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Dupuytren's contracture in the foot

Discussion in 'General Issues and Discussion Forum' started by scottie, Feb 2, 2009.

  1. Sarah B

    Sarah B Active Member

    Hello, one and all

    Thank you very much Kevin for your informed opinion on the matter of plantar fibromas, of which you have considerably more experience than me.

    Also, having not followed this thread for the last couple of weeks I the like the way you dealt with fcas. I have very thick skin and readily admit that I'm no expert, hence my not taking umbridge at that particular individual!
     
  2. Mina Azarian

    Mina Azarian Welcome New Poster

    Hi
    I am new to this forum. I am a final year podiatry student and have treated a patient with this condition. Unfortunately he had three fingers amputated and was very distressed about his feet. I made him semirigid orthoses and accommodated for the plantar fibroma. He is pain free and back at work.
    I have read a few posts that suggest injection with a steroid. I just wanted to know... wouldn't that weaken the plantar fascia?
    Thank you
     
  3. facfsfapwca

    facfsfapwca Active Member

    Just accomodate him with supportuive orthosis and he will do fine.
     
  4. drsarbes

    drsarbes Well-Known Member

    Hi Mina:
    As far as cortisone for plantar fibromas, I would not worry about weakening the plantar fascia, especially if you have a single lesion and it's under the first metatarsal shaft area (where most occur)
    Just don't get too carried away with multiple, closely timed injections.

    I normally try one injection of (depending on the size) 1cc (at most) dexamethasone.

    In my experience, many will respond favorably to this small amount of short acting solution. If the first injection gives no relief I haven't had much luck with the second either.

    Give the patient a good 2 weeks before you re-evaluate him.

    Good luck

    Steve
     
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  6. Hello everyone

    I looked up this thread to gain more information about Dupuytren's contracture relating to the foot as I have a patient coming in later for an initial consultation and have little knowledge about it. I have to say it was very interesting and a little feisty at times! I feel completely prepared now, and it is down to you guys. Thank you all for your opinions and facts!

    Rach
     
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