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Dr. Peter Awad, DPM

Podiatrist (Foot and Ankle Specialist)

Dr. Peter Awad is a podiatrist practicing in Hesperia, CA. Dr. Awad is a medical doctor specializing in the treatment of the foot , ankle and related parts of the leg. As a podiatrist, Dr. Awad diagnoses and treats conditions of the feet. The feet are key body parts that give a person stability, absorb shock, allow for walking and standing and are necessary for overall well-being. So, the feet need expert care. Podiatrists can specialize in surgery, wound care, sports medicine, diabetic care and pediatrics.
Dr. Peter Awad, DPM
  • Hesperia, CA
  • New York College of Podiatric Medicine
  • Accepting new patients

Are arch supports the only way to treat neuroma?

If the neuroma is inflamed and not responding to conservative treatment, an anti-inflammatory (ibuprofen, aleve, etc) or steroid injection may aid with pain relief. I would also READ MORE
If the neuroma is inflamed and not responding to conservative treatment, an anti-inflammatory (ibuprofen, aleve, etc) or steroid injection may aid with pain relief. I would also avoid tight fitting shoes and high heels, which are known to cause neuromas more aggravation.

What happens if I leave my ingrown toenail untreated?

Untreated ingrowing toenails can lead to an infection. It is always wise to have a medical professional evaluate it to guide you as to whether it needs to be treated. Conservatively, READ MORE
Untreated ingrowing toenails can lead to an infection. It is always wise to have a medical professional evaluate it to guide you as to whether it needs to be treated. Conservatively, soak your foot with Epsom salt and warm water and avoid tight fitting shoes until you can have it evaluated.

Is a bunion a bone growth?

A bunion is a biomechanical change that occurs in the foot the causes the first metatarsal (one of the bones in your foot) to shift out of alignment. This can be multifactorial READ MORE
A bunion is a biomechanical change that occurs in the foot the causes the first metatarsal (one of the bones in your foot) to shift out of alignment. This can be multifactorial with other etiologies some of which include genetics predisposition, possible bad shoe choices, and type of job/work performed over years. The "bump" seen is mostly the same bone, but with time as further shifting occurs and shoe gear rubs against the bump, sometimes you can develop a bit of hypertrophy of that particular bone. So, overall it is not considered bone growth, but rather a shifting of alignment of the bone.

How can I prevent heel pain?

There are multiple causes for heel pain, but the main etiology is usually inflammation of the plantar fascia (ligament on the bottom of the foot). Shoe selection is important with READ MORE
There are multiple causes for heel pain, but the main etiology is usually inflammation of the plantar fascia (ligament on the bottom of the foot). Shoe selection is important with this. I would veer towards platform type shoes more and possibly integrate a "harder" (tougher material) arch support in the shoes. You should also start stretching your calf muscle multiple times throughout the day and at the end of the day, take a frozen water bottle or tennis ball and roll your foot over it back and forth to release tension and tightness of the structures on the bottom of the foot. If the heel is too inflamed, I would suggest seeing a specialist for other treatment options to combat the inflammation.

What can I do for my dry and cracked heels?

There are many hydrating creams and lotions that can be used. Ideally, you do not want your feet to be overly dry and cracked as that may lead to fissures that can cause pain and READ MORE
There are many hydrating creams and lotions that can be used. Ideally, you do not want your feet to be overly dry and cracked as that may lead to fissures that can cause pain and be a portal of entry to infections. Look for Ammonium Lactate lotion/cream to use daily for the feet. If it does not work well, you may need a prescription for something prescription strength.

What can I do to prevent bunions?

One of the most important things to do is to pick the right shoes to wear. Generally, you will need a shoe that has a stiff sole and not narrow at the toe box. After surgery, it READ MORE
One of the most important things to do is to pick the right shoes to wear. Generally, you will need a shoe that has a stiff sole and not narrow at the toe box. After surgery, it is best to be fitted for custom orthotics to help control the biomechanics of your feet to prevent recurrence.

How are corns under a toenail removed?

A podiatrist will be able to examine it first and determine if it is a corn. Developing corns underneath the toenail is a relatively rare thing. Most often it is a buildup of fungal READ MORE
A podiatrist will be able to examine it first and determine if it is a corn. Developing corns underneath the toenail is a relatively rare thing. Most often it is a buildup of fungal organisms debris. In either case, I would take her to a podiatrist. They have the most appropriate tools to remove it in the most comfortable way.

I have pain in my ankle and it may need surgery. Will my diabetes make it difficult to heal my ankle?

