How To Handle Plantar Fibromas

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Large exposure is necessary to uncover the entire lesion. A Z-shaped or an S-shaped surgical incision can give complete exposure to the entire plantar fascia for a radical plantar fasciotomy.
As one can see here, smaller solitary lesions often arise from the medical fascial band of the plantar aponeurosis.
With removal of the solitary nodule, one can see the medial plantar digital nerve. The nerve runs just deep to the plantar aponeurosis and is a common source of pain with these types of lesions.
When excising the lesion, take care not to disrupt tissue deep to the medial fascial band. Notice how close the medial plantar digital nerve and flexor hallucis brevis muscle run to the aponeurosis.
Plantar fibromas are generally slow growing lesions that are typically asymptomatic. The condition commonly derives from the medial and central fascial band of the aponeurosis.
By Matt Sabo, DPM

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Anonymoussays: January 1, 2010 at 4:21 am

Have you had any experience using topical Verapamil? I have had very good results redcuing the size and the symptoms of plantar fibromatosis using topical Verapamil from my local compounding pharmacist. In fact, I have not excised one in several years. Ronald W. Hines, DPM Oklahoma City, Oklahoma.

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