Plantar fibromatosis is a non-cancerous condition that causes firm lumps to develop within the plantar fascia. This thick band of tissue runs along the bottom of the foot and supports the arch. The lumps are called plantar fibromas. They may develop in one foot or both feet, and can slowly increase in size. Although plantar fibromatosis is usually not dangerous, it can make walking and standing uncomfortable. Understanding the condition can help you recognize changes early and seek appropriate care.

A plantar fibroma often feels like a small, firm knot beneath the skin. Symptoms may include tenderness, pressure, or aching in the arch. Some people have no pain until the lump is pressed by shoes or while walking. The exact cause of plantar fibromatosis is not fully understood. Repeated stress on the plantar fascia may contribute to tissue changes. Genetics may also play a role. Other possible factors include foot trauma and certain medical conditions.

Risk factors can include a family history of plantar fibromatosis and repeated strain on the feet. A podiatrist will examine the lump and ask about symptoms, activities, and medical history. Imaging, such as an ultrasound or MRI scan, may be recommended when the diagnosis needs confirmation. A podiatrist may recommend supportive footwear, custom orthotics, or padding to reduce pressure on the lump.

When symptoms are persistent, a podiatrist may discuss additional treatment options. These can include injections or other approaches designed to reduce pain and irritation. Surgery may be considered when a fibroma is large or causes significant problems with daily activities. Because plantar fibromas can return after removal, careful evaluation is important before choosing surgery. Paying attention to changes in the arch can help you get treatment before discomfort becomes more limiting. If you have developed a plantar fibroma, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. 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 office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot wounds can become serious when they do not move through the normal healing process. A wound that fails to heal properly over time is considered a chronic wound. Several types can affect the lower legs and feet, including diabetic, arterial, and pressure ulcers. Diabetic foot ulcers often develop because nerve damage can reduce the ability to feel pain or repeated injury. Poor circulation can further interfere with healing. Chronic wounds require careful evaluation because their cause influences the type of treatment that may be needed.

Evaluating a non-healing foot wound involves more than examining the injured skin. Medical professionals consider the wound’s location, size, and depth. They may also evaluate drainage and the type of tissue within the wound. Blood flow is especially important because poor circulation can prevent damaged tissue from healing normally. Diabetic foot ulcers commonly develop on the toes or the bottom of the forefoot and may be surrounded by thick callused skin. Some wounds can extend into deeper tissues. Imaging may be needed when there is concern that an infection has reached the bone.

A podiatrist can evaluate a foot wound, identify factors interfering with healing, and determine an appropriate wound-care plan. Treatment depends on the type of wound and its underlying cause. Professional care may involve removing dead tissue, controlling infection, and selecting appropriate dressings. For diabetic foot ulcers, reducing pressure on the affected area is also an important part of treatment. A podiatrist can also evaluate circulation and nerve function to identify problems that may affect healing. Certain wounds may require coordinated treatment with vascular or other medical specialists. Early professional attention is important because chronic foot wounds can lead to deeper infection and other serious complications. If you have a foot wound that is not healing normally or continues to worsen, it is suggested that you consult a podiatrist for an evaluation and appropriate wound-care treatment.

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 Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor 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 contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Tarsal tunnel syndrome is caused by compression or irritation of the tibial nerve as it passes through a narrow space near the inner ankle. Symptoms may include burning pain, tingling, or shooting discomfort that travels toward the sole or toes. Pain may become more noticeable at night or after activity. Recognizing these warning signs can help you seek care before symptoms become difficult to manage. Early evaluation can help identify nerve pressure before pain interferes with daily activities.

Several risk factors can increase the chance of developing tarsal tunnel syndrome. An ankle injury may cause swelling that puts pressure on the tibial nerve. Flat feet can change foot alignment and increase tension around the tunnel. Arthritis, diabetes, or a growth near the nerve can also contribute. Repetitive activities that stress the ankle may worsen irritation. Footwear that lacks proper support can add strain for some people. A careful evaluation can help identify which factors are contributing to nerve pressure.

A podiatrist will begin with a detailed examination of the foot and ankle. They may check sensation, muscle strength, and nerve response. Imaging or nerve testing may be recommended to identify the source of symptoms. Treatment depends on the underlying cause and may include activity changes, supportive footwear, or medication. If nerve compression remains severe, an injection or a surgical procedure may be considered.

Early attention to tarsal tunnel symptoms can help protect comfort. Avoiding activities that increase pain may reduce irritation while the area heals. Wearing supportive shoes can also help limit stress on the ankle. Persistent numbness, burning, or worsening pain should not be ignored. A podiatrist can determine whether nerve compression is responsible, and create an appropriate treatment plan for lasting relief and safer daily movement overall. If you have symptoms of tarsal tunnel syndrome, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition.

