Doctor insights on:
Plantar Fibromatosis Surgery
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
Yes: It is.Get a more detailed answer ›
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
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
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
Am going to a podiotrist due to plantar fibromatosis right arch but im worried orthotics will cause my ankle to be painful as it has b4 with them.
I have plantar fibromatosis & on a verapamil 15% in lipoderm #30. I am also on high blood pressure med is there a 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
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
My plantar fibromatosis is making the underneath of my right foot sore to walk on had cortisone 5 mth ago but didn't help what can I do to treat it now?
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 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
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
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
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
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
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
I seem to have chronic plantar fasciatis and may have to have surgery what is the sucess rate for this surgery and will my pain return.?
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
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
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
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
I had plantar facisitis surgery one month ago. I have no pain and wear a walking boot. Can I start a walking program?
I'm having surgery for plantar fibroma, how long is the recovery? I was told I would be in a cam boot for 6-8 weeks, is that correct?
It's correct: Particularly if told by the doctor.Get a more detailed answer ›
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