Lump on Incision 6 Months after Plantar Fasciotomy

I have had plantar fasciitis for over 1 year and tried every conservative method in the book (2 injections; radial shockwave therapy; physical therapy; orthotics; night splint).

I finally opted for the surgery and had it in January. I am a teacher and had to take 6 weeks off for recovery. It was a wonderful 6 weeks and I did everything as I was instructed (no weight on foot for 2 weeks while wearing the "boot"; then walked with crutches until I could walk steadily without them).

I went back to work after 6 weeks and was doing fabulous. Then, my foot began to hurt in other places (on the top, on the outside of the foot into the ankle, and on the incision). Now, my foot hurts a great deal near the incision.

I have a lump on the incision that is incredibly painful when touched. Wearing orthotics makes it worse because the arch of the orthotic presses into the lump. I can also feel a great deal of scar tissue under the incision, despite my daily massaging of the area.

I do have an appt. with my podiatrist this week, hoping that she can help alleviate the pain in the incision area, and get rid of the lump. As for the plantar fasciitis pain......that has disappeared since the surgery!!

Now, I just have other foot pains to deal with!!!


Joshua Answers:

Hi Teach.

Well, the good news is that the original pain is gone.

The bad news is, the surgery caused
change and now the foot is adapting, trying to do it's job. And of course there's the side effects of getting cut in, i.e. the lump of scar tissue build up, increased Process of Inflammation, etc.

The other bad news, is, the CAUSE of the original Plantar Fasciitis are the same or worse than it was before. Surgery went after a symptoms, but not the cause.

So those negative factors are still in play. That's just how the Tendonitis dynamic works.

See: What Is Tendonitis?

So. How did the appt with the podiatrist go? How are things now?

What are you doing for self care, other than massageing the lump spot (how long, how much, how often)?

Please reply using the comment link below. Do not submit a new submission to answer/reply, it's too hard for me to find where it's supposed to go.

And, comments have a 3,000 character limit so you may have to comment twice.

Joshua Tucker, B.A., C.M.T.
The Tendonitis Expert

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Comments for Lump on Incision 6 Months after Plantar Fasciotomy

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Jun 08, 2018
Same issue
by: Anonymous

I had plantar facitis surgery Dec 1. And during recovery discovered a lump at the incision site. When I called the surgeons office was told massage and 6 months also. Lump is still there. Glad to hear your surgery to remove the lump was successful, as I too will be following up with my surgeon.

Apr 19, 2017
huge scar tissue lump after plantar fasiatis surgery
by: Anonymous

Hi,I just had plantar surgery for the second time.

2 1/2 month after the first one I developed a mass were the incision is it was so painful couldn't walk on my own.

I've been using my crutches ever since and after Dr tried with injections that didnt help at all to avoid a second surgery, but it had to be done.

Dr didn't know what he was going to find going in, and what he found was sooo much tissue that grew around the incision and some nerves were encapsulated by the tissue and it was causing tension on the nerves and extreme pain if I walked with out crutches.

My surgery was done a week ago and I notice a big difference I don't have the pain that I had before there's no way around this problem your Dr needs to remove this tissue it won't go away on its own trust me.

The Dr will tell you to do massages, stretch your foot, physical therapy but the truth is your just wasting time and money because my Dr told me scar tissue needs to be removed surgically and the weird thing is that the tissue didn't show in the US or MRI, but my Dr suspected that it was tissue and he was right, he removed a big mass.

Trust me I had all the issues that all of you have, hope this post helps.

Mar 23, 2017
Lump in incision site also
by: Jackie

I have the same issue. Surgery went well. Back to work and boom. Right in the middle of my incision...that is healed a very painful sensitive lump!

What did the doc say? Mine has grown in size!

Oct 12, 2016
Painfull to walk 5 months after plantar fasciotomy
by: Anonymous

I have surgery about 20 weeks I have a big lump in the incision I can't walk normal yet that bump is big and hurts is that normal.


Joshua Comments:

Hi Anonymous.

Yes, that's within the range of 'normal'.

Which doesn't mean it's good, or ideal, or where you should be 5 months after plantar fasciitis surgery.

Where exactly is the incision?

What exactly did the surgeon do during the foot surgery?

Is your pain only at the incision site where the lump is?

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