Plantar fibroma is a benign growth that develops in the arch of the foot, specifically in the plantar fascia, a thick band of tissue that runs along the bottom of the foot. This condition results in the formation of nodules or lumps, which may be felt as hard, firm areas beneath the skin. The primary cause of plantar fibroma is not well understood, but genetic factors, trauma, or abnormal foot mechanics may contribute to its development. Symptoms typically include localized pain or discomfort, especially when standing or walking, and the presence of a visible lump or thickening in the foot. Over time, the fibroma may become larger, making it more difficult to wear certain shoes or engage in physical activities. If you have a lump on the bottom of your foot, it is suggested that you consult a podiatrist who can provide a proper diagnosis and treatment.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Alex Kim, DPM of AVID Foot & Ankle Center. 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 Little Elm, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Lupus is an autoimmune disease that can affect the feet, often causing pain, swelling, and circulation problems. Inflammation from lupus may lead to joint damage, resulting in conditions such as Jaccoud’s arthropathy, where the toes become misaligned, making walking difficult. Polyarthritis can also develop, causing persistent stiffness and discomfort in the foot and ankle joints. Many people with lupus experience Raynaud’s phenomenon, which reduces blood flow to the toes, leading to cold, numb, or discolored feet. This condition can make standing or walking painful, especially in colder temperatures. Lupus may also cause sores or blisters on the feet to heal slowly, increasing the risk of infection. Nerve damage linked to lupus can result in tingling, burning sensations, or loss of feeling in the feet. A podiatrist can help manage these symptoms by evaluating your foot structure, addressing circulation concerns, and recommending treatments that improve mobility and reduce pain. In severe cases, surgery may be needed to correct deformities. If you have foot pain that may be related to lupus, it is suggested that you schedule an appointment with a podiatrist for an exam and appropriate treatment solutions.

When dealing with systemic disease of the feet, it is extremely important to check the affected areas routinely so that any additional problems are caught quickly.  If you have any concerns about your feet and ankles contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will assist you with all of your podiatric needs.

Systemic Diseases of the Feet

Systemic diseases affect the whole body, and symptoms usually are displayed in the feet. This condition can make a patient’s ability to walk unbearable.  Systemic diseases include gout, diabetes mellitus, neurological disorders, and arthritis.

Gout – is caused by an excess of uric acid in the body. Common symptoms include pain, inflammation, and redness at the metatarsal/phalangeal joint of the base big toe. Gout can be treated by NSAIDs to relieve pain and inflammation, and other drugs that lower the acid levels in the body.

Diabetes mellitus – is an increase in the level of blood sugar that the body cannot counteract with its own insulin. Failure to produce enough insulin is a factor in Diabetes.

Diabetes of the Feet

Diabetic Neuropathy – may lead to damaged nerves and affect the feet through numbness and loss of sensation.

Peripheral Vascular Disease – can restrict the blood flow to the feet, and often times lead to amputation of the feet. 

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

A bunion is a bony bump that forms at the base of the big toe, as the top of the toe angles toward the inner toes. This misalignment can lead to pain, swelling, and redness surroundig the joint. Over time, bunions may become more noticeable, with the bump growing larger and causing the skin to thicken or develop corns. Bunions are often caused by genetics, but factors like wearing tight shoes, high heels, or arthritis can also contribute. Symptoms include pain when walking, tenderness, and difficulty in finding comfortable shoes. Treatment options range from non-surgical to surgical solutions. A podiatrist can recommend changes to footwear, custom orthotics, and targeted exercises to ease pain and improve foot alignment. In more severe cases, surgery may be necessary to realign the toe and remove the bony bump. If you have a bunion causing discomfort or affecting your mobility, a podiatrist can provide personalized care. It is suggested that you schedule an appointment to explore your best treatment options.

If you are suffering from bunions, contact Alex Kim, DPM of AVID Foot & Ankle Center. Our doctor 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?

Doctors 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 doctor.

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 Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.

A bruised toenail, also known as a subungual hematoma, occurs when blood collects beneath the nail due to trauma or injury. This condition is typically caused by dropping something heavy on the toe, stubbing the toe, or repetitive pressure, such as from wearing  tight-fitting shoes. The force from these actions can rupture blood vessels under the nail, causing blood to accumulate, which leads to pain, swelling, and discoloration. As the blood gathers, the toenail may turn a dark purple, red, or black color. In more severe cases, the pressure from the blood can cause significant discomfort and may even lead to the nail becoming loose or falling off. It is important to monitor the injury to ensure that it does not become infected. If you have bruised your toenail and it is causing toe pain, it is suggested that you consult a podiatrist who can offer effective relief and treatment solutions.

Toe pain can disrupt your daily activities. If you have any concerns, contact Alex Kim, DPM of AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Causes Toe Pain?

Most severe toe pain is caused due to a sports injury, trauma from dropping something heavy on the toe, or bumping into something rigid. Other problems can develop over time for various reasons.

