A Non-Invasive Treatment for Plantar Fibromatosis
Plantar fibromatosis is a fibrotic tissue disorder which is non-cancerous and is characterized by the presence of excess collagen or fibrotic tissue. The most common symptom of plantar fibromatosis are the dense, firm nodules that can be felt just under the skin on the bottom of the foot. The nodules are painful with standing or walking. Plantar fibromatosis does not resolve on its own.
Plantar fibrmatosis is diagnosed most often in the middle-aged and elderly population, but can affect all ages. It also affects men 10 times more often than women. Caucasians of northern European descent tend to be affected more than other ethnicities.
Plantar fibromatosis is a fibrotic tissue disorder of the plantar fascia that consists of excess collagen or fibrotic tissue. It is commonly located the arch of the foot in a tissue layer called the plantar aponeurosis. An exact cause of plantar fibromatosis is unknown; however, there are some potential causes that most podiatrists agree may play a role in the condition.
Trauma to plantar fascia is thought to be a primary cause of plantar fibromatosis. The trauma may be a form of puncture through the bottom of the foot or from repetitive impact from activities such as running or climbing. It is also thought that plantar fasciitis may lead to tears in the tissue causing plantar fibromas to occur.
Many patients may be genetically predisposed to plantar fibromatosis. Caucasians of northern European descent are affected the most while Asians are affected the least.
Medications such as beta blockers are have also been linked to plantar fibromatosis. Also anti-seizure medications such as phenytoin and certain supplements such glucosamine/chondroitin and large doses of Vitamin C have been linked to excess production of collagen.
Plantar fibromatosis has also been linked to chronic liver disease, diabetes and seizure disorders, as well as, long-term alcohol abuse.
Invasive Treatment Options
1. Corticosteroid injection into the fibroma
2. Surgery – complete removal of the fibroma or the entire plantar fascia
Non-invasive Treatment Options
4. Physical Therapy
5. Transdermal Verapamil 15% Gel
Transdermal Verapamil 15% Gel is a painless, non-invasive, treatment for plantar fibromatosis. The medication is applied to the skin twice daily. Verapamil belongs to a class of medications called the calcium channel blockers. The gel has been designed to carry the verapamil through the skin and deliver it to the fibroma.
The gel allows the progression of the condition to be slowed or stopped and also to decrease the size of the fibroma.
If you have plantar fibromas and want to have them treated, please come see Dr. Eric Silvers at Advanced Foot & Ankle Center located in both McKinney, TX and Prosper, TX.
Please call 972-542-2155 to set up an appointment today.
Are you concerned about a firm knot in the arch of your foot? If you are, you may have something called a plantar fibroma. This foot problem is a firm fibrous mass that forms within a long ligamentous like structure along the bottom of the foot call the plantar fascia. The plantar fascia runs from the heel bone (calcaneus) to the soft tissues in the forefoot. Plantar fibromas are not malignant (cancer) but they are a slow growing benign tumor and seldom resolve on their own without treatment.
Fibromas are firm when they are touched and sometimes can grow and it is also not uncommon for one to develop more than one fibroma. They can be seen in only one or two feet. Pain is sometimes present due to shoe pressure and at times when the patient is barefoot on hard surfaces.
Diagnosis is typically attained by seeing an experienced Podiatrist. Dr. Eric Silvers of Advanced Foot and Ankle Center in McKinney and Prosper, Texas have extensive experience in treating plantar fibromas both non surgically and surgically. Sometimes a biopsy or advanced imaging studies such as an MRI are needed to confirm the diagnosis.
Non surgical treatment includes cortisone injections that have been show to decrease any pain associated with the fibroma and also the size of fibromas. It is not advised to receive any more than 3 injections in one year’s time. Also custom foot orthotics are often helpful in that they help to distribute pressure from around the painful mass. Topical medications such as topical antiinflamatories and topical verapamil have been effective for some patients.
Surgical excision is typically carried out if conservative treatment fails. One should choose a foot and ankle surgeon who has training and experience in removing the plantar fibromas. Custom foot orthotics are needed after excision of the fibroma since many surgeons advocate removing the entire plantar fascia to decrease recurrence.
Dr. Silvers is currently accepting new patients who are seeking treatment for not only plantar fibromas but also any other foot and ankle problem.