Next Step: Foot Care In Connecticut

Posts for tag: plantar fibroma

By Connecticut Foot Care Centers, LLC
October 11, 2018
Tags: plantar fibroma   Orthotics  

Finding a lump on your foot can be a scary situation. You think back to all the activities you’ve done with your feet lately – did I step on it wrong? Was it the new shoes I bought? Don’t panic though! In most cases that we see here at Connecticut Foot Care Centers,a lump in the arch of your foot is a benign growth called plantar fibroma.

What is plantar fibroma?

A plantar fibroma is a nodule or fibrous knot which forms in the long band of tissue running along the bottom of your foot from your heel to your toe, known as your plantar fascia. Currently, there’s actually no known definitive cause of plantar fibroma. What we do know though, is that it won’t disappear without treatment. In fact, an untreated plantar fibroma could grow and make walking difficult or painful.

What if I find a plantar fibroma?

It’s important to give us a call today if you find any lumps in your foot. One of our trained podiatrists will examine your foot, manipulating the affected area to determine if the growth is a plantar fibroma. If needed, an MRI or biopsy might be performed to aid in diagnosis.

How is it treated?

Your doctor will work with you to determine the best route for treatment. Depending on the fibroma’s size and location, there are many non-surgical options available.

  • Steroid injections. Injecting corticosteroid medications directly into the mass could help relieve pain and shrink it. There is a chance the plantar fibroma could grow back though.
  • Orthotic devices. If the fibroma is staying the same size, custom orthotic devices could help distribute your weight away from the fibroma and relieve the pain.
  • Physical therapy. Pain can be managed through physical therapy and anti-inflammatory medication that is not directly injected.

When would I need surgery?

Non-surgical methods only relieve pain and discomfort, but ultimately do not remove the fibroma. If the mass continues to grow or the pain increases, there will be further evaluation and surgical methods may be recommended.

If you’ve found a lump in your foot, we’re here for you. Our team of foot doctors here at Connecticut Foot Care Centers provide the best in foot and ankle care and utilize the newest diagnostic and treatment techniques and technologies! Our friendly and knowledgeable staff has unparalleled experience and can help you at any of our six conveniently located Connecticut offices. Request an appointment today!

plantar fibroma is a fibrous knot (nodule) in the arch of the foot. It is embedded within the plantar fascia, a band of tissue that extends from the heel to the toes on the bottom of the foot. A plantar fibroma can develop in one or both feet, is benign (non-malignant), and usually will not go away or get smaller without treatment. Definitive causes for this condition have not been clearly identified.

The characteristic sign of a plantar fibroma is a noticeable lump in the arch that feels firm to the touch. This mass can remain the same size or get larger over time, or additional fibromas may develop.

People who have a plantar fibroma may or may not have pain. When pain does occur, it is often caused by shoes pushing against the lump in the arch, although it can also arise when walking or standing barefoot.

To diagnose a plantar fibroma, the foot and ankle surgeon will examine the foot and press on the affected area. Sometimes this can produce the pain that extends down to the toes. An MRI or biopsy may be performed to further evaluate the lump and aid in diagnosis.

Non-surgical treatment may help relieve the pain of a plantar fibroma, although it will not make the mass disappear. The podiatrist may select one or more of the following non-surgical options:

  • Steroid injections. Injecting corticosteroid medication into the mass may help shrink and thereby relieve the pain that occurs when walking. This reduction may be temporary and the fibroma could slowly return to its original size. 
  • Orthotic devices. If the fibroma is stable, meaning it is not changing in size, custom orthotics (shoe inserts) may relieve the pain by distributing the patient's weight away from the fibroma. 
  • Physical therapy. The pain is sometimes treated through physical therapy methods that deliver anti-inflammatory medication into the fibroma without the need for injection. 

If the mass increases in size or pain, the patient should be further evaluated. Surgical treatment to remove the fibroma is considered if the patient continues to experience pain following non-surgical approaches.

Surgical removal of a plantar fibroma may result in a flattening of the arch or development of hammertoes. Orthotic devices may be prescribed to provide support to the foot. Due to the high incidence of recurrence with this condition, continued follow-up with the foot and ankle surgeon is recommended.

If you have a plantar fibroma, call one of our six offices to make an appointment. 

Connecticut Foot Care Centers

Podiatrists in CT

Visit our website, friend and like our page on Facebook, and follow our tweets on Twitter.