At Paul Klein, DPM, FACFAS, one condition that we find many patients have never heard of until they are diagnosed with is plantar fibroma. Below are some common questions we get:
What is a plantar fibroma?
A plantar fibroma is a nodule or knot of fibrous tissue that forms in the arch of the foot. It is embedded in the long band of tissue on the bottom of your foot that extends from your toes to your heel known as the plantar fascia.
Is it dangerous?
The good news is that plantar fibromas are benign, not cancerous or at risk for becoming cancerous. The bad news, however, is that they can grow and cause pain due to the pressure walking and footwear puts on the arch of your foot.
Where did it come from?
Currently, the cause of plantar fibromas is unknown. They can develop in one or both feet and, even if they are removed, they have a high incidence of recurrence.
What should I do if I find a lump in my arch?
The first step anytime you find a lump on your foot is to contact our Wayne, NJ office for an appointment by calling: 973-595-1555. Our podiatrist, Dr. Paul G. Klein, will examine your foot and press on the lump to see how it is affecting the rest of your foot. The foot doctor may also do a biopsy and an MRI to confirm a diagnosis of plantar fibroma.
How are plantar fibromas treated?
Plantar fibromas can be treated surgically or conservatively. Unfortunately, there is no nonsurgical way to eliminate a fibroma. Surgery, however, carries risks, including nerve damage, fallen arches and hammertoes. Therefore, the foot doctor will most likely try one or more of the following conservative approaches:
- Cortisone injections—when made directly into the mass these can help shrink the size of the fibroma and thereby relieve pain and discomfort. The effect may only be temporary, however, and the fibroma may gradually grow back to its original size.
- Custom orthotics—an orthotic device for your shoes can shift your weight away from the fibroma and decrease pain and pressure.
- Physical therapy