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Lump On Bottom Of Foot

I have a lump on the bottom of my left foot, it is in the middle, toward the outside under the pinkie toe. I have had both knees replaced and both hips replaced due to Rheumatoid Arthritis, but my last surgery was in 2011 ans this has just shown up within the last 6 months. I do favor my left foot when I am standing. I also have Osteoporosis. Can you give me an idea of what this might be? I am trying massage, hope it works! There is pain when I press the lump. Thanks in advance for your advice!
Poster
  • Female | 47 years old
  • Complaint duration: 90 days
  • Ethnicity: Caucasian / White
  • Height: 54
  • Weight: 96lbs
  • Medications: embrell, leflunomide, losartan, amlodipine
  • Conditions: Rheumatoid Arthritis, Osteoperosis
  • Hospitalizations: three surgeries, right knee replacement, double hip replacement, left knee replacement.

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Featured Answer

2 UpVoted this answer Roland Tolliver, DPM Podiatrist, FREEPORT
Determining what a "lump" on the foot is without a proper evaluation would not be very accurate. There are many types of soft tissue masses that can develop on the foot, possibilities include a plantar fibroma (fibrous mass on the long ligament on the bottom of the foot), a rheumatoid nodule (basically a collection of inflammatory tissue and fibrous tissue associated with rheumatoid arthritis), and several others. Many times I like to tell my patients that the most accurate way to determine the exact nature of a soft tissue mass is to find out what it was by having it removed and then examined by a pathologist. The "lump" could be a bony prominence due to a joint contracture or bone spur from your rheumatoid arthritis. I would advise an evaluation by a local podiatrist in your area.
1 UpVoted this answer
Hi,

There are many reasons for having "the bump". It can be deformity due to rheumatoid arthritis,callus due to pressure, bone growth,bone spur, wart, etc. the best advice is to schedule the appointment with podiatrist, to be examined, possible have x ray done. If you would like to come in to our clinic, please call 847-465-9311.

Regards,

Dr. Anthony Spitz
Anthony Spitz
1 UpVoted this answer
Based on your history this sounds like a rheumatoid nodule. These are benign masses that develop under the metatarsal heads occasionally in patients with rheumatoid arthritis. If they are painful they can be removed but sometimes they do grow back.
Thomas R. Komp
1 UpVoted this answer
Your "lump" mandates a qualified evaluation by a skilled podiatrist. More than likely it is either a plantar fibroma or a rheumatoid nodule. The possibility exists that a biopsy and/or an excision will be necessary.
1 UpVoted this answer
This could be a plantar fibromyalgia, or another soft tissue tumor. The best course is to seek out a podiatrist, and get an MRI, and/or a biopsy. Good luck.
1 UpVoted this answer
The lump on the plantar aspect of her foot may be something called a plantar fibroma. Plantar fibromas are benign masses and developed on the plantar fascia of the foot. The lump should be evaluated by a podiatrist in the near future.
Jordan Steinberg
1 UpVoted this answer
There is a benign tumor called a Rheumatoid Nodule that can often come up on the foot or ankle, and can be seen in other parts of the body as well. Depending on the size of it, how much pain you are having with it, and how fast it is growing, it may have to be removed. I would see a podiatrist and have it checked out to make that it is a Rheumatoid nodule and not anything else, and possibly have it removed.
Richard Eby
1 UpVoted this answer
If you have a history of Rheumatoid Arthritis this could possibly be a fibrous "tumor" called a Rheumatoid nodule. These nodules form below the skin and can be painful and often need to be excised. I would suggest you see your rheumatologist or podiatrist to have your foot examined and determine your best treatment option.
Eric L. Diamond
1 UpVoted this answer
Just as the RA has caused problems in others parts of your body, it can cause problems in the feet as well. When it does it is usually under the area by the ball of the foot. A condition known as a rheumatoid nodule forms and while it doesn't hurt by itself, when pressure is put on it like when walking, there is pain. If that is what's happening the nodule usually needs to be removed. There are shoes called Extra Depth shoes that can sometimes take the pressure away. These used to be terrible looking shoes but today they have more options in style and color. You could look for an orthopedic shoe store in your town and they would be able to show you what they are.
Gary Cramer
1 UpVoted this answer
Sounds like your rheumatoid arthritis has progressed to an extent where it may be causing foot deformity. If it is, the lump simply may be a corn or a callus. That being said, rheumatoid nodules are often found in or around toes. I would advise that you have your foot evaluated by a foot specialist to rule out the above. More than likely the first step will be getting an x-ray.