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Tuesday, 21 February 2023 00:00

Where Does a Plantar Fibroma Develop?

A noticeable lump in the arch or bottom of the foot can be a plantar fibroma. It generally causes no pain and is typically benign, despite being uncomfortable. Patients often find one foot that has this nodule and a proper diagnosis can be performed, which can confirm a plantar fibroma has developed. This can be done by having an MRI or ultrasound taken, which can be successful in determining its size. The fibroma lies in the plantar fascia, which is the band of tissue that connects the heels to the toes. This may cause the plantar fascia to become disrupted. Wearing custom-made orthotics may help in relieving some of the pressure that is felt while wearing shoes. The proper amount of cushioning can act as a shock absorber, and it may help the plantar fascia to return to its original shape. If you notice a nodule or lump on the bottom of your foot it is strongly advised that you consult a podiatrist who can perform a proper diagnosis and provide effective treatment methods.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein 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 Saint Petersburg, FL. . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Plantar Fibroma

Plantar fasciitis is an annoyingly painful condition where the plantar fascia running along the sole of the foot becomes inflamed or sustains microtears. Shock wave therapy uses pressurized air or electromagnetic pulses to deliver ultrasound energy to the feet. There are low and high-energy shock wave treatments. The low-energy treatments are given in a series of three or more sessions. These can be mildly painful if there is any pain at all. High-energy shock wave treatments are given in one session and can be quite painful, sometimes requiring anesthesia. Either treatment is thought to work by inducing microtrauma in the affected tissue. This initiates healing by causing blood vessel formation and increased delivery of nutrients to the affected area. New shockwave treatments are under continued development and reports differ on their success. If you are interested in finding out more about shockwave therapy for persistent plantar fasciitis, see a podiatrist who can help you determine if this is a treatment that may be right for you.

Shockwave therapy is a treatment commonly used to treat various injuries and conditions, particularly plantar fasciitis in the feet. To learn more, consult with Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Shockwave Therapy

Shockwave therapy is a new treatment option designed to treat bone conditions such as tennis elbow, shoulder pain, and others. Shockwave therapy uses high intensity sound waves that are directed to the affected tissues of the body with pinpoint accuracy. The effects are very beneficial, leading to a production of collagen fibers, eliminating inflammation.

Who Benefits from Shockwave?

Shockwave is recommended for patients suffering from heel pain and associated problems. Heel pain is a common condition which can be caused by obesity, overexertion, and spending a substantial amount of time on hard floors with your feet exposed and unsupported.

Fast and Easy

The therapy is actually a simple process that can leave patients feeling better the very next day. Shockwave therapy is not as dramatic as it sounds. It enables more blood flow to effected areas, addressing the source of the problem and allowing treatment to last for a long time.

Treatment & Recovery Time

Shockwave treatment will enable your feet to recover quickly. This is especially important since surgery is not required. It is cost effective and does not require the use of anesthesia. This treatment is a better option to surgery, since it is proven safe.

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

Read more about Treating Heel Pain with Shockwave Therapy
Tuesday, 07 February 2023 00:00

All About Haglund’s Deformity

When a bumpy protrusion forms on the back of the heel, it is a sign that you may have a condition known as Haglund’s deformity. This condition is also less formally known as pump bump. Heredity is a known factor in causing Haglund’s deformity. People with high arches, those who walk on the outside of their foot, and those with tight Achilles tendons may be at higher risk of developing a pump bump. Another contributing factor is wearing dress shoes with rigid backs, which can lead to increased pressure on the enlarged bone and add to the pain. Symptoms of Haglund’s deformity include a bump on the heel bone, as well as redness, swelling, and pain where the heel and the Achilles tendon meet. If the pain of Haglund’s deformity becomes severe, it may be time to consult a podiatrist for a complete examination of the heel bone. This may include a variety of imaging tests and a gait assessment. Heel inserts, arch supports, or custom orthotics may be prescribed. In more severe cases, a walking boot, soft cast, or surgery may be an option. For more information, please consult a podiatrist.

