The primary treatment approach to plantar fibroma is to observe the condition to determine any concerning changes to the feet, according to the American Orthopaedic Foot and Ankle Society. Physicians may recommend padding or off-loading insoles to help relieve pain associated with the condition. Surgery is only recommended in extreme cases and when alternative treatments have failed.
Surgery as a treatment option for plantar fibroma is often discouraged because of potential risks such as injury to local structures, digital nerve damage and wound complications, explains the American Orthopaedic Foot and Ankle Society. Patients who undergo surgery must keep the affected foot elevated and avoid bearing weight on the foot for one to two weeks.
Plantar fibroma is an inherited condition that produces a nodule on the bottom of the foot that slowly grows to approximately slightly less than an inch in size, according to the American Orthopaedic Foot and Ankle Society. The nodules are benign tumors that consists of cells from ligaments in the foot. Patients commonly experience discomfort on the instep or middle of the arch of the foot or between the forefoot pad and heel pad when nodules are present. Plantar fibroma growths can cause pain on the foot when wearing shoes or applying pressure to the affected foot.