Plantar Fibroma Treatment Process

TREATMENT PROCESS

This is my current treatment process for patients with plantar fibromas, please watch the video for full details.

1st Visit - Evaluate your condition, review ultrasound, and perform a walking evaluation to determine the cause of your condition. Start working to reduce inflammation, reduce tightness and reduce stress through your plantar fascia if it is painful.
Cortisone Injection - I use cortisone injections to reduce the pain for inflammation in the plantar fibroma if you are limping due to the amount of pain.
Orthotics - Orthotics are useful to stabilize the heel position, help with posture and reduce excess movement of the foot that can increase stress in the area of the plantar fascia.
Physical Therapy - After these sessions of shockwave then patients go through a course of 6 weeks of physical therapy twice a week and then follow up in the office.
Shockwave and Amnio Injection - Some of my patients benefit from a series of 3-6 sessions of shockwave therapy to improve blood flow and flexibility of the plantar fascia. After these sessions then patients go through a course of 6 weeks of physical therapy. At times to help speed up the healing an Amniotic injection is beneficial.
Daily Rituals - These are the daily rituals that can be used with other office-based treatments. Towel stretch before getting out of bed (30-second stretch 3 times), foam rolling (10 minutes 2x a day), icing or contrast baths (10 minutes 2x a day), anti-inflammatory for 2 weeks at a therapeutic dose (if not doing shockwave), stable shoes and orthotics, Oofos sandals in the house, and avoid going barefoot.

RESOURCES

Shockwave (EPAT) - Information about shockwave therapy to promote the natural healing of your own body.
Amnio Injection - More information about Amnio injections to speed up healing.
Orthotics - Explanation of how and why orthotics help foot pain.
Icing and Contrast Bath Instructions - Here is information on how to ice your foot.
Foam Rolling Exercises - Instructional video for foam rolling.
Oofos - Recovery sandals to wear at home for more support.
Shoe Recommendations - Here are my shoe recommendations and shoe-related resources.
Walk Hero Insert - Effective temporary over the counter insert to reduce pressure to heel.