Many people suffer from bouts of heel pain. For more information, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

  • Wearing ill-fitting shoes                  
  • Wearing non-supportive shoes
  • Weight change           
  • Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

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

Read more about Heel Pain
Tuesday, 31 January 2023 00:00

Is Having Flat Feet Bad?

Flat feet happen when the feet are flush with the ground. Sometimes flat feet can contribute to foot, ankle, or knee problems because they can alter leg alignment. Flat feet can be a result of overuse injuries, excess weight, a bone deformity, or a tendon tear or rupture. Sometimes flat feet are genetic. There are no gender differences for risk of flat feet. A person with flat feet may not be allowed in the military because spinal damage can happen to such a person when marching. Having flat feet can also cause overpronation in runners. Flat feet can also interfere with proper balance as body weight is unevenly distributed and present more of a risk for falling. Orthotics, braces, or insoles might help flat feet. If there is no pain, treatment for flat feet is not needed. If you have flat feet and they are causing discomfort, see a podiatrist who can examine your feet and provide options to address your symptoms.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  

Symptoms

  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn

Treatment

If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

Read more about Flat Feet
Tuesday, 24 January 2023 00:00

Possible Causes of Hammertoe

A foot deformity known as a hammertoe is caused by an imbalance of the ligament and the muscle in the toe joint. It results in a toe where the middle joint rises up to form a mountain shape. Hammertoes are frequently experienced by women, as the result of wearing high-heeled shoes for long periods of time. The structure of the shoe, especially those with pointy toe boxes and very high heels, puts too much pressure on the toes and can cause joint imbalance. Other causes of hammertoes include high arches, bunions, and arthritis. In some cases, a hammertoe may be the result of an injury, as sudden trauma can cause the muscles and tendons in the toe to slip out of alignment. Flat feet are another cause of hammertoe because those with flat feet rely more on their toes for stability. And some people are genetically inclined to develop hammertoes. Hammertoes are categorized as flexible, semi-rigid, or rigid. Treatment ranging from non-invasive to surgical will depend on the status of the hammertoe. Please contact a podiatrist for an examination and treatment suggestions if you have a hammertoe.

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will answer any of your foot- and ankle-related questions.

Hammertoe is a foot deformity that affects the joints of the second, third, fourth, or fifth toes of your feet. It is a painful foot condition in which these toes curl and arch up, which can often lead to pain when wearing footwear.

Symptoms

  • Pain in the affected toes
  • Development of corns or calluses due to friction
  • Inflammation
  • Redness
  • Contracture of the toes

Causes

Genetics – People who are genetically predisposed to hammertoe are often more susceptible

Arthritis – Because arthritis affects the joints in your toes, further deformities stemming from arthritis can occur

Trauma – Direct trauma to the toes could potentially lead to hammertoe

Ill-fitting shoes – Undue pressure on the front of the toes from ill-fitting shoes can potentially lead to the development of hammertoe

Treatment

Orthotics – Custom made inserts can be used to help relieve pressure placed on the toes and therefore relieve some of the pain associated with it

Medications – Oral medications such as anti-inflammatories or NSAIDs could be used to treat the pain and inflammation hammertoes causes. Injections of corticosteroids are also sometimes used

Surgery – In more severe cases where the hammertoes have become more rigid, foot surgery is a potential option

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

Read more about What Are Hammertoes?
Tuesday, 17 January 2023 00:00

Eating Habits May Lead To Gout

Gout, a form of arthritis, is a painful foot condition caused by excess uric acid in the blood, and it may happen from having a genetic disposition to it. It may also occur from eating foods, such as shellfish and red meat, that have large amounts of purines. Also, diabetic patients and people who have a kidney disorder may be prone to developing gout, and it is beneficial for these people to pay extra attention to the type of foods that are eaten. The pain commonly occurs in the joints of the big toe as a result of crystals that become lodged there from excess purines. The symptoms associated with gout can include debilitating pain, swelling, and the affected joints can become inflamed. Many people have difficulty in walking, and prompt medical attention is often sought. If you suffer from gout, please consult with a podiatrist who can help you to manage this condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

What Is Gout?

