- Warts
- ArthritisArthritis is a condition in which the joints become inflamed, swollen, stiff, and painful. There are many different types of arthritis that can affect the joints of the feet and ankles. The two most common forms are osteoarthritis and rheumatoid arthritis.
- Plantar FasciitisAmong heel issues one might suffer, plantar fasciitis is one of the most common, and is particularly prominent among middle-aged people. The condition is caused when the ligament that supports the foot’s arch is strained. Repeated straining can lead to tiny tears in the ligament, followed by pain and swelling. Dr. Aslmand utilizes gait training techniques and encourages anti-inflammatory and passive stretching by patients to avoid episodes of plantar fasciitis, as well as shoe modification and taping to stabilize the foot and alleviate stress on the plantar fascia ligament.
- CryotherapyThere are a variety of treatment methods for plantar warts, including topical medications, laser therapy, cryotherapy, acid treatments, or removing the wart through surgery. You can prevent plantar warts by wearing shoes when walking in public spaces such as pools and locker rooms. Keeping your wart covered can help you avoid spreading it to other people.
- Medical Weight LossEPAT has never been tested on pregnant patients, so EPAT is best avoided by expectant mothers. If you are a new parent, you should wait to be treated for at least 3 months after delivering your baby, as your foot pain may subside after weight loss and when your hormone levels return to normal.
- Pediatric CareWe offer comprehensive foot and ankle care with a focus on sports medicine and innovative treatments such as FDA-approved Extracorporeal Pulse Activation Technology (EPAT®), Lapiplasty® 3D Bunion Correction, non-surgical heel pain treatment, endoscopic heel surgery, and cutting edge therapies to boost the body’s own natural healing mechanism. Dr. Aslmand is also an expert in diabetic foot and wound care, pediatrics, biomechanics of gait, and he treats many patients for both traumatic and non-traumatic (overuse) injuries.
- Diabetic Foot Care
- Diabetes Care
- UltrasoundUltrasound gel is applied on the skin of the area to be treated. The pressure waves are then delivered using a special applicator tip which is moved over the injured area.
- X-Rays
- Wound CareA podiatrist, or doctor of podiatric medicine (DPM), is a medical professional who specializes in treating ailments of the feet and ankles. Podiatrists complete four years of study in podiatric medical school, followed typically by three years of residency training in hospitals or clinics. After finishing this training, podiatrists have to pass various exams to become fully certified. Some podiatrists also gain additional specializations in areas such as podiatric surgery or diabetic wound care. Their in-depth education makes these doctors experts on the various foot and ankle problems that may affect their patients.
- Ankle SurgeryFoot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include...
- Bunion SurgeryBeing able to walk in a surgical boot, as opposed to being completely non-weight bearing (in a cast with scooter or crutches) for 6-8 weeks, means that you will be getting back to a better quality of life faster; may return to most occupations more quickly; and will be less inconvenienced by bunion surgery.
- Joint ReplacementArthritis, which can affect the joints of the feet and ankles, can be treated surgically as well. Joint replacement surgery may be suggested for joints in the feet or the ankle joints if the arthritis is severe and significantly impacts your mobility. Systemic diseases, like diabetes, poor circulation, and peripheral neuropathy, can damage the lower limbs. When these conditions are left undiagnosed, untreated, or are poorly managed, lower limb problems often occur. Infected and poorly healing foot wounds, for example, are frequently seen among people with diabetes. When these wounds progress, surgery may be needed to remove damaged tissue and save the limb from amputation.
- BunionsBunions can be diagnosed by a podiatrist through physically examining the foot. Sometimes, an X-ray may also be ordered to assess the extent of the deformity. Conservative treatments, such as wearing shoes with a wide toe box or custom orthotics, padding the bunion, and resting and icing the foot can stop the bunion from worsening. Surgery may be recommended to correct more severe bunions. If you have bunions, please see a podiatrist for treatment.
