Bunions are bony bumps that form at the base of the big toe when the joint shifts out of alignment. They can change the way you walk, and make every step uncomfortable. Many people wonder whether shoes cause bunions. The answer is more complicated. Genetics plays a major role because some people inherit foot shapes that make bunions more likely. Still, shoes that squeeze the toes or place extra pressure on the front of the foot can speed their development and make symptoms worse. Narrow toe boxes and high heels increase stress considerably, whereas supportive shoes help reduce stress.

A podiatrist can evaluate the shape of your feet, explain why the bunion developed, and recommend treatment that fits your needs. Care includes custom orthotics, changes in shoe choices, and careful monitoring of the joint. Early evaluation also helps protect nearby toes from added pressure while walking. Your podiatrist can answer questions about footwear that lacks proper support and explain which shoe features best match your foot shape and daily activities. Prompt care can also improve comfort and mobility. 

Ignoring bunion pain can limit daily activities and affect confidence with every step. Paying attention to early changes gives your podiatrist more options to slow worsening and keep you moving more comfortably. Choosing shoes with a wide toe box, good arch support, and low heels reduces pressure on the big toe joint. If you have symptoms of bunions, it is suggested that you schedule an appointment with a podiatrist for diagnosis and treatment. Early treatment can help reduce pain, improve foot function, and make everyday activities more comfortable. Prompt attention can improve comfort, protect foot function, and help you stay active with greater confidence for many years ahead without unnecessary pain each day. If you have developed a bunion, it is suggested that you consult a podiatrist who can offer effective relief and management solutions.

If you are suffering from bunions, contact Michael Bess, DPM of Florida. Our podiatrist can provide the care you need to keep you pain-free and on your feet.

What Is a Bunion?

A bunion is formed of swollen tissue or an enlargement of boney growth, usually located at the base joint of the toe that connects to the foot. The swelling occurs due to the bones in the big toe shifting inward, which impacts the other toes of the foot. This causes the area around the base of the big toe to become inflamed and painful.

Why Do Bunions Form?

Genetics – Susceptibility to bunions are often hereditary

Stress on the feet – Poorly fitted and uncomfortable footwear that places stress on feet, such as heels, can worsen existing bunions

How Are Bunions Diagnosed?

Podiatrists often perform two tests – blood tests and x-rays – when trying to diagnose bunions, especially in the early stages of development. Blood tests help determine if the foot pain is being caused by something else, such as arthritis, while x-rays provide a clear picture of your bone structure to your provider.

How Are Bunions Treated?

• Refrain from wearing heels or similar shoes that cause discomfort
• Select wider shoes that can provide more comfort and reduce pain
• Anti-inflammatory and pain management drugs
• Orthotics or foot inserts
• Surgery

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.

Morton's neuroma is a painful foot condition that involves thickening of the tissue surrounding a nerve in the forefoot. It most commonly develops between the third and fourth toes and results from repeated irritation or compression of the nerve. This condition is not a true tumor, but rather a response to chronic stress. Causes include wearing tight or high-heeled shoes, repetitive impact activities, and abnormal foot mechanics such as flat feet or high arches. These factors place pressure on the nerve and lead to inflammation.

Symptoms of Morton's neuroma often include a burning sensation in the ball of the foot, tingling in the toes, and a feeling as if a small object is trapped inside the shoe. Pain may worsen with walking or standing for long periods of time. Some individuals experience numbness or sharp discomfort that radiates into the toes. Symptoms may improve when shoes are removed or when the foot is massaged, but they often return with activity.

Diagnosis typically involves a clinical evaluation by a foot specialist. A podiatrist will assess symptoms, examine foot structure, and apply pressure to identify the affected area. Imaging tests such as ultrasounds or MRI scans may be used to confirm the diagnosis and rule out other conditions. Early diagnosis is important to prevent symptoms from worsening.The outlook for Morton’s neuroma depends on the structure of the foot, and whether or not simple treatments are effective. These can include wearing optimal footwear and resting the foot. When surgery is performed, the outlook depends on how much residual nerve damage exists.

Risk factors include wearing narrow shoes, participating in high-impact sporting activities, and having structural foot abnormalities. Women are more commonly affected due to footwear choices that compress the forefoot. Managing pressure and improving foot support are key to reducing symptoms. If you have symptoms of Morton's neuroma, it is suggested that you consult a podiatrist for effective relief and treatment solutions.

Morton’s neuroma is a very uncomfortable condition to live with. If you think you have Morton’s neuroma, contact Michael Bess, DPM of Florida. Our podiatrist will attend to all of your foot care needs and answer any of your related questions.  

Morton’s Neuroma

Morton's neuroma is a painful foot condition that commonly affects the areas between the second and third or third and fourth toe, although other areas of the foot are also susceptible. Morton’s neuroma is caused by an inflamed nerve in the foot that is being squeezed and aggravated by surrounding bones.

What Increases the Chances of Having Morton’s Neuroma?

• Ill-fitting high heels or shoes that add pressure to the toe or foot
• Jogging, running or any sport that involves constant impact to the foot
• Flat feet, bunions, and any other foot deformities

Morton’s neuroma is a very treatable condition. Orthotics and shoe inserts can often be used to alleviate the pain on the forefront of the feet. In more severe cases, corticosteroids can also be prescribed. In order to figure out the best treatment for your neuroma, it’s recommended to seek the care of a podiatrist who can diagnose your condition and provide different treatment options.

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.

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.