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Jan David Tepper, DPM

Podiatrist (Foot and Ankle Specialist)

Dr. Jan David Tepper DPM is a top Podiatrist (Foot and Ankle Specialist) in Upland, . With a passion for the field and an unwavering commitment to their specialty, Dr. Jan David Tepper DPM is an expert in changing the lives of their patients for the better. Through their designated cause and expertise in the field, Dr. Jan David Tepper DPM is a prime example of a true leader in healthcare. As a leader and expert in their field, Dr. Jan David Tepper DPM is passionate about enhancing patient quality of life. They embody the values of communication, safety, and trust when dealing directly with patients. In Upland, California, Dr. Jan David Tepper DPM is a true asset to their field and dedicated to the profession of medicine.
Jan David Tepper, DPM
  • Upland, California
  • California School of Podiatric Medicine
  • Accepting new patients

Is a bunion a bone growth?

Yes a bunion is a bone that can be painful with pressure from a shoe.

How are corns under a toenail removed?

A corn or callus are pressure lesions, the corn is on a toe and a callus is some other area on the foot. Pressure on the skin from a bone to bone or bone to the hard floor, or READ MORE
A corn or callus are pressure lesions, the corn is on a toe and a callus is some other area on the foot. Pressure on the skin from a bone to bone or bone to the hard floor, or shoe would produce significant enough pressure to create the lesion. Although you don't typically see corns under the nail, the nail protects the skin from pressure, you do see corns at the end of the toe, when the toe isn't straight and the end of the toe hits the ground pinching the skin between the bone and the floor.  This can be trimmed down, however walking with the toe in that curled position will result in reoccurrence.  The toe would need a crest pad under the toe to lift it up to reduce the pressure causing the lesion, or surgical straightening of the toe would be necessary to alleviate this condition if she is a candidate for such a procedure..

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

It depends on how well you diabetes is controlled and the quality of the blood supply to the area and the existence of other medical conditions. You would need to discuss this READ MORE
It depends on how well you diabetes is controlled and the quality of the blood supply to the area and the existence of other medical conditions. You would need to discuss this with your doctor to determine if there are other risks. Just having diabetes doesn’t necessarily result in delayed healing

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

Clean your feet with a mild soap and water as usual, then dry well including between the toes. You should lubricate the skin on top of your feet and ankles and lower legs with READ MORE
Clean your feet with a mild soap and water as usual, then dry well including between the toes. You should lubricate the skin on top of your feet and ankles and lower legs with a hydrating cream and keep dry between the toes. Check with your doctor for further care as that would depend on your specific medical condition, as dryness, peeling, and scaling may be the result of a fungal or yeast condition or from non-functioning sweat ducts and require different protocol.

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

It is important to see your diabetic doctor as keeping blood sugars under control helps your body maintain the ability to fight infection well. Your skin is the body’s first defense READ MORE
It is important to see your diabetic doctor as keeping blood sugars under control helps your body maintain the ability to fight infection well. Your skin is the body’s first defense against infection. We know with poor circulation, lack of feeling and a great deal of pressure on your skin you are likely to walk a hole in the skin. Your podiatrist will evaluate your risks of ulceration in the skin and your chances of infection that could result in the infection getting into the bone and possibly lose that bone, foot, leg, or even your life.

Should I stay away from pedicures?

You don’t have to cancel that manicure, however, if you are concerned, you may want to purchase your own instruments to use on just you so you don’t have to worry about their sterilization READ MORE
You don’t have to cancel that manicure, however, if you are concerned, you may want to purchase your own instruments to use on just you so you don’t have to worry about their sterilization deficiencies, and avoid the manicure if you have any open sores or if you develop sores after a visit to a particular facility.

How are bunions removed?

Bunions like all boney deformities can only be removed surgically. However, in some cases, the pain can be controlled with shoe modifications and/or inserts in the shoes.

Can bunions indicate an underlying foot problem?

Yes there is frequently an underlying structural problem that the bunions are a symptom.  Function follows structure and the bunions are a symptom of poor foot function and ill READ MORE
Yes there is frequently an underlying structural problem that the bunions are a symptom.  Function follows structure and the bunions are a symptom of poor foot function and ill fitting foot gear will aggravate the condition not cause it in most circumstances.

I think I have an ingrown toenail. What does this usually look like?

Pain alongside the nail increased with pressure, sometimes accompanied by redness, swelling, and/or drainage.

What are the best shoes recommended for people with flat feet?

A rigid shoe with good support rigid heel counter perpendicular to the ground with mid sole stiffness that will only bend at the base of the toes that resists twisting

How are calluses treated?

