What is Plantar Fibromatosis?
Plantar fibromatosis is a tissue condition affecting the plantar fascia which is fibrotic and usually includes a single lesion or multiple nodules. The condition usually derives from the medial as well as the central fascial band of the aponeurosis and is normally non-cancerous. It comprises extra fibrotic or collagen tissue. This additional collagen is normally denoted as a fibroma. These fibromas are mostly slow growing lesions that are typically asymptomatic.
Plantar Fibromatosis Symptoms
Symptoms which are normal with plantar fibromatosis include:
- Firm lump in the arch of the foot
- Lump can cause pain
- Pain is caused from the pressure of shoes
- Heels and soles of the feet hurt when first stepped on in the morning
Plantar Fibromatosis Causes
The exact reason for plantar fibromatosis is not known; but there are several probable causes that the majority of doctors believe can play a part in the situation.
Trauma
Any trauma or injury to the plantar fascia is believed to be the principal reason for plantar fibromatosis. This trauma could have been caused by a puncture or perforation thru the sole of the foot or from impact which are repetitive from undertakings such as climbing or running. Also it is believed that tightening as well as thickening of the plantar fascia created by plantar fasciitis could have led to tissue tears which have caused plantar fibromas to follow.
Genetics
Numerous individuals may be predisposed genetically to fibrotic tissue complaints such as plantar fibromatosis. Those from north European ancestry seem to have higher incidences of diseases that are fibrotic, while Asians are rarely affected. Those individuals with plantar fibromatosis might also a close relative or a parent with the condition. This condition is likewise associated with Dupuytren’s disease or Peyronie’s disease. Approximately 5% of individuals with Dupuytren’s disease similarly have plantar fibromatosis and 3% of those with Dupuytren’s disease will also have Peyronie’s disease.
Plantar fibromatosis may affect individuals of any age, but this is a condition which is seen more often in middle aged individuals as well as senior citizens. As many as 25% of these age groups have plantar fibromatosis which also will affect men 10 times more than it will effect women.
Medications/Vitamins/Supplements
Drugs which are frequently used for the treatment of hypertension belonging to the drug class identified as beta adrenergic blocking agents or beta-blockers have known to be a reason for fibrotic tissue disorders. Drugs which are anti-seizure for example phenytoin as well as certain supplements for instance glucosamine/chondroitin and huge doses of vitamin C supplements can also stimulate excessive collagen production.
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Other Conditions
Those individuals with diseases such as diabetes, chronic liver disease and some seizure diseases have a greater rate of plantar fibromatosis. While these diseases may not be a direct cause for this condition, it can designate the influence these conditions or drugs used to manage them have on the healing of wounds. Long time alcohol abuse has also been linked with this condition.
Plantar Fibromatosis Treatment
Numerous different treatments are available for plantar fibromatosis and usually are separated into two major classifications, non-invasive and invasive.
Non-invasive treatments
Non-invasive treatments include:
- Transdermal Verapamil 15% Gel
- Stretching
- Padding
- Orthotics
- Physical therapy
Invasive treatments
Invasive treatments include:
- Corticosteroid injections in the fibroma
- Surgery – This is presently the most common management technique for healing of plantar fibromatosis. There are usually two procedures which are common. One comprises the exclusion of the fibroma only – this results in a recurrence rate that is high and the second includes the totally exclusion of the plantar fascia that has a longer recovery time as well as leading to other foot problems.
Many doctors agree that the non-invasive method for handling plantar fibromatosis should be first considered given the exceptional great rate of recurrence from surgery. Invasive treatments as well as surgery are normally set aside for the cases which are more severe.
Initial treatment which is conservation for this condition includes the avoidance of any direct pressure to the nodules of plantar fibromatosis. In most cases, the only pain found with this condition is when the nodule is irritated by any direct pressure from the floor or shoes. Soft arch supports and padding can be an aid to cushion and pad the plantar fibromatosis nodules.
Plantar Fibromatosis Pictures
