What is a plantar fibroma and how is it related to Dupuytren's contracture?

A plantar fibroma is a benign fibrous nodule within the plantar fascia — the same type of fibrous tissue proliferation that causes Dupuytren's contracture in the hand. They are related conditions (Ledderhose disease in the foot, Dupuytren's in the hand). Balance Foot & Ankle diagnoses and treats plantar fibromas at our Howell and Bloomfield Hills Michigan offices. Call (810) 206-1402.

What are the treatment options for plantar fibromas?

Treatment options include observation for asymptomatic fibromas, custom orthotics with fibroma padding to offload pressure, corticosteroid injections to reduce size and pain, topical verapamil gel, and surgical excision for refractory cases. Balance Foot & Ankle at 4330 E Grand River, Howell and 43494 Woodward Ave #208, Bloomfield Hills provides the full spectrum of plantar fibroma treatments.

Can medications treat plantar fibromas?

Topical verapamil (a calcium channel blocker) applied to fibroma nodules can slow growth and reduce size in some patients. Corticosteroid injections reduce inflammation and can shrink fibromas. Systemic medications targeting fibrous tissue are not commonly used for foot fibromas. Balance Foot & Ankle discusses appropriate medication options based on fibroma characteristics.

Does a plantar fibroma always need surgery?

No — many plantar fibromas are successfully managed non-surgically with orthotics, injections, and topical treatments. Surgery is reserved for large, painful fibromas that do not respond to conservative care. Note that fibroma recurrence after surgery is common (up to 60%), so non-surgical management is preferred when effective. Balance Foot & Ankle provides realistic surgical candidacy assessment.

Is a plantar fibroma dangerous or cancerous?

Plantar fibromas are benign (non-cancerous) and do not spread or become malignant. However, any rapidly growing, hard, fixed, or painful plantar mass should be evaluated to confirm the diagnosis and rule out rare malignant soft tissue tumors. Balance Foot & Ankle at (810) 206-1402 evaluates all plantar masses with clinical examination and imaging when indicated.

When should I see a podiatrist?

For persistent foot/ankle pain, difficulty walking, numbness, non-healing wounds, skin changes, or deformities. Dr. Biernacki offers same-day appointments. Call 810-206-1402.

Does Dr. Biernacki accept insurance?

Balance Foot & Ankle accepts most major plans including BCBS, Aetna, United, Cigna & Medicare. Call 810-206-1402 to verify coverage. Affordable self-pay options available.

What to expect at your first podiatry visit?

Comprehensive evaluation including history, exam, biomechanical assessment, and in-office X-rays. Same-day diagnosis and treatment when possible. Most visits take 30-45 minutes.

What is a plantar fibroma and what causes it?

A plantar fibroma is a benign fibrous nodule that grows within the plantar fascia on the bottom of the foot. It is the foot equivalent of Dupuytren's contracture in the hand. The exact cause is unknown, but genetics, repeated trauma, and certain medications may contribute.

What medications treat plantar fibromas?

Treatment options include verapamil gel applied topically to soften the fibroma, corticosteroid injections to reduce pain and inflammation, and in some cases collagenase injections to break down fibrous tissue. These conservative treatments aim to reduce symptoms without surgery.

Can a plantar fibroma go away on its own?

Plantar fibromas rarely resolve on their own and often slowly grow over time. However, many remain stable and manageable with conservative treatment. Surgery is considered when the fibroma causes significant pain that doesn't respond to non-surgical treatments, but recurrence rates after surgery can be high.

