Plantar Fibroma
What Is a Plantar Fibroma?
A plantar fibroma is a benign (non-cancerous) growth that forms within the plantar fascia—the thick band of tissue that runs along the bottom of your foot from your heel to your toes. It typically appears as a firm nodule or lump in the arch of the foot, most commonly located near the middle of the arch.
Plantar fibromas can affect one or both feet
They often become painful when walking, running, or standing for long periods
The condition is part of a broader disease process called plantar fibromatosis or Ledderhose disease, especially when multiple fibromas are present.
Symptoms of a Plantar Fibroma
A firm, painless or painful lump in the arch of the foot
Pain or pressure when walking or standing barefoot
Tenderness when pressing on the lump or wearing tight footwear
A sensation of walking on a pebble
In some cases, the nodule may increase in size or number over time
Causes of Plantar Fibroma
While the exact cause is not always known, several factors may contribute to the development of plantar fibromas:
Genetic predisposition (more common in individuals of Northern European descent)
Repetitive stress or trauma to the arch
Tight or poorly supportive footwear
Certain medications or health conditions, such as epilepsy or liver disease
Connective tissue disorders, or a family history of fibromatosis
Plantar fibromas are more common in middle-aged adults, and men are affected slightly more often than women.
Diagnosis
At KL Foot Specialist Podiatry, we start with a thorough clinical examination of the affected foot. To confirm the diagnosis and rule out other soft tissue conditions (such as cysts, lipomas or nerve sheath tumors), we may refer you for further imaging, such as:
Ultrasound scan to assess the size, depth, and nature of the mass
MRI if the fibroma is large, painful, or worsening
X-rays are generally not useful for visualising fibromas, but may help rule out bony pathology
Treatment for Plantar Fibroma
The goal of treatment is to reduce pressure and pain, prevent progression, and improve your daily comfort. In most cases, conservative (non-surgical) treatment is highly effective.
Custom Orthotics
Orthotics are one of the most effective treatments for plantar fibroma. They work by redistributing pressure away from the fibroma, providing cushioning and arch support. Our podiatrist will design your orthotics based on a detailed foot assessment and gait analysis.
Footwear Advice
Wearing well-cushioned, supportive shoes with a contoured arch and wide fit helps reduce pressure on the fibroma and improve walking comfort.
DolorClast® High Power Laser Therapy
This painless, non-invasive laser helps relieve pain and inflammation and may help stabilise or reduce fibroma-related discomfort over time.
DolorClast® Shockwave Therapy
Shockwave therapy is a non-invasive treatment that can help reduce the pain and size of a plantar fibroma. It works by delivering high-energy acoustic waves to the affected tissue, stimulating blood flow, breaking down fibrous tissue, and promoting healing. Our clinic uses the DolorClast® Shockwave System, which is clinically proven for musculoskeletal conditions and tailored to treat soft tissue disorders like plantar fibroma with minimal downtime.
Padding and Offloading Techniques
Strategic padding or offloading with soft arch domes or felt inserts can provide immediate short-term relief.
Physical Therapy
Stretching and strengthening the plantar fascia and surrounding muscles can support long-term mobility and reduce strain.
When Is Surgery Considered?
Surgical removal is typically considered a last resort if:
The fibroma is progressively enlarging
Conservative treatments fail to control symptoms
You experience significant disruption to walking or daily life
However, surgical removal carries a risk of recurrence, scar tissue formation, and arch instability. Our podiatrist will walk you through the risks and benefits before recommending this option.
Preventing Plantar Fibroma Progression
Wear supportive, well-fitted footwear
Avoid prolonged barefoot walking, especially on hard surfaces
Stretch the plantar fascia and calf muscles regularly
See a podiatrist early if you notice a lump in your foot arch
Address any repetitive loading or biomechanical issues early
Plantar Fibroma Care at KL Foot Specialist Podiatry
If you’ve noticed a lump in your foot arch or are experiencing unexplained foot pain, book an appointment with our experienced podiatrist. We’ll guide you through diagnosis, provide targeted treatment options, and help you return to pain-free movement.
Contact us today to book your consultation
Expert Podiatric Care in Kuala Lumpur – KL Foot Specialist Podiatry