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Watchung (908) 769-5337
Marlboro (732) 303-0993

July 2022

A bump on the bottom of the foot may be indicative of a foot condition known as plantar fibromatosis. This ailment develops on the plantar fascia which is the band of tissue that runs along the bottom of the foot. Its function is to connect the heel to the toes, in addition to supporting the arch. A plantar fibroma can form when nodules grow in the plantar fascia, and can cause pain and discomfort. Research has shown there is no cure for this condition, and existing patients often look to manage the pain. This can be done by performing specific foot stretches that can help to strengthen the foot. A calf stretch is effective in relieving pain from the plantar fascia, and this is done by standing on a step, and lowering the heel until a gentle stretch is felt. Patients may find that performing a marble pick up is helpful in strengthening the arch. This is a simple stretch, and may take some practice to perfect it. This is done by placing several marbles on the floor next to a towel, and picking one marble up at a time with your foot. If you would like more information about how to relieve pain from a plantar fibroma, please consult with a podiatrist. 

 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. 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 Marlboro and Watchung, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Suffering from this type of pain? You may have the foot condition known as Morton's neuroma. Morton's neuroma may develop as a result of ill-fitting footwear and existing foot deformities. We can help.

Tuesday, 19 July 2022 00:00

When to Have Foot Surgery

Making the decision about whether to undergo foot surgery is a difficult and highly personalized process. In consultation with a podiatrist and surgeon, you can receive the information you need to make an informed decision. Generally speaking, if you notice that a foot affliction you have is causing your skin to react negatively or your foot to become deformed, foot surgery might be a good option for you. Additionally, if you notice that your affliction is not responding to any medication your podiatrist has prescribed or any orthotics you might be wearing, then foot surgery might be a suitable last resort. There are a variety of conditions that may ultimately merit surgery. For example, particularly bad cases of Morton’s neuroma might require foot surgery. Specifically, the nerve that is affected between the toes because of Morton’s neuroma, may be successfully removed by foot surgery. Of course, foot surgery can also create detrimental consequences in some cases. There may be complications as a result of the surgery or your joint movement may be restricted. Alternatives to surgery might include performing specific exercises or adjusting footwear. You can make this difficult decision about undergoing surgery with the guidance and advice of your podiatrist. 


 

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. 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 Marlboro and Watchung, NJ . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

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Swollen feet is undoubtedly an uncomfortable and unpleasant condition that can affect many people. While pregnant women and those who suffer from diabetes are famously prone to suffering from swollen feet, runners  may experience this condition. Runners’ feet may swell both during and after runs for a number of reasons. First, tight and restrictive running shoes can contribute to swelling. Since ill-fitting shoes often squeeze the toes and heels, muscles in the feet become overwhelmed in trying to maintain balance while running, resulting in swelling. Be sure to select the right pair of comfortable running shoes that match your foot type to avoid this pitfall. Additionally, runners’ feet may swell up if they are simply running with poor technique. For example, if a runner lands on their heels instead of the balls of their feet during their runs, they can essentially place more pressure on the bottoms of their feet, which can lead to foot swelling. If you find yourself suffering from swollen feet after runs, you might try applying ice to your feet to reduce the swelling or even elevating your feet. A podiatrist may be able to help you manage this condition and help you mitigate its effects.

Swollen feet can be a sign of an underlying condition. If you have any concerns, contact Dr. Ronald Sheppard of Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Swollen feet are a common ailment among pregnant women and people who stand or sit for extended periods. Aging may increase the possibility of swollen feet and patients who are obese often notice when their feet are swelling too. There may be medical reasons why swollen feet occur:

  • Phlebitis - A condition that causes the veins to become inflamed and can also cause leg pain.
  • Liver disease - This may lead to low blood levels of albumin which is a protein. This can cause fluid in the blood to pass into the tissues and several areas of the body can become swollen.
  • Heart failure - When the heart doesn’t pump properly the blood that is normally pumped back to the heart can pool in the veins of the legs causing swollen feet.
  • Kidney disease - One of the main functions of the kidneys is releasing excess fluid in the body. This type of condition can make it difficult for the kidneys to function properly, and as a result the feet may become swollen.
  • Deep-vein thrombosis (DVT)- This is a serious condition where blood clots form in the veins of the legs. They can block the return of blood from the legs to the heart which may cause the feet to swell. It is important to be treated by a podiatrist if this condition is present.

Swollen feet can also be caused by bone and tendon conditions, including fractures, arthritis, and tendinitis. Additionally, there may be skin and toenail conditions and an infection may cause the feet to swell. Patients who take medicine to treat high blood pressure may be prone to getting swollen feet. 

Many patients elevate their feet to help relieve the swelling and this is generally a temporary remedy. When a podiatrist is consulted the reason behind the swelling can be uncovered and subsequently treated.

If you have any questions please feel free to contact one of our offices located in Marlboro and Watchung, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.


 

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Tuesday, 05 July 2022 00:00

Dealing With Overpronation

When you walk, your feet sometimes roll inward rather than staying straight ahead. This is a condition called overpronation. It is commonly attributed to flat feet or fallen arches, as the arch of the foot cannot support the weight of each step. Many things also can contribute to overpronation, including obesity, diabetes, poor posture, and footwear that doesn’t give enough arch support. Symptoms of overpronation are inflammation of the feet and ankles, frequent ankle sprains, and swelling that worsens with activity. Overpronation is also a risk factor for other conditions, like plantar fasciitis and metatarsalgia. It is a good idea to consult a podiatrist who can determine the cause and severity of your overpronation. They likely will examine the wear pattern on your shoes and study your gait. X-rays and other imaging tests may also be conducted. In some cases, the podiatrist may prescribe custom orthotics to relieve some of the underlying causes of overpronation and suggest exercises to help strengthen the arch.  

If you have any concerns about your feet, contact Dr. Ronald Sheppard from Warren-Watchung Podiatry Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

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

Read more about Biomechanics in Podiatry
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