Items filtered by date: October 2023

Tuesday, 31 October 2023 00:00

An In-Depth Look at Plantar Fibromatosis

Plantar fibromatosis is a relatively rare, but often painful, condition that affects the plantar fascia, the thick band of tissue running along the bottom of the foot. Unlike more common foot problems, such as bunions or heel spurs, plantar fibromatosis is marked by the development of fibrous nodules or lumps within the plantar fascia. These nodules can vary in size and are typically firm to the touch. They often form in the arch of the foot but can appear in other areas as well. While the exact cause of plantar fibromatosis remains unclear, it's thought to be related to genetic factors and may also be influenced by trauma or injury to the foot. The condition is typically benign but can be quite painful, affecting one's ability to walk and engage in regular activities. Understanding plantar fibromatosis is important for early diagnosis and appropriate care, as it can help individuals find relief from this challenging foot condition. If you have developed this ailment, it is suggested that you confer with a podiatrist who can confirm the diagnosis and offer appropriate relief and treatment methods. 

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Jack A. Sasiene, DPM of Texas. 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 offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

Read more about Plantar Fibroma
Published in Blog
Tuesday, 24 October 2023 00:00

Foot Care Tips for Diabetics

Diabetics should make it a habit to thoroughly inspect their feet daily. Pay close attention to the gaps between your toes, the soles of your feet, and your toenails. If you notice any wounds, sores, or abnormalities, consult a podiatrist promptly. Choosing well-fitting shoes and socks is vital. Ill-fitting footwear can lead to discomfort and potentially dangerous issues, especially for those with diabetic neuropathy, which causes reduced sensation in the feet. People with neuropathy may not feel the pain of a foot sore, leading to wound neglect and infection. Regularly wash your feet with warm water to keep them clean and free from dirt and pathogens. Dry them thoroughly and apply a mild moisturizer to the soles and the tops of your feet, excluding the gaps between your toes. Avoid going barefoot, even at home. Wear shoes outdoors and opt for socks when indoors to protect your feet from injury. Incorporate daily physical activity, such as walking, to boost blood circulation to your legs and feet and help to prevent diabetic neuropathy. Trim your toenails or trim them with extreme caution to avoid injuries, ingrown nails, or skin chipping. Neglected wounds can escalate to gangrene, a severe condition that may necessitate amputation. It is suggested that you make a podiatrist a part of your medical team to regularly monitor your feet' health.

Diabetic foot care is important in preventing foot ailments such as ulcers. If you are suffering from diabetes or have any other concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Diabetic Foot Care

Diabetes affects millions of people every year. The condition can damage blood vessels in many parts of the body, especially the feet. Because of this, taking care of your feet is essential if you have diabetes, and having a podiatrist help monitor your foot health is highly recommended.

The Importance of Caring for Your Feet

  • Routinely inspect your feet for bruises or sores.
  • Wear socks that fit your feet comfortably.
  • Wear comfortable shoes that provide adequate support.

Patients with diabetes should have their doctor monitor their blood levels, as blood sugar levels play such a huge role in diabetic care. Monitoring these levels on a regular basis is highly advised.

It is always best to inform your healthcare professional of any concerns you may have regarding your feet, especially for diabetic patients. Early treatment and routine foot examinations are keys to maintaining proper health, especially because severe complications can arise if proper treatment is not applied.

If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about Diabetic Foot Care
Published in Blog
Tuesday, 17 October 2023 00:00

Why Pronation of the Feet Matters

Understanding supination and pronation as they relate to the feet is essential for maintaining proper foot health. Supination refers to the positioning of your foot when your weight tends to be more on the outside during walking or running, essentially causing your foot to lean outward. Pronation means your weight tends to be more on the inside of your foot during these activities, causing your foot to lean inward. Ideally, during a proper stride, your foot should roll forward from heel to toe with neutral pronation, ensuring even weight distribution. Excessive supination places stress on the outer side of your foot and can lead to uneven wear on the outside of your shoe. It may result in various issues, including calluses, bunions, and pain in your heels and the balls of your feet. Excessive pronation involves your foot rolling toward the inside, leading to uneven wear on the inside of your shoe and potential pain in your arch, heel, and ankle. The causes of these pronation issues can be genetic, such as having a high arch or uneven leg lengths, or they can result from injuries, overuse, or walking on hard surfaces. Obesity or pregnancy may also increase overpronation. If you suspect issues with your foot mechanics, it is suggested that you make an appointment with a podiatrist for an exam and treatment plan options. 

If you have any concerns about your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor can provide the care you need to keep you pain-free and on your feet.

Biomechanics in Podiatry

Podiatric biomechanics is a particular sector of specialty podiatry with licensed practitioners who are trained to diagnose and treat conditions affecting the foot, ankle and lower leg. Biomechanics deals with the forces that act against the body, causing an interference with the biological structures. It focuses on the movement of the ankle, the foot and the forces that interact with them.

A History of Biomechanics

  • Biomechanics dates back to the BC era in Egypt where evidence of professional foot care has been recorded.
  • In 1974, biomechanics gained a higher profile from the studies of Merton Root, who claimed that by changing or controlling the forces between the ankle and the foot, corrections or conditions could be implemented to gain strength and coordination in the area.

Modern technological improvements are based on past theories and therapeutic processes that provide a better understanding of podiatric concepts for biomechanics. Computers can provide accurate information about the forces and patterns of the feet and lower legs.