Toe pain can be caused by one or more ailments. The most common include:

• Trauma
• Sports injury
• Wearing shoes that are too tight
• Arthritis
• Gout
• Corns and calluses
• Hammertoe
• Bunions
• Blisters
• Ingrown toenails
• Sprains
• Fractures (broken bones)
• Dislocations

When to See a Podiatrist

• Severe pain
• Persistent pain that lasts more than a week
• Signs of infection
• Continued swelling
• Pain that prevents walking

Diagnosis

In many cases the cause of toe pain is obvious, but in others, a podiatrist may want to use more advanced methods to determine the problem. These 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

Treatments for toe pain and injuries vary and may include shoe inserts, padding, taping, medicines, injections, and in some cases, surgery. If you believe that you have broken a toe, please see a podiatrist as soon as possible.

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

An Achilles tendon rupture is a serious injury that severely affects mobility. Treatment options include surgical repair or immobilization. Achilles tendon surgery reattaches the torn ends of the tendon and can be performed as an open procedure, which involves a larger incision, or as a percutaneous procedure. Percutaneous procedures use small punctures in the skin to insert tools for repairing the tendon, offering a less invasive approach that may result in reduced scarring and faster recovery. Surgery is often recommended for younger or more active patients because it lowers the risk of another rupture. Immobilization uses devices like casts, splints, or walking boots to keep the lower leg and ankle stationary while the tendon heals naturally. This method is commonly chosen for older or less active patients due to fewer associated risks. A podiatrist can assess your Achilles tendon injury and determine the best treatment based on the extent of the rupture and your activity level. If you have torn your Achilles tendon, it is suggested that you schedule an appointment with a podiatrist for an exam and suggested treatment options.

Achilles tendon injuries need immediate attention to avoid future complications. If you have any concerns, contact Alex Kim, DPM of AVID Foot & Ankle Center. Our doctor can provide the care you need to keep you pain-free and on your feet.

What Is the Achilles Tendon?

The Achilles tendon is a tendon that connects the lower leg muscles and calf to the heel of the foot. It is the strongest tendon in the human body and is essential for making movement possible. Because this tendon is such an integral part of the body, any injuries to it can create immense difficulties and should immediately be presented to a doctor.

What Are the Symptoms of an Achilles Tendon Injury?

There are various types of injuries that can affect the Achilles tendon. The two most common injuries are Achilles tendinitis and ruptures of the tendon.

Achilles Tendinitis Symptoms

• Inflammation
• Dull to severe pain
• Increased blood flow to the tendon
• Thickening of the tendon

Rupture Symptoms

• Extreme pain and swelling in the foot
• Total immobility

Treatment and Prevention

Achilles tendon injuries are diagnosed by a thorough physical evaluation, which can include an MRI. Treatment involves rest, physical therapy, and in some cases, surgery. However, various preventative measures can be taken to avoid these injuries, such as:

• Thorough stretching of the tendon before and after exercise
• Strengthening exercises like calf raises, squats, leg curls, leg extensions, leg raises, lunges, and leg presses

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

Yoga stretches can be incredibly beneficial for foot health by improving flexibility, strength, and circulation. Poses like downward dog, mountain pose, and toe stretch help to stretch the plantar fascia, Achilles tendon, and foot muscles. This can reduce the tension and prevent conditions like plantar fasciitis, Achilles tendonitis, and arch pain. Engaging in a regular yoga practice can also enhance balance and alignment, which helps address flat feet and overpronation. Gentle stretches improve joint mobility, reducing stiffness caused by arthritis or prolonged standing. Additionally, yoga’s focus on mindful movement encourages better weight distribution and posture, relieving stress on the feet and ankles. However, while yoga can alleviate discomfort and prevent minor issues, persistent pain or structural concerns require professional evaluation. If you are experiencing ongoing foot or ankle problems, consult a podiatrist for a proper diagnosis and personalized treatment plan.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Stretching the Feet

Being the backbone of the body, the feet carry your entire weight and can easily become overexerted, causing cramps and pain. As with any body part, stretching your feet can serve many benefits. From increasing flexibility to even providing some pain relief, be sure to give your feet a stretch from time to time. This is especially important for athletes or anyone performing aerobic exercises, but anyone experiencing foot pain or is on their feet constantly should also engage in this practice.

Great ways to stretch your feet:

• Crossing one leg over the others and carefully pull your toes back. Do 10-20 repetitions and repeat the process for each foot
• Face a wall with your arms out and hands flat against the wall. Step back with one foot and keep it flat on the floor while moving the other leg forward. Lean towards the wall until you feel a stretch. Hold for 30 seconds and perform 10 repetitions for each foot
• Be sure not to overextend or push your limbs too hard or you could risk pulling or straining your muscle

Individuals who tend to their feet by regular stretching every day should be able to minimize foot pain and prevent new problems from arising.

