Surgical procedure: Ledderhose disease
Ledderhose disease, a little-known but potentially disabling condition, requires special attention and appropriate treatment. At the Foot Clinic, we can offer you specialized care for this condition.
Information about Ledderhose disease
Ledderhose disease, also known as plantar fibromatosis, is a rare condition.
What is Ledderhose disease?
Ledderhose disease is characterized by the formation of fibrous nodules in the plantar fascia, a true fibrous web located in the sole of the foot that ensures support and stability of the foot. It is important to note that these nodules are not cancerous, but can nonetheless cause discomfort and pain as they develop.
Symptoms and diagnosis
The symptoms of Ledderhose disease can vary from person to person. Some may experience intense pain, while others may have no symptoms at all. The nodules can be hard to the touch and may sometimes make walking difficult.
The diagnosis of Ledderhose disease is made through a physical examination of the foot. MRI allows visualization of the nodules, but ultrasound is the exam of choice as it allows for assessment of the size and anatomical relationships of the nodules with the vascular and nervous structures of the sole of the foot.
Non-surgical treatment methods for Ledderhose disease
The Foot Clinic can take care of you in cases of suspected or confirmed Ledderhose disease.
Conservative treatments
Conservative treatments are always offered as a first option for Ledderhose disease. These non-surgical methods may include foot orthotics, physiotherapy exercises,anti-inflammatory medications, and changes in footwear habits. The aim is to relieve or prevent the onset of pain and to improve foot function without surgical intervention.
Radiotherapy
Radiotherapy is another non-surgical treatment option for Ledderhose disease. However, we do not recommend this option as the risk of side effects from radiation is significant.
Surgical procedures for Ledderhose disease
In symptomatic cases resistant to conservative treatment, surgical intervention may be proposed.
When to consider surgery?
Surgery is generally considered when non-surgical treatments have not yielded the expected results, or when the pain and discomfort caused by Ledderhose disease are too severe. It's a decision that should not be taken lightly and should be carefully discussed with your surgeon.
Types of surgical interventions
There are several types of surgical interventions to treat Ledderhose disease. The most common approach is surgical excision of the painful nodule(s) only, called selective partial fasciectomy. Another option is subtotal fasciectomy when the fascia is invaded by nodules and is globally painful.
Our goal is to help you return to a pain-free life and improve your quality of life.
Risks and complications of surgical operation for Ledderhose disease
The surgical operation for Ledderhose disease, like any procedure, involves inherent risks. Generally speaking, zero risk does not exist in surgery.
General risks
All surgeries carry general risks, including the risk of infection, bleeding, phlebitis, allergic reactions to anesthesia, and complications related to anesthesia. However, these risks are relatively rare and we take all necessary precautions to try to avoid them.
Possible complications
During a surgical procedure for Ledderhose disease, certain complications may occur, such as recurrence of nodules, persistent pain, or scarring stiffness of the plantar fascia.
Rehabilitation and recovery after surgery for Ledderhose disease
The postoperative period is an essential step to optimize the results of the surgical intervention for Ledderhose disease. At La Clinique du Pied, we pay particular attention to this phase of recovery and rehabilitation.
Recovery process
The recovery process after surgery for Ledderhose disease is a gradual journey. It is normal to experience some discomfort or moderate pain after the operation, which can be managed effectively with appropriate medication and by partially or completely offloading the lower limb depending on the surgical procedure performed. It is important to follow your doctor's recommendations to promote optimal recovery.
Rehabilitation
Rehabilitation plays a key role in recovery after surgical operation. Its goal is to restore foot function and improve its mobility and stability. Specific exercises may be recommended to strengthen the foot muscles. It is essential to follow the rehabilitation program to achieve the best possible results.
At La Clinique du Pied, we can offer you postoperative rehabilitation sessions to monitor your recovery.
Conclusion
Ledderhose disease is a rare condition that requires diagnosis to ensure appropriate treatment. At the Foot Clinic, we can advise you to limit the risk of symptomatic progression of fibrous nodules. In case conservative treatment fails, we can offer you a surgical solution tailored to your Ledderhose disease.