Causes | Lipoma on the sole of the foot

Causes

Although a lipoma originates from the adipose tissue cells, the development of this benign tumor has nothing to do with “fat accumulation”, as is the case with overweight. Why lipomas develop has not yet been conclusively researched. It is assumed that genetic factors play a role.

For example, a degeneration of certain fatty tissue cells seems to cause these cells to multiply and form a benign lump. However, a connection with an increased occurrence of lipomas is also suspected in other diseases. For example, diabetes mellitus and certain fat metabolism disorders seem to favor the development of lipomas. Some scientists also suspect that there is a post-traumatic cause for the development of lipomas. For example, a contusion or a strong impact is believed to promote the development of a lipoma at the injured site.

Therapy

A lipoma is a benign tumor, i.e. if it does not cause any complaints or symptoms, no treatment is necessary from a medical point of view. However, due to its size, the lipoma can press on tendons or nerve tracts. On the sole of the foot, it can cause an unpleasant feeling when walking and, if it persists for a long time, it can also lead to malpositioning.

If such complaints occur, the removal of the lipoma is indicated. Superficial lipomas can also be removed for cosmetic reasons. Currently, the only therapy for lipomas is surgical removal.

Conservative treatment, e.g. by massages, ointments or a change of diet, does not seem to have any influence on a lipoma. The excision of a lipoma is usually easily possible in a small surgical procedure, as the lipomas are clearly demarcated and lie close to the skin. The procedure is performed under local anesthesia and the removed tissue is examined in a laboratory to confirm the diagnosis “lipoma” and exclude other diagnoses for the tumor.

The procedure usually leaves a clearly visible scar, which should be considered if the lipoma is removed for cosmetic reasons only. After the procedure, you can usually go home again. The stitches are usually removed after two weeks.Depending on the size and location of the lipoma on the sole of the foot, it can take varying lengths of time before you can resume your daily activities and engage in sports.

A new therapeutic measure for a lipoma is liposuction. However, it is usually difficult to remove all cells completely. This is important so that the remaining cells cannot form new lipomas.