Plantar fibromatosis is a condition where benign fibrous nodules develop within the plantar fascia, the thick band of tissue along the bottom of the foot. These growths can cause discomfort, pain when walking, or difficulty fitting into shoes. Symptoms often include firm lumps in the arch of the foot that may slowly increase in size. Causes are not fully understood but may involve genetic factors, repetitive stress, or injury. Risk factors include middle age, male gender, and a family history of the condition. A podiatrist can provide treatments, such as orthotics, or, in severe cases, surgical options. If you notice painful lumps in your foot arch, it is suggested that you consult a podiatrist who can accurately diagnose and offer relief and treatment solutions. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Kent DiNucci, DPM of Ankle and Foot Clinic . 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 Omaha, NE . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Ankle injuries are common, and it can be difficult to tell the difference between a sprain and a break. A sprained ankle occurs when the ligaments are stretched or torn, often from twisting or rolling the foot during sports or walking on uneven ground. A broken ankle, or fracture, happens when one or more bones in the ankle joint break, usually from a fall, direct impact, or severe twisting injury. Symptoms of both include pain, swelling, bruising, and difficulty walking. However, a break may cause more intense pain, visible deformity, or an inability to bear weight at all. The area might feel tender to the touch and appear misshapen or unstable. A podiatrist can perform a physical exam, take X-rays, and determine whether the injury is a sprain or fracture. Treatment may involve rest, bracing, targeted exercises, or, in some cases, surgery. If you have injured your ankle, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment solutions.

Broken ankles need immediate treatment. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet. 

Broken Ankles
A broken ankle is experienced when a person fractures their tibia or fibula in the lower leg and ankle area. Both of these bones are attached at the bottom of the leg and combine to form what we know to be our ankle.

When a physician is referring to a break of the ankle, he or she is usually referring to a break in the area where the tibia and fibula are joined to create our ankle joint. Ankles are more prone to fractures because the ankle is an area that suffers a lot of pressure and stress. There are some obvious signs when a person experiences a fractured ankle, and the following symptoms may be present.

Symptoms of a Fractured Ankle

• Excessive pain when the area is touched or when any pressure is placed on the ankle
• Swelling around the area
• Bruising of the area
• Area appears to be deformed

If you suspect an ankle fracture, it is recommended to seek treatment as soon as possible. The sooner you have your podiatrist diagnose the fracture, the quicker you’ll be on the way towards recovery.

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

A bruised heel bone can occur suddenly due to a fall, jumping, or stepping on a sharp object. This type of injury also can develop gradually from repeated impact on hard surfaces or stiff shoes. Risk factors for a bruised heel include advancing age, obesity, and endurance running. A history of cortisone shots, conditions like diabetes or rheumatoid arthritis, and previous heel injuries or surgery are other possibilities. Healing time for a bruised heel bone depends on the severity of the injury and level of activity. If the injury is sudden and severe or if pain persists, it is important to consult a podiatrist, as they may recommend imaging to rule out fractures or soft tissue damage. This type of doctor can prescribe custom orthotics or, in some cases, surgery. If you have symptoms of a bruised heel bone, it is suggested that you schedule an appointment with a podiatrist for appropriate treatment options.

Many people suffer from bouts of heel pain. For more information, contact Kent DiNucci, DPM of Ankle and Foot Clinic . Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Gout is caused by a buildup of uric acid in the blood, which forms sharp crystals in the joints and leads to sudden pain, swelling, redness, and warmth. Flare-ups of gout often take place in the big toe. They can make walking difficult and may occur repeatedly, causing damage to joints in the feet and ankles, if left untreated. A podiatrist can diagnose gout by examining the affected area and using imaging or lab tests to rule out other problems, like fractures or other types of arthritis. Gout in the feet can lead to long-term joint damage, tissue changes and deformities. Management of gout includes medication to reduce inflammation and guidance on preventing further flare-ups. A podiatrist can also assess footwear and biomechanics to reduce pressure on affected joints and help preserve foot function.  If you have frequent toe or ankle pain caused by gout, it is suggested that you are under the care of a podiatrist for management of this painful condition.

Gout is a foot condition that requires certain treatment and care. If you are seeking treatment, contact Kent DiNucci, DPM from Ankle and Foot Clinic . Our doctor will treat your foot and ankle needs.

What Is Gout?

Gout is a type of arthritis caused by a buildup of uric acid in the bloodstream. It often develops in the foot, especially the big toe area, although it can manifest in other parts of the body as well. Gout can make walking and standing very painful and is especially common in diabetics and the obese.

People typically get gout because of a poor diet. Genetic predisposition is also a factor. The children of parents who have had gout frequently have a chance of developing it themselves.

Gout can easily be identified by redness and inflammation of the big toe and the surrounding areas of the foot. Other symptoms include extreme fatigue, joint pain, and running high fevers. Sometimes corticosteroid drugs can be prescribed to treat gout, but the best way to combat this disease is to get more exercise and eat a better diet.

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