I am a 51 yr old woman who began having pain in the arch of my foot about 8 months ago. I went to a podiatrist who ordered a sonogram and diagnosed fibromas. He stated the only treatment is surgical removal of the fibroma and the surrounding fascia. He also stated that more than half the time the fibromas return. I scar which will make surgery an unlikely option for me.

Is there any other option for treatment?
Removal of the fascia sounds like there will be nothing left to hold my feet together.
What causes fibromas?
Would losing weight help? I am 5’7″ and weighed 108 lbs when I graduated high school, 124lb after the birth of my first child; now 195 lbs.
Is it possible that my arches are collapsing? I used to have very high arches. Could falling arches be contributing to this?
Is there anywhere that I can go for more information re: possible treatments, etc.

One Response

  1. Foot-com

    Thank you for your question. Plantar fibromas can be associated with repetitive trauma to the plantar fascia or they can have a genetic predisposition. Your Podiatrist was correct is stating that the only treatment for plantar fibromas is surgical excision. Typically fibromas are note removed unless they are painful or uncomfortable in your shoes. Because a plantar fibroma is actually part of your plantar fascia, the fascia around the fibroma has to be removed as well. There are grafts that are typically used to replace the excised plantar fascia, allowing your foot to function more normally.

    Changes in foot type and function can lead to excess stress and trauma to the plantar fascia, which may be a cause of the fibroma formation. I would still consider surgical removal of the fibroma if it is causing you excess pain. The scar risk you have can be avoided with both surgical technique and steroid injections as the incision is healing. If you do not want the surgical excision and the fibroma is not painful then you will be fine leaving it as is, as fibromas are benign soft tissue lesions of the foot.
    I hope this helps!

    Dr. Emily Splichal
    Please be advised: we do not provide medical advice, diagnosis or treatment.
    By law, we cannot give specific medical advice over the Internet.

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