I am needing the best treatment for plantar fibromatosis. i work 12 hr. shifts in a hospital as a cna/tech/pca, i have seen 2 podiatrists and am trying to figure out the best treatment plan. at first i was told transdermal verapamil 15% gel but then found

Plantar : Plantar fibromatosis is a difficult problem to treat. Fortunately, most people with this don't have symptoms. We're not really sure why some people get this, but it seems to be associated with trauma to the area, and, in some cases, patients on Phenytoin (dilantin) can develop lesions. Those with systemic conditions such as epilepsy, alcoholism, liver cirrhosis, hypothyroidism and diabetes mellitus may have an increased incidence of plantar fibromas. Conservative treatment involves anti-inflammatory medication, steroid injections, dispersion padding to the area or the use of some kind of innersole to keep pressure off the area, and physical therapy. I have never heard of using radio frequency ablation (rfa) for this problem, and "plasma injections" are a scam in my opinion, and there is no documented proof it does anything beyond making the doctor's wallet fatter. Do not even remotely consider surgery unless you've exhausted all (legitimate) conservative options and you're miserable. Finally, it's important, with any soft tissue mass, to be absolutely certain you're dealing with a plantar fibroma, and not something more serious. I assume, given that you've already seen two podiatrists for this, you've been worked up to make sure we're certain it's plantar fibromatosis.

Plantar fibromatosis: Treating only the pain is part of the answer. Pain treatment is very useful because you alleviate a symptom, it is not sufficient because you do not eliminate the cause of the pain. Laser therapy and local injection with cortisone and local anesthetic might help. If everything fails surgery might be an option. Try an orthopedic surgeon specialist in foot surgery.

Plantar Fibromatosis: Conservative treatments that i find are most effective are utilizing the transdermal verapamil gel. This treatment will only soften the soft tissue mass in an effort to eliminate your pain. The only way to eliminate the lesion is surgical excision. Wide surgical resections are necessary due to high reoccurrence rates with limited surgical resection. Typically 4-6 weeks of limited or no walking.

Many optionsons: There are various conservative and surgical options available. Othoces may be of benefit, the transdermal verapamil may help. If conservative option do not give you adequate relief surgical excision may be an option.