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Doctor insights on: Neuro Fibromatosis

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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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What exactly is melanosis cutaneous fibromatosis?

What exactly is melanosis cutaneous fibromatosis?

Disease: Depends where the lesion is. Likely it is a benign tumor (fibroma) that has skin color changes (melanosis) that need to be followed and biopsied on a regular basis. Autoimmune disease might also be a contributing factor. Ur dermatologist could best answer this. ...Read more

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Is fibromatosis a soft tissue sarcoma?

Is fibromatosis a soft tissue sarcoma?

Yes: Fibromatosis, while it doesn't have "sarcoma"in the name is actually a low-grade sarcoma. However, this only applies to cases occurring in the abdomen. Less commonly, these tumors can occur on the extremity. Cases of Palmar and Plantar fibromatosis are not aggressive and generally behave in a benign fashion. Have your sarcoma pathology checked by an expert david.stockman@orthopath.com ...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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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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What type of fibromatosis grows on top of the foot?

What type of fibromatosis grows on top of the foot?

Possible desmoid?: Most fibromatoses of the foot occurs on the bottom (plantar) surface. There is a type of benign tumor that is very invasive called a desmoid fibromatosis or desmoid tumor. I would be concerned that a lump on the top (dorsal) surface of the foot could be this, which is aggressive. A ganglion cyst is another possibility. See a doctor for possible imaging and biopsy. ...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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