Items filtered by date: November 2023

A plantar fibroma affects the foot's plantar fascia, resulting in the development of nodules or fibrous tissue. Characterized by a thickening of the ligament that supports the arch, this disorder commonly manifests on the bottom of the foot, near the heel. In its early stages, a plantar fibroma may present as a small, painless nodule. As the condition progresses, these nodules can enlarge and become tender, causing discomfort with weight-bearing activities like walking or standing. Over time, the fibrous tissue may intertwine with the plantar fascia, potentially leading to a reduction in foot flexibility. The stages of a plantar fibroma vary, with some cases remaining relatively stable, while others may experience increased symptoms. Understanding the definition and progression of a plantar fibroma is essential for early recognition and intervention, enabling individuals to explore appropriate management strategies and maintain optimal foot health. If you have discomfort on the bottom of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat a plantar fibroma.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. 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 one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Many people wonder whether it is acceptable to run in walking shoes. While walking shoes are designed for a different purpose than running shoes, the answer is not always a straightforward yes or no. Walking shoes are generally built with a focus on providing comfort, stability, and support during low-impact activities like walking. They often have less cushioning and flexibility compared to running shoes, which are designed to absorb the higher impact forces generated during running. For short, light jogging or occasional runs, walking shoes may suffice, especially if you do not experience discomfort or pain. However, if you plan to run regularly or for longer distances, investing in running-specific footwear is recommended. Running shoes offer the necessary cushioning, shock absorption, and flexibility designed to protect your feet and joints from the impact of running. Ultimately, choosing the right footwear depends on your activity level and goals. If you are serious about running, it is best to invest in a proper pair of running shoes to reduce the risk of injury and enhance your performance. If you would like additional information about walking and running shoes, it is suggested that you confer with a podiatrist who can provide you with the knowledge you are seeking.

For more information about walking shoes versus running shoes, consult with Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor can measure your feet to determine what your needs are and help you find an appropriate pair of footwear.

Foot Health: The Differences between Walking & Running Shoes

There are great ways to stay in shape: running and walking are two great exercises to a healthy lifestyle. It is important to know that running shoes and walking shoes are not interchangeable. There is a key difference on how the feet hit the ground when someone is running or walking. This is why one should be aware that a shoe is designed differently for each activity.

You may be asking yourself what the real differences are between walking and running shoes and the answers may shock you.

Differences

Walking doesn’t involve as much stress or impact on the feet as running does. However, this doesn’t mean that you should be any less prepared. When you’re walking, you land on your heels and have your foot roll forward. This rolling motion requires additional support to the feet.

Flexibility – Walking shoes are designed to have soft, flexible soles. This allows the walker to push off easily with each step.

If you have any questions, please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Podiatrists are healthcare specialists trained to care for foot and lower leg issues. They assist in easing foot pain, enhancing mobility, and offering care before and after foot surgery. They are also skilled in handling foot-related sports injuries and wounds affecting adults as well as children. They work in various healthcare environments, including private practice, clinics, and hospitals. Podiatrists are important to visit for children who are experiencing foot pain from conditions such as Sever’s disease, arthritis, and sports injuries. Additionally, skin issues including warts, calluses, and ingrown toenails can warrant a visit to the podiatrist. This type of doctor can also help with balance and walking issues, such as frequent tripping or unusual gait, in addition to advising on suitable footwear. If your child is experiencing foot issues, it is suggested that you make an appointment with a podiatrist who will collaborate with you and your child, devise a plan to address the problems, and help your child remain active and healthy.

If you are experiencing pain in the feet or ankles, don’t join the stubborn majority refusing treatment. Feel free to contact Richard DiBacco, DPM from Podiatry Associates of Erie, Inc.. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is a Podiatrist?

Someone would seek the care of a podiatrist if they have suffered a foot injury or have common foot ailments such as heal spurs, bunions, arch problems, deformities, ingrown toenails, corns, foot and ankle problems, etc.

Podiatric Treatment

A podiatrist will treat the problematic areas of the feet, ankle or lower leg by prescribing the following:

• Physical therapy
• Drugs
• Orthotic inserts or soles
• Surgery on lower extremity fractures

A common podiatric procedure a podiatrist will use is a scanner or force plate which will allow the podiatrist to know the designs of orthotics. Patients are then told to follow a series of tasks to complete the treatment. The computer will scan the foot a see which areas show weight distribution and pressure points. The podiatrist will read the analysis and then determine which treatment plans are available.

If you have any questions please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

The ankle is a complex joint consisting of the subtalar joint, tibiotalar joint, and distal tibiofibular joint. It relies on ligaments to prevent excessive movement and ensure stability. When these ligaments become compromised, ankle surgery may be an option. In such cases, anatomical reconstruction is the preferred approach for repairing damaged ankle ligaments. This procedure aims to restore torn or stretched ligaments and can use either the patient's own tissue or a cadaver tendon, depending on the ligament's condition. During anatomical reconstruction, an ankle surgeon may also tighten the fibrous tissue band to improve ankle alignment and prevent future injuries. In contrast, peroneal substitution ligament reconstruction involves replacing the damaged ligament with another tendon harvested from the patient's ankle. While a viable option, it is generally considered less effective than anatomical reconstruction. Recovery times for both procedures are roughly six weeks, but it may be much longer before you can safely resume sports activities. The choice of surgery should be made in consultation with a podiatrist who is a qualified foot and ankle surgeon. This foot doctor will tailor the surgery to your specific needs and follow with thorough post-operative care and rehabilitation. If you have severely injured your ankle, it is suggested that you make an appointment with a podiatrist as quickly as possible.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Richard DiBacco, DPM of Podiatry Associates of Erie, Inc.. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

If you have any questions please feel free to contact one of our offices located in Erie and Meadville, PA, . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.