A plantar fibroma is a benign growth that develops within the plantar fascia, which is the thick band of tissue along the bottom of the foot. This condition is part of a group of disorders known as plantar fibromatosis and is characterized by the formation of firm nodules. These growths are non-cancerous, but can cause discomfort depending on their size and location. Plantar fibromas often develop slowly and may go unnoticed at first, but they can become more noticeable over time as pressure is applied during walking or standing.

Symptoms of a plantar fibroma include a small, firm lump in the arch of the foot that can be felt through the skin. The growth may be painless in the early stages but can lead to discomfort as it enlarges. Some individuals experience aching or pressure when walking, especially while wearing shoes that press against the arch. The appearance of the fibroma is typically a raised nodule under the skin, and it may feel fixed in place rather than movable. In certain cases, multiple nodules may develop, which can increase discomfort.

The exact causes of plantar fibroma are not fully understood, but several factors are believed to contribute. Repetitive stress on the foot, minor injuries, and strain on the plantar fascia may play a role in its development. Genetics may also influence the likelihood of developing this condition. Risk factors include high levels of physical activity, prolonged standing, and underlying health conditions that affect connective tissue. Men are more commonly affected than women, and the condition is often seen in middle-aged adults.

Managing plantar fibroma focuses on reducing discomfort and preventing progression. Wearing supportive footwear and custom orthotics can help relieve pressure on the affected area. Monitoring changes in size or pain can help guide treatment decisions. If you have developed a plantar fibroma, it is suggested that you consult a podiatrist for effective management solutions.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of New England Foot and Ankle. Our doctors 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 Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Hammertoe occurs when one or more toes bend into an abnormal position, causing the toe to look raised at the middle joint. The second, third, and fourth toes are frequently affected. This change can cause discomfort in the front of the foot and irritation where the bent toe rubs against a shoe. A thickened area of skin called a callus can also develop from repeated pressure. Hammertoe can affect how the foot moves and places extra pressure on parts of the foot when walking. Several factors can contribute to hammertoe, including changes in toe muscle strength, limited ankle movement, and changes in foot mechanics.

The muscles that move the toes help maintain their normal position. When the muscles that straighten the toes are stronger than the muscles that bend them, an imbalance can develop. This imbalance has been linked with the amount of toe bending seen in hammertoe. Limited upward ankle movement can also be associated with the condition. Reduced movement in another foot joint can contribute as well. These factors can affect how the foot moves and how pressure is placed across the toes. A podiatrist can examine toe position, muscle function, and areas of pressure to better understand the factors affecting a patient.

Treatment depends on the flexibility of the toe, the amount of discomfort, and how the condition affects daily activity. A podiatrist can assess the deformity and recommend appropriate treatment based on the findings. Care can include changes to footwear, treatment for painful calluses, or other measures designed to reduce pressure on the affected toe. A podiatrist can also assess related foot and ankle movement to determine whether these factors are contributing to the condition. If you have developed a hammertoe, it is suggested that you schedule an appointment with a podiatrist for effective relief and management tips. 

Hammertoe

Hammertoes can be a painful condition to live with. For more information, contact one of our podiatrists from New England Foot and Ankle. Our doctors 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 feel free to contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Foot wounds can develop from cuts, pressure, burns, or injuries that damage the skin and underlying tissue. Although some wounds appear minor at first, they may become more serious if they do not heal properly. People with diabetes, poor circulation, or reduced feeling in their feet have a greater risk of developing complications, because wounds may heal more slowly. Common signs of a foot wound include pain, swelling, and drainage. Some wounds may also develop redness or an unpleasant odor if an infection is present. Because untreated foot wounds can worsen over time, a professional evaluation is important to determine the cause and recommend the most appropriate treatment.

