Bumps on the Sole: When to See a Specialist - Orthopedics

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There is a growth on the sole of the foot?


Hello Doctor: Recently, I have developed a protrusion on the sole of my right foot (about the size of a coin).
It does not hurt when I walk, but it feels uncomfortable when pressed.
The dermatologist advised me to see a general surgeon.
Could this possibly be a tumor? Which specialty should I consult?

JungChing, 30~39 year old female. Ask Date: 2016/03/29

Dr. Chen Yongxue reply Orthopedics


General Surgery, thank you.

Reply Date: 2016/03/29

More Info


When it comes to bumps or lumps on the sole of the foot, it’s essential to understand the potential causes and when to seek specialized medical advice. The bump you described, about the size of a coin, which does not cause pain while walking but is uncomfortable when pressed, could be a variety of things.
Common causes of bumps on the sole of the foot include:
1. Plantar Warts: These are caused by the human papillomavirus (HPV) and can appear as small, rough growths on the soles of the feet. They may be tender when pressed but often do not cause pain while walking.

2. Corns and Calluses: These are thickened areas of skin that develop in response to pressure or friction. They are usually not painful unless they become too thick or are located in a sensitive area.

3. Lipomas: These are benign tumors made of fat tissue. They are usually soft, movable, and painless, but they can sometimes cause discomfort if they press on surrounding structures.

4. Ganglion Cysts: These fluid-filled sacs can develop on the foot and may feel like a lump. They are generally benign and can vary in size.

5. Fibromas: These are benign tumors that can occur in the connective tissue of the foot. They may feel firm and can sometimes be uncomfortable.

6. Other Tumors: While less common, there is a possibility of other benign or malignant tumors. If the bump changes in size, shape, or color, or if it becomes painful, it is crucial to seek medical attention.

Given that your dermatologist has recommended you see a general surgeon, it suggests that they may want a more thorough evaluation of the bump, possibly including imaging studies or a biopsy if necessary. A general surgeon is well-equipped to handle various soft tissue masses and can help determine whether the bump is benign or requires further intervention.

In terms of what to expect during your visit to the general surgeon, they will likely perform a physical examination and may ask about the history of the bump, including when it appeared, any changes in size or symptoms, and any relevant medical history. Depending on their findings, they may recommend imaging studies such as an ultrasound or MRI to get a better look at the structure of the bump. If there is any suspicion of a tumor, they may suggest a biopsy to determine the nature of the tissue.

It’s important to monitor the bump for any changes and to communicate any new symptoms to your healthcare provider. If you notice increased pain, changes in color, or any other concerning symptoms, do not hesitate to seek medical attention sooner.

In summary, while the bump on your foot may not be causing significant discomfort now, it is wise to follow through with the referral to a general surgeon for a thorough evaluation. Early assessment can help rule out any serious conditions and provide peace of mind.

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