Sore Spot on the Ball of the Foot
A sore spot on the ball of the foot is usually due to either plantar fibromatosis or plantar fasciitis. Both are easily recognizable and treatable! Plantar fibromatosis presents like a bump of pebble under the skin of the arch of the foot. Plantar fasciitis on the other hand appears smooth but painful across the heel and the arch. Plantar fasciitis is much more common than plantar fibromatosis, but both are frequently encountered.
Symptoms of Plantar Fibromatosis
- Pebble on the bottom of the foot.
- Bump digs into the skin causing pain.
- Actual Lump does not hurt very much.
- It is more painful the more you walk on it.
- It is not very painful in the morning.
- Not very painful after rest.
Symptoms of Plantar Fasciitis
- Smooth arch of the foot without a bump.
- Most pain is in the morning
- Most pain is after rest
- Gets better with the first few steps after rest
- Feels great after 30 minutes or so of walking around
Treatment Guide for Plantar Fibromatosis and Fasciitis
Both disorders cause a sore spot on the ball of the foot, but both disorders are treated fairly differently.
1) Plantar Fibromatosis must be offloaded if it is large and cumbersome. Eventually if offloading and cut out pads are not keeping the plantar fibroma from causing pain, surgery should be advised to prevent this annoying “pebble” from causing you any trouble.
2) Plantar Fasciitis on the other hand must be aggressively treated to decrease inflammation at first, then the cause of the overuse and tightness must be addressed. The primary conservative treatments include:
- Decreasing inflammation through anti-inflammatories, icing, elevation and massage.
- Then the overuse and tightness should be addressed through stretching, night splinting and orthotics.