Plantar fibromatosis is a relatively uncommon non-malignant thickening of the feet's deep connective tissue, or fascia. In the beginning stages of the disease, nodules or cords will start growing along the tendons of the foot, which can be painful, but is considered minor. In most cases, the nodules are slow growing and may lie dormant for months to years only to begin rapid and unexpected growth. Eventually, the cords will thicken, the toes stiffen and bend and walking becomes very painful.
The two most common symptoms of plantar fibromatosis are as follows:
- firm nodules that can be felt just under the skin
- pain that can be constant or increases when walking or standing
Plantar fibromatosis is most commonly associated with:
- a family history of the disease
- patients with epilepsy
- diabetic patients
- Peyronie's disease
When plantar fibromatosis is in its early stages, it's recommended to avoid direct pressure to the nodules. Soft inner soles on shoewear and padding can be helpful. An MRI or diagnostic ultrasoundmight be required in order to see the extent of the lesion. In some cases, shockwave therapy has been proven to reduce the pain and enable walking again. Cortisone injections have also been shown to help plantar fibromatosis patients by stalling the progression of the disease temporarily.
There are many options available to lessen the pain experienced with plantar fibromatosis. Please contact us to hear more.