What is it?
Plantar fibromatosis (also called Ledderhose disease) causes firm, slow-growing nodules in the plantar fascia, the tissue that runs along the arch of the foot. The nodules are not cancerous.
What causes it?
- The exact cause is not known. It sometimes runs in families and is linked to Dupuytren's disease of the hand.
Common symptoms
- One or more firm lumps in the arch of the foot.
- Discomfort when walking or standing as the lumps grow.
How is it diagnosed?
Diagnosis is by examination, often confirmed with an ultrasound or MRI scan.
Things you can do now
- Use soft insoles with cut-outs to take pressure off the lumps
- Choose cushioned footwear
- Avoid pressing or massaging the lumps hard
Treatment
Treatment is tailored to your individual needs, symptoms and goals. Depending on your situation, it may include soft insoles with cut-outs to offload the lumps, changes to footwear, injections and surgery in selected cases, as the condition can come back.
Mr Jeyaseelan will talk you through the options that are right for you at your consultation.
When to see a specialist
- Firm lumps in the arch of the foot are painful or growing
- They are affecting your walking
- You are unsure what a lump is
What to expect
Plantar fibromatosis is not cancerous and often causes few problems. Offloading insoles help most people, and surgery is reserved for selected cases because the lumps can return.
Common questions
Where can I see a specialist about plantar fibromatosis in London?
Mr Lucky Jeyaseelan, a consultant orthopaedic surgeon who specialises only in the foot and ankle, sees private and insured patients with plantar fibromatosis at Align Orthopaedics on Harley Street, The London Clinic on Devonshire Place, HCA London Bridge Hospital, HCA UK at The Shard, HCA UK City of London on Old Broad Street and The Holly Hospital in Buckhurst Hill, Essex. See all clinic locations or request an appointment.
Do I need a GP referral?
Self-funding patients can book directly, though a GP letter is helpful. Most insurers need a GP referral before they authorise your consultation, so check with yours first.
This information is general and is not a substitute for a medical consultation. Your diagnosis and treatment plan will be tailored to you.