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Doctor insights on: Alternative Treatments For Plantar Fibromatosis

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What is the treatment for plantar fibromatosis?

What is the treatment for plantar fibromatosis?

A few: There is a topical preparation of verapamil (normally a high blood pressure medication) that can help, sometimes docs inject these with steroid, and if all else fails they can be excised. It would be prudent to biopsy though and not assume its a plantar fibroma even if it "looks" like one and is in the right location. Better safe then sorry. ...Read more

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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

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. ...Read more

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Plantar fibromatosis does physical therapy help?

Plantar fibromatosis does physical therapy help?

Not usually: These growths can be treated with topical verapamil or removed surgically by a podiatrist. ...Read more

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Does verapamil gel work to reduce size of plantar fibromatosis?

It may help: The formulation of the topical preparation seems to be very important. It is one of the conservative approaches to plantar fibromatosis. You may want to look at the pdlabs.Net website where they have i nformation on studies and success rates. They also explain the mechanism of action. ...Read more

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Can you please advise what doctor to consult regarding plantar fibromatosis?

Can you please advise what doctor to consult regarding plantar fibromatosis?

Foot specialist: Symptomatic plantar fibroma if unrelieved by unweighting the area with an orthotic or increasing rapidly in a weight bearing area requires surgery. A radical plantar fasciectomy is involved (removing most if not all of the plantar fascia). A skilled surgeon familiar with this procedure should be consulted. Either an orthopedic foot and ankle surgeon (md) or a reputable podiatric surgeon (dpm). ...Read more

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What could be the cause of plantar fibromatosis?

What could be the cause of plantar fibromatosis?

Congenital or trauma: I find that plantar fibromas ( a benign thickening of the plantar fascia) are usually just congenital changes, although trauma or overuse can be a cause. It is a benign change, and if not painful surgery is not a necessity. If painful, orthotics, steroid injections, and surgical excision ate all options. ...Read more

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Should you have surgery for plantar fibromatosis?

Should you have surgery for plantar fibromatosis?

Yes: In adults, surgery has been shown to be the most effective treatment for plantar fibromatosis. Although medical treatments have been tried they have not been as effective as surgical intervention. ...Read more

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I have plantar fibromatosis & on a verapamil 15% in lipoderm #30. I am also on high blood pressure med is there a problem?

I have plantar fibromatosis & on a verapamil  15%  in lipoderm #30. I am also on high blood pressure med  is there a problem?

No problem: Very little of the verapamil enters your blood stream. I personally have not had much success treating painful plantar fibromas this way. Good luck and i hope it helps in your case. ...Read more

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