Plantar fibromatosis, also known as Ledderhose disease, is a condition that affects the connective tissue on the bottom of the foot. It leads to the formation of firm nodules within the plantar fascia, which can interfere with normal foot function. While these growths are benign, they can cause discomfort and affect mobility if they become large or irritated. Understanding the nature of this condition helps guide proper care and management.

Common symptoms include the presence of one or more nodules in the arch of the foot. These growths may feel firm to the touch and can cause pain when pressure is applied during walking or standing. Some individuals experience a sensation of tightness or discomfort that worsens with activity. As the condition progresses, the nodules may increase in size, making it more difficult to wear certain types of shoes comfortably.

The causes of plantar fibromatosis are not fully understood, but repetitive stress and strain on the plantar fascia are believed to play a role. Genetic factors may also increase the likelihood of developing this condition. Risk factors include age, foot structure abnormalities, and activities that place continuous pressure on the arch. The buildup of fibrous tissue leads to the formation of nodules that can disrupt normal movement.

Managing plantar fibroma involves addressing symptoms and reducing stress on the foot. Early evaluation allows for appropriate care and can help prevent further progression. Supportive measures and professional guidance are important for maintaining comfort and mobility. If you have lumps on the sole of your foot, it is suggested that you visit a podiatrist for an accurate diagnosis and effective management tips. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Thomas Bobrowski, DPM of InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Plantar Fibroma

A plantar fibroma is a fibrous knot in the arch of the foot. It is embedded in the plantar fascia which is a band of tissue that extends from the heel to the toes along the bottom of the foot. There can be multiple plantar fibromas in the feet at the same time. There are no known causes for this condition. If you have a plantar fibroma, there will be a bump in the arch of your foot that cannot be missed. Any associated pain is most often due to a shoe rubbing against the nodule. Non-surgical options, such as steroid injections, physical therapy, and orthotics should be tried first. Surgery is a last resort and is the only thing that will remove a plantar fibroma entirely. Consult with a podiatrist for a proper diagnosis and to determine the treatment regimen that is right for you.

What Causes a Plantar Fibroma?

While there are no specific causes identified, a plantar fibroma can possibly come from genetic predisposition or the formation of scar tissue that forms from healing the tears in the plantar fascia.

What Are the Symptoms of a Plantar Fibroma?

There will be a noticeable lump in the arch of the foot that may or may not cause pain. If pain is felt, it is typically because a shoe is rubbing up against the lump or when walking or standing barefoot.

Treatment and Prevention

A plantar fibroma will not disappear without treatment, but it can get smaller and be a non-issue. If pain persists, a podiatrist examines the foot and when the arch of the foot is pressed, pain can be felt down to the toes. An MRI or biopsy might be performed to help diagnose or evaluate the plantar fibroma. The following non-surgical options are generally enough to reduce the size and pain of these nodules:

• Steroid injections
• Orthotics
• Physical therapy to help apply anti-inflammatory creams on the bump 

Surgery is considered if the mass increases in size and the patient continues to feel pain after non-surgical methods are tried.

If you have any questions, please feel free to contact our office located in New Bern, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A toe fracture, commonly known as a broken toe, affects the bones within the toes. These bones play a key role in maintaining balance and supporting movement during walking and standing. A fracture can occur when the toe experiences a strong impact or repeated stress. This type of injury frequently occurs in both active individuals and those performing everyday tasks. Understanding the definition and causes of a broken toe can help guide appropriate care and prevention.

Symptoms of a toe fracture often develop quickly after the injury. Pain is usually immediate and may worsen with movement or pressure. Swelling and bruising are common, and the toe may feel stiff or difficult to move. In more serious cases, the toe may appear bent or out of position. What it looks like can vary depending on severity, but discoloration and visible swelling are typical indicators. Some individuals may also notice warmth or sensitivity around the injured area, which can signal inflammation.

Several risk factors can increase the likelihood of breaking your toe. These include participation in sports, lack of protective footwear, and walking in environments where hazards are present. Causes often involve direct trauma, such as hitting the toe against furniture or dropping an object on the foot. Repetitive stress from activities like running may also contribute to stress fractures over time. Individuals with reduced bone strength may be more vulnerable to this type of injury. Recognizing these factors can help reduce the chance of future incidents.

Proper evaluation and care are important for ensuring that the toe heals correctly. Rest, protection, and gradual return to activity can support recovery. In some cases, medical treatment may be necessary to address alignment or prevent complications. Paying attention to symptoms and seeking timely care can improve outcomes and restore function. If you have broken your toe, it is suggested that you consult a podiatrist for effective relief and treatment tips. 

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Thomas Bobrowski, DPM from InStride Crystal Coast Podiatry. Our doctor will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

• Throbbing pain
• Swelling
• Bruising on the skin and toenail
• The inability to move the toe
• Toe appears crooked or disfigured
• Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

If you have any questions, please feel free to contact our office located in New Bern, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot and leg problems in children are often related to growth and development, but some conditions may require attention to prevent long-term issues. Common concerns include in-toeing, out-toeing, and flat foot. These conditions affect how a child walks and stands, and they can influence balance and coordination. In-toeing occurs when the feet turn inward when walking. It is often caused by metatarsus adductus, a condition in which the front part of the foot curves inward. Out-toeing involves the feet turning outward and is frequently linked to external tibial torsion, where the shin bone rotates outward.

Symptoms of in-toeing may include a noticeable inward foot position, frequent tripping, and uneven shoe wear. Children with metatarsus adductus may have a curved forefoot that is visible even when at rest. Out-toeing symptoms include an outward foot position, difficulty running efficiently, and a wider walking stance. External tibial torsion may become more noticeable as a child grows and becomes more active. Flat foot is another common condition in children, characterized by a low or absent arch when standing. Symptoms of flat foot can include foot fatigue, discomfort after activity, and inward rolling of the ankles.

Several risk factors contribute to these pediatric foot conditions. Genetics play a significant role, as children may inherit structural traits that affect foot alignment. External tibial torsion may develop as bones grow and rotate. Flat foot is often seen in younger children due to undeveloped arches, but it may persist in some cases. Obesity, improper footwear, and lack of supportive shoes can increase stress on developing feet and worsen symptoms.

Early recognition and proper care are essential for supporting healthy foot development in children. Supportive footwear and, in some cases, custom orthotics may help improve alignment and comfort. If your child has foot pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact Thomas Bobrowski, DPM of InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions, please feel free to contact our office located in New Bern, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.