The healing process depends on healthy blood flow, proper pressure distribution, and the condition of the surrounding tissue. If a wound remains open for an extended period, it may become deeper and increase the risk of infection. Ongoing pressure on the affected area can also delay healing and make walking more difficult. A thorough podiatry evaluation helps determine the size, depth, and severity of the wound. Additional testing may be recommended if there are concerns about circulation or infection. Early diagnosis allows treatment to begin promptly and helps reduce the risk of long-term complications that could affect foot health and mobility.

A podiatrist plays an important role in evaluating and treating foot wounds while monitoring the healing process. Professional care focuses on protecting healthy tissue, encouraging wound healing, and reducing the risk of infection. Treatment is tailored to each patient's condition and may be adjusted as the wound improves. Regular follow-up visits allow the podiatrist to monitor healing and identify any changes that require additional care. If you have a foot wound that is painful, slow to heal, or showing signs of infection, it is suggested that you consult a podiatrist for an evaluation and appropriate treatment options.

Wound care is an important part in dealing with diabetes. If you have diabetes and a foot wound or would like more information about wound care for diabetics, consult with one of our podiatrists from New England Foot and Ankle. Our doctors will assess your condition and provide you with quality foot and ankle treatment.

What Is Wound Care?

Wound care is the practice of taking proper care of a wound. This can range from the smallest to the largest of wounds. While everyone can benefit from proper wound care, it is much more important for diabetics. Diabetics often suffer from poor blood circulation which causes wounds to heal much slower than they would in a non-diabetic. 

What Is the Importance of Wound Care?

While it may not seem apparent with small ulcers on the foot, for diabetics, any size ulcer can become infected. Diabetics often also suffer from neuropathy, or nerve loss. This means they might not even feel when they have an ulcer on their foot. If the wound becomes severely infected, amputation may be necessary. Therefore, it is of the upmost importance to properly care for any and all foot wounds.

How to Care for Wounds

The best way to care for foot wounds is to prevent them. For diabetics, this means daily inspections of the feet for any signs of abnormalities or ulcers. It is also recommended to see a podiatrist several times a year for a foot inspection. If you do have an ulcer, run the wound under water to clear dirt from the wound; then apply antibiotic ointment to the wound and cover with a bandage. Bandages should be changed daily and keeping pressure off the wound is smart. It is advised to see a podiatrist, who can keep an eye on it.

If you have any questions please contact one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Gout is a metabolic condition that leads to painful joint inflammation due to excess uric acid in the body. The condition frequently affects the foot, especially the big toe joint, and can interfere with walking and mobility. Causes include dietary habits, genetic predisposition, and certain medications. High purine foods and alcohol consumption can increase uric acid production, contributing to crystal formation within the joints.

The first stage, known as asymptomatic gout, occurs when uric acid levels are elevated without noticeable symptoms. Acute gout is the second stage and is accompanied by sudden and intense pain, swelling, and redness in the affected joint. Intercritical gout describes the symptom-free period between flare ups, although crystal buildup continues. The final stage, chronic tophaceous gout, involves the formation of tophi, which are firm deposits of uric acid crystals that can damage joints and surrounding tissues. Each stage reflects a progression in severity and requires appropriate management.

Symptoms differ depending on the stage, but often include joint stiffness, tenderness, and inflammation. During acute attacks, pain may be severe and limit movement. In later stages, chronic discomfort and visible joint changes may occur. Risk factors include aging, obesity, and chronic health conditions. Individuals with a history of gout attacks are at higher risk of progression if the condition is not properly managed.

Effective management focuses on reducing uric acid levels and preventing flare ups. Dietary changes, hydration, and medical treatment can help control symptoms and protect joint health. Early diagnosis is key to preventing long-term complications. If you have symptoms of gout, it is strongly suggested that you are under the care of a podiatrist who can offer effective relief tips, and help you to manage this painful condition.

Gout is a painful condition that can be treated. If you are seeking treatment, contact one of our podiatrists from New England Foot and Ankle. Our doctors 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 one of our offices located in Chelmsford and Newburyport, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.