Have you noticed lumps on the bottom of your feet? Are they becoming larger and more painful over time especially when you walk or run? If you are experiencing these symptoms you are probably suffering from a good old case of plantar fibromatosis. Plantar fibromatosis is a disorder of unknown etiology. It is a benign reactive lesion of fibrous tissue arising through a herniation of the plantar fascia (usually the medial or cental band) through its outer covering. However, in some cases these nodules can invade the dermis of the skin and flexor tendons and become very large lesions. Usually it presents as a firm, single, or multiple lobular nodule. It has been known to be associated with certain conditions including hereditary, alcohol use, cirrhosis, diabetes, epilepsy,and thyroid disorders. So how do you treat this condition? What are your options? There are several treatment options available for you. Conservative treatment includes offloading the painful nodules with orthotics and padding. Stretching and physical therapy have also shown to be effective. Also the use of transdermal Verapamil 15% gel has been shown to reduce the size of the lesions. If these conservative treatments fail there is a surgical option to remove the fibrous nodule or the entire plantar fascia. This is usually used as a last resort due to the high recurrence rate of these lesions. If you think you may have this condition or any other problem with your feet don’t hesitate to make an appointment with your local foot care specialists here at Atlantic Foot & Ankle Specialists.

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