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 Luis Rivera, DPM of Marin Foot and Ankle Centers. 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 Hialeah, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Achilles tendinitis develops when the large tendon that connects the calf muscles to the heel becomes irritated and inflamed. This tendon plays an important role when walking, running, and jumping, so repeated stress can lead to pain. Achilles tendinitis usually develops from overuse rather than one sudden injury. Increasing exercise intensity too quickly can place extra strain on the tendon. Changes in footwear and tight calf muscles may also contribute. The condition is especially common among runners, although it can affect people with different activity levels. Pain may occur within the tendon or where it attaches to the heel bone.

Symptoms of Achilles tendinitis can gradually interfere with comfortable movement. Pain and stiffness may develop along the tendon, especially in the morning. Discomfort at the back of the heel often becomes worse with physical activity. The tendon may also become swollen or thickened over time. There are two main types of Achilles tendinitis. Noninsertional tendinitis affects the middle portion of the tendon and is more common among younger, active people. Insertional tendinitis affects the lower portion where the Achilles tendon connects to the heel. Bone spurs can sometimes develop with this form of the condition.

A podiatrist can examine persistent Achilles tendon pain and determine the location and severity of the problem. The evaluation may include checking for swelling, tenderness, and limited ankle movement. X-rays can reveal bone spurs or calcium deposits, while other imaging may be useful in certain cases. Professional treatment depends on the type and severity of Achilles tendinitis. Options can include physical therapy, supportive footwear, or orthotic devices. More severe cases that do not improve with nonsurgical care may require surgery. Because Achilles tendon problems can take months to improve, receiving an accurate diagnosis can help guide appropriate care. If pain or stiffness continues along the Achilles tendon or heel, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Luis Rivera, DPM of Marin Foot and Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

If you have any questions please feel free to contact our office located in Hialeah, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

A tailor’s bunion is a bony prominence that develops along the outside edge of the foot near the base of the little toe. Commonly called a bunionette, it forms when the fifth metatarsal bone shifts outward as the little toe angles inward. Symptoms include a bump, tenderness, and pain when wearing narrow shoes. People may develop thickened skin or irritation over the area. Although a tailor’s bunion is not usually dangerous, discomfort can interfere with walking and activities.

Several factors can contribute to a tailor’s bunion. Genetics may influence foot structure, making some people more likely to develop abnormal toe bones or changes in alignment. Flat feet can alter how pressure moves through the foot and may increase stress along the forefoot. Other foot and ankle conditions can also affect alignment and contribute to bunionette formation. Tight or pointed shoes may worsen pressure around the little toe. Risk factors include inherited foot structure, flat feet, and repeated stress from activities that place pressure on the forefoot.

A podiatrist begins treatment by examining the foot and reviewing symptoms, footwear, and history. X-rays may be recommended to evaluate bone position and joint alignment. Treatment often starts with wearing wider shoes that provide adequate toe room. Additionally, padding can protect the bump from friction, while orthotics may help improve pressure distribution. A podiatrist may also recommend medication to reduce discomfort. If pain remains despite conservative care, surgery may be considered to realign the affected bone and improve function.

Understanding the cause of a tailor’s bunion can make treatment more effective. Early care may reduce irritation and prevent symptoms from becoming limiting. If you have a painful tailor’s bunion, it is suggested that you consult a podiatrist who can provide effective relief, treatment, and management solutions. 

If you are suffering from bunion pain, contact Luis Rivera, DPM of Marin Foot and Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

Bunions are painful bony bumps that usually develop on the inside of the foot at the joint of the big toe. As the deformity increases over time, it may become painful to walk and wear shoes. Women are more likely to exacerbate existing bunions since they often wear tight, narrow shoes that shift their toes together. Bunion pain can be relieved by wearing wider shoes with enough room for the toes.

Causes

• Genetics – some people inherit feet that are more prone to bunion development
• Inflammatory Conditions - rheumatoid arthritis and polio may cause bunion development

Symptoms

• Redness and inflammation
• Pain and tenderness
• Callus or corns on the bump
• Restricted motion in the big toe

In order to diagnose your bunion, your podiatrist may ask about your medical history, symptoms, and general health. Your doctor might also order an x-ray to take a closer look at your feet. Nonsurgical treatment options include orthotics, padding, icing, changes in footwear, and medication. If nonsurgical treatments don’t alleviate your bunion pain, surgery may be necessary.

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

Flat feet happen when the arches flatten or remain low while standing. Some people have no symptoms, while others develop foot pain after activity. Symptoms can include aching along the arch, swelling near the inside of the ankle, and uneven shoe wear. Risk factors include aging, pregnancy, and injuries. Flat feet can also develop from stretched ligaments, tendon problems, or changes in foot structure.

Genetics can play an important role in flat feet. Some people inherit naturally low arches. Others develop acquired flat feet after injury or changes involving the posterior tibial tendon. Footwear that lacks proper support can increase discomfort. A podiatrist will review your symptoms and history, examine your feet while standing and walking, and check your shoes for wear patterns. Imaging tests may be recommended when a bone or joint problem needs closer evaluation.

Orthotics can improve foot support by redistributing pressure and guiding the feet toward a comfortable position. For flexible flat feet, prefabricated orthotics may provide cushioning and arch support. Custom orthotics may be considered when symptoms persist or precise correction is needed. A podiatrist may recommend custom devices based on your foot shape and activity level. Treatment may also include wearing supportive shoes, activity changes, and gradual orthotic use. Follow-up visits help assess comfort and make adjustments.

Healing flat feet depends on the underlying cause and severity. A podiatrist may identify the source of pain, recommend appropriate support, and monitor your progress. Severe cases may require additional treatment. The goal is to reduce strain, improve comfort, and support healthy movement. If painful flat feet are affecting daily activities and you want to learn whether orthotics may help, it is suggested that you consult a podiatrist who can provide you with a personalized treatment plan for lasting foot comfort.

If you are having discomfort in your feet and would like to try orthotics, contact Luis Rivera, DPM from Marin Foot and Ankle Centers. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Are Orthotics?

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 but can’t correct serious biomechanical problems in your feet.

Over-the-Counter Inserts

Orthotics come in a wide variety of over-the-counter inserts that 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 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 are experiencing minor to severe foot or heel pain, it’s recommended to speak with your podiatrist about the possibilities of using orthotics. A podiatrist can determine which type of orthotic is right for you and allow you to take the first steps towards being pain-free.

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