In the recent weeks, I have seen quite a few patients who have presented with a condition called plantar fibromatosis. Many people who experience this condition, complain of a painful lump along their arch, which can cause pain to the heel as well. This painful nodule/lump is called a plantar fibroma. These lumps can be especially painful with walking.
I have seen this condition occur most in the middle-age population, but can occur at any age. The true cause is unknown, but some possibilities can include: trauma, genetics, and some medications. Treatment can be both conservative as well as surgical. Conservative treatment can include: stretching, padding, orthotics to offload the area, topical medications which have helped tremendously in some patients, or physical therapy. Surgically, the fibromas can be removed. With surgical removal, there is a chance the nodules can return. If you have noticed a painful nodule to the bottom of your arch, please call us at Worthington Foot and Ankle, we can help!