A noticeable lump in the arch or bottom of the foot can be a plantar fibroma. It generally causes no pain and is typically benign, despite being uncomfortable. Patients often find one foot that has this nodule and a proper diagnosis can be performed, which can confirm a plantar fibroma has developed. This can be done by having an MRI or ultrasound taken, which can be successful in determining its size. The fibroma lies in the plantar fascia, which is the band of tissue that connects the heels to the toes. This may cause the plantar fascia to become disrupted. Wearing custom-made orthotics may help in relieving some of the pressure that is felt while wearing shoes. The proper amount of cushioning can act as a shock absorber, and it may help the plantar fascia to return to its original shape. If you notice a nodule or lump on the bottom of your foot it is strongly advised that you consult a podiatrist who can perform a proper diagnosis and provide effective treatment methods.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Philip Hahn, DPM of Advanced Foot & Ankle Center. 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 Texarkana, TX . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.