal on its own. Rest, ice, compression, non-weight bearing, physical therapy, and elevation may provide temporary relief of the pain from an ankle sprain, but they will not repair damaged ligaments. Once conservative treatment is exhausted, surgical repair may be necessary. InternalBrace is like a brace on the inside!

Ask Dr. Sara Shirazi if the InternalBrace ligament augmentation may be right for you - call (626) 517-0022.

Foot Massage

Treatment Methods

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