Blog

Plantar Fibroma and Fibromatosis Management Options

A plantar fibroma is a single benign lump that develops within the plantar fascia, the thick band of tissue along the bottom of the foot. Plantar fibromatosis refers to a more extensive condition in which multiple fibromas form and may gradually enlarge or spread. Both can cause localized pain, pressure with walking, and discomfort when standing for long periods, although fibromatosis is often more persistent and challenging to manage. Treatment focuses on reducing pressure and irritation. Custom orthotics, padding, and wearing supportive footwear help offload the affected area. Stretching and anti-inflammatory measures may ease symptoms. In some cases, targeted injections or other conservative therapies are considered. Surgery is approached cautiously, especially with fibromatosis, due to recurrence risk and scar tissue development. When ongoing arch pain or lumps interfere with daily activities, it is suggested that you obtain an evaluation by a podiatrist who can guide appropriate management and treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Larry Cohen of New York City. 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 our offices located in Midtown, Manhattan New York, NY . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Read more about Plantar Fibroma

Formation and Treatment of Ingrown Toenails

Ingrown toenails form when the edge of a toenail grows into the surrounding skin, often affecting the big toe. This can occur from improper nail trimming, pressure from footwear, toe deformities, or trauma. As the nail penetrates the skin, inflammation may develop, leading to redness, swelling, tenderness, and drainage. If left untreated, ingrown toenails can become infected and painful, interfering with walking, work, and other activities. A podiatrist can evaluate the affected toe and identify contributing factors, such as gait mechanics or structural issues of the foot. Treatment includes relieving pressure, addressing infection, correcting nail growth patterns, or performing a minor in office procedure to remove the problematic nail portion. If you have pain from an ingrown toenail, it is suggested that you make an appointment with a podiatrist for an exam, diagnosis, and treatment.

Ingrown toenails may initially present themselves as a minor discomfort, but they may progress into an infection in the skin without proper treatment. For more information about ingrown toenails, contact Dr. Larry Cohen of New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Ingrown Toenails

Ingrown toenails are caused when the corner or side of a toenail grows into the soft flesh surrounding it. They often result in redness, swelling, pain, and in some cases, infection. This condition typically affects the big toe and may recur if it is not treated properly.

Causes

  • Improper toenail trimming
  • Genetics
  • Improper shoe fitting
  • Injury from pedicures or nail picking
  • Abnormal gait
  • Poor hygiene

You are more likely to develop an ingrown toenail if you are obese, have diabetes, arthritis, or have any fungal infection in your nails. Additionally, people who have foot or toe deformities are at a higher risk of developing an ingrown toenail.

Symptoms

Some symptoms of ingrown toenails are redness, swelling, and pain. In rare cases, there may be a yellowish drainage coming from the nail.

Treatment

Ignoring an ingrown toenail can have serious complications. Infections of the nail border can progress to a deeper soft-tissue infection, which can then turn into a bone infection. You should always speak with your podiatrist if you suspect you have an ingrown toenail, especially if you have diabetes or poor circulation.

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

Read more about Ingrown Toenails

Plantar Fasciitis and How to Find Relief

Plantar fasciitis is a common condition that affects the thick band of tissue on the bottom of the foot that supports the arch. It often occurs when this tissue becomes irritated from overuse, wearing improper footwear, or standing for long periods of time. Risk factors include high arches, flat feet, tight calf muscles, and increased activity. Symptoms include heel pain, stiffness, and discomfort that is often worse in the morning or after rest. A podiatrist can identify the cause, provide targeted treatment, recommend supportive footwear, and guide stretching and strengthening routines to ease strain on the heel. Heel pain can be painful, and may affect daily activities. If this applies to you, it is suggested that you consult a podiatrist who can accurately diagnose and treat what may be going on.

Plantar fasciitis can be very painful and inconvenient. If you are experiencing heel pain or symptoms of plantar fasciitis, contact Dr. Larry Cohen  from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is Plantar Fasciitis?

Plantar fasciitis is the inflammation of the thick band of tissue that runs along the bottom of your foot, known as the plantar fascia, and causes mild to severe heel pain.

What Causes Plantar Fasciitis?

  • Excessive running
  • Non-supportive shoes
  • Overpronation
  • Repeated stretching and tearing of the plantar fascia

How Can It Be Treated?

  • Conservative measures – anti-inflammatories, ice packs, stretching exercises, physical therapy, orthotic devices
  • Shockwave therapy – sound waves are sent to the affected area to facilitate healing and are usually used for chronic cases of plantar fasciitis
  • Surgery – usually only used as a last resort when all else fails. The plantar fascia can be surgically detached from the heel

While very treatable, plantar fasciitis is definitely not something that should be ignored. Especially in severe cases, speaking to your doctor right away is highly recommended to avoid complications and severe heel pain. Your podiatrist can work with you to provide the appropriate treatment options tailored to your condition.

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

Read more about Plantar Fasciitis

Do Your Child's Feet Hurt?

Have your child's feet been examined lately? Healthy feet are happy feet. If your child is complaining of foot pain, it may be a sign of underlying problems.

Foot Exercises to Relieve Tight Ankles and Foot Pain

Tight ankles, calves, and foot pain can significantly affect mobility and comfort. To relieve these issues, certain foot exercises can be highly effective. One simple exercise is ankle stretches, where you gently pull the foot towards you, holding for several seconds to stretch the ankle. This helps release tightness and improve flexibility. To target tight calves, try calf stretches by standing with your hands against a wall and leaning forward to stretch the calf muscles. Another useful exercise is the towel stretch, where you sit with your legs extended, using a towel around the foot to pull it towards you, stretching both the calves and the foot. Additionally, rolling a tennis ball under the foot can alleviate tension and promote blood circulation. Regularly performing these exercises can help reduce pain, increase flexibility, and improve overall foot health. If you have sustained foot pain, it is suggested that you consult a podiatrist who can treat various foot conditions, and guide you on how to practice appropriate foot exercises.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries and build strength. If you have any concerns about your feet, contact Dr. Larry Cohen from New York City. Our doctor can provide the care you need to keep you pain-free and on your feet.

Exercise for Your Feet

Exercise for your feet can help you gain strength, mobility and flexibility in your feet. They say that strengthening your feet can be just as rewarding as strengthening another part of the body. Your feet are very important, and we often forget about them in our daily tasks. But it is because of our feet that are we able to get going and do what we need to. For those of us fortunate enough to not have any foot problems, it is an important gesture to take care of them to ensure good health in the long run.

Some foot health exercises can include ankle pumps, tip-toeing, toe rises, lifting off the floor doing reps and sets, and flexing the toes. It is best to speak with Our doctor to determine an appropriate regimen for your needs. Everyone’s needs and bodies are different, and the activities required to maintain strength in the feet vary from individual to individual. 

Once you get into a routine of doing regular exercise, you may notice a difference in your feet and how strong they may become.

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

Read more about Exercise for Your Feet
Connect with us

Follow Larry Cohen, DPM on Facebook Follow Larry Cohen, DPM on Twitter Tips on foot care for patients and best podiatry practices in Midtown Manhattan New York, NY