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December 2023

A plantar fibroma affects the foot's plantar fascia, resulting in the development of nodules or fibrous tissue. Characterized by a thickening of the ligament that supports the arch, this disorder commonly manifests on the bottom of the foot, near the heel. In its early stages, a plantar fibroma may present as a small, painless nodule. As the condition progresses, these nodules can enlarge and become tender, causing discomfort with weight-bearing activities like walking or standing. Over time, the fibrous tissue may intertwine with the plantar fascia, potentially leading to a reduction in foot flexibility. The stages of a plantar fibroma vary, with some cases remaining relatively stable, while others may experience increased symptoms. Understanding the definition and progression of a plantar fibroma is essential for early recognition and intervention, enabling individuals to explore appropriate management strategies and maintain optimal foot health. If you have discomfort on the bottom of your foot, it is suggested that you visit a podiatrist who can accurately diagnose and treat a plantar fibroma.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Deborah Holte, DPM of Northeast Missouri Foot 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 Kirksville, MO . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Tuesday, 19 December 2023 00:00

Peripheral Artery Disease and Foot Care

Peripheral artery disease, or PAD, is a vascular condition characterized by the narrowing or blockage of arteries, predominantly in the legs, resulting in reduced blood flow to the feet. This condition, often associated with hardening of the arteries, can significantly impact foot health and lead to various symptoms. Symptoms of peripheral artery disease may include leg pain, cramping, numbness, and skin discoloration. Generally, these symptoms develop when approximately 70 percent of the artery is blocked. Aging, smoking, diabetes, high blood pressure, abnormal cholesterol levels, obesity, physical inactivity, and family history are contributing factors. Men are generally more susceptible to PAD than women. Peripheral artery disease also can result from fibromuscular dysplasia, inflammation, or external pressure from nearby masses. The severity and nature of symptoms depend on the affected artery, degree of blockage, and whether it is a gradual narrowing or sudden blockage. Someone with peripheral artery disease may experience coldness in the lower leg or foot, numbness or weakness, absent or a weak pulse in the legs or feet, and shiny skin on the legs. One of the main dangers is in the formation of sores on the toes, feet, or legs that will not heal. These may develop into ulcers, which can engender severe foot or toe problems. If you have peripheral artery disease symptoms that are affecting your lower limbs and feet, it is suggested that you include a podiatrist as a member of your medical team. 

Peripheral artery disease can pose a serious risk to your health. It can increase the risk of stroke and heart attack. If you have symptoms of peripheral artery disease, consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Peripheral artery disease (PAD) is when arteries are constricted due to plaque (fatty deposits) build-up. This results in less blood flow to the legs and other extremities. The main cause of PAD is atherosclerosis, in which plaque builds up in the arteries.


Symptoms of PAD include:

  • Claudication (leg pain from walking)
  • Numbness in legs
  • Decrease in growth of leg hair and toenails
  • Paleness of the skin
  • Erectile dysfunction
  • Sores and wounds on legs and feet that won’t heal
  • Coldness in one leg

It is important to note that a majority of individuals never show any symptoms of PAD.


While PAD occurs in the legs and arteries, Podiatrists can diagnose PAD. Podiatrists utilize a test called an ankle-brachial index (ABI). An ABI test compares blood pressure in your arm to you ankle to see if any abnormality occurs. Ultrasound and imaging devices may also be used.


Fortunately, lifestyle changes such as maintaining a healthy diet, exercising, managing cholesterol and blood sugar levels, and quitting smoking, can all treat PAD. Medications that prevent clots from occurring can be prescribed. Finally, in some cases, surgery may be recommended.

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

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Tuesday, 12 December 2023 00:00

The Significance of Foot and Ankle Stretches

Our feet and ankles are often overlooked as we perform daily activities, and they deserve dedicated attention in the form of regular stretches. Incorporating these foot and ankle stretches into your routine promotes flexibility, enhances range of motion, and mitigates the risk of injuries. Simple yet effective stretches include toe-pointing and flexing, encouraging mobility in the ankle joints. Rolling the ankles in circular motions helps to maintain flexibility and strengthens the surrounding muscles. Calf stretches, achieved by placing one foot behind the other and gently leaning forward, target the muscles supporting the ankle. Plantar fascia stretches, involving pulling the toes toward you, alleviate tension on the bottom of the foot. Regularly performing these stretches, holding each position for a comfortable duration, contributes to improved circulation, reduced stiffness, and overall foot health. Regularly performing foot and ankle stretches can help to ensure the feet stay strong and limber. If you would like more information about additional stretches to perform, it is suggested that you consult a podiatrist.

Stretching the feet is a great way to prevent injuries. If you have any concerns with your feet consult with Deborah Holte, DPM from Northeast Missouri Foot Clinic. 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 Kirksville, MO . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Tuesday, 05 December 2023 00:00

Suggested Exercises for Flat Feet

Flat feet, or fallen arches, can lead to discomfort and negatively affect your posture, which can cause problems in other parts of the body. Strengthening the arches through targeted exercises for flat feet not only helps alleviate this discomfort but can also contribute to improved posture in the long run. The towel scrunch and stair heel raises are two of many exercises that can improve your arch strength. For the towel scrunch exercise, sit on a chair with a towel laid flat under your feet. Using only your toe muscles, scrunch the towel toward you until you can't pull it any further. Complete two sets with each foot and gradually increase sets as you feel more comfortable. To perform stair heel raises, stand on a step with only your toes and the balls of your feet on the step. Slowly raise your heel into the air, holding for a few seconds. Resist lowering your heel below the stair line for effectiveness. Begin with 10 raises as one set, aiming for three sets per day without pain. These exercises are designed for all fitness levels and can be done in the comfort of your home. Start at a beginner level and progress at your own pace. If you experience pain, it is a sign to stop. Also, it is beneficial to skip a day if your muscles are sore. For further guidance on methods to manage flat feet, it is suggested that you schedule an appointment with a podiatrist.

Flatfoot is a condition many people suffer from. If you have flat feet, contact Deborah Holte, DPM from Northeast Missouri Foot Clinic. Our doctor will treat your foot and ankle needs.

What Are Flat Feet?

Flatfoot is a condition in which the arch of the foot is depressed and the sole of the foot is almost completely in contact with the ground. About 20-30% of the population generally has flat feet because their arches never formed during growth.

Conditions & Problems:

Having flat feet makes it difficult to run or walk because of the stress placed on the ankles.

Alignment – The general alignment of your legs can be disrupted, because the ankles move inward which can cause major discomfort.

Knees – If you have complications with your knees, flat feet can be a contributor to arthritis in that area.  


  • Pain around the heel or arch area
  • Trouble standing on the tip toe
  • Swelling around the inside of the ankle
  • Flat look to one or both feet
  • Having your shoes feel uneven when worn


If you are experiencing pain and stress on the foot you may weaken the posterior tibial tendon, which runs around the inside of the ankle. 

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

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Sunday, 03 December 2023 00:00

Plantar Warts Can Be Treated!

Plantar warts are small growths that develop on parts of the feet that bear weight. They're typically found on the bottom of the foot. Don't live with plantar warts, and call us today!

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