Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Board Certified Podiatrists
Expert Foot & Ankle Care
Expert Foot & Ankle Treatment from Michigan’s #1 Podiatrist - Balance Foot & Ankle Specialist
Expert Foot & Ankle Care
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Please click on the gallery for a guided tour through heel pain conditions!
Plantar Fibroma Overview:
The Painful Lump in the Arch of My Foot: This is one of three potential causes:
Most likely to least likely bottom of the foot lump causes:
If you can feel a “pebble-like mass,” it is most likely a plantar fibroma:
This is less common but more like a lump than plantar fasciitis is.
Plantar Fibroma is the most common lump or bumps causing the problem:

Plantar Fibroma Treatment Guide.
If You Have A Large or Multiple Plantar Fibroma:
Surgery may be the only option:
Most likely due to plantar fasciitis if there is no “pebble-like mass” involved, but instead, the ligament is very sore.
Plantar Fasciitis can swell and cause a lump:

Treatment usually consists of:
1)Confirm The Heel Pain 100%:
2) Stop the Heel Pain:
3) Manage Your Foot Biomechanics & Inflammation:
4)Shockwave therapy for plantar fasciitis:
5) Invasive Therapy:
Painful Arch Lump Treatment Guide:
Foot Lump Cancer, the rarest but most dangerous cause:


















Click this link for the best podiatrist recommended orthotics!
Best Full-Length Plantar Fibroma Orthotics:








Best Dress Shoe Plantar Fibroma Orthotics:






Best 3/4 Length Plantar Fibroma Orthotics:










































Click this link to go over the best shoes for a plantar fibroma!
Our experienced podiatric surgeons combine precision, care, and innovation to deliver successful outcomes in flatfoot reconstruction. With modern facilities, patient education, and compassionate care, we’ve become the trusted choice for foot and ankle surgery in Southeast Michigan. We’re committed to restoring your stride—comfortably and confidently.
Common causes include plantar fibroma (a benign fibrous nodule in the plantar fascia), ganglion cysts, lipomas, or tendon issues. Sometimes it can also be linked to conditions like plantar fasciitis or nerve entrapment.
Not always. While most lumps are benign, any painful, growing, or persistent lump should be evaluated by a foot specialist to rule out more serious issues like cysts, tumors, or nerve conditions.
A plantar fibroma is a non-cancerous growth in the arch of the foot within the plantar fascia. It often feels like a firm lump and can cause pain when walking or standing, especially without proper support.
Diagnosis typically involves a physical exam and may include imaging tests like ultrasound or MRI to determine the size, type, and exact location of the lump.
Treatment often includes rest, ice, compression, elevation (RICE), wearing a brace or boot, and avoiding weight-bearing. Severe cases may require physical therapy or even surgery if the bone chip affects joint stability.
Yes, custom orthotic insoles can help by redistributing pressure away from the lump and supporting the arch, which can reduce discomfort and prevent further irritation.
If the lump is painful, growing, interfering with walking, or has been present for more than a few weeks, it’s best to consult a podiatrist to get a proper diagnosis and prevent complications.
Dr. Tom Biernacki, DPM is a board-qualified podiatrist and foot & ankle surgeon serving Southeast Michigan at Balance Foot & Ankle Specialists. A Michigan native, Dr. Biernacki earned his undergraduate degree from Michigan State University and his Doctor of Podiatric Medicine (DPM) from Kent State University College of Podiatric Medicine. He completed a three-year comprehensive surgical residency in foot and ankle surgery in the Detroit metro area.
Dr. Biernacki specializes in the treatment of heel pain, bunions, hammertoes, diabetic foot care, sports injuries, flatfoot correction, and minimally invasive foot surgery. He is dedicated to providing evidence-based, patient-centered care that helps people of all ages stay active and pain-free.
He sees patients at multiple convenient Metro Detroit locations and is committed to community education through the MichiganFootDoctors.com resource library. Dr. Biernacki is a member of the American Podiatric Medical Association (APMA) and the Michigan Podiatric Medical Association (MPMA).
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