‘It’s my planters!’

Welcome to ‘plantar fasciitis another foot pain condition’.

When a member of the public, Ken from New York wrote, ‘any articles on plantar fasciitis or plantar fibroma?’ a response seemed reasonable. I knocked a reply back on Facebook but knew the time had come to turn my attention to yet another common foot pain problem. In fact, if you check out my foot pain diagram, plantar fasciitis is present at location[15].

I can recall a patient coming into my clinic one day and saying my doctor says it’s my planters! What she was referring to was plantar fasciitis. The two ii’s make it difficult to pronounce. Others would call it heel pain and some attempting the tongue-tied phrase made a stab at fash-sheetous. The second condition, plantar fibroma is not one so well known. Dupuytren’s in the hand and Lederhosen in the foot. The bubbly tough cystic appearance which may be uncomfortable or pain-free.

Technically these are two different conditions with different methods of managing the problem. I checked the database and of 22,000 conditions we have (College of Podiatry) 0.64% relate to plantar fasciitis (PF) and 0.13% have fibromatosis (1/1/16-current). The data comes mainly from podiatric surgical sources and does not account for general podiatry. Although I saw numbers of PF in my clinic, I would estimate these came to around 5-7% so I saw more than some, maybe fewer than others. These were often at an advanced stage often. Early remedy and diagnosis are important and successful avoiding both injection therapy and less likely surgery. 


More information on Plantar Fasciitis

I had not posted any information to date on my website www.consultingfootpain.co.uk as there is so much information already out there in published form. I usually use the NHS site as my first recommendation for patients and you should be able to click on https://www.nhs.uk/conditions/plantar-fasciitis/ to find information. This is pretty basic though and if you know me, even with laypeople, it is important to have good quality information as that is the reason for Footlocker. 

I came across a great site and it is beautifully presented with heaps of quality material that at ConsultingFootPain I welcome. No pushy sales just free access to foot information. Click here to find the website which has an international set of editors with a special interest in foot problems. I give it 5-stars so click on Foot Education


Fibromatosis

Plantar fasciitis is one condition that can resolve with self-help and strapping. Fibromatosis is usually harmless and should be left alone (surgically) but does respond to some modalities to keep the area comfortable. Most complain of the lump(s). The only caveat is that if an orthosis is used it should have a cut out because anything fitted in the arch area can irritate the fibroma making it worse. If the area is increasing in size and becomes symptomatic, seek advice. 

 

Thanks for reading ‘It’s My Planters!’ by David Tollafield First published 24 August 2019.