March 2024

Plantar fibroma is a benign condition characterized by the formation of a knot or nodule in the arch of the foot. This lump occurs in the plantar fascia, which is a thick band of tissue that runs from the heel to the toes. Typically, someone can feel it if they physically examine the foot. A  plantar fibroma can develop in one or both feet, and it usually remains stable in size or grows slowly over time. The lump in the arch may or may not be painful. When pain is present, it's often because the fibroma presses against footwear or the ground, creating pressure on the foot. This discomfort can be increased by standing, walking, or wearing tight or unsupportive shoes. People sometimes modify their gait or posture in an attempt to minimize discomfort, which potentially causes secondary pain in the feet, legs, or back. Treatment options vary depending on the severity of symptoms. Conservative options may include orthotic devices and footwear modifications, and more invasive procedures may involve steroid injections or surgery. If you have a lump in the arch of the foot and suspect a plantar fibroma, it is suggested that you make an appointment with a podiatrist for diagnosis and treatment options. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Michael A. Wood of Foot Health Institute. Our doctor 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 Lansing, and Chicago, IL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Dealing with acquired flat feet, also known as posterior tibial tendon dysfunction, or PTTD, requires looking into its causes and symptoms. PTTD is an acquired, progressive disease of the foot and ankle that is seen commonly in middle-aged patients. When the tibialis posterior muscle or tendon weakens or stretches, it may no longer support the foot's arch. This leads to arch collapse and discomfort, including midfoot tenderness, arch pain, and ankle swelling. Symptoms may also include difficulty standing on the toes and foot weakness. Treatments involve both conservative and surgical options depending on the severity of the condition. Wearing custom foot orthotics in your shoes and immobilizing the foot in a short-leg cast or boot to allow the tendon to heal properly may be needed. In severe cases, surgery may be required. If you are experiencing symptoms that may be related to acquired flat feet, it is suggested that you make an appointment with a podiatrist today for an exam, diagnosis, and treatment options. 

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Michael A. Wood from Foot Health Institute. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

• Pain around the heel or arch area
• Trouble standing on the tip toe
• Swelling around the inside of the ankle
• Flat look to one or both feet
• Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

If you have any questions please feel free to contact one of our offices located in Lansing, and Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome, or TTS, can bring about pain, tingling, and numbness in the feet. This is due to inflammation in the posterior tibial nerve, found along the inside of the ankle and foot. Nerve damage and compression, often stemming from injuries like ankle sprains or health conditions such as arthritis or diabetes, contribute to TTS. Orthotics can play a pivotal role in managing symptoms of tarsal tunnel syndrome. These specialized devices help alleviate pressure on the affected area and provide much-needed support to the arch of the foot. By reducing the strain on the tibial nerve, orthotics aid in mitigating the pain and discomfort associated with TTS. If you are suffering with foot pain of this type, it is suggested that you seek an early diagnosis and appropriate treatment from a podiatrist, which may include custom-made orthotics.

If you are experiencing discomfort in your feet and would like to try custom orthotics, contact Dr. Michael A. Wood from Foot Health Institute. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Custom Orthotics?

Custom 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. 

Over-the-Counter Inserts

Shoe inserts come in a wide variety and 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, custom 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're experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibility of using custom orthotics or shoe inserts. A podiatrist can determine which type of custom orthotic or shoe insert is right for you and help you take the first steps toward being pain-free.

If you have any questions please contact one of our offices located in Lansing, and Chicago, IL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

When searching for the ideal walking shoes, prioritize comfort and fit above all else. Ensure that your shoes provide adequate support while accommodating the unique shape of your feet. Before shopping for walking shoes, it may be wise to visit a podiatrist for a gait analysis and to see if any foot abnormalities may indicate the need for custom-made orthotics. Look for shoes with cushioning and stability, but don't assume that more cushioning is always better. Instead, opt for a balance that promotes natural foot movement. Try on shoes later in the day when your feet are at their largest. Bring along socks of the thickness you typically wear, and test the shoes by taking a few laps around the store to assess comfort and fit. Ensure there's enough space for your toes to wiggle and that there's at least a finger's width of space between your longest toe and the front of the shoe. For help with foot problems associated with walking, it is suggested that you make an appointment with a podiatrist.

It is important to find shoes that fit you properly in order to avoid a variety of different foot problems. For more information about treatment, contact Dr. Michael A. Wood from Foot Health Institute. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

Shoes have many different functions. They cushion our body weight, protect our feet, and allow us to safely play sports. You should always make sure that the shoes you wear fit you properly in order to avoid injuries and deformities such as: bunions, corns, calluses, hammertoes, plantar fasciitis, stress fractures, and more. It is important to note that although a certain pair of shoes might be a great fit for someone else, that doesn’t mean they will be a great fit for you. This is why you should always try on shoes before buying them to make sure they are worth the investment. Typically, shoes need to be replaced ever six months to one year of regular use.

Tips for Proper Shoe Fitting

• Select a shoe that is shaped like your foot
• Don’t buy shoes that fit too tight, expecting them to stretch to fit
• Make sure there is enough space (3/8” to ½”) for your longest toe at the end of each shoe when you are standing up
• Walk in the shoes to make sure they fit and feel right
• Don’t select shoes by the size marked inside the shoe, but by how the shoe fits your foot

The shoes you buy should always feel as good as they look. Shoes that fit properly will last longer, feel better, and improve your way of life each day.

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