Plantar fibromatosis

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Obesity, Sleep & Internal medicine
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Plantar fibromatosis
Synonyms	N/A
Pronounce
Specialty	Orthopedics, Podiatry
Symptoms	Nodules on the arch of the foot
Complications	Pain, difficulty walking
Onset	Typically in adulthood
Duration	Chronic
Types	N/A
Causes	Unknown, possibly genetic
Risks	Family history, trauma, diabetes
Diagnosis	Physical examination, imaging
Differential diagnosis	Plantar fasciitis, Ganglion cyst
Prevention	None known
Treatment	Orthotics, physical therapy, surgery
Medication	Corticosteroid injections
Prognosis	Variable, can be managed
Frequency	Rare
Deaths	None directly

Plantar fibromatosis is a relatively uncommon non-malignant thickening of the feet's deep connective tissue, or fascia. The condition is also known as Ledderhose's disease, named after Dr. Georg Ledderhose who first described the condition in 1894.

A plantar fibroma right below the 2nd toe.

Symptoms

The primary symptom of plantar fibromatosis is the development of nodules on the plantar fascia, which can cause discomfort or pain, especially when walking or standing. These nodules are typically slow-growing and may take years to fully develop. In some cases, the nodules may not cause any discomfort or pain at all.

Causes

The exact cause of plantar fibromatosis is unknown. However, it is believed to be associated with certain factors such as genetic predisposition, chronic liver disease, diabetes, epilepsy, and specific medications.

Diagnosis

Diagnosis of plantar fibromatosis is typically made through a physical examination of the foot. In some cases, an MRI or ultrasound may be used to confirm the diagnosis and assess the size and location of the nodules.

Treatment

Treatment for plantar fibromatosis can vary depending on the severity of the symptoms. Non-surgical treatments may include physical therapy, orthotics, and medication to manage pain. In more severe cases, surgical intervention may be necessary to remove the nodules.

See also

• Dupuytren's contracture
• Peyronie's disease
• Fibroma

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