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The plantar fascia is located on the sole of the foot and it connects the toes to the heels. Some patients may experience a growth that develops inside the plantar fascia, which is often benign. This is referred to as a plantar fibroma that might cause pain while walking and running. It is noticeable by the lump that forms on the bottom of the foot, generally in the center of the arch. The majority of experts agree it occurs due to genetic reasons or medical conditions like epilepsy, diabetes, and alcoholism. Other people can argue a plantar fibroma may develop after an injury occurs to the plantar fascia and the lump may be a natural reaction to the stress from the trauma. Mild relief may be found when the shoes that are worn have extra cushioning, or it may be beneficial to wear custom-made orthotics. If you have developed this condition it is advised that you are under the care of a podiatrist who can provide the treatment options that are correct for you.
A plantar fibroma may disrupt your daily activities. If you have any concerns, contact one of our podiatrists of Jill Einhorn, DPM and James Einhorn, DPM. 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:
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 Brooklyn and Astoria, NY . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.