Gout is a form of arthritis that is characterized by sudden, severe attacks of pain, redness, and tenderness in the joints. The condition usually affects the joint at the base of the big toe. A gout attack can occur at any random time, such as the middle of the night while you are asleep.

Symptoms

  • Intense Joint Pain - Usually around the large joint of your big toe, and it most severe within the first four to twelve hours
  • Lingering Discomfort - Joint discomfort may last from a few days to a few weeks
  • Inflammation and Redness -Affected joints may become swollen, tender, warm and red
  • Limited Range of Motion - May experience a decrease in joint mobility

Risk Factors

  • Genetics - If family members have gout, you’re more likely to have it
  • Medications - Diuretic medications can raise uric acid levels
  • Gender/Age - Gout is more common in men until the age of 60. It is believed that estrogen protects women until that point
  • Diet - Eating red meat and shellfish increases your risk
  • Alcohol - Having more than two alcoholic drinks per day increases your risk
  • Obesity - Obese people are at a higher risk for gout

Prior to visiting your podiatrist to receive treatment for gout, there are a few things you should do beforehand. If you have gout you should write down your symptoms--including when they started and how often you experience them, important medical information you may have, and any questions you may have. Writing down these three things will help your podiatrist in assessing your specific situation so that he or she may provide the best route of treatment for you.

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

Read more about Gout
Tuesday, 10 January 2023 00:00

Treatment Methods for a Broken Toe

A common reason people may break their toe is from stubbing it into a wall or piece of furniture. This can cause the toe to immediately become bruised, swollen, and extremely painful. Dropping a heavy object on the toe may cause it to become fractured, and medical attention is often sought for relief. If the break is severe, a bone may protrude from the skin, often causing the toe to appear deformed. One of the first things to do if a broken toe has happened is to refrain from putting weight on it. This is done by frequently elevating the affected foot and choosing effective treatment methods. Mildly broken toes may benefit from using the buddy-taping method. This is done by taping the broken toe to the toe next to it, which is often adequate in providing the necessary support as it heals. Severely fractured toes may require a cast or a protective boot to be worn, and a podiatrist can determine which treatment method is best for you.

A broken toe can be very painful and lead to complications if not properly fixed. If you have any concerns about your feet, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein will treat your foot and ankle needs.

What to Know About a Broken Toe

Although most people try to avoid foot trauma such as banging, stubbing, or dropping heavy objects on their feet, the unfortunate fact is that it is a common occurrence. Given the fact that toes are positioned in front of the feet, they typically sustain the brunt of such trauma. When trauma occurs to a toe, the result can be a painful break (fracture).

Symptoms of a Broken Toe

  • Throbbing pain
  • Swelling
  • Bruising on the skin and toenail
  • The inability to move the toe
  • Toe appears crooked or disfigured
  • Tingling or numbness in the toe

Generally, it is best to stay off of the injured toe with the affected foot elevated.

Severe toe fractures may be treated with a splint, cast, and in some cases, minor surgery. Due to its position and the pressure it endures with daily activity, future complications can occur if the big toe is not properly treated.

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

Read more about What to Know About a Broken Toe
Tuesday, 03 January 2023 00:00

Blisters and Hiking

Any hiker knows that hiking with blisters on the feet can be a significant annoyance and source of potential pain. Blisters can develop on the feet for many different reasons (typically due to some kind of pressure that is applied to an area of the feet). Blisters can be especially pernicious to hikers. Blisters are the most common foot affliction among hikers. Since hiking requires a significant amount of physical movement including walking and climbing, blisters can diminish the hiking experience. There are several things that hikers might consider doing to prevent blisters from forming in the first place. For example, hikers might consider getting hiking boots that fit correctly and do not rub up against the feet in uncomfortable ways. Hikers can also be on the lookout for the other main causes of blister formation: heat and moisture. Hikers can also be mindful about wearing thin socks to prevent the blisters from forming in the first place. Contact a podiatrist today if you are a hiker concerned about preventing foot blisters.


