July 2024

Plantar fibromatosis and Ledderhose disease are related conditions characterized by the development of benign nodules or lumps in the connective tissue of the feet, affecting the plantar fascia and foot arch. These nodules, composed of fibrous tissue, can cause pain and discomfort, particularly while standing or walking. Plantar fibromatosis typically affects the middle of the foot's underside, while Ledderhose disease occurs on the underside of the foot arch. These conditions often cause a feeling of pressure or a sensation akin to walking on pebbles. While symptoms can vary, they generally worsen with weight-bearing activities due to the increased pressure on the affected areas. Relief options include orthotic devices, steroid injections, and in severe cases, surgical removal of the nodules to alleviate pain and restore foot function. If you have nodules or lumps on the bottom of your foot, it is suggested that you consult a podiatrist who can accurately diagnose and treat these conditions.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Castillo of Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Preventing running injuries involves a combination of smart training techniques and maintaining overall strength. Gradually increasing mileage and intensity helps avoid overuse injuries by allowing the body to adapt to new demands. Incorporating rest days into the training schedule gives muscles time to recover and reduce fatigue. Strength training, especially for the core and lower body, enhances stability and reduces strain on joints. Proper warm-ups and cool-downs, including dynamic stretching, prepare the body for running and aid in recovery. Listening to the body and addressing any pain or discomfort promptly can prevent minor issues from becoming serious injuries. Wearing well-fitted, supportive footwear tailored to individual running styles also plays a crucial role. Foot and ankle injuries can be common and will hinder running ability. If you have sudden or chronic foot pain from running, it is suggested that you contact a podiatrist who can offer you effective treatment and running prevention injury methods.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Dr. Castillo of Bronx Foot Care. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

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

Orthotics are devices inserted into shoes to support, align, or improve the function of the feet. They help relieve pain and prevent injuries by redistributing pressure and providing support to specific areas of the foot. This can alleviate issues such as plantar fasciitis, flat feet, and overpronation, reducing strain on muscles and joints. Although there are various types of orthotics, rigid, semi-rigid, and soft, determining which type works best for an individual's condition can be somewhat unpredictable. The effectiveness of orthotics largely depends on the specific foot problem and the unique biomechanics of the patient. For optimal results, it is suggested that if you are interested in understanding more about orthotics, you schedule an appointment with a podiatrist who can perform a thorough evaluation of your foot condition and overall health and determine if orthotics are right for you.

If you are having discomfort in your feet and would like to try orthotics, contact Dr. Castillo from Bronx Foot Care. 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 contact our office located in Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

A sprained ankle occurs when the ligaments that support the ankle stretch or tear due to sudden twisting, rolling, or turning of the foot. This injury is common in sports, walking on uneven surfaces, or missteps that put the ankle in an awkward position. Symptoms of a sprained ankle can include pain, swelling, bruising, and difficulty bearing weight on the affected foot. You might also hear a popping sound at the time of the injury. To determine if you have a sprain, pay attention to the severity of pain and swelling, any instability in the ankle, and whether the pain worsens with movement. Initial treatment for a sprained ankle involves rest, compression, and elevation. Avoid putting weight on the ankle and consider using crutches. Anti-inflammatory pain relievers can help manage pain and discomfort. Proper rehabilitation, including targeted stretching exercises, is essential for healing and preventing future injuries. If you think you have sprained your ankle, it is suggested that you schedule an appointment with a podiatrist for an accurate diagnosis and comprehensive treatment plan.

Sports related foot and ankle injuries require proper treatment before players can go back to their regular routines. For more information, contact Dr. Castillo of Bronx Foot Care. 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 Bronx, NY . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cracked heels are caused by various lifestyle factors and medical reasons. Prolonged standing, wearing open-backed shoes, and walking barefoot on hard surfaces can contribute to the development of dry, cracked skin on the heels. Medical conditions such as diabetes, thyroid disorders, and eczema can also lead to cracked heels by causing dryness and reducing the skin's natural elasticity. To help prevent cracked heels, apply a thick, hydrating lotion to keep the feet moisturized. Wearing supportive, closed-back shoes can help reduce pressure on the heels. Additionally, using a pumice stone to gently exfoliate dead skin and avoiding walking barefoot on hard surfaces can be beneficial. If you have developed cracked heels, it is suggested that you consult a podiatrist who can effectively treat this condition, which may include prescribed medicine.

If the skin on your feet starts to crack, you may want to see a podiatrist to find treatment. If you have any concerns, contact Dr. Castillo from Bronx Foot Care. Our doctor can provide the care you need to keep you pain-free and on your feet.

Cracked Heels

It is important to moisturize your cracked heels in order to prevent pain, bleeding, and infection. The reason cracked heels form is because the skin on the foot is too dry to support the immense pressure placed on them. When the foot expands, the dry skin on the foot begins to split.

Ways to Help Heal Them

• Invest in a good foot cream
• Try Using Petroleum Jelly
• Ease up on Soaps
• Drink Plenty of Water

Ways to Prevent Cracked Heels

• Moisturize After Showering
• Skip a Shower
• Keep Shower Water Lukewarm
• Don’t Scrub Your Feet

If you are unsure how to proceed in treating cracked heels, seek guidance from a podiatrist. Your doctor will help you with any questions or information you may need. 

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