Plantar Fibromas (Ledderhose Disease) Treatment

Plantar fibromas, also known as Ledderhose Disease, are benign nodules of fibrous tissue that develop on the bottom of the feet. These growths commonly occur in the arch or under the big toe, and while often small, they can grow to a significant size, causing discomfort when standing or walking. Treatment for Plantar Fibromas focuses on pain relief, as there is no permanent cure.

Understanding Plantar Fibromatosis

Plantar fibromatosis is a condition where fibrous nodules form in the foot’s connective tissue. These nodules are typically non-cancerous and are often associated with other conditions like Dupuytren’s contracture, Peyronie’s disease, epilepsy, diabetes, and alcoholism. While the exact cause is unknown, genetics and repetitive stress on the foot’s medial band of the plantar fascia are believed to contribute to its development.

Symptoms:

  • Nodular lumps under the foot
  • Discomfort or pain when walking or standing
  • Swelling and tenderness in the arch or toe areas

Non-Surgical Treatment for Plantar Fibromas

Our comprehensive treatment protocol aims to reduce the size of the fibromas and provide pain relief. All diagnostic assessments and treatments are performed in our clinic, including:

  • EPAT (Shockwave Therapy): A 5-10 minute deep ultrasound treatment to promote tissue repair and reduce pain.
  • Hyaluronidase Injections: This enzyme helps break down fibrotic tissue, shrinking the fibromas. It is combined with a small amount of cortisone to reduce inflammation.
  • Ultrasonic Imaging: Used to guide injections for precise targeting of fibromas.
  • Custom Orthotics: Shoe inserts with pressure relief pockets designed specifically for your foot.

This combination of treatments is typically effective in reducing the size of fibromas and relieving pain.

Frequently Asked Questions

How long does treatment take?

Treatment typically requires 3 sessions per foot, spaced two weeks apart. In cases of larger fibromas, additional sessions may be needed.

Will insurance cover the cost?

Shockwave therapy and hyaluronidase injections are not covered by insurance, but we can bill your insurance for other parts of the treatment. Our staff can assist with checking your orthotics coverage.

Is surgery necessary?

Surgery is generally not recommended due to the high recurrence rate. However, in some cases, a surgical release may help alleviate stress on the fibromas, enhancing the effectiveness of the non-surgical treatments.

Contact Us Today for Plantar Fibroma Treatment

If you are experiencing discomfort from Plantar Fibromas (Ledderhose Disease), contact us today to schedule your consultation. Our specialized treatment protocol can help reduce your pain and improve your mobility.