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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Have Large Bumps On My Foot. Painful. Diagnosed With Dupuytrens Contracture. Suggestions?

I have large bumps (under the skin) under the instep of my left foot. They are becoming quite painful. My podiatrist has diagnosed them as dupuytrens contracture and has told me that there may be a treatment although it would be very costly. I am wondering if there is such a treatment and what type doctor I should consult.
Mon, 1 Jul 2013
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General & Family Physician 's  Response
Hi floyce.gibson.1 ,
I have read your question,

Generally a large bump(s) on the foot (instep=arch like portion) , is a feature of "Plantar Fibromatosis" not "Dupuytrens contracture".
Without Physical Check-up and unknown medical history , it is difficult to conclude anything, yet i would like to explain little about these issues ,

Dupuytren's contracture is a problem ( generally occur on hands ) where the fingers bend towards the palm and cannot be fully extended.

Plantar Fibromatosis (= Ledderhose's disease) occurs on foot usually on the arch (instep). It is a relatively uncommon,non-malignant but may cause pain and discomfort while walking.
In the early stages, when the nodule is single and/or smaller, it is recommended to avoid direct pressure to the nodule(s). Soft inner soles on footwear and padding may be helpful.

But In Late stages , surgery may have to be done , but the surgery may prove costly , since it is complicated , yet there are many successful cases until now.

I suggest you to check with another physician and if the issue is confirmed , I recommend you to undergo a radiotherapy/Cryosurgery since these have been proved helpful in recent times.

Wishing you a good health and a speedy recovery!
Dr.G.Gayatri Devi
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Have Large Bumps On My Foot. Painful. Diagnosed With Dupuytrens Contracture. Suggestions?

Hi floyce.gibson.1 , I have read your question, Generally a large bump(s) on the foot (instep=arch like portion) , is a feature of Plantar Fibromatosis not Dupuytrens contracture . Without Physical Check-up and unknown medical history , it is difficult to conclude anything, yet i would like to explain little about these issues , Dupuytren s contracture is a problem ( generally occur on hands ) where the fingers bend towards the palm and cannot be fully extended. Plantar Fibromatosis (= Ledderhose s disease) occurs on foot usually on the arch (instep). It is a relatively uncommon,non-malignant but may cause pain and discomfort while walking. In the early stages, when the nodule is single and/or smaller, it is recommended to avoid direct pressure to the nodule(s). Soft inner soles on footwear and padding may be helpful. But In Late stages , surgery may have to be done , but the surgery may prove costly , since it is complicated , yet there are many successful cases until now. I suggest you to check with another physician and if the issue is confirmed , I recommend you to undergo a radiotherapy/Cryosurgery since these have been proved helpful in recent times. Wishing you a good health and a speedy recovery! Dr.G.Gayatri Devi