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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.

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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.

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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.

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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.

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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).

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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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.

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