Understanding biomechanics of the feet can help improve and eliminate pain, stopping further stress to the foot.

If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about The Importance of Biomechanics in Podiatry
Published in Blog

Cuboid syndrome is a relatively uncommon but painful condition that can affect athletes, particularly those engaged in sports that involve repetitive foot movements or sudden directional changes. It occurs when the cuboid bone in the foot becomes misaligned or irritated, leading to discomfort and limited mobility. Diagnosing cuboid syndrome can be challenging. The symptoms associated with this condition consist of pain along the outer edge of the foot, difficulty bearing weight, and a decreased range of motion and can resemble other foot and ankle injuries. A thorough physical examination, along with imaging studies such as X-rays or an MRI, may be required to confirm the diagnosis. Treatment for cuboid syndrome typically involves conservative approaches. Rest, compression, and elevation can help reduce pain and inflammation. Physical therapy exercises to strengthen foot muscles and improve joint stability are also beneficial. In some cases, manual manipulation by a podiatrist may be necessary to realign the cuboid bone. Athletes experiencing persistent foot pain should seek prompt evaluation and diagnosis, as early intervention can lead to quicker recovery. If you have lateral foot pain, it is suggested that you consult a podiatrist who can accurately diagnose and treat cuboid syndrome.

Cuboid syndrome, also known as cuboid subluxation, occurs when the joints and ligaments near the cuboid bone in the foot become torn. If you have cuboid syndrome, consult with Jack A. Sasiene, DPM from Texas. Our doctor will assess your condition and provide you with quality foot and ankle treatment.

Cuboid syndrome is a common cause of lateral foot pain, which is pain on the outside of the foot. The condition may happen suddenly due to an ankle sprain, or it may develop slowly overtime from repetitive tension through the bone and surrounding structures.


The most common causes of cuboid syndrome include:

  • Injury – The most common cause of this ailment is an ankle sprain.
  • Repetitive Strain – Tension placed through the peroneus longus muscle from repetitive activities such as jumping and running may cause excessive traction on the bone causing it to sublux.
  • Altered Foot Biomechanics – Most people suffering from cuboid subluxation have flat feet.


A common symptom of cuboid syndrome is pain along the outside of the foot which can be felt in the ankle and toes. This pain may create walking difficulties and may cause those with the condition to walk with a limp.


Diagnosis of cuboid syndrome is often difficult, and it is often misdiagnosed. X-rays, MRIs and CT scans often fail to properly show the cuboid subluxation. Although there isn’t a specific test used to diagnose cuboid syndrome, your podiatrist will usually check if pain is felt while pressing firmly on the cuboid bone of your foot.


Just as the range of causes varies widely, so do treatments. Some more common treatments are ice therapy, rest, exercise, taping, and orthotics.

If you have any questions, please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot care needs.


Read more about Cuboid Syndrome
Published in Blog
Wednesday, 04 October 2023 00:00

Are Bunions Affecting Your Everyday Life?

Have you noticed a bony protrusion on the side of your big toe? If so, you may have developed the foot condition known as a bunion. Don't let bunions interfere with your daily activities.

Published in Blog
Tuesday, 03 October 2023 00:00

Foot Protection Tips for the Workplace

In many jobs, the feet are our most valuable assets, and ensuring their safety should be a top priority. Whether you work in construction, healthcare, or any field that requires you to be on your feet, there are essential foot protection tips to keep in mind. This begin with investing in high-quality, industry-appropriate footwear. Steel-toed boots or shoes with composite safety toes can provide protection against falling objects or heavy equipment. Consider the type of sole your work shoes have. Slip-resistant soles are especially important if you work in environments with wet or slippery surfaces. Regularly inspect your footwear for signs of wear and tear. Damaged or worn-out shoes can compromise your safety. If your job involves prolonged standing, consider orthotic inserts or cushioned insoles that can provide comfort and support. By prioritizing foot protection in the workplace, you can reduce the risk of injuries, ensure your comfort, and maintain your overall well-being on the job. If you would like more information about foot protection in the workplace, it is suggested that you speak with a podiatrist who can guide you toward the correct type of shoes to purchase. 

While working on the feet, it is important to take the proper care of them. For more information about working on your feet, contact Jack A. Sasiene, DPM from Texas. Our doctor will treat your foot and ankle needs.

Working on Your Feet

Standing on your feet for long periods of time can cause stress and pain in your feet. Your whole body may experience change in terms of posture, back pain, bunions, callouses and or plantar warts. There are ways to avoid these conditions with proper foot care, smart choices and correct posture.

Positive Changes

Negative heeled shoe – Choosing this shoe type places the heel slightly lower than the ball of the foot. These are great for overall foot health. Find shoes that fit you correctly.

Go barefoot – Our feet were not designed to be enclosed for all hours of the day. Try to periodically expose your feet to air.

Eliminate Pain

Foot Exercises – Performing simple exercises, incorporating yoga and doing stretches are beneficial. This will allow increased blood flow to the area and muscles of the foot.

Achilles tendon – Stretching the foot out flat on the floor will relax the calf muscles and tendon. These exercises can be performed almost anywhere. Make sure you add these exercises to your daily regimen. 

With a little bit of this information and knowing more about foot health, you will notice changes. Foot stretches and proper footwear will help with pain and prevent further issues.

If you have any questions please feel free to contact our offices located in Texas City and Lake Jackson, TX . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Handle a Long Work Day on Your Feet
Published in Blog

Connect With Us