Guest guest Posted June 20, 2006 Report Share Posted June 20, 2006 have a patient with possible plantar fibromatosis (ledderhose disease), patient has tender nodules within bilateral plantar fascia, ortho tests and symptoms negative for fascitis, has anyone treated this condition? do you know if graston/ART would increase inflammation? Kollar Allied Chiropractic ________________________________________________________________________ Check out AOL.com today. Breaking news, video search, pictures, email and IM. All on demand. Always Free. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2006 Report Share Posted June 22, 2006 By design Graston would elicit the inflammation process. Problem here could be excessive inflammation which is unmanaged, so go slow and use a lot of ice post-tx! Reading about problem and medical management seems to be plantar fascitis approach anyway, including surgical removal (with high incidence of recurrence--again probably related to hyper-inflammation poorly managed.) I'd definitely approach it with Graston-type treatment(SASTM). Seitz, DC Tuality Physicians 730-D SE Oak Street Hillsboro, OR 97123 (503)640-3724 Re: plantar fibromatosis have a patient with possible plantar fibromatosis (ledderhose disease), patient has tender nodules within bilateral plantar fascia, ortho tests and symptoms negative for fascitis, has anyone treated this condition? do you know if graston/ART would increase inflammation? Kollar Allied Chiropractic ________________________________________________________________________ Check out AOL.com today. Breaking news, video search, pictures, email and IM. All on demand. Always Free. OregonDCs rules: 1. Keep correspondence professional; the purpose of the listserve is to foster communication and collegiality. No personal attacks on listserve members will be tolerated. 2. Always sign your e-mails with your first and last name. 3. The listserve is not secure; your e-mail could end up anywhere. However, it is against the rules of the listserve to copy, print, forward, or otherwise distribute correspondence written by another member without his or her consent, unless all personal identifiers have been removed. Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 22, 2006 Report Share Posted June 22, 2006 Hey , Here's a review article on the condition... http://www.emedicine.com/derm/topic874.htm You asked " do you know if graston/ART would increase inflammation? " From the standpoint of Graston Technique, the answer would likely be yes. Indeed, the instruments are frequently used to break up old fibrotic tissue, which will cause inflammation. The inflammatory infiltrate includes fibroblasts and new collagen is deposited. The repair and remodelling phases are then guided with appropriate exercises and stretching. Whether that type of therapy is appropriate for this patient probably depends on which variant of plantar fibromatosis the patient has. If it is the plantar equivalent of DePuytren's contracture, I have heard of some GT practitioners having success with that condition. However, if their variant is inflammatory mediated, GT will likely make it worse. I recently also read an abstract for a microfasciotomy procedure, using a large bore syringe and local anesthetic to release local fascial bands in DePuytrens with good results. W. Snell, D.C. Hawthorne Wellness Center 3942 SE Hawthorne Blvd. Portland, OR 97214 Ph. 503-235-5484 Fax 503-235-3956 drpsnell.chiroweb.com >From: dkollardc@... >Oregondcs >Subject: Re: plantar fibromatosis >Date: Tue, 20 Jun 2006 22:17:41 -0400 > >have a patient with possible plantar fibromatosis (ledderhose disease), >patient has tender nodules within bilateral plantar fascia, ortho tests >and symptoms negative for fascitis, has anyone treated this condition? >do you know if graston/ART would increase inflammation? > > Kollar >Allied Chiropractic >________________________________________________________________________ >Check out AOL.com today. Breaking news, video search, pictures, email >and IM. All on demand. Always Free. > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 27, 2006 Report Share Posted June 27, 2006 , I have seen several of these. Plantar fibromas do respond to light Graston Technique, ultrasound, low level laser therapy and to some extent EMS. But treatment always needs to incorporate pressure release over the nodules through cutouts, donut pads, or plastazote. These things tend to wax and wain proxismally, however will by aggravated by pathomechanics (over/under pronation). Hence proper footwear/orthotics may be necessary. Ted Ted Forcum, DC, DACBSP, FICC, CSCS ACA Sports Council, 2nd Vice President Back In Motion Sports Injuries Clinic, LLC 11385 SW Scholls Ferry Road Beaverton, Oregon 97008 On Thu, 22 Jun 2006 15:45:01 -0700 " