Plantar fibromas are benign growths of fibrous tissue that develop within the plantar fascia, the thick band of tissue running along the sole of the foot. These firm nodules are often found in the arch and may cause discomfort, especially when walking or standing. The exact cause is unknown, but plantar fibromas may develop due to genetic predisposition, minor injuries, or repetitive stress on the foot. People with a family history or those with certain medical conditions, such as diabetes or liver disease, are more likely to experience them. Diagnosis involves a physical examination by a podiatrist, who may confirm the presence of fibromas with imaging tests like an ultrasound or MRI scans. Treatment options include custom orthotic inserts, corticosteroid injections, targeted exercises, and in severe cases, surgical removal. If you have symptoms of plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for a proper diagnosis and treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. 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 our office located in Vancouver, BC . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Preventing running injuries requires a combination of proper warm-up, focused training, and strength-building exercises. Starting each run with a warm-up is essential to prepare the muscles and joints for the physical demands of running. Dynamic stretches such as leg swings, high knees, and lunges help improve flexibility and activate key muscle groups. Running with purpose, by focusing on technique and form, is another critical step. This involves maintaining an upright posture, engaging the core, and avoiding overstriding to reduce unnecessary strain on the body. In addition to running, strength training exercises, such as calf raises, squats, and lunges, can help build stability and endurance. Incorporating drills like strides or short sprints at the end of easy runs can also improve speed and running efficiency. If you are suffering from foot or ankle pain from running, it is suggested that you consult a podiatrist who can offer you effective treatment and injury prevention techniques.

Exercising your feet regularly with the proper foot wear is a great way to prevent injuries. If you have any concerns about your feet, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor will treat your foot and ankle needs.

How to Prevent Running Injuries

Many common running injuries are caused by overuse and overtraining. When the back of the kneecap starts wearing out and starts causing pain in your knee, this is commonly referred to as runner’s knee. Runner’s knee is a decrease in strength in your quadriceps and can occur if you’re not wearing properly fitted or supporting shoes. To prevent runner’s knee, focusing on hip strengthening is a good idea, as well as strengthening your quads to keep the kneecaps aligned.

What Are Some Causes of Running Injuries?
- One cause of a common running injury is called iliotibial band syndrome.
- Plantar fasciitis is also another common injury.
- Stress fractures can occur from overtraining, lack of calcium, or even your running style.

Best Ways to Prevent Running Injuries
- Wear footwear that fits properly and suits your running needs.
- Running shoes are the only protective gear that runners have to safeguard them from injury.
- Make a training schedule. Adding strengthening exercises as well as regular stretching can help keep you strong and limber and can lessen the possibility of injuries.
- Stretching keeps muscles limber; this will help you gain better flexibility.

If you have any questions please feel free to contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Heel pain often results from various mechanical causes. The location of the heel pain can help determine its source, with plantar fasciitis being one of the most frequent causes. This condition leads to pain on the bottom of the heel, often felt during the first steps in the morning, or after prolonged rest. Other causes of plantar heel pain include stress fractures, often becoming worse with increased activity, and nerve entrapment, which brings sensations like tingling or burning. Conditions like heel pad syndrome can lead to deep, bruise-like pain in the middle of the heel. Posterior heel pain might be related to Achilles tendinopathy or a Haglund deformity, which causes inflammation around the Achilles tendon. Sever’s disease is common among children, as a result of an inflamed growth plate at the back of the heel. A podiatrist can perform a thorough assessment, including physical exams and imaging if needed, to identify the cause and develop a treatment plan. If you are experiencing heel pain, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Many people suffer from bouts of heel pain. For more information, contact Sarah Urton, DPM of Kitsilano Foot and Ankle Clinic. Our doctor can provide the care you need to keep you pain-free and on your feet.

Causes of Heel Pain

Heel pain is often associated with plantar fasciitis. The plantar fascia is a band of tissues that extends along the bottom of the foot. A rip or tear in this ligament can cause inflammation of the tissue.

Achilles tendonitis is another cause of heel pain. Inflammation of the Achilles tendon will cause pain from fractures and muscle tearing. Lack of flexibility is also another symptom.

Heel spurs are another cause of pain. When the tissues of the plantar fascia undergo a great deal of stress, it can lead to ligament separation from the heel bone, causing heel spurs.

Why Might Heel Pain Occur?

• Wearing ill-fitting shoes                  
• Wearing non-supportive shoes
• Weight change           
• Excessive running

Treatments

Heel pain should be treated as soon as possible for immediate results. Keeping your feet in a stress-free environment will help. If you suffer from Achilles tendonitis or plantar fasciitis, applying ice will reduce the swelling. Stretching before an exercise like running will help the muscles. Using all these tips will help make heel pain a condition of the past.

If you have any questions please contact our office located in Vancouver, BC . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.