Items filtered by date: October 2023

Plantar fibromatosis is a relatively rare, but often painful, condition that affects the plantar fascia, the thick band of tissue running along the bottom of the foot. Unlike more common foot problems, such as bunions or heel spurs, plantar fibromatosis is marked by the development of fibrous nodules or lumps within the plantar fascia. These nodules can vary in size and are typically firm to the touch. They often form in the arch of the foot but can appear in other areas as well. While the exact cause of plantar fibromatosis remains unclear, it's thought to be related to genetic factors and may also be influenced by trauma or injury to the foot. The condition is typically benign but can be quite painful, affecting one's ability to walk and engage in regular activities. Understanding plantar fibromatosis is important for early diagnosis and appropriate care, as it can help individuals find relief from this challenging foot condition. If you have developed this ailment, it is suggested that you confer with a podiatrist who can confirm the diagnosis and offer appropriate relief and treatment methods. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. 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 Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Foot swelling, also known as edema, can be uncomfortable and concerning. Knowing what caused your feet to swell can help to address it effectively. One prevalent cause is standing or sitting for extended periods, which can impede blood circulation and lead to fluid accumulation in the feet and ankles. Additionally, injuries or strains can cause localized swelling, while sprains and fractures may result in more severe swelling. Certain medical conditions like deep vein thrombosis, hypertension, and heart disease can contribute to foot edema due to their impact on circulation. Hormonal changes during pregnancy can lead to fluid retention and swollen feet. In some cases, medications may have this side effect. Obesity is another significant factor, as excess weight can add pressure on the veins and lead to swelling. If you have swollen feet, it is strongly suggested that you visit a podiatrist who can determine the cause and provide treatment.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

• Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
• Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
• Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
• Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
• Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

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

With the physical demands of basketball, players are constantly at risk of injuries. Among these, ankle injuries are the most common for basketball players. Others basketball-related injuries include sprains, fractures, impingement, and Achilles tendon problems. Basketball demands repetitive jumping, rapid changes in motion, and explosive movements, all of which make a player prone to musculoskeletal injuries. Ankle injuries alone account for nearly a quarter of all basketball-related injuries. Sprained ankles occur when the ligaments that support the ankle are stretched or torn, often due to sudden changes in direction or landing improperly from a jump. Fractured ankles happen when the bones in the ankle, such as the tibia, fibula, or talus, break. They are often a result of high-impact collisions or awkward landings. Ankle impingement occurs when soft tissues, such as tendons or ligaments, become compressed within the ankle joint. This can lead to pain and a limited range of motion. The Achilles tendon, which connects the calf muscles to the heel bone, can be especially vulnerable in basketball. Overuse, sudden acceleration, or deceleration can lead to such injuries as tendonitis or ruptures. If you or your child regularly plays basketball and ankle problems have developed, it is suggested that you make an appointment with a podiatrist. 

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Sports Related Foot and Ankle Injuries

Foot and ankle injuries are a common occurrence when it comes to athletes of any sport. While many athletes dismiss the initial aches and pains, the truth is that ignoring potential foot and ankle injuries can lead to serious problems. As athletes continue to place pressure and strain the area further, a mild injury can turn into something as serious as a rupture and may lead to a permanent disability. There are many factors that contribute to sports related foot and ankle injuries, which include failure to warm up properly, not providing support or wearing bad footwear. Common injuries and conditions athletes face, including:

• Plantar Fasciitis
• Plantar Fasciosis
• Achilles Tendinitis
• Achilles Tendon Rupture
• Ankle Sprains

Sports related injuries are commonly treated using the RICE method. This includes rest, applying ice to the injured area, compression and elevating the ankle. More serious sprains and injuries may require surgery, which could include arthroscopic and reconstructive surgery. Rehabilitation and therapy may also be required in order to get any recovering athlete to become fully functional again. Any unusual aches and pains an athlete sustains must be evaluated by a licensed, reputable medical professional.