- Heel Surgery
- Ingrown ToenailsMost ingrown toenails are caused by improper trimming of the nails. Trimming your nails into a rounded shape or cutting them too short can lead to ingrown toenails. When trimming the toenails, it is suggested that you use nail clippers to trim the nails straight across. The nails’ length should be roughly even with the tips of your toes. Wearing shoes that are too tight and narrow in the toes can also lead to ingrown nails, as the tight shoes compress your toes and can cause the nails to dig into the skin. To avoid this, opt for shoes with a wide toe box.
- Reconstructive SurgerySports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.
- CornsCorns are hardened bumps of skin that can appear on your feet. You may get corns in response to friction from your shoes rubbing against an area of skin, being on your feet for prolonged periods of time, walking barefoot, or as a consequence of structural or biomechanical deformities in your feet. Corns get their name from their physical appearance, which is similar to a corn kernel. Much like a corn kernel, a foot corn is rough, yellowish, and bumpy.
- UlcerThe affected joint is initially immobilized in a cast. They may still permit ambulation but this should be limited for best results. If there is ulceration the cast must be changed weekly for ulcer evaluation and debridement. Plain x-rays every month help evaluate progress. The cast is usually on for 3 to 6 months.
- CallusesCallus is thickening of the skin usually in response to pressure. Callus usually forms on the ball of the foot and the heel. It may, however, form over any bony prominence. Calluses may develop from shearing force on the bottom of the feet or sometimes they have a deep seated “core”, known as a nucleation. This type of callus can be exquisitely painful to pressure and needs to be treated properly by a professional.
- FungusAthlete’s foot is a contagious fungal infection of the skin of the feet - and it can affect more than just athletes. It is spread by contact between the skin of the feet and fungus, which can get in through tiny cracks in the skin. The fungus may be spread from walking on an infected surface or sharing personal items like shoes, socks, or towels with an infected individual. Fungi thrive in warm, moist environments like communal showers, locker rooms, and public swimming pools, so it is suggested that you wear shoes when walking in these areas to avoid direct contact with the fungus.
- PsoriasisMildly cracked heels are generally not a serious foot condition unless they develop into fissures, which may bleed and become infected. Cracked heels are caused by standing on hard or uneven surfaces for most of the day, or from wearing shoes that do not have a back. Flip-flops fall into this category, and it is beneficial to limit wearing these types of shoes. Patients who have existing medical conditions, such as psoriasis, diabetes, or a thyroid disorder, may be prone to getting cracked heels. One of the first signs that cracked heels may be developing is the hard, thickened skin surrounding the heel. This is referred to as a callus and can be yellow or brown in color. Cracks can form over the callus and can become worse when pressure of standing or running is exerted. Effective prevention methods can include washing and drying the feet daily, followed by applying a good moisturizer on them. If you have cracked heels that are causing problems, it is suggested that you speak with a podiatrist who can successfully treat this condition.
- Sports MedicinePedram Aslmand is a board-certified podiatric physician and surgeon with 23 years of experience practicing in Long Beach, CA. He has specialties in biomechanics of gait, pediatrics and sports medicine. He is also the founder of Advanced Foot and Ankle Center, a “Podiatric Group of Excellence” in Long Beach, CA.
- Physical TherapyTreatment for plantar fasciitis is usually conservative and begins with resting and icing the affected foot, stretching, taking anti-inflammatory medications, and wearing comfortable and supportive shoes. If the pain persists, your doctor may suggest padding, taping, or strapping the affected foot, wearing orthotics, a night splint, or a cast, corticosteroid injections into the foot, and physical therapy. If these treatment methods do not produce results, surgery can be considered.
- Occupational Therapy
- Flatfoot Correction
- Heel Pain
- Ankle SprainSprained ankles are a common podiatric injury. While athletes often suffer from sprained ankles sustained while playing sports, any sudden twisting, turning, or rolling of the ankle at an awkward angle can lead to an ankle sprain. Risk factors that increase your likelihood of an ankle injury include walking or running on uneven surfaces, having a poor physical condition, wearing high heels, and having a history of prior ankle injuries.
- Orthotics and Prosthetic Therapy
- General PodiatryTo ensure your convenience, below is the information you need about our podiatry office, including our hours, location, appointment scheduling and insurance acceptance.
