Plantar fibromatosis is a benign soft tissue tumour on the bottom of the foot between the skin and the plantar fascia but sometimes embedded within the plantar fascia. It is indeed a separate condition to plantar fasciitis and does not respond well to treatments for plantar fasciitis.
Pain is usually exacerbated by direct impact or pressure. The fibroma can self resolve though it may be permanent. Surgical excision is rarely necessary and comes with complications such as recurrence. This condition responds well to an offloading orthotic pad to deflect pressure away from the fibroma.
Nice concise overview of PF management for runners. I am pleased to see you are an advocate of the Strassburg Sock. I have prescribed this for a number of years for my patients and after receiving some critical feedback from one patient I decided to redesign my own night splint - the PF Sock. It is very similar to the Strassburg Sock with a minor adjustment at the stiching across the toes so that it provides improved 1st MTPJ dorsiflexion. It is also cheaper as well at £29.95.
I am a sports podiatrist, specialising in foot, ankle and lower limb pathology. I have set up a blog on my patient self help website for heel pain
If anyone has any heel pain related questions or wants free advice please feel free to drop your queries on my blog. Use of this blog will ensure that you are provided with correct and accurate health advice from a qualified health professional
Hi Gareth, if your diagnosis of posterior tibial tendinitis is correct then I would most certainly recommend that you see a biomechanics specialist/musculoskeletal specialist/sports podiatrist (any of those titles will do!)
No disrespect to physios but this condition is something a podiatrist would have covered in their training in much greater detail. Also the management usually involves foot orthoses (insoles) to correct biomechanical abnormality. This is something most podiatrists do however very few physio's are competent with this.
Unfortunately I do not know any sports podiatrists in your area, though I'm sure there is at least one.