Diagnosis and Treatment of Plantar Fibroma

A firm lump beneath the arch of the foot can sometimes make each step uncomfortable. One possible cause is a plantar fibroma, a noncancerous growth within the plantar fascia. This strong band of tissue runs along the bottom of the foot, connecting the heel to the toes and supporting the arch. The growth consists of thickened fibrous tissue and develops in one or both feet. Its exact cause remains unclear. Although a plantar fibroma is not cancer, a new lump requires a podiatric evaluation because other foot problems produce similar bumps. A podiatrist identifies the cause and determines whether treatment is appropriate.

A plantar fibroma usually feels like a firm knot under the skin. Some growths stay small, while others enlarge or appear alongside additional lumps. Not every plantar fibroma causes pain. Discomfort typically develops when pressure pushes against the growth, whether from shoes or the ground beneath the foot. Patients sometimes notice tenderness while walking or standing barefoot. As pressure increases, ordinary activities become harder to manage. The location of the lump also affects how much discomfort it causes. Changes in the size of a growth or increasing pain warrant another examination, even after a previous diagnosis.

During an appointment, a podiatrist asks when the lump appeared and how it affects daily activities. The examination includes checking its size, feeling its firmness, and assessing tenderness. The podiatrist also evaluates the surrounding tissue and foot structure. Imaging helps clarify uncertain findings. An ultrasound or MRI  scan provides a closer view of the growth and its relationship to the plantar fascia. In some cases, a biopsy confirms the diagnosis. This procedure involves removing a small tissue sample for examination. These steps help distinguish a plantar fibroma from other causes of a lump and guide an appropriate treatment plan.

Treatment focuses on reducing pressure and improving comfort. A podiatrist prescribes custom orthotics, or shoe inserts, designed to redirect weight away from the lump. Professional padding and footwear recommendations also help address pressure against the arch. These approaches relieve symptoms without necessarily removing the growth. For persistent pain despite nonsurgical care, a podiatrist discusses surgery and its potential risks. The growth sometimes returns after removal, and surgery carries risks of scarring or changes in arch support. Follow-up appointments help assess symptoms and monitor recurrence. If you have developed a plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Darline Kulhan, DPM from Scarsdale Foot Specialists PC. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

  • Bunions
  • Hammertoes
  • Plantar Fasciitis
  • Bone Spurs
  • Corns
  • Tarsal Tunnel Syndrome
  • Ingrown Toenails
  • Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
  • Flat Feet
  • Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
  • And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

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Understanding Achilles Tendon Injuries and Recovery

The Achilles tendon is the thick cord at the back of the ankle that connects the calf muscle to the heel. It plays an important role in walking, running, and jumping. Two common Achilles tendon injuries are tendinopathy and rupture. Achilles tendinopathy develops when repeated small tears do not heal properly, weakening the tendon. A rupture occurs when the tendon stretches beyond its natural range and tears. Achilles tendon injuries may cause pain, swelling, and weakness around the back of the ankle, making everyday movement more difficult.

 

Achilles tendinopathy can cause tenderness along the tendon, stiffness after periods of rest, and pain during walking or jumping. Overloading or weakening the tendon can contribute to this problem. A sudden change in physical activity may increase strain, while limited recovery time between activities can also play a role. Tight or weak calf muscles are another possible factor. An Achilles rupture often happens when a sudden force is placed on the tendon, such as during jumping or a quick burst of running. A person may feel as though something struck the back of the ankle and may hear a popping sound when the tendon tears.

 

A podiatrist can evaluate Achilles tendon pain and determine the type and severity of the injury. The examination may include checking the tendon and calf while assessing foot and ankle function. Ultrasound or MRI imaging may be used to confirm the problem. Most Achilles tendon injuries do not require surgery, although a torn tendon may occasionally need surgical repair. Rehabilitation is often part of recovery, and the amount of time needed can vary with age, activity level, and overall health. Professional evaluation is important when pain is severe, swelling develops, or weakness makes foot movement difficult. If Achilles tendon pain or weakness is affecting your mobility, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

  • Inflammation
  • Dull to severe pain
  • Increased blood flow to the tendon
  • Thickening of the tendon

Rupture Symptoms

  • Extreme pain and swelling in the foot
  • Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

  • Thorough stretching of the tendon before and after exercise
  • Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Scarsdale, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about The Causes, Types, and Treatments of Achilles Tendon Injuries

Foot Care for Older Adults

As people age, their feet undergo changes that can affect comfort, balance, and mobility. The skin may become harder and drier as collagen decreases. Changes can also occur in the muscles, joints, and soft tissues of the feet. The size and shape of the foot may change, which can affect how shoes fit. Foot pain is common among older adults and may make walking more difficult. Conditions such as diabetes, peripheral arterial disease, and nerve damage can create additional foot concerns. Arthritis may also contribute to pain or changes in foot structure, making regular elderly foot care important.

