Please help! Any information would be valued.
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I saw a new patient, a healthy 57 year old with no history of athritic conditons. She has two masses, bilaterally, in the plantar soles. (one mass in each foot). It is difficult to tell whether the mass is in the flexor hallucis sheaf, or in the medial part of the plantar fascia.
The mass is about 1 cm in diameter, and feels hard. It can be moved.
The patient has had these for about two years. They have grown larger, and are now painful.
The patient is pes planus. She is putting pressure on these masses when weight bearing.
I have seen these masses before, and in the same position, but not bilaterally before.
I have asked the patient to return to her family doctor for more investigation. (MRI?)
WHat are they? Will they need surgical excision, or can they be removed some other way.?
I discussed footwear, orthotics with patient, and placed felt beneath arch.
Please help with any other information.
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