Doctor insights on:
Plantar Fibromatosis Surgery
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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.See 1 more doctor answer
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).See 1 more doctor answer
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?
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.See 1 more doctor answer
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.See 1 more doctor answer
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?
See below: Alternative include, topical verapamil, surgery or proper padding and orthotic to remove pressure from the area.See 1 more doctor answer
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.See 3 more doctor answers
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.See 7 more doctor answers
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.See 4 more doctor answers
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.See 4 more doctor answers
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.See 1 more doctor answer
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.See 4 more doctor answers
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.?
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