Plantar Fibromatosis with Dr. Paul Carroll

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Foot pain is a common issue that many of us face at some point in our lives. While plantar fasciitis is often the culprit, there's another- probably under-reported condition that deserves attention: plantar fibromatosis, also known as Ledderhose disease. In our latest podcast episode, Debra Schindler takes a dive deep into this lesser-known condition with MedStar Health podiatric foot and ankle surgeon, Dr. Paul Carroll.
Plantar fibromatosis affects approximately 200,000 people in the United States and is characterized by the growth of fibromas—benign nodules—on the plantar fascia, the thick band of tissue that runs along the bottom of your foot. Unlike plantar fasciitis, which typically causes heel pain that improves throughout the day, plantar fibromatosis presents as a constant pain in the middle part of the foot. Patients often describe feeling a pea-sized bump on the bottom of their foot, which can become painful as it grows.
Dr. Carroll explains that while this condition is generally benign, it can be quite painful and debilitating if left untreated. The demographic most affected includes males, diabetics, individuals with chronic alcohol use, and those who have experienced trauma to the foot. Interestingly, there is also a significant correlation between plantar fibromatosis and Dupuytren's contracture, a condition affecting the hands.
So, what should you do if you suspect you have plantar fibromatosis? Dr. Carroll advises seeking medical attention as soon as you notice any unusual bumps or persistent pain in your foot. Early diagnosis can help manage the condition more effectively and may prevent it from worsening. While there are several treatment options available, including conservative measures like custom orthotics and steroid injections, surgical options are often considered when other treatments fail. However, surgery comes with its own set of challenges, including a high recurrence rate of the fibromas.
One of the more promising treatments discussed in the episode is the use of hyaluronidase injections, which help to shrink and soften the fibromas, making them less symptomatic. Dr. Carroll shares his experiences and success stories with this treatment, providing hope for those suffering from this condition.
If you're experiencing unexplained foot pain or have noticed a bump on the bottom of your foot, don't ignore it. Tune in to our latest episode with Dr. Paul Carroll to learn more about plantar fibromatosis, its symptoms, and the various treatment options available. Your foot health is essential, and early intervention can make all the difference.
Listen to the full episode now and take the first step towards better foot health!

For more episodes of MedStar Health DocTalk, go to medstarhealth.org/doctalk.