Generally speaking, diabetes does slow down healing. With that being said, you will generally go through a pre-op workup prior to surgery to determine if your glycemic control READ MORE
Generally speaking, diabetes does slow down healing. With that being said, you will generally go through a pre-op workup prior to surgery to determine if your glycemic control is adequate for surgery or not. If your A1C levels are below a certain threshold, your recovery would likely not be impacted very much.

What is the best way to clean your feet when you have diabetes?

It is very important to wash feet as you would normally do, with soap and water. The most important part to remember is to dry very well between the toes, which tends to be one READ MORE
It is very important to wash feet as you would normally do, with soap and water. The most important part to remember is to dry very well between the toes, which tends to be one of the most common areas where people develop maceration and infections.

What is the cause of my foot pain?

Due to the duration of your symptoms and history of borderline diabetes, there may be a systemic component that is causing the pain. Many of the diabetic population develop similar READ MORE
Due to the duration of your symptoms and history of borderline diabetes, there may be a systemic component that is causing the pain. Many of the diabetic population develop similar symptoms, usually pointing to a condition known as peripheral neuropathy. With that being said, your description is a bit abnormal due to the distribution of your pain. I would recommend a face to face evaluation by a podiatrist first to make sure there are no other biomechanical factors playing a role in the pain you are feeling. If everything else is ruled out, a prescription for neuropathy specific medication would help relieve your pain.

Should I see a podiatrist for my feet If I have diabetes?

Yes, diabetes has many effects on your feet and you should be seeing a podiatrist regularly.

Should I stay away from pedicures?

Many people to to pedicurists, but the key is finding a place that is clean and sterilizes their instruments properly. With that being said, avoiding pedicures is an ideal way READ MORE
Many people to to pedicurists, but the key is finding a place that is clean and sterilizes their instruments properly. With that being said, avoiding pedicures is an ideal way to avoid infection.

I have an ingrown toenail. How would it be removed?

The usual procedure done by a podiatrist will involve local anesthesia to the affected toe, removal of the offending border(s), and application of an acid to stop the borders from READ MORE
The usual procedure done by a podiatrist will involve local anesthesia to the affected toe, removal of the offending border(s), and application of an acid to stop the borders from growing again. This is a permanent procedure and is relatively painless with an easy recovery.

I have a small growth around my ankle. Could it be serious?

Any recently noticed mass can be harmful. Many masses of the foot and ankle are benign in nature, but there is no way of knowing for sure without an evaluation. I recommend you READ MORE
Any recently noticed mass can be harmful. Many masses of the foot and ankle are benign in nature, but there is no way of knowing for sure without an evaluation. I recommend you have it evaluated by a specialist to rule out malignancy.

How are ingrown toe nails removed?

The best treatment is to have them permanently removed by a podiatrist. It is a relatively painless procedure with an easy recovery.

What should I do to prevent my feet from hurting in the snow?

Properly insulated shoes is important for the temperature change during snow. Proper stability and support (arch supports) inside the shoes is also very important for long distance READ MORE
Properly insulated shoes is important for the temperature change during snow. Proper stability and support (arch supports) inside the shoes is also very important for long distance walking as to prevent fatigue.

How are bunions removed?

Bunions are a structural change that may require surgical intervention to correct the deformity. An evaluation by a foot and ankle specialist should answer any questions regarding READ MORE
Bunions are a structural change that may require surgical intervention to correct the deformity. An evaluation by a foot and ankle specialist should answer any questions regarding surgery. Each surgical procedure may require a different post-operative recovery duration and thus it will depend on the extent of the deformity.

Can bunions indicate an underlying foot problem?

There is a hereditary contribution to bunions as well as biomechanical. Almost always, you will have a contributing biomechanical instability that needs to be addressed. I would READ MORE
There is a hereditary contribution to bunions as well as biomechanical. Almost always, you will have a contributing biomechanical instability that needs to be addressed. I would have it evaluated by a specialist.

Can heel pain be treated surgically?

Almost all foot and ankle conditions have multiple options for treatment ranging from conservative to surgical. There are many factors that help make the determination as to whether READ MORE
Almost all foot and ankle conditions have multiple options for treatment ranging from conservative to surgical. There are many factors that help make the determination as to whether surgery would be necessary.

My foot looks like it has a wart on the bottom of it. How can I get rid of it?

It first needs to be evaluated by a specialist in order to make sure that it truly is a wart. It can sometimes be a callus or a corn, for which the treatment is different.