Understanding Plantar Fibromas: Identification and Management
Plantar fibromas are non-cancerous growths that develop along the plantar fascia, the thick band of tissue running along the sole of the foot. While these fibromas are generally benign, they can cause discomfort and interfere with daily activities. Let’s explore what plantar fibromas are, how to identify them, and the available treatment options.
What Are Plantar Fibromas?
A plantar fibroma is a fibrous nodule that forms in the arch of the foot. These nodules are composed of dense connective tissue and can vary in size. While the exact cause is not fully understood, factors such as genetics, repetitive trauma, and certain medical conditions may contribute to their development.
How to Identify Plantar Fibromas
Plantar fibromas typically present as:
Firm Nodules: These are usually palpable under the skin in the arch of the foot.
Non-Movable: Unlike some lumps, plantar fibromas are fixed to the plantar fascia.
Painless or Painful: While some individuals may experience no symptoms, others might feel pain, especially when walking or wearing certain types of shoes.
Gradual Growth: The fibroma may slowly increase in size over time, potentially leading to increased discomfort.
If you notice a lump or unusual firmness in the arch on the bottom of your foot, it’s essential to seek an evaluation by a podiatrist for an accurate diagnosis.
Treatment Options
While there is no cure for plantar fibromas, they can often be managed effectively with a combination of treatments to reduce discomfort and improve functionality.
Supplements:
NAC (N-Acetylcysteine): May help support tissue health and reduce fibrous tissue buildup.
PABA (Para-Aminobenzoic Acid): Known for its potential role in maintaining connective tissue elasticity.
Neprinol AFD: A systemic enzyme supplement that may help break down fibrous tissue and reduce inflammation.
Topical Treatments:
Verapamil Cream: This medication is applied directly to the fibroma and may help break down the fibrous tissue over time. The goal is to reduce the size and hardness of the fibroma, making it less bothersome.
Injections:
Hyaluronidase Injections: These are administered to soften the fibroma tissue. By reducing its firmness, the injections enhance the effectiveness of topical treatments like verapamil cream. The goal is to create a more pliable tissue environment for better management.
Orthotic Devices:
A soft custom orthotics can help redistribute pressure away from the fibroma, reducing discomfort during walking and standing.
Stretching and Physical Therapy:
Gentle stretching the plantar fascia and strengthening surrounding muscles can alleviate stress on the arch, minimizing pain.
Surgical Intervention:
In severe cases where conservative treatments fail, surgical removal may be considered. However, this approach carries the high risk of recurrence and potential complications and is generally not recommended.
Managing Plantar Fibromas at Home
While professional treatments are often necessary, there are steps you can take at home to manage plantar fibromas:
Footwear: Wear supportive shoes with adequate arch support and cushioning to reduce pressure on the fibroma. Avoid stiff soled shoes.
Padding: Use gel pads, thicker socks or cushioning inserts to protect the affected area.
Ice Therapy: Applying ice packs can help reduce pain and inflammation after prolonged activity.
Avoid Aggravating Activities: Minimize activities that place excessive stress on the arches of your feet, like prolonged running or hiking.
Living with Plantar Fibromas
Although plantar fibromas cannot be cured, proper management can significantly improve your quality of life. Combining professional treatments like verapamil cream and hyaluronidase injections with at-home care strategies allows you to control symptoms and maintain an active lifestyle.
If you suspect you have a plantar fibroma, give us a call at 207-774-0028 for a personalized treatment plan. Early intervention can prevent progression and provide relief from discomfort, helping you stay on your feet with confidence.