Bone Stress Injuries in Active Children and Teens

Bone stress injuries happen when a bone is repeatedly loaded with weight without enough time to rest and recover. In active children and teenagers, this often occurs during sports that involve running, jumping, or high-impact movement. Unlike a sudden break, a stress injury builds slowly as the bone becomes weakened from overuse. Early signs may include a deep, aching pain that gets worse with activity and improves with rest. These injuries are most common in the feet, shins, and ankles. Because growing bones are still developing, they are more at risk for this type of damage. Ignoring the early signs can lead to more serious injury and longer recovery time. Rest, activity changes, and supportive footwear are often part of treatment. If a child has lasting pain in the foot or lower leg without a clear injury, it is suggested that you see a podiatrist for evaluation and appropriate care.

Stress fractures occur when there is a tiny crack within a bone. To learn more, contact one of our podiatrists from Barry University Foot and Ankle Institute. Our doctors can provide the care you need to keep you pain free and on your feet.

How Are They Caused?

Stress fractures are the result of repetitive force being placed on the bone. Since the lower leg and feet often carry most of the body’s weight, stress fractures are likely to occur in these areas. If you rush into a new exercise, you are more likely to develop a stress fracture since you are starting too much, too soon.  Pain resulting from stress fractures may go unnoticed at first, however it may start to worsen over time.

Risk Factors

  • Gender – They are more commonly found in women compared to men.
  • Foot Problems – People with unusual arches in their feet are more likely to develop stress fractures.
  • Certain Sports – Dancers, gymnasts, tennis players, runners, and basketball players are more likely to develop stress fractures.
  • Lack of Nutrients – A lack of vitamin D and calcium may weaken the bones and make you more prone to stress fractures
  • Weak Bones – Osteoporosis can weaken the bones therefore resulting in stress fractures

Stress fractures do not always heal properly, so it is important that you seek help from a podiatrist if you suspect you may have one. Ignoring your stress fracture may cause it to worsen, and you may develop chronic pain as well as additional fractures.

If you have any questions, please feel free to contact our offices located in Miami, North Miami Beach, Miami Beach, and Tamarac, FL . We offer the newest diagnostic and treatment technologies for all your foot care needs.

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Plantar Fibromas Cause Foot Lumps

Plantar fibromas are non-cancerous, fibrous tissue growths that develop in the arch of the foot within the plantar fascia. The exact cause is unknown, but they may be linked to genetics, trauma, or repetitive stress on the foot. Unlike warts or calluses, plantar fibromas are firm, deep, and often slowly increase in size. Symptoms include a noticeable lump in the arch of the foot that may feel firm to the touch. While some people experience no pain, others feel discomfort or achiness, especially when walking, standing, or wearing shoes that press against the growth. A podiatrist can diagnose a plantar fibroma through physical examination and imaging like ultrasound or MRI scans. Treatment options include custom orthotics to offload pressure, anti-inflammatory medication, steroid injections to reduce size and discomfort, or targeted exercises. In persistent or painful cases, surgical removal may be necessary. If you have a bothersome plantar fibromas, it is suggested that you schedule an appointment with a podiatrist for relief and treatment tips.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Barry University Foot and Ankle Institute. Our doctors 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 Miami, North Miami Beach, Miami Beach, and Tamarac, FL . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.

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Choosing the Right Footwear for Babies and Active Children

Selecting appropriate footwear for babies and children is important for healthy foot development and safe exploration. For babies and new walkers, barefoot time indoors encourages natural movement and muscle growth. When shoes are needed, they should be lightweight, flexible, and allow the feet to move freely. As children begin walking independently outdoors, shoes with non-slip soles and secure fastenings offer protection and stability. It is important to ensure a proper fit to avoid restricting growth or causing discomfort. For activities like climbing and hiking, sturdy shoes with good grip and ankle support help prevent injuries and enhance confidence on uneven terrain. If your child has injured his foot, it is suggested that you consult a podiatrist who can treat various foot conditions, and provide further guidance on appropriate shoes.

Making sure that your children maintain good foot health is very important as they grow. If you have any questions, contact one of our podiatrists of Barry University Foot and Ankle Institute. Our doctors can provide the care you need to keep you pain-free and on your feet.

Keeping Children's Feet Healthy

Having healthy feet during childhood can help prevent medical problems later in life, namely in the back and legs. As children grow, their feet require different types of care. Here are some things to consider...

Although babies do not walk yet, it is still very important to take care of their feet.

Avoid putting tight shoes or socks on his or her feet.

Allow the baby to stretch and kick his or her feet to feel comfortable.

As a toddler, kids are now on the move and begin to develop differently. At this age, toddlers are getting a feel for walking, so don’t be alarmed if your toddler is unsteady or ‘walks funny’. 

As your child gets older, it is important to teach them how to take care of their feet.

Show them proper hygiene to prevent infections such as fungus.

Be watchful for any pain or injury.

Have all injuries checked by a doctor as soon as possible.

Comfortable, protective shoes should always be worn, especially at play.

If you have any questions please feel free to contact our offices located in Miami, North Miami Beach, Miami Beach, and Tamarac, FL . We offer the newest diagnostic and treatment technologies for all your foot and ankle needs.

Read more about How to Care for Your Child's Feet

Obesity is highly associated with a non-home discharge following total ankle arthroplasty

While there is a growing body of literature that has identified risk factors (patient, surgeon, facility) associated with potentially unsafe outpatient TAA surgery, there is relatively little attempting to identify risk factors for a non-home discharge in this population.

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