EXPERT
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
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Both feet are swollen?
The meniscus surgery would ad to the edema of the rest of the limb and you would expect that that limb would have greater swelling than the other limb However swelling of both READ MORE
The meniscus surgery would ad to the edema of the rest of the limb and you would expect that that limb would have greater swelling than the other limb
However swelling of both limbs should be investigated wit a non invasive peripheral vascular examination which is a screening of the arteries and veins of both lower extremities looking for stenosis or blockage of the arterial vessels or venous insufficiency or blockage in the venous system thrombophlebitis
Further evaluation and treatment is advised after this initial in office exam
This should include examination of the heart as you can be walking around with a heart attack and no other symptoms than pitting edema in the feet and ankles
Kidney or liver disease needs to be ruled out with a blood test
Elevation and compression with support hose stockings can be helpful if arteries are not compromised and may be all that is necessary
So you need to be evaluated by a doctor who can run these tests as a delay could result in death if it involves a major organ
Plan for the worst possible scenario and hope for the best
Do not delay an evaluation especially with other symptoms like shortness of breath or unable to lye flat in bed and need of sleeping with multiple pillows to prop up the head
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
However swelling of both limbs should be investigated wit a non invasive peripheral vascular examination which is a screening of the arteries and veins of both lower extremities looking for stenosis or blockage of the arterial vessels or venous insufficiency or blockage in the venous system thrombophlebitis
Further evaluation and treatment is advised after this initial in office exam
This should include examination of the heart as you can be walking around with a heart attack and no other symptoms than pitting edema in the feet and ankles
Kidney or liver disease needs to be ruled out with a blood test
Elevation and compression with support hose stockings can be helpful if arteries are not compromised and may be all that is necessary
So you need to be evaluated by a doctor who can run these tests as a delay could result in death if it involves a major organ
Plan for the worst possible scenario and hope for the best
Do not delay an evaluation especially with other symptoms like shortness of breath or unable to lye flat in bed and need of sleeping with multiple pillows to prop up the head
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
How long do you stay in hospital after hammertoe surgery?
Hammer toe surgery can be done on an outpatient basis under local anesthesia. Depending on other medical conditions or multiple procedures staying in the hospital can be indicated READ MORE
Hammer toe surgery can be done on an outpatient basis under local anesthesia. Depending on other medical conditions or multiple procedures staying in the hospital can be indicated to control those other medical conditions, pain, or address the lack of ability to maintain activities of daily living at home.
When can I walk after hammertoe surgery?
Depends upon what was done and quality of bone and status of other comorbidities.
Comforting a blister?
You can use 1/4” piano felt the size of the ball of the foot or the full size of your shoe liner which ever is more comfortable and cut a hole the size of the discolored area and READ MORE
You can use 1/4” piano felt the size of the ball of the foot or the full size of your shoe liner which ever is more comfortable and cut a hole the size of the discolored area and put it in your shoe with double sided adhesive tape you can get in the hardware store or sewing store
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Surgery and reopened wound?
If you are scheduled for surgery tomorrow I would not expect the case to be canceled unless you or the surgeon contracted Covid or if you don’t obtain medical clearance for surgery READ MORE
If you are scheduled for surgery tomorrow I would not expect the case to be canceled unless you or the surgeon contracted Covid or if you don’t obtain medical clearance for surgery such as lab work coming back abnormal.
Is massage effective for ankle pain?
Depending on the cause of the pain If the cause of the pain no longer exists the pain should go away with little to no treatment at all.If the cause was not addressed the pain READ MORE
Depending on the cause of the pain If the cause of the pain no longer exists the pain should go away with little to no treatment at all.If the cause was not addressed the pain will come back once you are weight-bearing again.
What to do about a broken toenail?
Whenever there is trauma to the nail it is possible that mail could grow back as a it was before or that mail changes may be permanent If it is not painful treat to control or READ MORE
Whenever there is trauma to the nail it is possible that mail could grow back as a it was before or that mail changes may be permanent
If it is not painful treat to control or prevent infection and in time the nail will grow out and a new nail will replace the old but whatever occurs could be permanent
Now if it is painful you have to determine the cause of the pain as it could be a fracture or s
o ft tissue injury that is open or closed
If it is determined the nail is contributing I’m to the pain the nail may have to be removed whole or in part If it is to painful to remove the nail as it is attached to underlying tissue, in order to remove the nail an anesthetic may need to be performed by a person that can remove the nail under adequate anesthesia and treat any break in the skin appropriately
Than you wait to see how the nail grows in over the next 6-12 months and if happy with what you have you’re done
If you are unhappy with how it looks or feels you can see a doctor and he will discuss with you your options.