 

Foot problems in older adults are associated with reduced mobility and a greater risk of falls. Common concerns include thickened toenails, calluses, and corns. Dry skin, ulcers, and foot deformities may also be discovered during an examination. Some older adults have difficulty managing foot care because they cannot easily reach their feet. Footwear is important because feet can become broader with age. Shoes that do not fit properly are associated with foot pain and deformities. A professional foot examination can identify problems and can also evaluate circulation and sensation.

 

A podiatrist can provide foot care for older adults by examining the skin, nails, and structure of the feet. The evaluation may include checking circulation, sensation, and tenderness. A podiatrist can identify problems such as nail disorders or painful calluses and determine appropriate treatment. Foot ulcers and signs of infection require prompt professional attention. Podiatric care may also include recommendations for appropriate footwear or orthotics. Regular evaluation can help address foot problems that interfere with walking and support continued mobility as a person ages. If foot pain, skin changes, or difficulty walking is affecting daily life, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

If you need your feet checked, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor will attend to all of your foot and ankle needs and provide you with quality treatment.

Geriatrics and Podiatry
When people age, some common issues that may occur are bone density loss, dry skin, poor circulation, and rough brittle nails. These issues may also affect your foot health if the necessary steps are not taken to alleviate the problems.

It is important to take care of your feet because feet that are injured or diseased can affect your overall health. Having painful feet hinders your ability to do daily activities or may decrease your willingness to do the things that you need to do.

Visiting Your Geriatrician
As we age, health problems become more likely, so it is essential to visit your doctor for check-ups to ensure that you are doing the best you can to take care of your health. It is recommended to check your feet frequently for any possible cuts, bruises, swelling, corns or any other irregularities. 

Taking Care of Elderly Feet
Cracked or dry feet can be treated by applying moisturizer often. It is also important not to wear old socks because the older the sock is, the higher the possibility there will be that there is bacteria there. Wear fresh socks and make sure they fit properly.

Proper foot health means that you can have a more active lifestyle and you will not be bogged down by pain. Foot health also leads to good circulation, which is paramount for overall health.

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

Read more about Elderly Foot Care

Get Professional Care for a Broken Foot or Ankle

Constant care and regular evaluation are important for a foot or ankle fracture. If left untreated, foot or ankle fractures can worsen over time and create more serious problems.

Don't wait to be examined if you believe you've experienced a foot or ankle fracture.

Remedies for Hammertoe Deformity

A hammertoe deformity develops when one of the smaller toes bends downward at its middle joint instead of resting straight. The bent shape can make the toe resemble a hammer. Hammertoes can cause pain while walking and can affect balance. The raised joint may rub against the inside of a shoe, leading to redness, swelling, or thickened skin. Corns and calluses can form where repeated pressure occurs. In some cases, the toe remains flexible and can still be straightened. As the deformity progresses, the joint can become stiff and more difficult to move.

Hammertoes can develop when the muscles and tendons that control a toe become unbalanced. Certain foot shapes place extra pressure on the smaller toes and increase the chance of this deformity. Bunions may also contribute because the big toe can push toward the smaller toes and crowd them. Wearing narrow or tight shoes can place pressure on the toes. High heels can force the toes forward into a cramped position. Previous injuries and health conditions that affect the muscles, nerves, or joints can also contribute. A podiatrist can examine the position and flexibility of the affected toe and evaluate how the foot functions when standing and walking.

Treatment depends on how flexible the toe remains and how much discomfort it causes. A podiatrist can recommend fitting shoes with enough room in the toe box to reduce pressure. Custom orthotics can improve foot support and help redistribute pressure away from painful areas. Padding or splinting can protect irritated skin and improve the toe’s position. The procedure can address tight tendons, the affected joint, or both, depending on the deformity. If you have a hammertoe deformity, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.

Hammertoes can be a painful condition to live with. For more information, contact Darline Kulhan, DPM of Scarsdale Foot Specialists PC. Our doctor will answer any of your foot- and ankle-related questions.

Hammertoe

Hammertoe is a foot deformity that occurs due to an imbalance in the muscles, tendons, or ligaments that normally hold the toe straight. It can be caused by the type of shoes you wear, your foot structure, trauma, and certain disease processes.

Symptoms

  • Painful and/or difficult toe movement
  • Swelling
  • Joint stiffness
  • Calluses/Corns
  • Physical deformity

Risk Factors

  • Age – The risk of hammertoe increases with age
  • Sex – Women are more likely to have hammertoe compared to men
  • Toe Length – You are more likely to develop hammertoe if your second toe is longer than your big toe
  • Certain Diseases – Arthritis and diabetes may make you more likely to develop hammertoe

Treatment

If you have hammertoe, you should change into a more comfortable shoe that provides enough room for your toes. Exercises such as picking up marbles may strengthen and stretch your toe muscles. Nevertheless, it is important to seek assistance from a podiatrist in order to determine the severity of your hammertoe and see which treatment option will work best for you.

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

Read more about Hammertoe

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