Q: I was diagnosed with plantar fibromas. What are they, and how do I treat them?

A: Plantar fibromas are basically masses of painful scar tissue, usually located within the ligaments of the arch of the foot. They may be related to a history of trauma, or they may be related to chronic tension and stretching of the ligaments, such as seen with flat feet. Topical Verapamil 1% gel applied twice a day can often reduce the size and pain of these lesions. Orthotics can be made with special padding to reduce pressure on the fibromas. Surgery can be considered, but they have a high recurrence rate.