Plantar fibromatosis is characterized by a single, or multiple, tender nodules that are firmly attached to the central and medial plantar fascia. The nodules are benign, but the condition can progress to where the fibromatosis replaces the normal plantar fascia. One or both feet may be affected. In 10% of those with the condition, the nodules also exist in the hands.
Walking becomes difficult as the nodules become painful upon weight bearing. The pain is mainly in the arch and it is a challenge to provide support in the arch while avoiding the nodules.
Other names or similar foot conditions:
- Ledderhose disease
- Dupytren’s contracture of the foot
- Juvenile aponeurotic fibroma
- Nodular fasciatis
- Fibroma of the tendon sheath
Symptoms:
- Pain the arch and in the nodules upon weight bearing
Signs to look for:
- Lump in the medial and/or central band of the plantar fascia
- Tenderness upon touching the lumps
- Pain in the arch upon weight bearing
- Ask about lumps in the fingers and hands and whether other family members have it
Possible Causes:
- Related to other fibroplasis diseases
- Heredity – it runs in families
- Associated with diabetes, alcoholism, parathyroid disorders, gout, epilepsy, rheumatism, injury and infection
Goals:
- Support the arch while avoid direct pressure on the nodules
- Restore correct foot motion in gait
- Footwear that will make weight bearing and walking easier
How We Help:
Arch Supports:
- Arch supports need to be fitted to avoid direct pressure on the nodules. This means the supports will need to be changed as the nodules change.
- Start with the BioOrthotic supports and lower support with longitudinal and metatarsal support. If these cause pain or press directly on a nodule, use the softer Lynco brand insert
Shoes:
- Extra depth, double or triple depth shoe with high toe box, firm heel counter, rocker sole and connecting shank
- Smart footwear, such as heel to toe rockers, negative heel shoes or shoes with titanium springs
- Avoid flip-flops. Only wear sandals with a back and only the Orthaheel, Alegria or Aetrex brand
- Go barefoot on a minimal basis only
- Wear heels or pumps on a minimal basis only
Activities:
- Rotate weight bearing exercises, such as walking or jogging, with non-weight bearing exercising, such as swimming or bicycling
This information does not constitute a diagnosis of your condition and does not take the place of a doctor’s care. The information has been compiled from sources available to the general public and referenced below. Copyright 2007-2010 Carole Romig
Sources Image: Myfootshop.com Text: A. Decker, S. Albert, Contemporary Pedorthics, I. Alexander, The Foot: Exam & Diagnosis, drgreene.com, Bunionbusters.com