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Doctor insights on: Plantar Fibromatosis Surgery

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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 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 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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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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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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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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Why does ultrasound hurt I have just had it done on my foot but it was painful the physio had to stop I have got plantar fibromatosis in that spot.?

Why does ultrasound hurt I have just had it done on my foot but it was painful the physio had to stop I have got plantar fibromatosis in that spot.?

Pressure: In order to get images using ultrasound, you need to have good contact with the area being imaged. This means you have to apply pressure, with the probe, on that area. If you were already tender, the exam could make it worse, for a short time. ...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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Is there a surgery for plantar fasciitis?

Is there a surgery for plantar fasciitis?

Yes: When all other measures have been exhausted, surgery for plantar fasciitis may be indicated. Surgery involves release of the plantar fascia itself. This can be done by an open procedure with one of several incision approaches or endoscopically. The procedure chosen by a surgeon is based on preference and patient selection criteria. ...Read more

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Has anyone here done surgery for plantar fasciitis?

Has anyone here done surgery for plantar fasciitis?

Surgery works...: ...But should be a last resort. The vast majority of plantar fasciitis cases are handled with conservative treatment. In columbus, consider a second opinion with dr charles greiner or dr animesh bhatia. ...Read more

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Will plantar fasciitis heal on its own without surgery?

Will plantar fasciitis heal on its own without surgery?

Usually.: The more you can do together, the better:
#1: supportive shoes.
#2: firm inserts or orthotics.
#3: oral antiinflammatories (check with your doctor for dosing).
#4: stretching your foot and calf.
#5: icing (10 min at a time).

You may also need physical therapy or cortisone injections, or eswt if available in your area. Very few people go on to surgery, but it is a possible treatment. ...Read more

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How long does it take to recover from plantar fasciitis surgery?

How long does it take to recover from plantar fasciitis surgery?

How long has it hurt: Depending on how long the pain was present prior to treatment, it ca take several weeks to months to fully heal. If it's a chronic problem that has been ongoing for years, even with eswt, physical therapy, and injections it can take 3 months or more. If there is additional nerve damage in the area, it may be even longer. ...Read more

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I've just had plantar fasciitis surgery. How long will the recovery time be?

I've just had plantar fasciitis surgery. How long will the recovery time be?

Ask your sugeon: I am kind of surprised this question would be asked after the surgery and not before. All doctors have different protocols. You did not mention if you are on crutches, in a cast, in a splint, allowed to walk? Did you have the plantar fascia cut? Was a bone spur resected as well? All this info would be needed to know. Without knowing I would tell you 6-8 weeks. But that depends on many variables. ...Read more

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I need surgery to release plantar FAS and achelies tendon what can I expect?

I need surgery to release plantar FAS and achelies tendon what can I expect?

See below: You will be immobilized after the surgery for several weeks, some pain, some swelling, will probably be on crutches. ...Read more

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Do people do surgery for plantar fascitis?

Do people do surgery for plantar fascitis?

Sometimes, yes.: Surgery for plantar fasciitis is sometimes indicated. Generally if 6 months of conservative therapy does not offer relief then surgery is an option. Endoscopic plantar fasciotomy is an effective and minimally invasive procedure. Many podiatrists are trained to perform this procedure. Make an appointment to begin conservative treatment if you have not already done so. ...Read more

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Can I take any anti-inflammatories for plantar fasciitis instead of going to surgery?

Yes: I would recommend that you try conservative treatment first before you consider surgery. Oral anti-inflamatories and steroid injections, custom orthotics, ultasound treatments and streching can be very benificial in trating plantar fasciitis. Only 5% of my patients need surgery for plantar fasciitis. Most patients respond well to conservative treatment. ...Read more

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I have plantar fascitis. Tried almost everything and I do not want surgery. Will cymbalta (duloxetine) help? Thank you.

I have plantar fascitis. Tried almost everything and I do not want surgery. Will cymbalta (duloxetine) help? Thank you.

Cymbalta (duloxetine)?: For plantar fascitis? What else is in your medicine cabinet? Pills are not the answer to everything. I do not recommend self treatment with medication. Indiscriminate usage of medication is dangerous. ...Read more

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How long is recovery from plantar release surgery?

How long is recovery from plantar release surgery?

Relatively short: Recovery from a plantar fascial release is relatively short. If performed endoscopically (through a scope). You can walk immediately after surgery in a cam walker (removal cast-like boot). Usually, you can resume normal activity gradually at about 4 weeks. ...Read more

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How long can it take to recover from plantar wart surgery?

How long can it take to recover from plantar wart surgery?

Many factors: Location of wart? Under weight bearing area or not? Size of wart? Type of surgery performed? All of these factors will contribute to length of recovery which could be anywhere from a few days to a few weeks. ...Read more

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Is plantar wart surgery normally carried out and dressed after?

Is plantar wart surgery normally carried out and dressed after?

Sterile setting: If all else fails (acid, shaving, freezing) doc sometimes has to resort to surgery. Usually done under an ankle block or local anesthesia. The abnormal area as well as some of the normal skin is excised and often closed with sutures. Since it is on the bottom of the foot no weight can be put on the area till the skin heals (7-21 days). Change insoles in shoes warts are a virus and can re infect! ...Read more

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What is plantar wart surgery recovery time? Can I go to beach during it?

What is plantar wart surgery recovery time? Can I go to beach during it?

Plantar wart: There are many ways to treat and even to do surgery on a plantar wart.
The doctor that is doing the procedure can tell you your limitations but if the area is covered (sealed) you should be able to go to the beach regardless of the procedure chosen. Any incision will require at least 3 weeks to full recover. ...Read more

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I had plantar facisitis surgery one month ago. I have no pain and wear a walking boot. Can I start a walking program?

I had plantar facisitis surgery one month ago. I have no pain and wear a walking boot. Can I start a walking program?

Any time now...: I usually have my patients in their own shoes (with orthotics for support) right about four weeks post-op. Ask your surgeon what his specific protocol is. ...Read more

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Is surgery for tarsal tunnel syndrome / plantar fascitis a good choice?

Is surgery for tarsal tunnel syndrome / plantar fascitis a good choice?

Can be: Make sure that prior to surgery to either of theses conditions you have tried all conservative care. Both of these conditions are usually succesful without surgery. If all else fails, then surgery would be a good option. ...Read more

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How likely is it that a plantar wart returns in the same place after excision surgery?

How likely is it that a plantar wart returns in the same place after excision surgery?

Wart: The possibility of return regardless of the method used to remove the wart is high. Remember, you are dealing with a virus so there is no pill - regardless of the Cimetidine articles - to take. See your podiatrist for assistance. ...Read more