Stress fractures of the foot and ankle are small cracks in the bone that result from repetitive force or overuse. These injuries often occur in athletes and active individuals due to increased activity levels without adequate rest. The foot and ankle contain two types of bone, which are the cortical bone and trabecular bone. Cortical bone is the dense outer layer that provides strength, while trabecular bone is the spongy inner structure that absorbs shock and distributes loads. When excessive stress is placed on these bones, especially the trabecular bone, tiny fractures can develop leading to pain and swelling. Understanding the biomechanics behind stress fractures is essential for prevention and treatment. If you have sustained a foot stress fracture, it is suggested that you promptly consult a podiatrist who can offer you effective relief and treatment solutions.

Activities where too much pressure is put on the feet can cause stress fractures. To learn more, contact Dr. Richard Silverstein from Union Foot Care. Our doctor can provide the care you need to keep your pain free and on your feet.

Dealing with Stress Fractures of the Foot and Ankle

Stress fractures occur in the foot and ankle when muscles in these areas weaken from too much or too little use.  The feet and ankles then lose support when walking or running from the impact of the ground. Since there is no protection, the bones receive the full impact of each step. Stress on the feet can cause cracks to form in the bones, thus creating stress fractures.

What Are Stress Fractures?

Stress fractures occur frequently in individuals whose daily activities cause great impact on the feet and ankles. Stress factors are most common among:

• Runners                                  
• People affected with Osteoporosis
• Tennis or basketball players
• Gymnasts
• High impact workouts

Symptoms

Pain from the fractures occur in the area of the fractures and can be constant or intermittent. It will often cause sharp or dull pain with swelling and tenderness. Engaging in any kind of activity which involves high impact will aggravate pain.

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

A plantar fibroma is a benign tumor that develops in the plantar fascia, the thick band of tissue running along the bottom of the foot. Typically found in the arch, it appears as a firm lump that may cause discomfort during walking or standing. Diagnosing a plantar fibroma involves a thorough medical history and physical examination, where a podiatrist will assess the lump's size, location, and texture. Imaging studies such as ultrasound or MRI scans may be employed to confirm the diagnosis and rule out other conditions. The exact causes of plantar fibromas remain unclear, though factors such as genetics, trauma, and certain medical conditions may contribute to their development. Having a plantar fibroma can be uncomfortable. If you have developed this condition, it is suggested that you consult a podiatrist who can offer you relief options.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Dr. Richard Silverstein of Union Foot Care. 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 Havre de Grace, MD . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Partial nail avulsion is a surgical procedure used to treat ingrown toenails, a condition where the edge of the toenail grows into the surrounding skin, causing pain and inflammation. This procedure involves the removal of the affected portion of the toenail to alleviate discomfort and prevent recurrence. During the procedure, a podiatrist first administers a local anesthetic to numb the toe, ensuring minimal discomfort. Once the area is numb, the doctor carefully lifts the ingrown edge of the nail and removes it, allowing the surrounding tissue to heal. In some cases, a chemical agent may be applied to prevent the nail from growing back in an ingrown manner. Recovery typically involves keeping the area clean and dry, with follow-up care to monitor healing. This treatment can provide significant relief for individuals suffering from painful ingrown toenails. If you have an ingrown toenail, it is suggested that you consult a podiatrist who can determine if this type of minor foot surgery is right for you.

Foot surgery is sometimes necessary to treat a foot ailment. To learn more, contact Dr. Richard Silverstein of Union Foot Care. Our doctor will assist you with all of your foot and ankle needs.

When Is Surgery Necessary?

Foot and ankle surgery is generally reserved for cases in which less invasive, conservative procedures have failed to alleviate the problem. Some of the cases in which surgery may be necessary include:

• Removing foot deformities like bunions and bone spurs
• Severe arthritis that has caused bone issues
• Cosmetic reconstruction

What Types of Surgery Are There?

The type of surgery you receive will depend on the nature of the problem you have. Some of the possible surgeries include:

• Bunionectomy for painful bunions
• Surgical fusion for realignment of bones
• Neuropathy decompression surgery to treat nerve damage

Benefits of Surgery

Although surgery is usually a last resort, it can provide more complete pain relief compared to non-surgical methods and may allow you to finally resume full activity.

Surgical techniques have also become increasingly sophisticated. Techniques like endoscopic surgery allow for smaller incisions and faster recovery times.

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

Pain in the ball of the foot, also known as metatarsalgia, can be uncomfortable and disrupt daily activities. Symptoms include sharp, aching, or burning pain under the toes, especially when walking or standing. Causes range from overuse, wearing ill-fitting shoes, high-impact activities, and foot deformities like bunions or hammertoes. Risk factors include high arches, being overweight, and certain foot shapes that place extra pressure on the metatarsal bones. If left untreated, metatarsalgia can lead to more serious issues, such as stress fractures or chronic foot pain. Diagnosis often involves a physical exam, imaging tests like X-rays, and a review of activity levels and footwear habits. Treatment options may include rest, wearing cushioned insoles or orthotics, and supportive shoes. In rare instances, surgery to correct the underlying issue may be required. If you are experiencing pain in the ball of your foot, it is suggested that you schedule an appointment with a podiatrist.

Foot Pain

Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Dr. Richard Silverstein from Union Foot Care. Our doctor 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 Havre de Grace, MD . We offer the newest diagnostic and treatment technologies for all your foot care needs.