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 Michael Bess, DPM of Florida. Our podiatrist 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 West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

Rheumatoid arthritis and gout are two distinct forms of arthritis that frequently affect the feet, yet they differ significantly in origin and presentation. Rheumatoid arthritis, or RA, is an autoimmune disorder that leads to chronic inflammation in multiple joints, including those in the feet. Gout is caused by the accumulation of uric acid crystals within a joint, often triggered by dietary and metabolic factors. Both conditions fall under the category of inflammatory arthritis, but their underlying causes and long term management strategies vary.

Symptoms of rheumatoid arthritis often develop gradually and include persistent joint pain, swelling, and stiffness that is worse in the morning or after periods of rest. It typically affects both sides of the body. Gout symptoms tend to appear suddenly, often at night, with severe pain, redness, and swelling in a single joint, commonly the big toe. The intensity of a gout attack can be debilitating, while rheumatoid arthritis may lead to progressive joint deformity if not managed properly. Genetics play a strong role in rheumatoid arthritis, along with environmental triggers that may activate the immune system. Risk factors also include age and gender, with women more frequently affected. Gout is associated with elevated uric acid levels, often linked to diet, alcohol consumption, obesity, and certain medications. Conditions such as hypertension and kidney disease may also increase the risk of gout. Understanding these risk factors allows patients to take proactive steps in managing their condition.

Management of rheumatoid arthritis typically involves long-term medication to control inflammation and prevent joint damage. Gout treatment includes both medication and lifestyle modifications, such as reducing purine rich foods and maintaining proper hydration. Identifying the correct condition is essential for effective care. If you have symptoms of either type of arthritis affecting your feet, it is suggested that you are under the care of a podiatrist for effective relief and management solutions.

Arthritis can be a difficult condition to live with. If you are seeking treatment, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Arthritic Foot Care  

Arthritis is a term that is commonly used to describe joint pain.  The condition itself can occur to anyone of any age, race, or gender, and there are over 100 types of it.  Nevertheless, arthritis is more commonly found in women compared to men, and it is also more prevalent in those who are overweight. The causes of arthritis vary depending on which type of arthritis you have. Osteoarthritis for example, is often caused by injury, while rheumatoid arthritis is caused by a misdirected immune system.

Symptoms

• Swelling
• Pain
• Stiffness
• Decreased Range of Motion

Arthritic symptoms range in severity, and they may come and go. Some symptoms stay the same for several years but could potentially get worse with time. Severe cases of arthritis can prevent its sufferers from performing daily activities and make walking difficult.

Risk Factors

• Occupation – Occupations requiring repetitive knee movements have been linked to osteoarthritis
• Obesity – Excess weight can contribute to osteoarthritis development
• Infection – Microbial agents can infect the joints and trigger arthritis
• Joint Injuries – Damage to joints may lead to osteoarthritis
• Age – Risk increases with age
• Gender –Most types are more common in women
• Genetics – Arthritis can be hereditary

If you suspect your arthritis is affecting your feet, it is crucial that you see a podiatrist immediately. Your doctor will be able to address your specific case and help you decide which treatment method is best for you.

If you have any questions please feel free to contact our office located in West Palm Beach, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Foot pain is a broad term that describes discomfort in any part of the foot, including the heel, arch, toes, or outer edge. It can result from structural issues, nerve compression, or joint degeneration. Conditions such as tarsal tunnel syndrome, arthritis, and cuboid syndrome are common contributors to persistent pain. Foot pain can also develop from lifestyle habits, including wearing high-heeled shoes that place excess pressure on the forefoot and alter natural foot alignment.

Symptoms of foot pain vary depending on the underlying condition. Tarsal tunnel syndrome often presents as burning, tingling, or numbness along the inner ankle and sole due to nerve compression. Arthritis may cause stiffness, swelling, and reduced joint mobility, especially in the morning. Cuboid syndrome is associated with pain along the outer side of the foot, often described as a sharp or aching sensation during weight bearing. Arch-related discomfort from high heels can lead to fatigue, instability, and strain across the midfoot.

Several risk factors increase the likelihood of developing foot pain. Prolonged standing, high-impact activities, and poor footwear choices can all place excessive stress on foot structures. Individuals with flat feet or high arches may experience uneven weight distribution, which contributes to strain and injury. Wearing high-heeled shoes regularly can shorten the Achilles tendon and increase pressure on the forefoot, leading to long term biomechanical issues. Age, weight, and previous injuries also play important roles.

