Plantar fibroma is a benign condition characterized by a firm mass under the arch of the foot. Many people discover this small lump by chance, while others seek consultation due to pain experienced when walking.
Although it is not dangerous, plantar fibroma can affect daily comfort. Understanding its causes, symptoms, and treatment options in podiatry helps in acting quickly. A PiedRéseau podiatrist can assess the situation and propose an appropriate plan.
Plantar fibroma develops in the plantar fascia, a thick tissue that supports the foot’s arch. It acts as a natural shock absorber during walking.
When fibers multiply locally, a nodule appears. This mass can remain stable for a long time. However, repeated pressure sometimes increases irritation.
Thus, plantar pain mainly occurs during prolonged walking. Certain shoes can exacerbate the discomfort.
Unlike plantar fasciitis, the pain is localized at the nodule site.
Also known as plantar fibromatosis, it is a benign fibrous proliferation. This condition is not cancerous and usually progresses slowly.
The nodule typically measures a few millimeters to two centimeters. It is firm to the touch and is often located in the center of the arch.
An examination by a PiedRéseau podiatrist confirms that it is indeed a plantar fibroma.
The exact cause remains unknown. However, several factors seem to contribute to its appearance.
The plantar fascia undergoes thousands of microtraumas daily. Over time, this mechanical stress can lead to localized thickening.
Associated factors include:
• Family history
• Mechanical overload of the foot
• Highly arched or very flat feet
• Certain metabolic conditions
Therefore, biomechanics plays an important role. That is why a biomechanical foot examination is often recommended.
The first sign is the presence of a mass under the skin, which may be painless at first.
However, pain appears when pressure increases, mainly manifesting during walking.
Common symptoms include:
• Feeling of a lump under the foot
• Localized pain under the arch
• Discomfort with certain shoes
• Sensitivity to touch
Unlike heel pain, the discomfort is more forward, which helps in diagnosis.
A PiedRéseau podiatrist begins evaluation with a complete clinical examination, palpating the mass and checking its size and mobility.
Then, posture and gait are analyzed, as an imbalance can increase pressure on the plantar fascia.
In some cases, medical imaging is recommended to exclude other lesions, ensuring an accurate and objective diagnosis.
Treatment depends on symptoms. If the nodule does not cause pain, monitoring may suffice.
When discomfort limits activities, management is indicated.
Conservative options include:
• Custom-made orthotic insoles
• Shoe adjustments
• Activity modifications
• Local therapies as per clinical evaluation: laser, ShockWave, injections
Orthoses redistribute pressure under the foot, reducing the load on the plantar fibroma. At PiedRéseau, the treatment plan is personalized, considering the patient’s activity level and goals.
Surgery remains an option in certain cases, considered when pain persists despite conservative treatments.
The intervention consists of removing the nodule; however, recurrence is common. A detailed discussion with the PiedRéseau podiatrist occurs before any decision.
Shoes directly influence plantar pressure. An overly rigid sole increases irritation.
Conversely, good arch support decreases tension on the plantar fascia.
Custom-made orthotic insoles provide targeted offloading and integrate into a comprehensive care approach.
There is no guaranteed prevention method, but some measures reduce mechanical overload:
• Wearing appropriate shoes
• Maintaining a stable weight
• Consulting early in case of plantar pain
Early evaluation at PiedRéseau enables timely action.
Frequently asked questions about plantar fibroma:
Is plantar fibroma dangerous?
No. It is a benign lesion. However, only a clinical examination confirms the diagnosis.
Can plantar fibroma disappear on its own?
It can remain stable for a long time but rarely disappears spontaneously.
Can you continue to walk normally?
Yes, in many cases. However, pain may alter gait.
Does plantar fibroma return after treatment?
Recurrence is possible. Regular follow-up allows monitoring of progression.
Plantar fibroma is a benign mass of the plantar fascia but can cause persistent plantar pain.
An accurate diagnosis allows tailored management. At PiedRéseau, each evaluation is structured and personalized.
If you feel a mass or pain under the arch, make an appointment at a PiedRéseau clinic near you. A PiedRéseau podiatrist can assess your situation and guide you.