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Plantar fascial fibromatosis
ICD10CM code
Name of the Condition
- Plantar fasciitis fibromatosis
- Also known as Ledderhose disease
Summary
Plantar fascial fibromatosis is a benign condition characterized by the development of fibrous nodules along the plantar fascia, the band of tissue that runs along the sole of the foot. Over time, these nodules can cause discomfort or pain, particularly when walking.
Causes
The specific causes of plantar fascial fibromatosis are not well understood. However, it is thought to involve aberrant healing processes after minor injuries to the fascia. There might also be a genetic predisposition to developing fibromatoses.
Risk Factors
- Middle-aged and older adults
- Male gender
- Family history of plantar fascial fibromatosis or similar fibromatoses
- Conditions such as diabetes or epilepsy
- Repeated stress or trauma to the foot
Symptoms
- Presence of small, hard nodules in the arch of the foot
- Pain or discomfort, especially when walking or standing
- Tightness in the foot
- Reduced flexibility of the foot
Diagnosis
- Physical examination to feel the nodules and assess foot flexibility
- Imaging tests, such as ultrasound or MRI, to evaluate the extent of the fibromatosis
Treatment Options
- Conservative Management: Stretching exercises, orthotic devices, or padding can relieve symptoms.
- Medication: Anti-inflammatory drugs or corticosteroid injections to reduce pain and swelling.
- Radiotherapy: Used in some cases to limit fibrous tissue growth.
- Surgery: In severe cases or if other treatments are ineffective, surgical removal of the nodules may be considered.
Prognosis and Follow-Up
- Many individuals manage symptoms effectively with conservative treatments.
- Regular follow-ups are essential to monitor the condition and adjust treatment as necessary.
- Post-surgical recovery may involve physical therapy to regain foot function.
Complications
- Progressive foot pain or deformity
- Limited mobility due to chronic pain or extensive fibrosis
- Rarely, recurrence of nodules after surgical removal
Lifestyle & Prevention
- Maintaining a healthy weight to reduce foot stress
- Wearing well-fitting, supportive footwear
- Engaging in regular foot-stretching exercises to maintain flexibility
When to Seek Professional Help
- Persistent foot pain or discomfort
- Noticeable lumps or nodules in the foot's arch
- Difficulty walking or standing
Additional Resources
Tips for Medical Coders
- Ensure the correct ICD-10 code M72.2 is used for plantar fascial fibromatosis.
- Be vigilant for additional codes that may be required if related conditions are present.
- Avoid confusion with codes for plantar fasciitis, a separate and more common condition.