The arch of the foot is affected by a condition that is known as plantar fibroma. It is defined as an area of fibrous tissue that grows in the arch, and can cause severe pain and discomfort. It starts off as a small lump, and there may be little pain. As it grows, the pain may increase significantly, and it may be difficult to wear shoes. Research has indicated that this condition may develop from a traumatic foot injury which may tear the fascia in the arch. Additionally, there may be existing medical conditions that can contribute to the onset of a plantar fibroma. These can include diabetes, epilepsy, and long-term alcohol abuse. In severe cases, surgery may be a necessary option to remove the mass. There could be complications consisting of infection and the possibility of the fibroma returning. There is usually a simple method of discovering the fibroma, where a podiatrist will press on the arch and the surrounding areas, however they may require additional tests to rule out other disorders. If you have arch pain, it is advised that you schedule an appointment with a podiatrist who can diagnose the condition and discuss correct treatment techniques with you.

A plantar fibroma may disrupt your daily activities. If you have any concerns, contact Corinne R. Kauderer, DPM of Dyker Heights Foot & Ankle. 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 one of our offices located in Brooklyn, NY and Old Bridge, NJ . We offer the newest diagnostic tools and technology to treat your foot and ankle needs.