Plantar Fibromatosis: I’ve got you under my skin!

It’s almost painful just to learn about all of the conditions that afflict your feet as you move into middle age and beyond. When does it all end?

Fibromatosis is a condition where excess collagen (fibroma), or fibrotic tissue, causes the development of small, hard nodules beneath the skin on the bottom of the foot. They may grow and increase in density over a period of time, but eventually this ceases. The good news is that it’s generally non-cancerous. The bad news is it can make walking or standing a nightmare. However, there is a big disparity among men and women. Fibromatosis happens to men approximately ten times more than women.

The most recognizable plantar fibromatosis symptoms are hard nodules under the skin and pain. Although there are circumstances that can “open the door” to the development of plantar fibromatosis, there is no known definitive cause. Trauma, genetics and certain medications or supplements all may play a role in the development of this condition.

Possible causes include:

• Injury
• Genetics
• Medicines, vitamins and dietary supplements

Other contributing factors are chronic liver disease, diabetes, and seizure disorders. These conditions may not contribute, but rather the medications used to heal or treat them are the primary culprits. As the surges in numbers of people suffering these conditions increases, so will the number of cases of fibromatosis continue to rise.

There are many treatment options for plantar fibromatosis, which include invasive or non-invasive.

Invasive treatment options include:

• Injections, which are put directly into the fibroma.
• Surgery, which can include the removal of the fibroma, or the removal of the complete plantar fascia. Surgery includes a long recovery time and may lead to other foot problems.

Non-invasive treatment options include:

• Topical application
• Stretching
• Orthotics
• Padding
• Physical therapy

There are several stretching exercises of the calf and arch that may be beneficial and help with the discomfort. These stretching exercises should first be done under the supervision of a physical therapist. This will ensure that the exercises are done correctly.

If you have symptoms that you think may indicate plantar fibromatosis, call Dr. Bowman at (713) 467-8886 and set up an appointment today. Dr. Bowman will conduct a comprehensive foot evaluation in order to determine your exact symptoms and then develop a treatment plan. He can diagnose and treat any foot condition. Step into his office for unparalleled foot care because you’ll step out feeling better!

References:

http://www.livestrong.com/article/319755-plantar-fibromatosis-exercises/
http://www.pdlabs.net/plantar_fibromatosis/whatisplantarfibromatosis.html

Related articles

• Don't Let Heel Pain Prevent Your Next Plie'
• Heel Pain or Plantar Fasciitis
• Protect Your Feet from Common Running Injuries