• Patient was informed the probable diagnosis is plantar Fibroma.
  • A fibroma is a thickening of the body of the plantar fascia usually caused by partial tear or trauma to the tissue and the resultant hypertrophic healing of the injury. Many times the development of the lesion is without an identifiable cause.
  • Plantar Fibromas are not dangerous and do not need surgical excision except if they cause pain or disability.
  • Conservative measures of treatment include topical Verapamil application for a year, or progressive steroid injections. It should be noted that steroid injections could precipitate a rupture of the fascia that could cause additional disability and might require surgical repair.
  • Excision of the lesion involves a plantar incision, removal of the mass from the fascia, repair of the fascia, a bandage for approximately two weeks, and ambulation in a cam walker for approximately six weeks to protect the fascia while healing.
  • Post-surgery the fascia is expected to feel thick and it will seem like nothing was removed. This is because scar tissue forms to heal the excision. Eventually that scar tissue shrinks. This process could take up to a year.
  • Surgical risks include rupture of the tendon, infection, and unremitting scar tissue. If any of these or other post-operative complications should occur, additional surgery and a prolonged healing period could become necessary.

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