Plantar fibromas are rare growths on the arch of your foot that are never a sign or symptom of cancer. Their most common symptoms are pain and mild discomfort, especially when you’re wearing shoes. You should always get any new growths or masses examined by your healthcare provider as soon as you notice them to rule out more serious conditions.
A plantar fibroma is a rare benign growth on your plantar fascia, the rubber band-like ligament that stretches from your heel to your toes. Plantar fibromas are small — usually less than an inch — and grow on the arch of your foot. You might not even notice one at first, but eventually a plantar fibroma can cause foot pain, especially when you’re wearing shoes.
Plantar fibromas are always benign, which means they’re never a symptom (or cause) of cancer.
If you get plantar fibromas frequently, you might be diagnosed with plantar fibromatosis, a condition that means you’ve shown a tendency to develop future plantar fibromas.
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Plantar fibromas can appear in anyone, and they have no confirmed cause, but you might be more likely to develop one if you are:
You may also be at increased risk of developing plantar fibromas if you have other health conditions, including:
Plantar fibromas are rare. Fewer than 200,000 people in the U.S. each year develop one.
In many ways, a plantar fibroma has little to no effect on your body. You may never notice it all. But, as it grows, it can cause pain and pressure in your foot.
Even though plantar fibromas themselves are not dangerous, you should talk to your healthcare provider as soon as you notice any new growths on your foot or changes to its shape. Your provider will rule out other, more serious issues with a physical exam and imaging tests.
Both plantar fibromas and plantar fasciitis affect your plantar fascia. Plantar fibromas are small growths on your plantar fascia. Plantar fasciitis is inflammation of the ligament itself. It’s also one of the most common causes of heel pain. Even though both conditions cause pain on the arch of your foot, the reason for your discomfort is different. No matter what’s causing it, talk to your healthcare provider about any new or unusual foot pain.
The most common symptom of a plantar fibroma is pain on the bottom of your foot, usually in the arch. You’ll likely notice this pain for the first time when wearing shoes that put pressure on the plantar fibroma under your skin.
Depending on how big it is, a plantar fibroma can cause pressure on your foot. It might feel like there’s a stone in your shoe, but when you try to shake it out, there’s nothing there.
You might be able to see the plantar fibroma. It might look like there’s a tiny marble — less than an inch across — embedded in your skin. The skin on your foot’s arch will curve out around it, or slightly bulge in a way that’s unusual for the shape of your foot.
There’s no clear reason people develop plantar fibromas or plantar fibromatosis. They appear without a known cause, and can affect anyone. The only indication you might develop one is if you have any of the conditions listed above, or a possible genetic predisposition.
A physical exam is usually all that’s needed to diagnose a plantar fibroma. Your healthcare provider will examine your foot, feel the growth and compare it to your other foot (if possible).
Your provider will check the mass on your plantar fascia to confirm it’s a fibroma and not something more dangerous. If they suspect other issues, you’ll need imaging tests.
If you need additional tests, your provider will explain what they’re checking for. The most common tests you’ll need include:
Treating a plantar fibroma is almost always focused on relieving your symptoms. The most common treatments include:
People rarely need surgery to remove a plantar fibroma.
Over-the-counter NSAIDs like aspirin or ibuprofen are typically all you’ll need to reduce the pain caused by a plantar fibroma. NSAIDs will also reduce inflammation around the fibroma, which could reduce the pressure it puts on your foot. You can take them as needed to reduce pain, but talk to your provider before starting, stopping or changing any regular use of medications. You shouldn’t take NSAIDs for longer than 10 days in a row without your provider’s approval.
Your provider might prescribe verapamil, a cream you apply to the bottom of your foot. Verapamil is usually used to manage blood pressure, but as a topical cream it can reduce inflammation and shrink the fibroma.
NSAIDs can have serious side effects, including:
If wearing shoes makes you uncomfortable, orthotics — removable inserts — can relieve pressure and pain. You can buy generic, over-the-counter orthotics, or they can be custom-made for your feet. You may also need to wear different, more supportive shoes.