✅ Medically reviewed by Dr. Thomas Biernacki, DPM — Board-Certified Podiatrist · Last updated April 6, 2026

Dupuytrens Contracture Treatment & Plantar Fibroma Treatment [Meds]

Dupuytrens Contracture Treatment & Plantar Fibroma Treatment [Meds] 🦶We review plantar fibroma treatment, plantar fascial fibromatosis treatment, Dupuytrens contracture treatments, dupuytrens contracture treatment, plantar fibromas treatment, Full Video: https://youtu.be/BGOYlhI49xY🦶 Plantar fibroma treatment: https://youtu.be/BGOYlhI49xY Full Plantar Fasciitis Video: https://youtu.be/2aXlnFVmIY8 Full Video: https://youtu.be/cbfQh-wjxOE Heel Spur: https://youtu.be/2rrt4xkeBiQ Related Videos: Numbness, Burning, or Tingling Foot Pain: https://youtu.be/Pdp9HLH9Gsg Fat Pad Loss: https://youtu.be/54O-B2XqJaY Heel Nerve Pain: https://youtu.be/1ZqubXExmc4 Plantar Fasciitis: https://youtu.be/2aXlnFVmIY8 Heel Stress Fracture: https://youtu.be/GesHK7hBpJA Tarsal Tunnel: https://youtu.be/DoqjV9VR5tA Ankle strengthening full video: https://youtu.be/ZI0sANYDF6M Peroneal Tendonitis Treatment: https://youtu.be/bre6SmVm108 Posterior tibial tendonitis treatment: https://youtu.be/bkiRUlAfnZo Achilles tendonitis treatment: https://youtu.be/Y1sMEi7LNuA Anterior Tibial Tendonitis Treatment: https://youtu.be/55TGq-O8W_4 Best Arthritis Treatments: https://youtu.be/5M7ngir46yQ Best anti inflammatory diet for arthritis and joint pain: https://youtu.be/gCjN1Rya6es Best Supplements for joint pain and arthritis: https://youtu.be/8CVHgrf-FLQ Stiff big toe joint: https://youtu.be/nfyY_8n5B8s Plantar fasciitis treatment: https://youtu.be/2aXlnFVmIY8 👉 Shoes 👈 Best Shoes:

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At Balance Foot & Ankle, every Michigan patient receives expert podiatric care delivered with genuine attention to their individual needs and goals. Our podiatrists take time to explain diagnoses clearly, discuss all treatment options honestly, and follow up to ensure treatments are working effectively. We serve patients from Livingston and Oakland counties and the broader Southeast Michigan region from our Howell office at 4330 E Grand River and our Bloomfield Hills office at 43494 Woodward Ave #208. New patients are always welcome — call (810) 206-1402 to schedule today.

Related Treatment Guides

Michigan patients can count on Balance Foot & Ankle for the full range of podiatric services delivered with clinical excellence and genuine patient care. Whether your concern is a common foot condition that has been bothering you for years or an acute injury that needs prompt attention, our team in Howell and Bloomfield Hills is ready to help. We offer in-office diagnostics, evidence-based conservative treatment, and surgical correction when needed — all within a practice that values your time, respects your preferences, and communicates clearly throughout the care process. Call us at (810) 206-1402 to take the first step toward better foot health.

Treatment at Balance Foot & Ankle: EPAT Shockwave for Heel Pain →

Medical References & Sources

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Struggling with a Plantar Fibroma?

Dupuytren’s contracture of the foot can be managed with medication, injections, and specialized treatments. Our podiatrists offer comprehensive plantar fibroma care.

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Clinical References

Espert M, et al. Ledderhose disease: from diagnosis to treatment. Foot Ankle Surg. 2020;26(1):1-7.
Veith NT, et al. Plantar fibromatosis — topical review. Foot Ankle Int. 2013;34(12):1742-1746.
Young JR, et al. Dupuytren disease of the foot: what every radiologist should know. AJR Am J Roentgenol. 2019;213(6):1293-1302.

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Howell Office

3980 E Grand River Ave, Suite 140

Howell, MI 48843

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43700 Woodward Ave, Suite 207

Bloomfield Hills, MI 48302

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Dr. Tom Biernacki, DPM

Dr. Tom Biernacki, DPM is a double board-certified podiatrist and foot & ankle surgeon at Balance Foot & Ankle Specialists in Southeast Michigan. With over a decade of clinical experience, he specializes in heel pain, bunions, diabetic foot care, sports injuries, and minimally invasive surgery. Dr. Biernacki is a member of the APMA and ACFAS, and his patient education content on MichiganFootDoctors.com and YouTube has reached over one million views.