Items filtered by date: March 2024

Plantar fibroma is a benign condition characterized by the formation of a knot or nodule in the arch of the foot. This lump occurs in the plantar fascia, which is a thick band of tissue that runs from the heel to the toes. Typically, someone can feel it if they physically examine the foot. A  plantar fibroma can develop in one or both feet, and it usually remains stable in size or grows slowly over time. The lump in the arch may or may not be painful. When pain is present, it's often because the fibroma presses against footwear or the ground, creating pressure on the foot. This discomfort can be increased by standing, walking, or wearing tight or unsupportive shoes. People sometimes modify their gait or posture in an attempt to minimize discomfort, which potentially causes secondary pain in the feet, legs, or back. Treatment options vary depending on the severity of symptoms. Conservative options may include orthotic devices and footwear modifications, and more invasive procedures may involve steroid injections or surgery. If you have a lump in the arch of the foot and suspect a plantar fibroma, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment options. 

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 tools and technology to treat your foot and ankle needs.

In the dynamic world of athletic footwear, finding the perfect fit is paramount for optimal performance and foot health. Whether you are an athlete or a casual exerciser, understanding your foot type and specific needs will guide your selection process. Flat feet, overpronation, plantar fasciitis, and arthritis are just a few factors that can influence your shoe selection process. Seek out shoes with features tailored to your sports or exercise needs. Remember to prioritize fit. This can be done by shopping towards the end of the day when your feet are slightly swollen and making sure of the correct size. Differentiate between motion control, stability, and cushioned shoes to find the style that best suits your requirements, whether you need maximum support or prefer a more flexible option. It is suggested that you schedule an appointment with a podiatrist for a gait analysis and examination of your feet to help in determining the particular needs you may have to help in choosing the right athletic shoes for you.

If you are a runner, wearing the right running shoe is essential. For more information, contact Thomas Bobrowski, DPM from InStride Crystal Coast Podiatry. Our doctor can provide the care you need to keep you pain-free and on your feet.

Choosing the Right Running Shoe for Your Foot Type

To increase performance and avoid the risk of injury, it is important to choose the right running shoe based on your foot type. The general design of running shoes revolves around pronation, which is how the ankle rolls from outside to inside when the foot strikes the ground.

• Neutral runners are able to choose from a wide variety of shoes, including minimalist shoes or even going barefoot.
• Runners who overpronate, or experience an over-abundance of ankle rolling, should choose shoes that provide extra motion control and stability.
• Runners who underpronate, or supinate, have feet that have high arches and lack flexibility, preventing shock absorption. They require shoes with more flexibility and cushion.

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 and ankle needs.