 

Blisters are prone to making everyday activities extremely uncomfortable. If your feet are hurting, contact Dr. Ian Klein, D.P.M of Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

Foot Blisters

Foot blisters develop as a result of constantly wearing tight or ill-fitting footwear. This happens due to the constant rubbing from the shoe, which can often 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.

How Do Blisters Form?

Blisters on the feet are often the result of constant friction of skin and material, usually by shoe rubbing. Walking in sandals, boots, or shoes that don’t fit properly for long periods of time can result in a blister. Having consistent foot moisture and humidity can easily lead to blister formation.

Prevention & Treatment

It is important to properly care for the affected area in order to prevent infection and ease the pain. Do not lance the blister and use a Band-Aid to provide pain relief. Also, be sure to keep your feet dry and wear proper fitting shoes. If you see blood or pus in a blister, seek assistance from a podiatrist.

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

Read more about Blisters on the Feet
Tuesday, 27 December 2022 00:00

Ligaments Are Affected by Ankle Sprains

Many people sprain their ankles, and it can range from mild to severe. A common reason why people sprain their ankles is by suddenly stepping off of a step, or from falling and twisting it beyond its normal range of motion. Athletes may frequently experience this type of injury, which  can happen as a result of running on uneven surfaces, or from landing awkwardly after jumping. Despite how painful an ankle sprain can be, the bone is not injured. The pain comes from ligaments that have become stretched too far, and may become partially or completely torn. There are two types of ankle sprains that can typically occur, and these are known as the inversion or eversion sprain. The former is considered to be the most common type of ankle sprain, and pain is felt on the outside of the ankle. Conversely, an eversion sprain happens when the ankle twists outward, causing pain on the inside of the ankle. If you have endured a sprained ankle, please consult with a podiatrist who can determine which type of sprain you have, and offer you relief and treatment options.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein can provide the care you need to keep you pain-free and on your feet.

How Does an Ankle Sprain Occur?

Ankle sprains take place when the ligaments in your ankle are torn or stretched beyond their limits. There are multiple ways that the ankle can become injured, including twisting or rolling over onto your ankle, putting undue stress on it, or causing trauma to the ankle itself.

What Are the Symptoms?

  • Mild to moderate bruising
  • Limited mobility
  • Swelling
  • Discoloration of the skin (depending on severity)

Preventing a Sprain

  • Wearing appropriate shoes for the occasion
  • Stretching before exercises and sports
  • Knowing your limits

Treatment of a Sprain

Treatment of a sprain depends on the severity.  Many times, people are told to rest and remain off their feet completely, while others are given an air cast. If the sprain is very severe, surgery may be required.

If you have suffered an ankle sprain previously, you may want to consider additional support such as a brace and regular exercises to strengthen the ankle.

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

Read more about Three Grades of Ankle Sprains
Tuesday, 20 December 2022 00:00

Why Flip Flops Are Popular

Flip flops are a popular shoe to wear during the warmer months. Despite the foot problems they may cause, many people choose to wear this type of shoe for their simplicity and varied colors. People who frequently wear them may experience heel pain as a result of the decreased cushioning these shoes generally have. The toes may begin to ache from gripping the shoes to keep them on the feet. At the end of the day, the feet may feel tired, which can radiate to the overall body. Additionally, blisters may form from the small piece of rubber that exerts pressure between the big toe and the second toe. Some flip-flops are made with stronger materials and may provide adequate support and cushioning to the feet. There are various styles of flip-flops, and if you are interested in learning more about them, please confer with a podiatrist who can answer any questions you may have.

Flip-flops are not always the best choice of footwear. If you have any concerns about your feet or ankles, contact Dr. Ian Klein, D.P.M from Florida. Dr. Klein 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 Saint Petersburg, FL. .  We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Flip Flops and Your Feet
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