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
If it is not painful treat to control or prevent infection and in time the nail will grow out and a new nail will replace the old but whatever occurs could be permanent
Now if it is painful you have to determine the cause of the pain as it could be a fracture or s
o ft tissue injury that is open or closed
If it is determined the nail is contributing I’m to the pain the nail may have to be removed whole or in part If it is to painful to remove the nail as it is attached to underlying tissue, in order to remove the nail an anesthetic may need to be performed by a person that can remove the nail under adequate anesthesia and treat any break in the skin appropriately
Than you wait to see how the nail grows in over the next 6-12 months and if happy with what you have you’re done
If you are unhappy with how it looks or feels you can see a doctor and he will discuss with you your options.
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Can hammer toes come back after surgery?
It depends on the reason for the occurrence and the surgery performed as well as shoes you wear going foward But yes it could definitely come back or you could get a poor outcome READ MORE
It depends on the reason for the occurrence and the surgery performed as well as shoes you wear going foward
But yes it could definitely come back or you could get a poor outcome if not treated properly
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
But yes it could definitely come back or you could get a poor outcome if not treated properly
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Toe surgery gone wrong?
Get a second opinion from a board Certified Foot and Ankle Surgeon that is on staff at the best hospital in your area Jan David Tepper DPM,FACFAS CEO Family Foot & Ankle Center 984 READ MORE
Get a second opinion from a board Certified Foot and Ankle Surgeon that is on staff at the best hospital in your area
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
How long should you keep your foot elevated after an ankle sprain?
Elevation and ice after an ankle sprain is to control pain and swelling If pain and swelling persists you should rethink the diagnosis as it may not be the correct diagnosis This READ MORE
Elevation and ice after an ankle sprain is to control pain and swelling
If pain and swelling persists you should rethink the diagnosis as it may not be the correct diagnosis
This should only be necessary for a few hours to a couple of days depending on the severity of the injury
If the pain and swelling isn’t improved significantly in 3-4 days and not completely gone in a week likely not a sprain it may be a fracture or partial or even a full tear of one or more ligaments and/or joint capsule if the x-ray is still negative after 3 weeks
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
If pain and swelling persists you should rethink the diagnosis as it may not be the correct diagnosis
This should only be necessary for a few hours to a couple of days depending on the severity of the injury
If the pain and swelling isn’t improved significantly in 3-4 days and not completely gone in a week likely not a sprain it may be a fracture or partial or even a full tear of one or more ligaments and/or joint capsule if the x-ray is still negative after 3 weeks
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
How long do you stay in hospital after heel surgery?
That would depend on the extent of the surgery and your ability to control the pain with oral medication as well as other medical conditions that may need to be controlled in a READ MORE
That would depend on the extent of the surgery and your ability to control the pain with oral medication as well as other medical conditions that may need to be controlled in a hospital setting following the procedure.
That being said any surgery on the foot or ankle can be done on an outpatient basis if the home environment is conducive to supply the support necessary for activities of daily living.
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
That being said any surgery on the foot or ankle can be done on an outpatient basis if the home environment is conducive to supply the support necessary for activities of daily living.
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Bent ankles?
From your description of your concerns it sounds like you need a prescription orthotic device that would align your heel under your leg eliminating the bulge below the ankle and READ MORE
From your description of your concerns it sounds like you need a prescription orthotic device that would align your heel under your leg eliminating the bulge below the ankle and line up your foot to the lower leg
This is a prescription device made by a foot doctor from a cast of your foot held on the most stable position that could be taken from shoe to shoe to help improve function by improving alignment of the bones and relaxing the soft tissue structures and addressing pain and discomfort as well
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
This is a prescription device made by a foot doctor from a cast of your foot held on the most stable position that could be taken from shoe to shoe to help improve function by improving alignment of the bones and relaxing the soft tissue structures and addressing pain and discomfort as well
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
What is the fastest way to fix heel pain?
Make an accurate diagnosis and treat what it is causing the illness not the symptoms of the illness Jan David Tepper DPM,FACFAS CEO Family Foot & Ankle Center 984 West Foothill READ MORE
Make an accurate diagnosis and treat what it is causing the illness not the symptoms of the illness
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Do you need physical therapy after a broken foot?
