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Plantar Fibroma
Plantar Fibroma
This is a condition where there is abnormal growth of fibrous cells inside the plantar fascia.
A nodule forms and a lump can be felt or in some cases seen.
The most common cause of this is an injury to the area, where instead of the tissue healing in normal fashion, cells grow abnormally leaving behind this nodule. Injury can be an acute injury or it can be from over use.

People will often feel discomfort or pain under their foot and depending where the nodule is will determine where the pain is located. In some cases in may be towards the back of the foot- thus confusing it with plantar fasciitis. Most often it is found in the mid section of the foot.
 
Treatment of plantar fibromas can be a little tricky. 
Conservative treatment can involve reducing the stress in the plantar fascia thus reducing the tensile force on the damaged area.
This includes heath, massage, stretching, strengthening along with the use of cushioned supportive orthotics- like fasciitis.com.au orthotics.
Rigid hard plastic orthotics can actually cause irritation to the plantar fibroma as it squishes against the hard shell of the orthotics causing pain.
 
Other treatment options include: shockwave therapy, 15% verapamil gel (via prescription), steroid injections or surgery. 
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