Plantar Fibromas and the Path to Comfortable Steps

Plantar fibromas are firm, benign nodules that develop within the plantar fascia, the thick band of tissue along the bottom of the foot. These growths often appear as small lumps in the arch and may feel smooth but solid beneath the skin. Symptoms include aching when standing, sharp pain during walking, and increased discomfort when wearing shoes that press against the area. The exact cause is not always clear, but contributing factors include genetics, repetitive stress, or previous foot injuries. A podiatrist begins by evaluating the foot through physical examination and imaging to confirm the presence and size of the fibroma. Treatment options include custom orthotics to reduce pressure, stretching programs, anti-inflammatory care, or steroid injections to help ease discomfort. In more persistent cases, advanced therapies or surgery may be considered to restore comfort and function. It is suggested that you make an appointment with a podiatrist for a proper diagnosis and personalized care.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Comprehensive Foot & Ankle Center. Our doctors 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 offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Diagnosing and Treating an Ankle Fracture

An ankle fracture occurs when one or more bones forming the ankle joint break, often after a fall, misstep, sports injury, or accident. Diagnosis begins with a careful clinical exam to assess pain, swelling, bruising, and the ability to bear weight. Imaging plays an important role. X-rays are commonly used to confirm a break and determine alignment, while advanced imaging may be recommended if the injury is complex or involves surrounding structures. Treatment depends on the type, location, and stability of the fracture. Stable breaks may be managed with immobilization using a boot or cast, along with limited weight-bearing. More severe injuries may require realignment or surgical repair to restore joint stability. Targeted exercise is an important part of recovery and helps rebuild strength, mobility, and balance. Prompt care reduces the risk of long-term stiffness, arthritis, or instability. If you have sustained an ankle injury that is causing significant pain, swelling, or difficulty walking, it is suggested that you seek prompt evaluation by a podiatrist.

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What Is Cuboid Syndrome?

Cuboid syndrome is a condition in which the cuboid bone on the outer side of the foot becomes partially displaced, leading to pain and difficulty with movement. Symptoms may include sharp lateral foot pain, swelling, tenderness, and a feeling of instability during walking. Causes can involve overuse, ankle sprains, or repetitive strain. Additionally, risk factors include high impact activities, wearing improper footwear, and flat feet. A podiatrist can diagnose the condition through a detailed examination, perform specific manipulations to realign the cuboid bone, and recommend supportive treatments that restore comfort and function. If you have persistent outer foot pain, it is suggested that you consult a podiatrist who can provide an accurate diagnosis and treatment.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.

Causes

The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.

Symptoms

A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.

Diagnosis

Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.

Treatment

Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Bunions and Podiatric Care

A bunion is a bony area that develops at the base of the big toe when the joint becomes misaligned. This condition causes the big toe to shift toward the smaller toes, leading to visible deformity and discomfort. Risk factors include genetics, wearing improper footwear, foot structure, and repetitive stress on the forefoot. Common symptoms include pain and soreness around the joint, numbness or burning sensations, redness, and swelling. Many people notice a painful bump at the base of the affected toe that worsens with walking or wearing tight shoes. A podiatrist can help by evaluating foot alignment and determining the severity of the bunion. Treatment options may include footwear recommendations, padding, orthotics, and pain management strategies. If bunion pain or irritation is affecting your mobility or quality of life, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions. 

If you are suffering from bunions, contact one of our podiatrists of Comprehensive Foot & Ankle Center. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

  • Refrain from wearing heels or similar shoes that cause discomfort
  • Select wider shoes that can provide more comfort and reduce pain
  • Anti-inflammatory and pain management drugs
  • Orthotics or foot inserts
  • Surgery

If you have any questions, please feel free to contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Shoes for Comfort and Safety of Restaurant Workers

For restaurant workers, choosing the right shoes is essential to maintain comfort, safety, and long-term foot health. Shoes should provide excellent comfort with cushioning in the midsole and supportive insoles that reduce strain on the feet, ankles, and knees during long shifts. Slip resistance is critical to prevent accidents on wet or greasy floors. Durability is also important, as shoes must withstand constant movement, cleaning, and exposure to spills. A well- constructed shoe includes a supportive upper for stability, a comfortable lining to reduce friction, and a resilient insole for added shock absorption. A podiatrist can evaluate foot structure, gait, and work demands to recommend shoes or custom orthotics that improve comfort and prevent pain. If foot fatigue or discomfort is affecting your performance, it is suggested that you consult a podiatrist who can treat various foot and ankle conditions, and guide you on how to choose appropriate work shoes. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact one of our podiatrists from Comprehensive Foot & Ankle Center. Our doctors will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please contact our offices located in Lehigh Ave and Nazareth Hospital in Philadelphia, Collegeville Darby, and Langhorne, PA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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