A plantar fibroma is a benign, firm lump that forms in the arch of the foot within the plantar fascia, a thick band of tissue along the sole. This condition is part of a broader disorder called plantar fibromatosis, where fibrous nodules develop and may grow slowly over time. Causes are not always clear but may include trauma, genetic factors, or connective tissue disorders. Symptoms can involve pain, tenderness, or discomfort while walking or standing. Risk factors include middle age, family history, and certain medical conditions. A podiatrist can evaluate the growth, provide noninvasive treatment, and manage symptoms effectively. If you notice a lump in your foot arch, it is suggested that you consult a podiatrist for early diagnosis and care.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Richard Galperin, DPM of Texas. 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 Dallas, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Morton's neuroma is a painful foot condition involving irritation or compression of a nerve between the metatarsal bones, most often located between the third and fourth toes. This compression can lead to thickening of the nerve and surrounding tissue, resulting in a sharp, burning, or shooting pain near the ball of the foot. Tingling, cramping, and numbness in the toes are common symptoms of Morton's neuroma, often triggered or worsened by walking or wearing shoes that put pressure on the forefoot. Diagnosis may involve imaging such as ultrasounds or MRI scans to assess nerve compression. A podiatrist may recommend an orthotic device to redistribute pressure, prescribe medication, or consider injections to reduce inflammation. In more advanced cases, surgery may be required to decompress or remove the affected nerve. If you have extreme pain near the ball of the foot, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Richard Galperin, DPM of Texas. Our doctor will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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

Custom foot orthotics are medical devices made to support and align the foot based on a person’s individual structure and walking pattern. Unlike store-bought insoles, custom orthotics are crafted from a mold or digital scan of the foot to target specific problems. They are commonly used to relieve pain, correct abnormal movement, and improve comfort during daily activities. These devices can help manage plantar fasciitis, flat feet, high arches, bunions, and heel pain. Athletes and anyone who stands for long periods of time may also benefit from orthotics, which help reduce strain on the feet, ankles, knees, and even the lower back. Materials and design vary depending on age, activity level, and the type of correction needed. Custom orthotics are often worn inside regular shoes and can be part of a long-term treatment plan. If you are experiencing discomfort or pain in your feet, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and appropriate treatment.

If you’re experiencing foot discomfort, have a history of foot and ankle injuries, or are interested in exploring Custom orthotics, don’t hesitate to contact Richard Galperin, DPM at Texas. Our doctor is dedicated to offering the care required to help you remain pain-free and stay on your feet. 

What are Custom Orthotics?

Custom orthotics refer to custom inserts designed for placement in different shoe types, including athletic and formal footwear, with the purpose of alleviating a spectrum of foot-related problems such as flat feet, heel pain, and overall foot discomfort. These inserts are instrumental in providing relief and comfort for a diverse range of foot conditions, including heel pain, and can also act as a proactive approach to injury prevention. 

Medical Grade Shoe Inserts: 

A diverse array of shoe inserts is available for addressing foot pain, heel discomfort, and minor issues. For instance, you can place arch supports in your shoes to rectify overarched or flat feet, and gel and cushioned insoles are frequently chosen for the comfort and relief they provide from foot and heel pain by reducing pressure. 

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

Wearing the right running shoes can help prevent pain and injury by supporting your feet where needed. A proper fit of running shoes starts with choosing a pair that matches your foot shape, length, and width. The toe box should allow enough room to wiggle your toes without pressing them together, while the heel should feel snug without slipping. Your longest toe should have about half an inch of space at the front of the shoe. The midfoot area should hold your arch securely but not feel tight across the sides. It is important to try on shoes using the socks you would normally run in, and later in the day when your feet are naturally more swollen. Shoes that are too tight or loose may lead to blisters, bruised toenails, or more serious foot problems. A podiatrist can help assess your foot shape and gait to recommend proper footwear. If you experience foot pain from running, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment options.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Richard Galperin, DPM from Texas. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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