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

Toenail fungus, known as onychomycosis, is a common condition that results from exposure to an overgrowth of certain fungi in your toenails. These fungi, including dermatophytes and yeast, can be found naturally on the skin or in the environment, possibly as airborne spores. A contributing factor to toenail fungus is a warm and humid environment that promotes fungal growth. If your feet remain damp or sweaty for extended periods, these microbes can thrive and rapidly multiply, leading to an infection. Moreover, any crack or tear in the skin or nail can provide an entry point for the fungi, allowing them to penetrate deeper into the tissue. As the infection progresses, fungal debris accumulates under the nail, causing it to thicken and change color, typically turning yellow, brown, or white. Cracks may develop in the affected nail as it weakens. This infection can become progressively severe if left untreated. Recognizing the common symptoms early and seeking prompt treatment from a podiatrist is essential. If you believe you have toenail fungus, it is suggested that you seek the help of a podiatrist as quickly as possible.

If left untreated, toenail fungus may spread to other toenails, skin, or even fingernails. If you suspect you have toenail fungus it is important to seek treatment right away. For more information about treatment, contact Mark Isenberg, DPM of Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

Symptoms

• Warped or oddly shaped nails
• Yellowish nails
• Loose/separated nail
• Buildup of bits and pieces of nail fragments under the nail
• Brittle, broken, thickened nail

Treatment

If self-care strategies and over-the-counter medications does not help your fungus, your podiatrist may give you a prescription drug instead. Even if you find relief from your toenail fungus symptoms, you may experience a repeat infection in the future.

Prevention

In order to prevent getting toenail fungus in the future, you should always make sure to wash your feet with soap and water. After washing, it is important to dry your feet thoroughly especially in between the toes. When trimming your toenails, be sure to trim straight across instead of in a rounded shape. It is crucial not to cover up discolored nails with nail polish because that will prevent your nail from being able to “breathe”.

In some cases, surgical procedure may be needed to remove the toenail fungus. Consult with your podiatrist about the best treatment options for your case of toenail fungus.  

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

As we age, proper foot care becomes increasingly vital for maintaining overall health and mobility. Elderly feet are more susceptible to issues ranging from arthritis and reduced circulation to thinner skin and diminished sensation. Essential foot care practices for the senior years can begin with inspecting the feet regularly for any cuts, sores, or changes in skin color or temperature. It is beneficial for any signs of infection or injury to be promptly addressed. Toenails should be trimmed but not too short to prevent ingrown nails. Moisturize feet daily to prevent dryness and cracking, but ensure the areas between the toes remain dry to prevent fungal infections. Choose shoes that fit properly and provide support and cushioning as well. Custom orthotic inserts can help with arch support and stability. Regular, gentle foot exercises can improve circulation and mobility. Prioritizing proper foot care can enhance the quality of life for elderly individuals, helping them stay active and independent. It is suggested to seek regular check-ups with a podiatrist who can diagnose and address foot issues.

Proper foot care is something many older adults forget to consider. If you have any concerns about your feet and ankles, contact Mark Isenberg, DPM from Center for Podiatric Excellence. Our doctor can provide the care you need to keep you pain-free and on your feet.

The Elderly and Their Feet

As we age we start to notice many changes in our body, but the elder population may not notice them right away. Medical conditions may prevent the elderly to take notice of their foot health right away. Poor vision is a lead contributor to not taking action for the elderly.

Common Conditions 

• Neuropathy – can reduce feeling in the feet and can hide many life-threatening medical conditions.
• Reduced flexibility – prevents the ability of proper toenail trimming, and foot cleaning. If left untreated, it may lead to further medical issues.
• Foot sores – amongst the older population can be serious before they are discovered. Some of the problematic conditions they may face are:
• Gouging toenails affecting nearby toe
• Shoes that don’t fit properly
• Pressure sores
• Loss of circulation in legs & feet
• Edema & swelling of feet and ankles

Susceptible Infections

Diabetes and poor circulation can cause general loss of sensitivity over the years, turning a simple cut into a serious issue.

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