Foot Growth: Painful Bump on the Sole Explained - Dermatology

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There is a growth on the sole of the foot?


Around October, I noticed something on my foot that looked like a corn, but after researching online, it didn't resemble the typical shape of a corn.
Now in January, it has grown a little, about less than 1 centimeter.
It hurts when pressed, but it doesn't hurt when not pressed.
I tried to cut a little, and it bled.
It seems like it's not fluid inside but rather flesh.
What could this be? If it needs to be removed, can it be done under anesthesia? Will it hurt?

ppp, 10~19 year old female. Ask Date: 2016/01/02

Dr. Wu Yuxin reply Dermatology


It could be a corn or a wart.
However, without seeing the lesion in person, it is impossible to confirm based solely on a verbal description.
It is advisable to have a dermatologist examine it for an accurate diagnosis.

Reply Date: 2016/01/02

More Info


The painful bump you are experiencing on the sole of your foot could be indicative of several conditions, and it’s important to approach this with a comprehensive understanding of foot anatomy and common foot ailments. Given the description of the bump resembling a corn but not quite fitting that definition, it may be a plantar wart, a callus, or even a benign growth such as a fibroma.


Possible Conditions
1. Plantar Wart: Caused by the human papillomavirus (HPV), plantar warts are typically rough, grainy growths that appear on the soles of the feet. They can be painful, especially when pressure is applied. Unlike corns, which are usually smaller and more localized, warts can grow larger and may have tiny black dots in them, which are actually small blood vessels.

2. Callus: A callus is a thickened area of skin that develops in response to repeated friction or pressure. They are usually painless unless they become too thick or develop cracks. Calluses can be managed with proper foot care, including exfoliation and moisturizing.

3. Fibroma: A plantar fibroma is a benign growth that occurs in the plantar fascia, the tissue that runs along the bottom of the foot. These can feel firm and may be painful when pressed upon, especially if they are located in a weight-bearing area.

4. Other Growths: There are other possibilities, such as cysts or other benign tumors, which may require a professional evaluation for accurate diagnosis.


Diagnosis and Treatment
To determine the exact nature of the bump, it is advisable to consult a healthcare professional, preferably a podiatrist. They can perform a physical examination and may recommend imaging studies if necessary.
In terms of treatment, if the bump is indeed a plantar wart, options include:
- Cryotherapy: Freezing the wart with liquid nitrogen.

- Salicylic Acid: Over-the-counter treatments that gradually peel away the wart.

- Laser Treatment: For persistent warts that do not respond to other treatments.

For calluses, treatment typically involves:
- Regular Exfoliation: Using a pumice stone or foot file to reduce thickness.

- Moisturizing: Keeping the skin hydrated to prevent cracking.

- Proper Footwear: Wearing shoes that fit well and provide adequate support.


Surgical Options
If the bump is causing significant pain or discomfort and conservative treatments fail, surgical removal may be considered. This procedure can often be performed under local anesthesia, which numbs the area around the bump. The level of pain experienced during and after the procedure varies by individual, but local anesthesia is designed to minimize discomfort during the operation. Post-operative pain can usually be managed with over-the-counter pain relievers.


Conclusion
In summary, the bump on your foot could be a plantar wart, callus, or another type of benign growth. It is crucial to seek a professional evaluation to obtain an accurate diagnosis and appropriate treatment plan. Early intervention can often lead to better outcomes and relief from discomfort. Remember to avoid self-treatment methods that could exacerbate the condition, such as cutting or digging at the bump, as this can lead to infection or further complications.

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