Plantar fibromatosis, also known as Ledderhose disease, is a condition that affects the connective tissue on the bottom of the foot. It leads to the formation of firm nodules within the plantar fascia, which can interfere with normal foot function. While these growths are benign, they can cause discomfort and affect mobility if they become large or irritated. Understanding the nature of this condition helps guide proper care and management.

Common symptoms include the presence of one or more nodules in the arch of the foot. These growths may feel firm to the touch and can cause pain when pressure is applied during walking or standing. Some individuals experience a sensation of tightness or discomfort that worsens with activity. As the condition progresses, the nodules may increase in size, making it more difficult to wear certain types of shoes comfortably.

The causes of plantar fibromatosis are not fully understood, but repetitive stress and strain on the plantar fascia are believed to play a role. Genetic factors may also increase the likelihood of developing this condition. Risk factors include age, foot structure abnormalities, and activities that place continuous pressure on the arch. The buildup of fibrous tissue leads to the formation of nodules that can disrupt normal movement.

Managing plantar fibroma involves addressing symptoms and reducing stress on the foot. Early evaluation allows for appropriate care and can help prevent further progression. Supportive measures and professional guidance are important for maintaining comfort and mobility. If you have lumps on the sole of your foot, it is suggested that you visit a podiatrist for an accurate diagnosis and effective management tips. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of The Foot Specialists. 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 our offices located in Waltham and Milford, MA . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Chronic ankle instability is a condition that develops when the ankle repeatedly gives way due to weakened ligaments following an ankle sprain. It is defined as a loss of stability in the ankle joint, often caused by incomplete healing or repeated injury. When a sprain stretches or tears the supporting ligaments, the joint may not regain full strength, leaving it vulnerable to further damage. Over time, this instability can affect balance, coordination, and overall foot function.

Common symptoms of ankle instability include a feeling of the ankle giving out, especially on uneven surfaces or during physical activity. Patients may experience persistent swelling, discomfort, and tenderness around the joint. Recurrent ankle sprains are a key sign, as unstable ankle joints can easily be twisted again. Some individuals also report weakness, reduced range of motion, and difficulty maintaining balance during movement.

Several causes and risk factors contribute to the development of chronic ankle instability. A previous ankle sprain is the most significant factor, particularly if it was not properly treated or rehabilitated. Ligament laxity, muscle weakness, and poor proprioception can also increase the risk. Athletes and individuals who participate in high impact activities are more prone to repeated injuries. Wearing unsupportive footwear and walking on uneven surfaces may further increase the likelihood of instability.

Proper management is essential to restore strength and prevent future sprains. Treatment may include targeted exercises to improve balance and stability, supportive bracing, and custom orthotics to enhance alignment. Early care can reduce the risk of long term joint damage. If you have sprained your ankle, it is suggested that you consult a podiatrist who can accurately diagnose and treat this condition, which may include appropriate stretches to prevent recurring ankle sprains.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact one of our podiatrists from The Foot Specialists. Our doctors 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 offices located in Waltham and Milford, MA . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Choosing the right shoes for a child is a great way to support healthy foot development and promote comfort while walking, running, and playing. Children's feet are still growing, and the bones, muscles, and ligaments are not fully developed. Many toddlers have flat-looking feet when they first begin walking because a layer of fat hides the arch. This is usually a normal part of growth. Shoes should protect the feet while allowing natural movement. A good shoe includes a comfortable fit, enough room for the toes, and a flexible sole that bends near the front of the foot. The shoe should also have a secure fastening system, such as laces or straps, to help keep the foot stable inside the shoe.

As children become more active, shoes that fit properly become even more important. Shoes that are too tight can lead to discomfort and can contribute to problems like ingrown toenails. Shoes that are too loose can affect balance and increase the risk of tripping. Children's feet grow quickly, and changes in size can occur within a relatively short period. Some children also walk with their feet turned inward or outward during early childhood. In many cases, these walking patterns improve as strength, posture, and coordination develop. However, severe changes in walking patterns or symptoms that affect only one leg deserve professional evaluation. A podiatrist can assess foot structure, walking patterns, and shoe fit to determine whether treatment is needed.

