Plantar fibromas are small lumps that develop in the sole of the foot and can cause foot arch pain in some cases. Treatment aims to reduce pressure on the nodule and alleviate pain. Treatment options include observation if the fibroma is not causing significant pain and non-surgical treatments like exercises. Other options are corticosteroid injections, shoe orthotics if the pain is mild to moderate, and surgery if the pain is severe and non-responsive to non-surgical methods. Exercises focus on stretching and strengthening the plantar fascia and surrounding tissues, to reduce tension on the fibroma. Corticosteroid injections can provide immediate pain relief and reduce the size of the nodule. Orthotics help relieve pressure on the nodules, although custom orthotics may be needed for larger nodules. Physical therapy may include ultrasound or shockwave therapy to reduce the size of the nodules, and radiotherapy can stabilize and shrink fibromas. Surgery is considered a last resort and involves removing the fibroma along with a portion of the plantar fascia. Recovery from plantar fibromas can take 6 to 12 months, during which modifications to activities and foot care are essential. If you think you have a plantar fibroma, it is suggested that you make an appointment with a podiatrist. Other conditions can cause similar symptoms, so proper diagnosis is important and then the most suitable treatment can be recommended.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Fusion Foot and Ankle. 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 Fort Worth and Arlington, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Onychomycosis, commonly known as toenail fungus, is the most prevalent nail disorder, with a growing incidence, particularly among the elderly. This condition is notorious for its stubbornness, requiring prolonged and often ineffective treatments, with frequent recurrences. Beyond affecting the nail's normal function, fungal nail infections can bring pain, an unsightly appearance, disruption of daily life, and negative psycho-social consequences. Patients often grapple with embarrassment, diminished self-esteem, and social withdrawal due to toenail fungus. Recent advances in treatment have emerged, offering more effective solutions. If you suffer from toenail fungus, it is suggested that you make an appointment with a podiatrist to discuss the physical and psychological effects of this condition. Honesty with this medical professional about how much it impacts your life is important in obtaining a more holistic approach to treatment.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact one of our podiatrists of Fusion Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

If you have any questions, please feel free to contact our offices located in Fort Worth and Arlington, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Custom foot orthotics are designed to meet unique structural and biomechanical needs, but they often require a break-in period. This means getting used to them gradually. The adjustment period varies for each person as your body has adapted to moving a certain way over the years. When you first wear them, custom orthotics might feel unusual, like standing on a hard ball with pressure on your arches. Some may feel great right away, like walking on clouds. However, it is crucial to break them in properly. Some tips to get used to orthotics include starting off slowly and wearing them for a few hours at first and then increasing wear time by one or two hours daily over a week. Other tips include reducing wear time if you experience discomfort, wearing them in shoes with the appropriate width and depth, and waiting until they are entirely broken in before engaging in physical activity. Adjustments can possibly be made if discomfort persists. If you are interested in learning more about whether you are a good candidate for orthotics and how to adjust to them, it is suggested that you make an appointment with a podiatrist to discuss this option.

If you are having discomfort in your feet and would like to try orthotics, contact one of our podiatrists from Fusion Foot and Ankle. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

Orthotics are inserts you can place into your shoes to help with a variety of foot problems such as flat feet or foot pain. Orthotics provide relief and comfort for minor foot and heel pain but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that are used to treat foot pain, heel pain, and minor problems. For example, arch supports can be inserted into your shoes to help correct overarched or flat feet, while gel insoles are often used because they provide comfort and relief from foot and heel pain by alleviating pressure.

Prescription Orthotics

If over-the-counter inserts don’t work for you or if you have a more severe foot concern, it is possible to have your podiatrist prescribe custom orthotics. These high-quality inserts are designed to treat problems such as abnormal motion, plantar fasciitis, and severe forms of heel pain. They can even be used to help patients suffering from diabetes by treating foot ulcers and painful calluses and are usually molded to your feet individually, which allows them to provide full support and comfort.

If you are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

If you have any questions please contact our offices located in Fort Worth and Arlington, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.