- Achilles TendonitisAchilles tendon injuries are typically the result of overuse — a sudden increase of a repetitive activity that puts excess stress on the tendon. Activities that can lead to overuse injuries include running, jumping, playing certain sports, and working in a standing position for prolonged periods of time. People who have flat feet or an abnormal gait may also be more likely to develop Achilles tendon issues as their foot structure and walking pattern can put greater stress on the tendon.
- Ankle InstabilityWhen your ankle is sprained, the ligaments that support the ankle joint and connect the bones to each other are overstretched or torn. This can result in symptoms such as ankle pain, tenderness, swelling, bruising, a restricted range of motion, and ankle instability. It may become difficult or even impossible to walk, and without taking time to fully recover, repeated ankle sprains are more likely to occur.
- Ankle SprainAlthough the majority of foot and ankle conditions can be treated with conservative measures, there are cases when surgical intervention can be suggested or necessary to relieve symptoms and restore function. A variety of foot and ankle injuries, deformities, diseases, and systemic conditions that affect the lower limbs can be treated surgically. Whether or not surgery may benefit you is dependent on the problem and its duration, as well as its severity.
- Arthritic Foot Care
- Bunions ProblemsA bunion is a common foot deformity characterized by a bony bump appearing at the base of the big toe joint. This bump tends to progressively worsen over time if left untreated, growing larger and pushing the big toe out of alignment. Beyond altering the physical appearance of the feet, bunions can also become painful, swollen, tender, and inflamed, making wearing shoes and walking uncomfortable.
- Calluses
- Diabetic Foot CareAdvanced Foot & Ankle Center is available to treat foot and ankle ailments such as diabetic foot care, ingrown toenails, fungal toenails, warts and painful calluses. Our practice specializes in general foot care.
- Flat FeetFlat feet, also known as fallen arches, can cause discomfort and impact your overall foot mechanics. While nonsurgical treatments such as wearing orthotics, can provide moderate relief, some cases may require surgical intervention. Surgical procedures aim to correct the structure of the foot and restore its natural arch. One common approach involves realigning the bones to improve arch height. Another technique focuses on repairing or transferring tendons that can enhance arch support. The decision to undergo flat feet surgery should be well considered by taking into account the severity of the condition, lifestyle, and medical history. Recovery and rehabilitation are crucial for optimal results. Consulting a podiatrist is vital in determining whether surgical intervention is the best path to help you regain comfort and mobility. If you have flat feet, it is strongly suggested that you contact this type of doctor who can guide you toward the treatment that is right for you.
- Fungus ToenailsOnychomycosis, or fungal infection of the toenails, is a very common condition. The fungi that cause this infection live and thrive in warm and moist environments. Unfortunately, this makes the feet and toenails an ideal home for them. Toenail fungus is highly contagious and can be contracted from walking barefoot in places like public pools and communal showers, sharing personal items like towels and shoes, and coming into direct contact with an infected person.
- Geriatric Foot Care
- HammertoesHammertoes are thought to be caused by a muscle imbalance in the toes, which puts increased pressure on the toe’s tendons and joints. This muscle imbalance may be caused by genetic differences in the structure of your foot, wearing shoes that are too tight, small, or narrow, have no arch support, or have excessively high heels, neuromuscular diseases, and injury to the toes.
- Heel SpursHeel spurs are deposits of calcium that build upon the underside of the heel bone. They are usually caused by excessive strain on the foot muscles and ligaments and are especially common among athletes. Other risk factors for developing heel spurs include being overweight or obese, wearing ill-fitting shoes, and having an abnormal gait or walking pattern.
- Heel PainFor patients in the Long Beach area who are currently suffering with heel pain, the Advanced Foot & Ankle Center is proud to offer one of the latest non-surgical procedures for the relief of this oft-incapacitating condition.