Parents should also watch for signs that a child may be experiencing a foot problem. Warning signs include foot or heel pain, limping, or stiffness. Other concerns include persistent flat feet that limit activity, unusually shaped toes, or difficulty keeping up with other children while walking or running. A podiatrist can examine the feet, identify the cause of symptoms, and recommend appropriate treatment. Professional guidance can also help parents choose shoes that support healthy growth and comfortable movement. If your child has foot pain or if you need help in managing your child's foot health, it is suggested that you schedule an appointment with a podiatrist.

The health of a child’s feet is vital to their overall well-being. If you have any questions regarding foot health, contact one of our podiatrists of The Foot Specialists. Our doctors can provide the care you need to keep you pain-free and on your feet.

Tips for Keeping Children's Feet Healthy

• Make sure their shoes fit properly
• Look for any signs of in-toeing or out-toeing
• Check to see if they have Clubfoot (condition that affects your child’s foot and ankle, twisting the heel and toes inward) which is one of the most common nonmajor birth defects.
• Lightly cover your baby’s feet (Tight covers may keep your baby from moving their feet freely, and could prevent normal development)
• Allow your toddler to go shoeless (Shoes can be restricting for a young child’s foot)
• Cut toenails straight across to avoid ingrown toenails
• Keep your child’s foot clean and dry
• Cover cuts and scrapes. Wash any scratches with soap and water and cover them with a bandage until they’ve healed.

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

Falls in older adults are a major health concern that can lead to serious foot and ankle injuries, reduced mobility, and loss of independence. A fall is defined as an unintentional descent to the ground or a lower level, often caused by a loss of balance or stability. As the body ages, changes in muscle strength, joint flexibility, and coordination can increase the likelihood of falling. These changes make it important to understand both the causes and the prevention of falls to support long term health.

Symptoms associated with falls may include immediate pain, swelling, bruising, or difficulty walking. Many older adults experience foot and ankle injuries, such as sprains or fractures, after a fall. In some cases, individuals may feel unsteady even after the incident, which can lead to a fear of falling again. This fear may reduce physical activity, further weakening muscles and increasing the risk of future falls. Recognizing early warning signs such as balance issues or frequent stumbling can help prevent serious injury.

Several risk factors contribute to falls in older adults. Age-related muscle loss and decreased bone density play a significant role. Chronic conditions, such as arthritis, diabetes, or nerve disorders, can affect balance and sensation in the feet. Medications that cause dizziness, drowsiness, or changes in blood pressure can also increase fall risk. Environmental hazards such as poor lighting, loose rugs, and uneven surfaces add to the danger. Wearing footwear that does not fit properly or lacks support can further reduce stability and increase the chance of falling.

Preventing falls requires a comprehensive approach that includes strengthening exercises, proper footwear, and home safety improvements. Balance training and regular physical activity can help maintain coordination and muscle strength. Wearing well-fitted shoes with supportive soles can improve stability. Keeping living spaces free of clutter and ensuring proper lighting are simple but effective steps. Regular foot evaluations can also identify issues that may affect balance. If you have had a foot or ankle injury from falling or want guidance on prevention, it is suggested you consult a podiatrist for effective relief and prevention tips.

Preventing falls among the elderly is very important. If you are older and have fallen or fear that you are prone to falling, consult with one of our podiatrists from The Foot Specialists. Our doctors will assess your condition and provide you with quality advice and care.

Every 11 seconds, an elderly American is being treated in an emergency room for a fall related injury. Falls are the leading cause of head and hip injuries for those 65 and older. Due to decreases in strength, balance, senses, and lack of awareness, elderly persons are very susceptible to falling. Thankfully, there are a number of things older persons can do to prevent falls.

How to Prevent Falls

Some effective methods that older persons can do to prevent falls include:

• Enrolling in strength and balance exercise program to increase balance and strength
• Periodically having your sight and hearing checked
• Discuss any medications you have with a doctor to see if it increases the risk of falling
• Clearing the house of falling hazards and installing devices like grab bars and railings
• Utilizing a walker or cane
• Wearing shoes that provide good support and cushioning
• Talking to family members about falling and increasing awareness

Falling can be a traumatic and embarrassing experience for elderly persons; this can make them less willing to leave the house, and less willing to talk to someone about their fears of falling. Doing such things, however, will increase the likelihood of tripping or losing one’s balance. Knowing the causes of falling and how to prevent them is the best way to mitigate the risk of serious injury.  

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