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Beverly Hills, California
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February 3, 2000     Beverly Hills Weekly
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February 3, 2000
 

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healthl00itness Babak Baravarian D.P.M. Beware of Arch Pain Injury to the posterior tibial tendon may cause severe foot deformity. Your arch has been hurting for weeks and you don't know why. You don't remember tisting your ankle or wearing uncomfortable shoes. All you feel is a chronic dull ache in your arch and ankle that doesn't seem to be getting better. A common tendon injury in the arch area, known as posterior tibial tendonitis, may be the cause of your pain. The poste- rior tibial tendon runs along the inside of you ankle and is responsible for support- ing the arch. Injury to the posterior tibial tendon causes collapse of the arch, chron- ic foot and ankle pain and severe foot deformity. Over 90% of posterior tibial tendon injuries occur ]n people with flat feet and 70.% of the cases occur in women. The progression of the injury is quite simple. Fiat feet place an increased amount of stress on the posterior tibial tendon. With time, tendonitis, or inflam- mation of the tendon, develops. If left untreated, the tendon gradually tears leading to arch collapse and severe foot pain. At that point, foot and ankle arthri- tis and deformities rapidly develop. subside. The problem is that after two to three months of pain, the tendon has begun to tear, and surgical treatment may be required. While the injury is curable even after |liThe problem is that after two to three months of pain, the tendon has begun to tear, and surgical treatment may be required, fill The best time to seek treatment is when you first feel arch pain and tendonitis. At this point, conservative treatment with anti-inflammatory medication and cus- tom arch supports is very effective. Unfortunately, most people will not seek treatment hoping that their arch pain will the arch has collapsed, you may prevent foot deformity and avoid surgery by seek- ing treatment early on. With a course of anti-inflammatory medications, ice and elevation in combination resting of the posterior tibial tendon, surgical interven- tion may be avoided. Following resting of the tendon, proper orthitic supports are made for the shoes to help support the arch and avoid reoccur- anCe. Several new surgical techniques are now used that repair the tendon and reconstruct the arch in order to avoid fur- ther problems. Often, the posterior tibial tendon has multiple tears in the center of it. These tears must be removed and the tendon repaired in order to relieve pain. However, the goal is to avoid surgical intervention until a point of last resort. The important fact to remember is that arch pain is not normal. Your body is telling you there is a problem. Listen up. Dr. Baravarian is a podiatric foot and anlde surgeon specializing in sports medicine and reconstructive surgery. His office is at UCLA where he is a clinical instructor. Opening to public February 2nd Lunch & Dinner 7 days a week THE RFTA HISTORY In March of 1995, Al Micallef, Grady Spears and Mike brans opened the fivzt Reata restaurant in Alpine, 500 miles west of Fon Worth, Texas. Alpine is the headquarters of the Micallefs CF Ranch, one of the largest family owned ranches in the country, expanding over hundreds of thousands of acres and two time zones. Alpine is also just a half an hour east of the production headquarters of the epic, Giant. The George Stevens film starred Rock Hudson, Liz Taylor, and James Dean. The tradition of Giant had not been capitalized until the trio teamed up. They chose the name "Ream" from the movie's ranch headquartem After receiving rave ttwiews, fourteen months hter they decided to move on to a major market and selected Fort Worth, a town where all three of the partners have deep roots. Judging from the reception that Ream Fort Worth received, it was the right choice. Eight hundred dinners are served on a busy weekend night. Accolades have come in from sources near and far: Texas Monthly selected it as one of the state's best Southwestern restaurants; Martha Stewart Living featured Spears and his cowboy cooking in an eight-pagespread along with 13 recipes; POV labeled the young chef"The Lone Star Star," and the Dallas Morning News says "Reata is the place that makes everyone feel at home." In January 2000, the partners have truly gone west, offering their wares on the west coas tin a new flagship facility on Rodeo Drive in Beverly Hills. Reata offers a collection of great foods from which cowboys built hearty, tasty, and intriguing cuisine. Reata's menu specializes in simple, flavorful food in the tradition of western cooking. Executive chef and co-owner, Grady Spears, fuses cowboy culture with ingredients that explode with flavors of the west. "Real cowboy food, the kind that sustained real people doing really hard work, relied on a base of beef, fish, biscuits, and locally available grains and vegetables. Mainstream and adaptable it was ideally suited for people in a hurry, having to move a lot of bull. In other words, perfect for today," Cooking Light Magazine. 421 N. Rodeo Dr. 310.550.8700 18 Beverly Hills Weekly