Identify the source of the pressure and eliminate it. A podiatrist can help you achieve your goals.

I have a little bone growth just under my toe. Will it have to be treated with surgery?

If it hurts it would need to be addressed, depending on where it hurts would depend on chances of success with conservative care. If you are not a surgical candidate padding or READ MORE
If it hurts it would need to be addressed, depending on where it hurts would depend on chances of success with conservative care. If you are not a surgical candidate padding or a shoe modification may be your only option.

How is a diabetic foot treated?

A diabetic foot needs to be evaluated for breaking down of the skin. A diabetic patient needs to see their medical doctor to keep the blood sugars under control as this maintains READ MORE
A diabetic foot needs to be evaluated for breaking down of the skin.
A diabetic patient needs to see their medical doctor to keep the blood sugars under control as this maintains the bodies ability to fight infection.
The skin is the first line of prevention against infection. We know that if there is poor circulation, a lack of feeling and a lot of pressure on the skin, you can potentially walk a hole in the skin allowing infection.
Infections can increase blood sugars and elevated blood sugar over 200 leads to the bodies inability to fight infection.
So depending on the examination patients need to be observed for evidence of skin breakdown prior to the breakdown, and preventative measures shoud be in place for the at risk patient. The risks have to be identified as well.

Can a bunion be treated without surgery?

Yes, he can try larger, wider foot gear, massage with creams, ice massage, and over-the-counter NSAIDS as needed for pain.

My feet sweat a lot. Is that normal or is it a problem?

There is a wide range of normal There is excessive moisture that you can not control to your satisfaction that would require medical help and there are treatments that can provide READ MORE
There is a wide range of normal

There is excessive moisture that you can not control to your satisfaction that would require medical help and there are treatments that can provide mental and physical relief of excessive perspiration

I have a lot of heel pain in the mornings after going for a walk. What can I do to treat it?

You can try home treatments such as calf stretch exercises with the knee straight and heel on the ground and toes pointed inward held for 90 seconds, 15 times each leg, four times READ MORE
You can try home treatments such as calf stretch exercises with the knee straight and heel on the ground and toes pointed inward held for 90 seconds, 15 times each leg, four times a day.
Ice massage
Night splints
OTC Anti-inflammatory medication such as Tylenol or Motrin
Heel lift 1/4” piano felt both sides
If that is unsuccessful, you need immobilization with boot cast and see a foot specialist as you have a potential for a tear or fracture. It is always better to get an accurate diagnosis before embarking on a treatment plan for best results.

My feet swell up in the cold. Is this normal?

No, this is not normal. You should see your doctor to have this checked out.

How can I prevent corn in my feet from happening again?

Corns are pressure lesions on the toes caused by pressure on the skin from a bone pinching the skin from the shoe, another bone, or the floor. Larger, wider shoes will be the initial READ MORE
Corns are pressure lesions on the toes caused by pressure on the skin from a bone pinching the skin from the shoe, another bone, or the floor. Larger, wider shoes will be the initial treatment unless the bone is pinching skin against the floor, in which case the toe needs to be lifted off the floor or straightened. If removing the tight or short shoe is unsuccessful, then straightening the toe or remodeling the bone surgically in most cases will relieve the problem unless the shoe is still too tight.

Jan David Tepper, DPM

Why do my feet hurt when I wear flats or heels?

It could be a structural problem with your feet causing soft tissue tightness where it attaches to the heel from the leg to the heel and/or from the arch to the attachment on the READ MORE
It could be a structural problem with your feet causing soft tissue tightness where it attaches to the heel from the leg to the heel and/or from the arch to the attachment on the heel.

I have a painful, swollen ankle following an injury. What to do?

If you have had multiple ankle injuries and have noticed that with rest, ice, OTC NSAIDS, elevation and compression this incident is not like the others, it probably isn't. Further READ MORE
If you have had multiple ankle injuries and have noticed that with rest, ice, OTC NSAIDS, elevation and compression this incident is not like the others, it probably isn't.
Further diagnostic testing such as an x-ray to rule out fracture or dislocation that may give information regarding ligament tear in conjunction to a doctor evaluating the anatomic structures to see where the pain and swelling corresponds to the anatomic structures to see if a pneumatic boot cast or even a weight bearing or non weight bearing below the knee cast is necessary. However If there is still pain with weight bearing a MRI may be necessary before you can put weight on the area to see if surgery is indicated prior to weight bearing as premature weight bearing may ensure the conservative care is unsuccessful and only surgery may provide he necessary alignment and function that you may want and need to regain full function.