Plantar fibromatosis, also called Ledderhose disease, is a condition where firm nodules develop in the arch of the foot along the plantar fascia. These growths can cause pain and discomfort while walking or standing. The exact cause is not fully understood, but factors such as genetics, male gender, certain medical conditions like diabetes and liver disease, and repetitive foot trauma may increase the risk. Symptoms often progress slowly and may worsen over time. A podiatrist can help by providing accurate diagnosis, recommending custom orthotics, or other treatment options to relieve pain and improve mobility. If you have a painful nodule in the arch of your foot, it is suggested that you schedule a consultation with a podiatrist for appropriate relief and treatment solutions.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Greater Boston Foot Care, PLLC. 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 office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Toenail fungus, also known as onychomycosis, affects the appearance and health of toenails. It is usually caused by fungi that thrive in warm, moist environments such as locker rooms, public showers, and sweaty shoes. Symptoms include thickened, discolored nails that appear yellow, brown, or white. The nail may become brittle, crumbly, or distorted in shape and can sometimes emit a foul odor. It may feel uncomfortable or painful, especially when pressure is applied. A podiatrist can diagnose toenail fungus through a physical exam and laboratory tests to confirm the type of infection. Treatment options include topical antifungal medications, oral prescriptions, and regular nail care to prevent recurrence. Early intervention can help prevent the infection from spreading to other nails or people. If you notice changes in the color, texture, or thickness of your toenails, it is suggested that you schedule an appointment with a podiatrist for a proper evaluation and appropriate treatment, which may include prescribed medication.

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 Greater Boston Foot Care, PLLC. 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 contact our office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Bunions are bony bumps that form at the base of the big toe, and women are more likely to develop them due to footwear choices and genetic factors. Narrow or high-heeled shoes with a pointed toe box can place excess pressure on the front of the foot, leading to misalignment over time. Symptoms include pain, swelling, redness, and difficulty wearing certain shoes. Risk factors include a family history of bunions, flat feet, and conditions such as like arthritis. A podiatrist can provide relief through customized footwear advice, orthotics, and, when necessary, surgical correction. If you are experiencing discomfort from bunions, it is suggested that you visit a podiatrist who can offer effective relief and management tips.

If you are suffering from bunions, contact one of our podiatrists of Greater Boston Foot Care, PLLC. 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?

Doctors 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 doctor.

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 office located in Plymouth, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.