Category: Connective tissue disorders

Plantar fibromatosis

Posted on March 9, 2023 by - Connective tissue disorders, P

Plantar Fibromatosis, also known as Ledderhose disease, is a condition characterized by the growth of benign fibrous nodules or lumps in the plantar fascia, which is a thick band of connective tissue located on the sole of the foot. This condition is similar to Dupuytren’s contracture, a condition in which the same type of nodules occur in the hand.

The exact cause of plantar fibromatosis is unknown, but it is believed to be associated with genetic factors and certain medical conditions such as diabetes, liver disease, and alcoholism. The condition typically affects middle-aged and older adults, and is more common in men than women.

Symptoms of plantar fibromatosis can vary, but typically include the development of one or more firm, rubbery nodules in the arch or heel of the foot, which may be painful or tender to the touch. The nodules may grow slowly over time, and in some cases can cause the toes to curl or the arch of the foot to become flattened.

Treatment for plantar fibromatosis may include stretching exercises to improve range of motion, strengthening exercises to improve foot and ankle strength, and the use of modalities such as heat, ice, and electrical stimulation to reduce pain and inflammation. In some cases, custom orthotics or supportive footwear may also be recommended to help relieve pressure on the affected area.

Surgical treatment may be necessary in cases where conservative treatment is not effective, or if the nodules are causing significant pain or limiting mobility. Surgery typically involves removing the nodules or releasing the tightened fascia, and may be followed by physiotherapy to help restore normal function and prevent recurrence of the condition.

It is important to consult with a healthcare professional if you suspect you have plantar fibromatosis, as early diagnosis and treatment can help prevent further damage and improve overall outcomes.

Plantar fibroma

Posted on March 9, 2023 by - Connective tissue disorders, P

Plantar fibroma is a benign (non-cancerous) mass or nodule that develops in the plantar fascia, a thick band of tissue that runs along the bottom of the foot. It is also known as Ledderhose disease.

Plantar fibromas are caused by an overgrowth of fibrous tissue in the plantar fascia, and their development is thought to be linked to genetic and environmental factors. They are more commonly found in middle-aged and older individuals, and may be associated with certain medical conditions, such as diabetes, liver disease, and alcoholism.

Symptoms of plantar fibroma include a firm, rubbery lump or nodule on the bottom of the foot, typically located in the arch or heel. The lump may be painful or tender to the touch, and may make it difficult to walk or stand for prolonged periods of time.

Interventions may include:

  1. Manual therapy: Massage and other hands-on techniques can help reduce pain and improve mobility in the affected area.
  2. Stretching and strengthening exercises: Specific exercises can help improve flexibility and strength in the foot and ankle, and may help reduce tension on the plantar fascia.
  3. Footwear advice: Proper footwear with adequate arch support can help reduce stress on the plantar fascia and minimise symptoms.
  4. Cortisone injections: These injections can reduce the size and pain of the fibroma.
  5. Other modalities: The use of modalities such as ice, heat, ultrasound, or electrical stimulation can help reduce pain and inflammation.

In cases where conservative treatment is not effective, surgical intervention may be necessary to remove the plantar fibroma. It is important to consult with a healthcare professional if you are experiencing symptoms of plantar fibroma, as early diagnosis and treatment can help prevent further damage and improve overall outcomes.

Ehlers-Danlos syndrome (EDS)

Posted on March 8, 2023 by - Connective tissue disorders, E

Ehlers-Danlos syndrome (EDS) is a rare genetic disorder that affects the connective tissue in the body. Connective tissue provides support to the skin, bones, blood vessels, and other organs and tissues. EDS can manifest in various forms, each with its own set of symptoms and characteristics. Here are some key facts about Ehlers-Danlos syndrome:

Causes:

  • EDS is caused by a mutation in one or more genes that produce or regulate the production of collagen, a protein that is a key component of connective tissue.
  • EDS is an inherited condition, meaning it is passed down from parents to their children.

Symptoms:

  • Symptoms of EDS vary depending on the type of the disorder, but may include hyper-mobility of the joints, skin that is stretchy, fragile, or bruises easily, and chronic joint and/or muscle pain.
  • Other possible symptoms may include scoliosis, flat feet, poor wound healing, gastrointestinal problems, heart problems, and easy bruising or bleeding.

Diagnosis:

  • Diagnosis of EDS typically involves a physical exam and a review of medical history and family history.
  • Genetic testing may also be used to confirm a diagnosis of EDS.

Treatment:

  • Treatment for EDS is focused on managing symptoms and preventing complications.
  • Treatment options may include physical therapy, pain management, bracing or splinting of joints, surgery, and medications to manage pain or other symptoms.
  • Lifestyle modifications such as avoiding high-impact exercise and protecting the skin from injury may also be recommended.

Prognosis:

  • The prognosis for EDS varies depending on the type and severity of the disorder.
  • While there is no cure for EDS, many people with the disorder are able to manage their symptoms and live a normal lifespan with appropriate treatment and care.