- Foot Pain
- Foot InfectionsA podiatrist can help you by diagnosing, treating, and managing conditions such as ingrown toenails, blisters, warts, corns and calluses, bunions, hammertoes, flat feet, foot infections, excessive sweating, foot and ankle pain, acute and chronic injuries, arthritis, diabetic neuropathy, and peripheral artery disease. Podiatrists can also teach you about proper foot hygiene, how to maintain good foot health, and how to avoid injuries. These doctors can prescribe medications, orthotics, and various other treatments for all of your foot and ankle needs.
- Ingrown ToenailsIngrown toenails occur when the edge of a nail grows into the surrounding skin, rather than over it. This can cause symptoms such as redness, swelling, pain, and tenderness of the surrounding area. In more severe cases, the area can become infected and lead to bleeding, oozing of pus, and fever, among other symptoms.
- Foot Injuries
- MetatarsalgiaDescribing the location and type of foot pain that you are experiencing is the key to an accurate diagnosis. Pain in the heel is often caused by plantar fasciitis, Sever’s disease, bursitis, Achilles tendonitis, a heel spur, or a stress fracture. Pain in the middle of the foot may be due to an overuse injury, stress fracture, sprains, flat feet, or arthritis. Pain in the front of the foot is frequently the result of a sprained or broken toe, Morton’s neuroma, bunions, hammertoes, or metatarsalgia. Stinging, burning, or numbness may be indicative of damage to one or more nerves in the feet. Stabbing or sharp pain may be caused by an acute injury. Stiffness and a reduction are usually characteristic of a joint problem, such as arthritis.
- Foot NeuromaIf you find yourself feeling as though you are walking on a pebble in your shoe, only to check and find no pebble there, then you may have Morton’s neuroma. Morton’s neuroma is a foot condition in which the nerve tissue between the toes thickens, causing symptoms such as pain, tingling, burning, numbness, and the feeling of something being stuck in the ball of the foot. The symptoms may come on gradually, go away temporarily, and then return, progressively worsening over time.
- Foot OrthoticsOur office is clean and modern, with many technological advancements such as in-office X-rays, a surgical suite for minor procedures, and custom foot orthotics and gait analysis capabilities. Yet, we focus on providing good, old fashioned, personalized patient care and customer service. For urgent cases, we can accommodate same day or next appointments and we offer 24 hour emergency services for all foot and ankle conditions such as sprains, strain fractures, infections, and more.
- Pediatric Foot Care
- Plantar FasciitisPlantar fasciitis is a condition in which the plantar fascia, the ligament that runs along the bottom of the foot and connects the toes to the heel bone, becomes inflamed. This most often occurs due to overuse, or repetitively doing activities that put excessive strain on the plantar fascia. Unsurprisingly, plantar fasciitis is a common injury among runners and other athletes. Other possible causes for plantar fasciitis include wearing unsupportive shoes and standing for prolonged periods of time. People who are obese, have flat feet, abnormally high arches, or are pregnant may be at an increased risk of developing this condition.
- Podiatric DeformitiesA variety of foot conditions can warrant a custom orthotics prescription. Pain from chronic foot injuries, such as plantar fasciitis or a stress fracture, can be helped by wearing cushioning, or supportive orthotic inserts in your shoes. Symptoms from common foot deformities such as bunions and hammertoes can also be managed, and the progression of the disorders stopped or slowed down, by wearing orthotics. Foot structure abnormalities, like flat feet or high arches, can cause discomfort while walking or standing, which can be alleviated with orthotics. An abnormal gait, for example, one in which your feet turn too far inwards while walking, can also be corrected with custom orthotics.
- Podiatric SurgeryN general foot surgery should be the last option in any foot related condition. However there comes a time that conservative treatment fails and one should think about this option. Our office is in the forefront of new technologies and advancements in medicine and surgery. We pride ourselves for being able to have patients return to their regular activities as soon as possible. recently there has been a lot of buzz about “cosmetic foot surgery”. Although we strongly condemn surgical procedures on healthy feet for the reason of wearing smaller or narrower shoes, we believe all “non-cosmetic” surgeries should have a cosmetic result. The art of balancing function with appearance is important and we strive to perform this task on every procedure.