Tarsal tunnel syndrome can be very uncomfortable to live with. If you are experiencing tarsal tunnel syndrome, contact Dr. Kendall Blackwell of InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Tarsal Tunnel Syndrome

Tarsal tunnel syndrome, which can also be called tibial nerve dysfunction, is an uncommon condition of misfiring peripheral nerves in the foot. The tibial nerve is the peripheral nerve in the leg responsible for sensation and movement of the foot and calf muscles. In tarsal tunnel syndrome, the tibial nerve is damaged, causing problems with movement and feeling in the foot of the affected leg.

Common Cause of Tarsal Tunnel Syndrome

• Involves pressure or an injury, direct pressure on the tibial nerve for an extended period of time, sometimes caused by other body structures close by or near the knee.
• Diseases that damage nerves, including diabetes, may cause tarsal tunnel syndrome.
• At times, tarsal tunnel syndrome can appear without an obvious cause in some cases.

The Effects of Tarsal Tunnel Syndrome

• Different sensations, an afflicted person may experience pain, tingling, burning or other unusual sensations in the foot of the affected leg.
• The foot muscles, toes and ankle become weaker, and curling your toes or flexing your foot can become difficult.
• If condition worsens, infections and ulcers may develop on the foot that is experiencing the syndrome.

A physical exam of the leg can help identify the presence of tarsal tunnel syndrome. Medical tests, such as a nerve biopsy, are also used to diagnose the condition. Patients may receive physical therapy and prescriptive medication. In extreme cases, some may require surgery.

If you have any questions please contact our office located in Wilson, NC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cracked heels develop when the skin around the heel becomes dry, thick, and less flexible. Extra pressure on this skin can cause it to split, creating cracks that are also called heel fissures. Small cracks can cause mild discomfort, while deeper cracks can become painful or bleed. Symptoms include dry skin, thickened areas, and visible splits around the heel. Standing for long periods of time can place additional pressure on the heel. Wearing open-backed shoes can also contribute because they allow the heel to spread outward. Cold, dry weather and certain skin conditions can make the problem worse.

Several health conditions can contribute to dry, cracked heels. Athlete's foot can cause dry or irritated skin, while other conditions can affect the skin's ability to hold moisture. A podiatrist can examine the heels to determine the severity of the cracks and look for signs of infection. The examination can also help identify pressure patterns or another foot problem that contributes to cracking. Redness, warmth, or drainage can signal an infection and require prompt attention. Patients with diabetes should have cracked heels professionally evaluated because breaks in the skin can increase the risk of serious foot complications.

Podiatric treatment for cracked heels focuses on restoring healthier skin and protecting areas that have split. A podiatrist can carefully remove thick, hardened skin through a procedure called debridement. Treatment can also include prescription-strength creams, protective dressings, or medical skin glue for certain cracks. Shoe inserts can redistribute pressure across the heel and reduce stress on damaged skin. A podiatrist can determine which treatment is appropriate based on the depth of the cracks and the patient's overall foot health. Professional treatment is especially important when cracks are painful, bleeding, or showing signs of infection. Addressing the cause can help protect the skin and improve comfort while standing or walking. If you have racked heels, it is suggested that you schedule an appointment with a podiatrist for effective relief and treatment solutions, which may include  prescribed  medication.

Cracked heels are unsightly and can cause further damage to your shoes and feet. If you have any concerns, contact Dr. Kendall Blackwell from InStride Wilson Podiatry Associates. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

Cracked heels appear unappealing and can make it harder for you walk around in sandals. Aside from looking unpleasant, cracked heels can also tear stockings, socks, and wear out your shoes. There are several methods to help restore a cracked heel and prevent further damage.

How Do You Get Them?

Dry skin is the number one culprit in creating cracked heels. Many athletes, walkers, joggers, and even swimmers suffer from cracked heels. Age and skin oil production play a role to getting cracked heels as well.

Promote Healing

Over the counter medicines can help, especially for those that need instant relief or who suffer from chronic dry feet.

Wear Socks – Wearing socks with medicated creams helps lock in moisture.

Moisturizers – Applying both day and night will help alleviate dryness which causes cracking.

Pumice Stones – These exfoliate and remove dead skin, which allows for smoother moisturizer application and better absorption into the skin. 

Change in Diet

Eating healthy with a well-balanced diet will give the skin a fresh and radiant look. Your body responds to the kinds of food you ingest. Omega-3 fatty acids and zinc supplements can also revitalize skin tissue.

Most importantly, seek professional help if unsure how to proceed in treating cracked heels. A podiatrist will help you with any questions or information needed. 

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