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