Some people do and other people do not feel it is necessary Depending on the bone that is fractured and the severity of the injury including soft tissue trauma and what structures READ MORE
Some people do and other people do not feel it is necessary
Depending on the bone that is fractured and the severity of the injury including soft tissue trauma and what structures are in that area of soft tissue as well as age and health status of the person who is injured
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Depending on the bone that is fractured and the severity of the injury including soft tissue trauma and what structures are in that area of soft tissue as well as age and health status of the person who is injured
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
MRI Results
Diagnosis is not made by diagnostic tests alone. Diagnosis is made following history of the problem medical exam as well as diagnostic tests Diagnostic tests are subject to technique READ MORE
Diagnosis is not made by diagnostic tests alone. Diagnosis is made following history of the problem medical exam as well as diagnostic tests
Diagnostic tests are subject to technique in taking the test and interpretation of the test
If there is a question as to the diagnosis further diagnostic tests as well as a redo of the test at the same or another facility or have the test evaluated by another doctor who may have different experiences and training and come up with a different impression
Sometimes it isn’t the test it is the treatment plan that helps confirm or change the diagnosis or the symptomatic result, as many times MRI may not show fracture or tear however this doesn’t mean immobilization with a cam walker or even a cast isn’t indicated and still the best course of conservative care prior to electing more aggressive surgical options
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Diagnostic tests are subject to technique in taking the test and interpretation of the test
If there is a question as to the diagnosis further diagnostic tests as well as a redo of the test at the same or another facility or have the test evaluated by another doctor who may have different experiences and training and come up with a different impression
Sometimes it isn’t the test it is the treatment plan that helps confirm or change the diagnosis or the symptomatic result, as many times MRI may not show fracture or tear however this doesn’t mean immobilization with a cam walker or even a cast isn’t indicated and still the best course of conservative care prior to electing more aggressive surgical options
Jan David Tepper DPM,FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Bunion operation?
It depends on which procedure was performed. There are many procedures and depending on which one was done that will dictate the post-operative protocol.
Planters wart?
First and foremost you need to get the correct diagnosis as a differential from pressure lesion which has an entirely different treatment plan from a viral infection in the skin. READ MORE
First and foremost you need to get the correct diagnosis as a differential from pressure lesion which has an entirely different treatment plan from a viral infection in the skin. Than the size matters as very small lesions May respond to acid treatments that are sold in the stores where some lesions become more resistant if that is attempted. Seeing a podiatrist is your best bet although some dermatologists have more experience in this area than others. There are many treatments however I prefer surgical excision which is done in the office under a local anesthetic. This can be done in conjunction with techniques to enhance the immune system or create a blister to shed the lesion with some layers of skin. If you do something on your own the success varies you could get lucky and you could get unlucky and develop more pain and disability.
Jan David Tepper DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Broken toe?
Wearing a trauma boot or trauma shoe that doesn’t allow you to bend the toes when walking due to a stiff sole that doesn’t bend an X-ray will tell you if the alignment of the bone READ MORE
Wearing a trauma boot or trauma shoe that doesn’t allow you to bend the toes when walking due to a stiff sole that doesn’t bend an X-ray will tell you if the alignment of the bone is acceptable.
Is my toe fine or do I need to go to the doctor? (would prefer not to)
If you don’t have any pain just keep an eye on it. It may take a few months for the nail to grow out and if not painful the new mail growing in will tell you how much damage has READ MORE
If you don’t have any pain just keep an eye on it. It may take a few months for the nail to grow out and if not painful the new mail growing in will tell you how much damage has been done. If it grows back healthy this could take 6 months to a year to be sure but in any event, going to the doctor will not change anything and unless there is something you want to be changed there is no need to see a doctor
Jan David Tepper, DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper, DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Sprained ankle?
If you do weight-bearing without pain then you need to treat this with immobilization. Initially with a pneumatic boot cast covered by insurance If still painful to walk and not READ MORE
If you do weight-bearing without pain then you need to treat this with immobilization. Initially with a pneumatic boot cast covered by insurance If still painful to walk and not getting better need a below-the-knee cast Then if still painful MRI to see if there is a ligament or tendon tear and be non-weight-bearing in cast and crutches until you can walk without pain. See a specialist now as they will cover all costs including the surgery if necessary and if not treated properly it may become necessary.
Jan David Tepper DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
Jan David Tepper DPM, FACFAS
CEO Family Foot & Ankle Center
984 West Foothill Boulevard, Suite B
Upland, California 91786
O 909-920-0884
F 909/920-9810
WWW.drtepper.com
JDTDPM@aol.com
