Plantar fibroma

Plantar Fibroma: What You Need to Know

A plantar fibroma is a benign (non-cancerous) tissue growth that forms in the plantar fascia, the thick band of tissue that runs along the bottom of the foot from the heel to the toes. Plantar fibromas are most common in adults between the ages of 20 and 50, and they are more common in women than men.

Causes

The exact cause of plantar fibromas is unknown, but they are thought to be caused by a combination of factors, including:

  • Increased stress on the plantar fascia, such as from running or other high-impact activities
  • An imbalance of hormones, such as estrogen and progesterone
  • Genetic predisposition

Symptoms and Diagnosis

Plantar fibromas are typically painless, but they can sometimes cause pain, especially when walking or running. The pain is usually located on the bottom of the foot. Plantar fibromas can cause swelling, redness, and tenderness in some cases.

You should see a doctor if you have pain or other symptoms caused by a plantar fibroma. The doctor will examine your foot and may order an X-ray or other imaging test to confirm the diagnosis.

Intervention

There are a variety of treatment options available for plantar fibromas, including:

  • Non-surgical treatment: Non-surgical treatment options for plantar fibromas include:
    • Over-the-counter pain relievers: Over-the-counter pain relievers, such as ibuprofen or naproxen or cataflam, can help to relieve pain and inflammation.
    • Stretching and strengthening exercises: Stretching and strengthening exercises can help improve flexibility and strength in the plantar fascia, reducing pain and pressure on the fibroma.
    • Orthotics: Custom orthotics can help to redistribute weight away from the fibroma, which can reduce pain.
    • Verapamil cream: Verapamil is a cream that can be applied to the bottom of the foot. Verapamil works by relaxing the muscles in the plantar fascia, which can help to reduce pain and inflammation.
  • Surgical treatment: Surgical treatment is typically only recommended for people who have severe pain or other symptoms that do not respond to non-surgical treatment. Surgical options for plantar fibromas include:
    • Excision: Excision is the surgical removal of the fibroma.
    • Radiofrequency ablation: Radiofrequency ablation is a procedure that uses heat to destroy the fibroma.
    • Cryotherapy: Cryotherapy is a procedure that uses cold to destroy the fibroma.

The best treatment option for you will depend on the severity of your pain and other symptoms, as well as your overall health and lifestyle. Talk to your doctor about the best treatment option for you.

Complications of Plantar Fibromas

In most cases, plantar fibromas are not a serious condition. However, in some cases, plantar fibromas can cause complications, such as:

  • Chronic pain: In some cases, plantar fibromas can cause chronic pain that can interfere with daily activities.
  • Injury: Plantar fibromas can alter your gait, and make the foot more susceptible to injury, such as a stress fracture and ligament and tendon strains.
  • Recurrence: Plantar fibromas can recur, even after treatment.

Prevention of Plantar Fibromas

There is no sure way to prevent plantar fibromas, but there are some things you can do to reduce your risk, such as:

  • Maintain a healthy weight: Excess weight can put stress on the plantar fascia, which can increase your risk of developing a plantar fibroma.
  • Wear supportive shoes: Shoes that provide good arch support and cushioning can help to reduce stress on the plantar fascia.
  • Stretch the plantar fascia regularly: Stretching the plantar fascia can help to improve flexibility and strength, which can reduce stress on the fascia and help prevent the development of a plantar fibroma.
  • Avoid activities that stress the plantar fascia: Activities that put a lot of pressure on the plantar fascia, such as running and jumping, can increase your risk of developing a plantar fibroma. If you have a plantar fibroma, you should avoid these activities until the pain has subsided.

Conclusion

Plantar fibromas are benign growths of tissue that can cause pain on the bottom of the foot. Various treatment options are available for plantar fibromas, including non-surgical and surgical options. The best treatment option for you will depend on the severity of your pain and other symptoms, as well as your overall health and lifestyle. If you have a plantar fibroma, talk to your doctor about the best treatment option for you. Remember, your health is your wealth. Good luck! You may also be interested in fat pad contusion.

FAQs 

1. How long does it take for a plantar fibroma to go away?

The time it takes for a plantar fibroma to go away varies from person to person. In some cases, plantar fibromas can go away on their own within a few months. However, in other cases, plantar fibromas may persist for years. 

2. What are the risks of surgery for plantar fibromas?

The risks of surgery for plantar fibromas include infection, bleeding, and nerve damage. In rare cases, surgery can also lead to complications such as plantar fasciitis or a recurrence of the plantar fibroma. If you are considering surgery for a plantar fibroma, it is essential to talk to your doctor about the risks and benefits of the procedure.

3. What are some home remedies for plantar fibromas?

There are a number of home remedies that people have used to try to relieve the pain and discomfort of plantar fibromas. Some of these home remedies include:

  • Applying ice or heat to the affected area
  • Taking over-the-counter pain relievers
  • Stretching and strengthening the plantar fascia
  • Wearing supportive shoes
  • Using orthotics

It is important to note that these are what people have tried, and outcomes may vary for different individuals with these home remedies. If you are considering using a home remedy for plantar fibroma, it is important to talk to your doctor first.

4. How can I prevent plantar fibromas?

There is no sure way to prevent plantar fibromas, but there are some things you can do to reduce your risk, such as:

  • Maintaining a healthy weight
  • Wearing supportive shoes
  • Stretching the plantar fascia regularly
  • Avoiding activities that put stress on the plantar fascia

5. What is the difference between a plantar fibroma and a plantar wart?

Plantar fibromas and plantar warts are two different conditions that can cause pain on the bottom of the foot. Fibromas are benign (non-cancerous) tissue growths, while plantar warts are caused by a virus (Human papillomavirus -HPV). Plantar fibromas are typically larger than plantar warts and located on the plantar fascia. In contrast, plantar warts are typically smaller, and they are located on the top layer of skin. If you are unsure whether you have a plantar fibroma or a plantar wart, you should see a doctor for a diagnosis. 

Rohan Newman MSc MRCPod

Rohan Newman is a qualified podiatrist and teacher with many years of experience and extensive training, with a diploma in education, a BA in physical education, a BSc (Hons) 1st Class in podiatry and an MSc in sports health.

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