Plantar Fibroma

Plantar Fibroma (plantar fibromatosis) is a benign soft tissue mass generally occurring within the midarch region on the bottom of the foot. The soft tissue mass represents a thickening of the connective tissue within the plantar fascia ligament as it courses from the heel bone to the base of the toes.

Symptoms

  • Painful or painless soft tissue mass
  • Not associated with swelling or color changes of the surrounding skin
  • Slowly progressive in size with possible spreading to the midarch region.

Radiography

  • X-rays not indicated
  • MRI only if abnormal clinical presentation

Treatment

  • Observation without treatment
  • Padding to relieve pressure on fibroma
  • Custom orthotic to relieve pressure on fibroma
  • Serial cortisone injections to diminish size of fibroma
  • Surgical excision based on pain while walking

 

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Select a View

The first step is to determine where the affected area is on the foot, and choose the appropriate foot view below that best shows that area.

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