Written by: Larry Huppin, DPM
6/20/2009 11:58 AM

For patients with plantar fibromatosis who are experiencing pain from their fibromas, we have a prescription recommendation for their orthoses.

The goal when treating this problem with orthoses is the following:
1. Reduce pressure on fibromas
2. Reduce tension on plantar fascia
3. Allow for easy adjustment - especially making the sweet spot deeper if necessary

To accomplish this, the following orthosis prescription can be used: 

• VF poly 3mm with EVA arch fill (using this combo will allow ability to grind directly into the orthosis - and even through the poly - if the sweet spot for the fibroma is not deep enough)
• Deep heel cup
• Minimum cast fill (to decrease fascia tension)
• 4mm heel skive (to reduce heel eversion and help prevent arch of foot collapsing into arch of orthosis)
• Extra deep (1/4") sweet spot for fibromas.
• EVA RF post
• Cover:EVA 3mm soft with 1.5mm poron (the cushion helps distribute pressure around fibroma)
• Glue cover heel only (so that sweet spots can be increased if not deep enough)

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