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.

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 parents, ensuring the well-being of your children is a top priority, and this extends to their footwear. Selecting the right shoes for your child goes beyond fashion considerations. It is more about promoting the child's comfort, development, and overall health. This can begin with prioritizing the fit. Children's feet are continually growing and developing, so it is helpful to choose shoes that provide enough room for their toes to wiggle and grow. Measure their feet regularly to ensure a proper fit. Support is another critical factor. Look for shoes with good arch support and cushioning to absorb shock during play and daily activities. Sturdy soles with good traction can help to prevent slips and falls. Air circulation is essential, as your child's feet can sweat quite a bit. Choose shoes made from breathable materials to reduce the risk of fungal infections. Lastly, involve your child in the selection process. Let them try on shoes and assess comfort. This empowers them and ensures that they are more likely to wear the shoes you buy. By keeping these factors in mind, you can make informed choices when shopping for your child's shoes, promoting their comfort, health, and happy feet. If you would like additional information about what type of shoes to buy for your child, it is suggested that you speak with a podiatrist. 

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, 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.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

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.

Blisters are fluid-filled pockets that typically form in the skin's upper layers after injury, commonly on feet. The fluid cushions the damaged area, aiding healing. Most blisters contain clear serum and heal naturally in three to seven days without medical intervention. Bursting them should be avoided to prevent infection or delays in healing. If they burst, allow drainage and cover with a sterile dressing. Blisters stem from various causes, including friction, heat, chemical contact, or medical conditions, like chickenpox. Preventing blisters involves wearing comfortable, well-fitting shoes, keeping feet dry with thicker socks or talcum powder, and applying sunscreen. If you have a foot blister that appears infected, is painful, or is recurring, it is suggested that you make an appointment with a podiatrist as soon as possible.

Blisters may appear as a single bubble or in a cluster. They can cause a lot of pain and may be filled with pus, blood, or watery serum. If your feet are hurting, 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.

Foot Blisters

Foot blisters are often the result of friction. This happens due to the constant rubbing from shoes, which can lead to pain.

What Are Foot Blisters?

A foot blister is a small fluid-filled pocket that forms on the upper-most layer of the skin. Blisters are filled with clear fluid and can lead to blood drainage or pus if the area becomes infected.

Symptoms

(Blister symptoms may vary depending on what is causing them)

• Bubble of skin filled with fluid
• Redness
• Moderate to severe pain
• Itching

Prevention & Treatment

In order to prevent blisters, you should be sure to wear comfortable shoes with socks that cushion your feet and absorb sweat. Breaking a blister open may increase your chances of developing an infection. However, if your blister breaks, you should wash the area with soap and water immediately and then apply a bandage to the affected area. If your blisters cause severe pain it is important that you call your podiatrist right away.

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.

Psoriatic arthritis, or PsA, is a type of inflammatory arthritis that can manifest in individuals with the autoimmune skin condition psoriasis. This form of arthritis primarily affects the feet and ankles, bringing about inflammation and pain in the joints and supporting structures. PsA is frequently associated with various other foot conditions, including Achilles tendonitis, dactylitis, and plantar fasciitis. Achilles tendonitis is characterized by a painful inflammation of the tendon connecting the calf muscles to the heel where it attaches to the heel bone. Dactylitis involves severe inflammation around the toe joints, leading to swelling that gives the toes a sausage-like appearance and induces rigidity and pain when flexing. Plantar fasciitis refers to inflammation where the plantar fascia attaches to the heel bone, causing discomfort and hindrance in movement. As PsA progresses, it can significantly impede walking and performing daily activities, imposing substantial discomfort and limiting one's ability to engage in regular life pursuits. A cure for PsA does not exist yet, but various treatment options are available to manage the condition, slow its progression, and alleviate the associated symptoms. If you suspect or experience symptoms indicative of psoriatic arthritis, it is strongly suggested that you seek help from a qualified podiatrist for a proper diagnosis and personalized treatment.

Arthritis can be a difficult condition to live with. If you are seeking treatment, 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.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

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.

The strong band of tissue that runs from the calf muscles to the heel bone is known as the Achilles tendon. When this tendon is overused, which is frequent among runners, dancers, and other athletes, it can become inflamed and extremely painful. This condition is called Achilles tendinopathy. The top cause of Achilles tendinopathy is overuse, which tears or stretches the tendon and causes inflammation. Other causes include certain types of arthritis, flat feet, and overpronation. In addition, wearing shoes that lack adequate support, being overweight, and taking certain antibiotics may increase the likelihood of developing Achilles tendinopathy. There are a number of treatments available for Achilles tendinopathy, but healing time depends on the severity of the injury. In some cases, surgery is required. There are several ways to prevent tendinopathy, including stretching exercises and warmup and cool-down routines. Wearing proper footwear is another way to help prevent this injury. For more information, it is suggested that you consult a podiatrist. 

Achilles tendon injuries need immediate attention to avoid future complications. 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.

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 Pensacola, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.