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Usually if there is a knot (beneath the skin I am assuming), it could be a couple of things:
1) A muscle or tendon that is damaged (it will really hurt to touch)
2) A cyst--this should feel "squishy"
3) If hard, it could be a spur although this is more common on the heel.
Definitely get it checked out because it could just take some simple treatment to fix it!
My guess is that it may be plantar fasciitis--does it hurt more in the am when you first step on it? Do you spend a lot of time on your feet and in unsupportive shoes?? Also, take a plastic bottle and put some water in and freeze, then rub your foot on it--an ice massage works wonders!