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Using ESWT on plantar fibromas

Posted by Ann C on 10/06/01 at 22:41 (062415)

Dear Doctors,
I have had PF in my left foot for two years and have tried all of the convential treatments which have not helped. My heel hurts constantly. To add to my problems, I now have developed two plantar fibromas under the middle of my right foot. One is growing into the plantar facia and I can feel it pulling. I do not want to have surgery. My orthopedic specialist has indicated that removal of the plantar facia could cause future arthritic problems in the foot. I was wondering if any new treatment methods are being considered for these tumors. Would the ESWT treatment break up fibromas? Has anyone experimented with this? I feel that these tumors are a real problem for a lot of people but nothing is being done to find a non invasive way to erradicate them. My doctor did not know of anything. I am desperate for relief and am considering ESWT on the left foot. But if possible, I would like to try it on the fibromas. No one seems to be able to tell me if ESWT can be used in that manner. Thank you for you time and consideration.

Re: Using ESWT on plantar fibromas

Dr. Zuckerman on 10/07/01 at 07:58 (062421)

Hi,

Dissolving the fibroma no . Using low energy on this condition could take away the pain and or heal any tears for this condition. I would have to do
some research for this but it is very possible to use low energy for this problem. Your heel could be treated with ESWT. I have also found that
after ESWT the tension in the tendons on the bottom of the foot can
become less tight and more relaxed.

Re: Using ESWT on plantar fibromas

Ed Davis, DPM on 10/07/01 at 13:49 (062440)

Ann:

I believe that the lesions you are referring to are plantar fibromatosis. Very easy to shrink these by injecting a combination of triamcinolone acetonide and Wydase into each lesion. I generally find one injection into each lesion shrinks the lesions within 3 weeks but occasionally a second injection is needed. Avoid surgical treatment. Perhaps your orthopedist can refer you to a podiatrist familiar with this treatment. It is such a quick, simple and inexpensive treatment that I rarely need to use anything else.
Ed

Re: Using ESWT on plantar fibromas

Dr. Zuckerman on 10/07/01 at 07:58 (062421)

Hi,

Dissolving the fibroma no . Using low energy on this condition could take away the pain and or heal any tears for this condition. I would have to do
some research for this but it is very possible to use low energy for this problem. Your heel could be treated with ESWT. I have also found that
after ESWT the tension in the tendons on the bottom of the foot can
become less tight and more relaxed.

Re: Using ESWT on plantar fibromas

Ed Davis, DPM on 10/07/01 at 13:49 (062440)

Ann:

I believe that the lesions you are referring to are plantar fibromatosis. Very easy to shrink these by injecting a combination of triamcinolone acetonide and Wydase into each lesion. I generally find one injection into each lesion shrinks the lesions within 3 weeks but occasionally a second injection is needed. Avoid surgical treatment. Perhaps your orthopedist can refer you to a podiatrist familiar with this treatment. It is such a quick, simple and inexpensive treatment that I rarely need to use anything else.
Ed