This information has come from books, the internet, and conversations with patients, conversations with doctors and conversations with scientists. I hope to cover a little bit about what the disease is, how it can present itself and how this can be very different patient to patient. I am going to look at the risk factors and the different treatment options and will try my best to offer an unbiased opinion on the treatment options.
If you are new to the condition hopefully you will find this helpful, if you are familiar with the condition then perhaps you might still learn something. I hope to be able to tell it as a patient, first developing the condition (risk factors), seeking information (the basics of the condition), disease progression and then treatment followed by anything else I see fit.
Much of the information I have taken from conversations on the related condition Dupuytren's, here I will basically treat the conditions as the same thing from a risk factors and science point of view, the treatment options are Ledderhose specific.
The final risk factor that I shall mention is trauma. Trauma to the foot could be picked up on many ways e.g. I may have stepped on a stone when running and I have heard a child developing the condition after damaging their foot (personal communication). I shall not go into detail here but Ledderhose seems to share pathways and processes with the healing and scar process and it could be an over-activation of these pathways that ultimately causes the condition. So if you think you are at risk there is no harm in being careful with your feet.
|Me getting Radiotherapy|
"Finally the text book, which is Surgery of the Foot and Ankle, is probably the most authoritative text we have on foot and ankle surgery and it quotes “attempted surgical resection is best avoided”."
Now patients and professionals need to work together to improve patient care, to improve both professional and patient awareness of all the treatment options and make sure that everyone gets the treatment that gives them the best chance to heal.
You might want to check out the following link: Plantar Fibroma - A real pain in the foot
Elhadd et al, 2007, Plantar Fibromatosis and Dupuytren’s disease: an association to remember in patients with diabetes, Diabetic Medicine, 24, p1305:
Stradner et al, 1987, Dupuytren's contracture as a concomitant disease in diabetes mellitus, Wien Med Wochenschr, Vol 137, p89-92.
Gudmundsson et al, 2001, Scand J Health care, vol 19.
An HS, SouthworthSR, JacksonWT, RussB. Cigarette smoking and Dupuytren's contracture of the hand. J Hand Surg Am. 1988Nov;13(6):872-4.
Cryosurgery post by me with more links contained
Steroid injection - a post by me