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I have a lump in the arch of my foot which I first noticed after experiencing some arch pain (following the start-up of a running and swimming routine). The lump got bigger, and I eventually had an ultrasound performed. I was told there was no nodule (fibroma or such), but rather inflammation of the tendon which had caused it to thicken. I have a bit of the same pain in my other foot, in the arch, but mostly the classic heel pain. There is no thickening of the arch in that foot. I am perplexed because I keep seeing plantar fasciitis as being connected only to heel pain and never with the mention of a thickening of the tendon in the arch that is palpable. What can I do to treat this? The doc who performed the ultrasound told me I would most likely have to have physical therapy. What do you think I have, and what can I do at home to remedy it?Thank you!Deirdre RESPONSEHi Deirdre,Most people associate plantarfasciitis with inflammation of the plantar fascial ligament that attaches into the heel causing heel pain. However, the plantarfascial ligament extends all the way to the ball of the foot and attaches just behind the metatarsal heads.So you can have plantarfasciitis any where from the heel to almost the ball of the foot. Apparently you have it at mid arch.This would be a result of you over stretching the ligament as a result of your athletic activity. The problem is, that walking and of course exercise both keep aggravating the ligament so it never has the chance to get better.Yes, physical therapy could be helpful. In addition you should consider taking anti-inflammatory medication (if you can tolerate such medication) in an effort to reduce the inflammation of the ligament.Lastly you should also consider wearing an orthotic device whose purpose is to prevent the ligament from over stretching when exerising (and walking).You can have all the physical therapy in the world along with medication, but unless you control the over stretching of the ligament through the use of an orthotic, you will have difficulty eliminating the problem.Marc Mitnick DPMDISCLAIMER:
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Michael D. Ebeling
Tampa, Florida 33624
Thanks for a most interesting website, which has helped a lot.
I usually do my research on the Mayo clinic website. I think your website is the most informative site I have found when researching foot pain.
I thank you for putting together this incredible website.
....I have been told that it is not hard enough to be cut off. Please help, I am not sure what to do now! THANKS FOR A WONDERFUL AND VERY HELPFUL SITE!
You have an unusually clear, informative and well-written website for laypersons. Thank you for that.
Mansfield Ctr, CT
First, I'd like to thank you for all the information that you provide on your website and the opportunity to write to you.
First, I want to let you know that you have the best web site I've found related to foot issues. (The only thing I had difficulty finding was the "ask a question" page.)
I received the orthotics Monday afternoon and began wearing them Tuesday. After two days I would say that I have noticed a huge improvement in the discomfort I have been experiencing. My foot feels better than it has in months.
I greatly admire someone like you who would donate and dedicate so much time and effort to helping strangers with no compensation. Truly, it is uncommonly kind. And your site is so intelligently arranged.
Pacific Grove, CA
I used to work for a podiatrist (front desk) back during summers in
college years ago, so I know the benefits of good care. Again, I want
to thank you for an EXCELLENT website. It was so great to get to your
site (top of google search) and actually find all the answers I needed
EASILY and QUICKLY! Clearly you put a ton of work into it and I really
All the best,
By the way, millions of websites could use yours as a guideline on how to organize information and make the site user-friendly. Kudos to you!
Thank you for your very interesting and informative site!
By Marc Mitnick DPM © 2006-2018, foot-pain-explained.com LLC
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