A firm lump beneath the arch of the foot can sometimes make each step uncomfortable. One possible cause is a plantar fibroma, a noncancerous growth within the plantar fascia. This strong band of tissue runs along the bottom of the foot, connecting the heel to the toes and supporting the arch. The growth consists of thickened fibrous tissue and develops in one or both feet. Its exact cause remains unclear. Although a plantar fibroma is not cancer, a new lump requires a podiatric evaluation because other foot problems produce similar bumps. A podiatrist identifies the cause and determines whether treatment is appropriate.
A plantar fibroma usually feels like a firm knot under the skin. Some growths stay small, while others enlarge or appear alongside additional lumps. Not every plantar fibroma causes pain. Discomfort typically develops when pressure pushes against the growth, whether from shoes or the ground beneath the foot. Patients sometimes notice tenderness while walking or standing barefoot. As pressure increases, ordinary activities become harder to manage. The location of the lump also affects how much discomfort it causes. Changes in the size of a growth or increasing pain warrant another examination, even after a previous diagnosis.
During an appointment, a podiatrist asks when the lump appeared and how it affects daily activities. The examination includes checking its size, feeling its firmness, and assessing tenderness. The podiatrist also evaluates the surrounding tissue and foot structure. Imaging helps clarify uncertain findings. An ultrasound or MRI scan provides a closer view of the growth and its relationship to the plantar fascia. In some cases, a biopsy confirms the diagnosis. This procedure involves removing a small tissue sample for examination. These steps help distinguish a plantar fibroma from other causes of a lump and guide an appropriate treatment plan.
Treatment focuses on reducing pressure and improving comfort. A podiatrist prescribes custom orthotics, or shoe inserts, designed to redirect weight away from the lump. Professional padding and footwear recommendations also help address pressure against the arch. These approaches relieve symptoms without necessarily removing the growth. For persistent pain despite nonsurgical care, a podiatrist discusses surgery and its potential risks. The growth sometimes returns after removal, and surgery carries risks of scarring or changes in arch support. Follow-up appointments help assess symptoms and monitor recurrence. If you have developed a plantar fibroma, it is suggested that you schedule an appointment with a podiatrist for effective relief and management solutions.
Foot Pain
Foot pain can be extremely painful and debilitating. If you have a foot pain, consult with Leonard Talarico, DPM from Georgia. Our doctor will assess your condition and provide you with quality foot and ankle treatment.
Causes
Foot pain is a very broad condition that could be caused by one or more ailments. The most common include:
- Bunions
- Hammertoes
- Plantar Fasciitis
- Bone Spurs
- Corns
- Tarsal Tunnel Syndrome
- Ingrown Toenails
- Arthritis (such as Gout, Rheumatoid, and Osteoarthritis)
- Flat Feet
- Injury (from stress fractures, broken toe, foot, ankle, Achilles tendon ruptures, and sprains)
- And more
Diagnosis
To figure out the cause of foot pain, podiatrists utilize several different methods. This can range from simple visual inspections and sensation tests to X-rays and MRI scans. Prior medical history, family medical history, and any recent physical traumatic events will all be taken into consideration for a proper diagnosis.
Treatment
Treatment depends upon the cause of the foot pain. Whether it is resting, staying off the foot, or having surgery; podiatrists have a number of treatment options available for foot pain.
If you have any questions, please feel free to contact our office located in Pooler, GA . We offer the newest diagnostic and treatment technologies for all your foot care needs.