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Podiatry/Plantar faschitis, heel pain, small bumps

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Question
I have visited a podiatrist three times, but my problem has not subsided.  He initially suggested Cortisone, but I am sensitive to it, so I declined.  Since September 2012, I have worn the orthotics purchased off the shelf in his office, which initially helped, and now from wearing them too long, cause me pain.  I have had high arches my whole life, and I gained weight last year, which I realize is a contributing factor.  I tried calf stretches. Recently, I bought a night splint to try on the right foot, and it helps me in the AM. I wish the doctor told me the first time about the splints.  

I have noticed under my arch on each foot, is a bump or small lump, along the faschia.  I am desperately seeking relief, and have just ordered some special insoles,and a little foot stretcher, which will come soon.  I have thrown excess money away, and yet feeling I am not addressing the root cause. Do you know what those bumps are under the arch ?  Also,could you please tell me what you would recommend for my problem of continual pain of varying degrees, both under the arch, and in the heel ?

Answer
Alexis,

It sounds like you have become frusturated with how difficult it is to treat plantar fasciitis.  I can tell you as a professional, it is just a frusturating to treat from a doctor's standpoint because no two people have the same effective treatment plan.  It is different for everyone.  People with high arches absolutely need custom orthotics for treatment of plantar fasciitis.  Over the counter orthotics do not fully capture the arch of people with high arches.  Over the counter orthotics are mass produced and unfortunately high arches are not as common as fallen arches; therefore companies do not produce effective orthotics for them.  Stretching is always important and using a night splint will help, but if you are not finding good support and stability with your inserts, then you need to invest in custom orthotics.

The bumps on your foot along the plantar fascial are most likely plantar fibromas.  The occur commonly on the medial (inside) and central aspect of the plantar fasica.  If they are not painful with ambulation or touch them, then don't bother them.  If you do have pain associated with them, topical verapamil has been effective in making them smaller.  Excising them is possible but I wouldn't suggest it as they high a really high rate of returning after excision.

Sincerely,

Dr. Leslie Johnston, DPM
www.thetampapodiatrist.com

Podiatry

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Leslie Johnston

Expertise

any podiatry related question. bunions, hammertoes, arthritis in foot and ankle, lumps and bumps, foot pain, ankle pain, neuromas, heel pain, plantar fasciitis, diabetic foot care, ulcers, neuropathy, charcot, ankle replacements, trauma, sports medicine, Achilles injuries, ankle sprains ect.

Experience

Currently working as an Associate for Advanced Podiatry in Tampa, FL. Finished 3 year surgical residency with additional certification in rearfoot and ankle reconstruction. Worked in wound care clinic at Veteran's Hospital using advance wound care techniques.

Organizations
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Education/Credentials
DPM degree earned from the Ohio College of Podiatric Medicine 2005-2009 completed 3 year podiatric medical and surgical residency training at James A. Haley VA 2009-2012. Board qualified status for American Board of Podiatric Surgeons in foot and rearfoot and ankle surgery 2012.

Awards and Honors
1st runner up in Resident case presentations at annual Science and Management Symposium 2012 Who's who among colleges and universities 2009

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