The causes of foot pain are often linked to repetitive stress, improper alignment, and underlying medical conditions. Early recognition and proper care are essential for maintaining mobility and preventing progression. Wearing supportive footwear, stretching, and professional evaluation can help address the root cause. If you experience any type of foot pain, it is suggested that you consult a podiatrist for an accurate diagnosis and appropriate relief and  treatment solutions.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Michael Bess, DPM from Florida. Our podiatrist will assess your condition and provide you with quality foot and ankle treatment.

Causes

Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:

• Bunions
• Hammertoes
• Plantar Fasciitis
• Bone Spurs
• Corns
• Tarsal Tunnel Syndrome
• Ingrown Toenails
• Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
• Flat Feet
• Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
• And more

Diagnosis

To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.

Treatment

Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.

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

A diabetic foot ulcer is an open sore that develops on the foot of a person with diabetes. These wounds commonly form when nerve damage reduces feeling in the feet. A person may not notice a cut, blister, or scrape right away. Poor blood flow can also slow healing and increase the risk of infection. Diabetic foot ulcers are most likely to appear on the bottom of the foot or under pressure points. Symptoms include redness, swelling, drainage, and pain, but some people feel very little discomfort because of nerve damage. Early detection is important because untreated ulcers can become deeper and more difficult to manage.

Proper wound care plays a major role in helping a diabetic foot ulcer heal. A podiatrist carefully examines the wound and looks for signs of infection. Treatment includes cleaning the ulcer and removing dead or damaged tissue. This process is called debridement and helps healthy tissue heal more effectively. Dressings are used to protect the wound and maintain a healthy healing environment. Treatment also includes reducing pressure on the ulcer. This is known as off-loading. Special footwear, a walking boot, or other devices help keep weight away from the injured area while walking.

Managing diabetes is another important part of wound care. Good blood sugar control supports the body's ability to heal. In addition, patients should inspect their feet daily and report changes promptly. Signs of infection include redness, warmth, and drainage. Other signs include swelling, odor, or increasing pain. A podiatrist can monitor healing progress and adjust treatment when necessary. Prompt care lowers the risk of more serious complications, including loss of limb. If you have developed a foot ulcer as a result of diabetes, it is suggested that you are under the care of a podiatrist who can effectively treat foot wounds, and help you to manage this serious condition.

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 Michael Bess, DPM from Florida. Our podiatrist 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 our office located in West Palm Beach, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Midfoot fractures involve injuries to the central part of the foot, an area that plays an important role in support, balance, and walking mechanics. These injuries can occur from falls, sports trauma, twisting events, or direct impact. Some fractures remain relatively stable, meaning the bones stay in proper position, while others involve shifting that can affect joint alignment and long-term foot function. Symptoms often include pain, swelling, bruising, difficulty bearing weight, and tenderness across the middle of the foot. Because some of these injuries can appear less severe at first, a delayed diagnosis is possible without proper evaluation. Imaging tests and a careful physical examination help determine the extent of damage and whether the foot remains structurally supported. Early diagnosis is important because unstable injuries may require more advanced treatment to prevent chronic pain or walking problems. If you have persistent midfoot pain after an injury, it is suggested that you visit a podiatrist for an evaluation.

A broken foot requires immediate medical attention and treatment. If you need your feet checked, contact Michael Bess, DPM from Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

Broken Foot Causes, Symptoms, and Treatment

A broken foot is caused by one of the bones in the foot typically breaking when bended, crushed, or stretched beyond its natural capabilities. Usually the location of the fracture indicates how the break occurred, whether it was through an object, fall, or any other type of injury. 

Common Symptoms of Broken Feet:

• Bruising
• Pain
• Redness
• Swelling
• Blue in color
• Numbness
• Cold
• Misshapen
• Cuts
• Deformities

Those that suspect they have a broken foot shoot seek urgent medical attention where a medical professional could diagnose the severity.

Treatment for broken bones varies depending on the cause, severity and location. Some will require the use of splints, casts or crutches while others could even involve surgery to repair the broken bones. Personal care includes the use of ice and keeping the foot stabilized and elevated.

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