The plantar fascia is a thick fibrous tissue in the foot that helps maintain the arch. Plantar fibromas typically affect the medial and central bands of the plantar fascia. This condition, also known as Ledderhose disease, is rare and is characterized by the formation of nodules on the plantar fascia of the foot. It is more common in middle-aged men and can be associated with other fibrous tissue disorders. These nodules can cause pain and even disability. Diagnosis is primarily clinical, but imaging tests such as an MRI and ultrasound can be helpful. Treatment options include conservative measures and surgical intervention. Symptoms include slow growing nodules on the arch of the foot, which can become painful and affect walking. Physical examination is essential for diagnosis, and imaging can confirm the condition. Conservative treatments include steroid injections, oral medications, radiation therapy, and extracorporeal shock wave therapy. These aim to reduce pain and nodule size. Surgical options may be considered for pain relief, but recurrence is possible. If you are suffering from any sort of foot pain, it is suggested that you make an appointment with a podiatrist for a proper evaluation and individualized treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Tanya R. Sellers-Hannibal, DPM of Maryland. 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 Owings Mills, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Pickleball, a popular sport combining elements of tennis, badminton, and table tennis, has gained a dedicated following in recent years. However, like any physical activity, it carries the risk of injuries, and one of the most common being plantar fasciitis. This is a painful condition characterized by inflammation of the plantar fascia, which is a thick band of tissue running along the bottom of the foot. The repetitive motions, quick lateral movements, and sudden stops and starts in pickleball can put immense strain on the plantar fascia. Over time, this strain can lead to tiny tears in the tissue, resulting in pain and discomfort, often most pronounced in the heel. Preventing plantar fasciitis in pickleball involves practicing proper warm-up routines, wearing appropriate footwear, and performing regular calf and Achilles tendon stretches. If injury strikes, resting and taking anti-inflammatory medications may help alleviate symptoms. Seeking professional guidance from a podiatrist is crucial for a tailored recovery plan, which may include exercises to strengthen the foot and improve biomechanics. By being proactive about injury prevention and prompt treatment, pickleball enthusiasts can continue enjoying this fun sport while minimizing the risk of plantar fasciitis and other common injuries. If you have heel pain from playing pickleball, it is suggested that you confer with a podiatrist who can offer you additional relief and treatment methods.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Tanya R. Sellers-Hannibal, DPM from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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

Numbness in the toes is often a symptom of an underlying issue, rather than a condition itself. Several factors can contribute to this sensation. One common cause is poor circulation. Reduced blood flow to the toes can result from serious conditions like peripheral artery disease, or PAD, or more easily correctable habits, such as wearing tight footwear that restricts blood flow. Another potential cause of numbness in the toes is nerve compression, such as that caused by Morton's neuroma or nerve entrapment in the lower back. Diabetes, with its potential for nerve damage, termed neuropathy, is also a frequent cause of toe numbness. Infections and injuries, like frostbite or ingrown toenails, may temporarily disrupt nerve signals. In addition to these causes, nutritional deficiencies, particularly in vitamin B12, can lead to neuropathy and toe numbness. Lifestyle factors like smoking and excessive alcohol consumption can make these issues worse. To determine the cause of your toe numbness and receive appropriate treatment, it's suggested that you make an appointment with a podiatrist.

Neuropathy

Neuropathy can be a potentially serious condition, especially if it is left undiagnosed. If you have any concerns that you may be experiencing nerve loss in your feet, consult with Tanya R. Sellers-Hannibal, DPM from Maryland. Our doctor will assess your condition and provide you with quality foot and ankle treatment for neuropathy.

What Is Neuropathy?

Neuropathy is a condition that leads to damage to the nerves in the body. Peripheral neuropathy, or neuropathy that affects your peripheral nervous system, usually occurs in the feet. Neuropathy can be triggered by a number of different causes. Such causes include diabetes, infections, cancers, disorders, and toxic substances.

Symptoms of Neuropathy Include:

• Numbness
• Sensation loss
• Prickling and tingling sensations
• Throbbing, freezing, burning pains
• Muscle weakness

Those with diabetes are at serious risk due to being unable to feel an ulcer on their feet. Diabetics usually also suffer from poor blood circulation. This can lead to the wound not healing, infections occurring, and the limb may have to be amputated.

Treatment

To treat neuropathy in the foot, podiatrists will first diagnose the cause of the neuropathy. Figuring out the underlying cause of the neuropathy will allow the podiatrist to prescribe the best treatment, whether it be caused by diabetes, toxic substance exposure, infection, etc. If the nerve has not died, then it’s possible that sensation may be able to return to the foot.

Pain medication may be issued for pain. Electrical nerve stimulation can be used to stimulate nerves. If the neuropathy is caused from pressure on the nerves, then surgery may be necessary.

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

Flip flops are a summertime staple loved for their easy, breezy style. However, those flat, flimsy soles can spell trouble for your feet. Wearing flip-flops excessively can lead to issues such as arch pain, plantar fasciitis, and even knee problems due to the lack of support. To counter these drawbacks, incorporating foot exercises into your routine can be a game changer. This can begin with towel scrunches, which are done by gripping a towel with your toes and pulling it toward you. Toe stretches can be performed by picking up marbles with your toes, improving flexibility. Calf raises strengthen the lower leg muscles. Additionally, performing the ankle alphabet is a simple way to enhance mobility. Practicing these exercises regularly may mitigate the pitfalls of wearing flip-flops and help maintain happy, healthy feet the year round. If you have questions about what foot stretches are best for you, it is suggested that you make an appointment with a podiatrist.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Tanya R. Sellers-Hannibal, DPM from Maryland. Our doctor will assist you with all of your foot and ankle needs.

Flip-Flops and Feet

When the weather starts warming up, people enjoy wearing flip-flops.  Flip-flops are comfortable, stylish, and easy to slip on and off; they're perfect for any summer beach goer.  However, these shoes can cause harm to the feet.

How Can Flip-Flops Affect Me Long-Term?

• Ankle problems
• Hip problems
• Lower back problems
• Pain in the balls of the feet
• Problems with foot arches
• Changes in the way you walk

Are There Injuries Associated with Flip-Flops?

Yes.  Since flip-flops are relatively weak and do not provide the same amount of support as sneakers, people who wear flip-flops regularly are more susceptible to injuries. On top of that, the open nature of the shoe makes your feet more prone to other problems, such as cuts and even infections.  Common injuries and ailments include:

• Sprained ankles
• Blisters
• Infections
• Cuts and Scrapes

I like Wearing Flip-Flops. Are There Safe Alternatives?

When buying flip-flops, try to find ones that have sturdy soles and that are made of high-quality materials that will support for your feet.  These flip-flops will cost more but will also last longer as a result.

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