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

Wearing shoes that are too tight can lead to various foot problems that affect the feet, toes, and ankles. Tight shoes create excessive pressure and friction, which may result in painful corns and calluses. These thickened areas of skin develop as a protective response to repeated irritation, often on the tops, sides, or bottoms of the feet. Ingrown toenails occur when tight footwear forces the nail into the surrounding tissue, leading to pain, swelling, and possible infection. Bunions, which are enlargements of the joint at the base of the big toe, can also develop or worsen due to wearing tight shoes. This condition often causes the big toe to press against adjacent toes, resulting in discomfort and inflammation. Additionally, tight shoes can lead to hammer toes, a deformity that causes toes to bend at the middle joint, making it challenging to wear shoes comfortably. A podiatrist can assess your foot issues and provide personalized treatment to relieve pain and prevent further complications. If you have foot pain that may be caused by wearing ill-fitting shoes, it is suggested that you schedule an appointment with a podiatrist for an exam and treatment.

Finding a properly-fitting shoe is important in reducing injuries and preventing foot problems. For more information about treatment, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will treat your foot and ankle needs.

Proper Shoe Fitting

A common concern when it comes to foot health, having properly fitted shoes can help prevent injuries to the foot. Out feet affect our posture and gait, which in turn affects the biomechanics and overall bodily structure. With 33 joints, 26 bones, and over 100 ligaments, the potential for serious injury is much greater than one realizes. Although the feet cease growth in adulthood, they still change shape as they mature. Here are some factors to consider when it comes to investing in proper fitting shoes:

• Be sure the shoes fit correctly right away
• Ensure the ball of your foot fits comfortably in the widest portion of the shoes
• Even though they may look fashionable, improper fitting shoes can either create adverse conditions or exacerbate existing ones you may already have
• Walk along a carpeted surface to ensure the shoes comfortably fit during normal activity

Keeping in mind how shoes fit the biomechanics of your body, properly-fitting shoes are vitally important. Fortunately, it is not difficult to acquire footwear that fits correctly. Be sure to wear shoes that support the overall structure of your body. Do your feet a favor and invest in several pairs of well-fitted shoes today.

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

An ankle sprain occurs when the ligaments, which are the sturdy bands of tissue connecting the bones in your ankle, are overstretched or torn. Ankle sprains often result from rolling your ankle inward or outward, stepping awkwardly on uneven ground, or twisting the joint. Common types of sprains are lateral sprains, which impact the outer ankle ligaments, medial sprains affecting the inner ligaments, and high ankle sprains involving the ligaments at the front of the ankle. Symptoms range from mild swelling and tenderness to severe pain, instability, and bruising that can limit walking. People with previous injuries, weak ankle muscles, or who wear inappropriate footwear are more susceptible to sprains. A podiatrist can perform a detailed examination, including imaging tests if needed, to identify the type and grade of the sprain. This foot doctor will provide expert care to reduce pain, restore mobility, and minimize the risk of recurring injuries. If you have sprained an ankle, it is suggested that you schedule an appointment with a podiatrist for a diagnosis and treatment options.

Ankle sprains are common but need immediate attention. If you need your feet checked, contact Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor 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 office located in Little Elm, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Cycling is an excellent low-impact exercise that can aid in the recovery of an ankle injury. It helps to strengthen the muscles surrounding the ankle without putting excessive strain on the joint, allowing for a safe recovery process. The circular motion of pedaling promotes improved blood circulation, which helps reduce swelling and supports the healing process. Cycling also enhances ankle joint flexibility and range of motion, as the consistent movement gently stretches the tendons and ligaments. This can prevent stiffness and promote quicker recovery. Additionally, cycling allows for cardiovascular exercise without the high-impact stress that activities like running or jumping can place on an injured ankle. By incorporating cycling into rehabilitation, individuals can regain strength and mobility. If you have injured your ankle, it is suggested that you visit a podiatrist who can offer effective treatment strategies.

Ankle and foot injuries are common among athletes and in many sports. They can be caused by several problems and may be potentially serious. If you are feeling pain or think you were injured in a sporting event or when exercising, consult with Alex Kim, DPM from AVID Foot & Ankle Center. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Common Injuries

The most common injuries that occur in sporting activities include:

• Achilles Tendonitis
• Achilles Tendon Rupture
• Ankle Sprains
• Broken Foot
• Plantar Fasciitis
• Stress Fractures
• Turf Toe

Symptoms

Symptoms vary depending upon the injury and in some cases, there may be no symptoms at all. However, in most cases, some form of symptom is experienced. Pain, aching, burning, bruising, tenderness, tightness or stiffness, sensation loss, difficulty moving, and swelling are the most common symptoms.

Treatment

Just as symptoms vary depending upon the injury, so do treatment options. A common treatment method is known as the RICE method. This method involves rest, applying ice, compression and elevating the afflicted foot or ankle. If the injury appears to be more serious, surgery might be required, such as arthroscopic or reconstructive surgery. Lastly, rehabilitation or therapy might be needed to gain full functionality in the afflicted area. Any discomfort experienced by an athlete must be evaluated by a licensed, reputable medical professional.  

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