
Swelling in the feet and ankles, a common concern can be attributed to various factors rooted in the body's intricate balance. One primary cause is fluid retention, often associated with prolonged periods of standing or sitting, as gravity impedes the return of blood and fluids from the lower extremities. Injuries, such as sprains or fractures, can trigger swelling as the body responds to the trauma. Poor circulation, a result of conditions like peripheral artery disease, may contribute to fluid accumulation. Additionally, systemic issues such as heart, kidney, or liver diseases can manifest in swollen feet and ankles due to compromised fluid regulation. Hormonal changes, particularly in pregnancy, may also play a role. Lifestyle choices, including a diet high in sodium, can exacerbate fluid retention. If your feet and ankles have become swollen, it is suggested that you speak with a podiatrist who can determine what the cause is and offer appropriate relief techniques.
Swollen feet can be a sign of an underlying condition. 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.
Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:
- Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
- Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
- Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
- Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
- Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.
Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet.
Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.
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.

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.