November 2023

A plantar fibroma is a benign nodule that develops in the arch of the foot, specifically within the plantar fascia, the tissue band extending from the heel to the toes. Those with a plantar fibroma often notice a firm lump in the arch of their foot, which can either stay consistent in size or grow slowly over time. This lump often leads to discomfort or pain, particularly when walking, standing, or applying pressure to the foot, such as when wearing shoes. The pain is usually due to the fibroma pressing against the footwear or ground. As a result, individuals might experience changes in their walking pattern and such changes can further affect overall foot function and comfort. If you think you have a plantar fibroma, it is suggested that you make an appointment with a podiatrist for a diagnosis and treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Integrative Foot & Ankle Centers of Washington. 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 one of our offices located in Kirkland, Everett, and Renton, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Running is a fantastic way to stay fit and relieve stress, but it can also take a toll on your feet and shoes. This is where the practice of running shoe rotation comes into play. It involves switching between different pairs of running shoes to distribute the impact and wear more evenly. The importance of running shoe rotation lies in several key benefits. First, it prolongs the lifespan of your shoes. Continuous use of the same pair can lead to faster wear and tear, reducing their support and cushioning. Rotating between multiple pairs allows each shoe to recover between runs. Additionally, it helps prevent overuse injuries. Each pair of running shoes has a unique cushioning and support system. By alternating between them, you may reduce the risk of overloading specific muscle groups and joints. This can help to lower the risk of injuries such as shin splints, stress fractures, and Achilles tendonitis. Different shoes can provide variations in comfort and performance, giving your feet a break from repetitive motion and potentially improving your performance. Whether you are a seasoned runner or just starting out, incorporating a rotation schedule into your running routine can help keep your feet healthy and your runs enjoyable. For more information about running shoes and the importance of rotating them or if you have endured a foot or ankle injury from running, it is suggested that you speak with a podiatrist.

If you are a runner, wearing the right running shoe is essential. For more information, contact one of our podiatrists from Integrative Foot & Ankle Centers of Washington. Our doctors 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 one of our offices located in Kirkland, Everett, and Renton, WA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Arthritis, a condition characterized by inflammation and stiffness of the joints, can affect various parts of the body, including the toes. When arthritis strikes the toes, it can lead to persistent and often debilitating pain. The most common forms of arthritis that affect the toes are osteoarthritis and rheumatoid arthritis. Osteoarthritis, often associated with aging and wear and tear, causes the cartilage in the toe joints to break down, resulting in pain, swelling, and reduced mobility. Conversely, rheumatoid arthritis is an autoimmune disease that attacks the joints, leading to inflammation, pain, and deformities in the toes. This type of toe pain can be particularly challenging, as we rely on our toes for balance and mobility. It can affect daily activities such as walking, standing, and even wearing shoes comfortably. Understanding the nature of this pain is the first step toward finding relief and maintaining a good quality of life. If you have toe pain, it is strongly suggested that you are under the care of a podiatrist who can diagnose toe arthritis, and offer appropriate management options.

Toe pain can disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Integrative Foot & Ankle Centers of Washington. Our doctors can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

If you have any questions please feel free to contact one of our offices located in Kirkland, Everett, and Renton, WA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Stress fractures, those tiny cracks in the bones of the feet, are a common concern for athletes, dancers, and anyone who spends a significant amount of time on their feet. These fractures are usually a result of repetitive stress and overuse, rather than sudden trauma. One primary cause of stress fractures is overexertion, often seen in athletes who increase their training intensity too quickly. Wearing Improper footwear or a sudden change in physical activity can also put undue stress on the bones. Inadequate nutrition and underlying conditions such as osteoporosis may weaken bones, making them more susceptible to fractures. Symptoms of a stress fracture typically include localized pain, swelling, and tenderness in the affected area. The pain usually worsens with activity and eases with rest. Left untreated, stress fractures can progress to chronic pain and complications, so early intervention is essential. Understanding the causes and recognizing these symptoms allows for prompt diagnosis and proper care, reducing the risk of more severe injuries and ensuring a quicker return to an active, pain-free lifestyle. If you have developed a foot stress fracture, it is suggested that you visit a podiatrist as quickly as possible who can effectively treat this condition.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Integrative Foot & Ankle Centers of Washington. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

• Gender – They are more commonly found in women compared to men.
• Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
• Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
• Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
• Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact one of our offices located in Kirkland, Everett, and Renton, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Diabetic foot ulcers are common among those with diabetes, requiring vigilant wound care to prevent complications and promote healing. These ulcers often develop due to reduced blood circulation and nerve damage in the feet, making them slower to heal and more susceptible to infection. The key to managing diabetic foot ulcers lies in meticulous care. This can begin by keeping the wound clean to prevent infections. Regularly change dressings and use prescribed topical antibiotics if necessary. Removing pressure from the affected foot and using special footwear may help to redistribute weight. Monitor blood sugar levels because high glucose levels can impede the healing process. Consulting a podiatrist is essential for proper wound assessment and care. They may recommend advanced wound dressings, debridement, or surgical interventions if the ulcer is severe. If you have diabetes, it is strongly suggested that you are under the care of a podiatrist who can help manage this condition.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from Integrative Foot & Ankle Centers of Washington. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions, please feel free to contact one of our offices located in Kirkland, Everett, and Renton, WA . We offer the newest diagnostic and treatment technologies for all your foot care needs.