The short answer to that question is, “It depends.” At Paul S. DeMarco, DPM the first step is to evaluate the fibroma. Our board certified foot and ankle surgeon, Dr. Paul D. DeMarco will want to do a complete examination of your foot. A plantar fibroma is a benign lump that forms in the arch of the foot, deep in the plantar fascia, the long band of tissue that stretches across the bottom of your foot. It may or may not cause pain. The foot doctor will want to rule out other conditions and may order a biopsy or an MRI of the affected area.
If a diagnosis of plantar fibroma is confirmed, the foot doctor will want to know if the lump has grown since you first noticed it and whether or not it is causing you pain or discomfort either when wearing shoes or barefoot. Since fibromas are not cancerous, if they are not causing discomfort the podiatrist may just monitor the lump, checking it periodically.
Dealing with Discomfort
Although foot doctors don’t really know what causes this condition, they do know that the plantar fibromas will not go away on their own. They are also likely to recur if you have already had one or more of them. In the case where the fibroma is painful, the foot doctor can try the following non-invasive treatments:
· Cortisone injections
· Physical therapy
· Custom orthotics
If none of these bring relief or the fibroma continues to grow, the only other option may be to surgically remove the fibroma. Patients who have this surgery may experience a flattening of the arch and also hammertoes.
If you detect a bump or lump in the arch of your foot (or any other spot on your foot or ankle) you should contact our Somers Point office as soon as possible by calling: (609) 927-4894.