Your provider might recommend you stretch your foot, ankle and calf. This can relieve tension and pressure on your plantar fascia and lessen the severity of your plantar fibroma symptoms.
A combination of NSAIDs and changing your footwear should relieve your symptoms almost right away. In general, increasing your foot’s flexibility and wearing the right kind of shoes will reduce the symptoms of a plantar fibroma and prevent additional issues from developing.
NSAIDs should reduce your pain within a few hours of taking them. Orthotics will relieve pressure, but might take longer to make a noticeable difference. Stretching is a longer-term solution that you should work into your regular routine.
It’s very rare to need surgery to remove (excise) a plantar fibroma, but it is an option if your symptoms don’t clear up or aren’t manageable with more conservative treatments. Talk to your healthcare provider if you feel like the pain or discomfort from a plantar fibroma is affecting your quality of life.
Your surgeon will explain how much of your foot’s tissues they’ll remove. There are a few techniques they can use for a plantar fibroma surgery:
Which type of surgery you will need depends on the severity of your symptoms, the size and exact location the plantar fibroma, and whether or not you’ve developed past plantar fibromas.
Recovery from surgery depends on which type of surgery you need. It can be anywhere from a few weeks to a few months, or as long as it takes for your plantar fascia and incision to heal fully. Your provider or surgeon will provide you with a customized recovery timeline based on your surgery.
Because they develop at random, there aren’t many identifiable risk factors for plantar fibromas. The good news is that they are always benign, which means even if you do develop one, it won't ever be cancerous.
There’s nothing you can do to prevent a plantar fibroma. However, wearing supportive shoes, exercising regularly and stretching your plantar fascia can help alleviate symptoms. The better your overall foot health is, the less a plantar fibroma will impact your day-to-day routine.
Most people will not be impacted much by a plantar fibroma. Even if you have plantar fibromatosis and develop fibromas more often, the pain and discomfort are manageable at home with readily available medicines and treatments. If you develop a plantar fibroma, you’re likely to get more throughout your life.
There’s no known duration for a plantar fibroma. In many cases, they shrink or disappear on their own, sometimes as suddenly as they appear. If you have one, it’s much more likely to be a minor, temporary inconvenience than a major disruption.
You shouldn’t need to miss any work or school if your pain and discomfort are manageable with NSAIDs and other at-home treatments.
If you need surgery to remove a plantar fibroma, your surgeon will explain the procedure and everything you need to know to recover.
Plantar fibromas can be annoying and uncomfortable, but they’re not life-threatening and won't spread. Once you’ve confirmed that you have a plantar fibroma and not any other kind of growth in your foot, you should focus on treating your symptoms.
If you’re not experiencing pain or other symptoms, you should be able to do all the activities and exercises you normally do, including running and playing sports. However, if you notice new pain or pressure after running or working out, make sure to talk to your provider.
If you have plantar fibromas, finding a symptom management routine is typically the best long term option. Because you can’t predict when they’ll appear, or how long they last, knowing how to keep any pain or discomfort under control is all you’ll need to do.
Talk to your healthcare provider as soon as you notice any new growths or changes in the shape of your foot, or if you’re experiencing new pain. Never assume any mass on your foot — or anywhere else on your body — is harmless, especially if you’ve never noticed it before.
Your provider will help you understand if the growth on the arch of your foot is a plantar fibroma or something more serious. No matter what’s causing it, anything that affects your ability to walk needs to be examined.
A note from Cleveland Clinic
Plantar fibromas are rare. Even if you do develop one, your symptoms will be minor and the most common treatments involve over-the-counter medications. Even though they’re not dangerous, make sure you talk to your provider as soon as you notice any changes in your feet — especially if you find a new growth or mass under your skin.
Last reviewed by a Cleveland Clinic medical professional on 11/10/2021.
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Cleveland Clinic is a non-profit academic medical center. Advertising on our site helps support our mission. We do not endorse non-Cleveland Clinic products or services. Policy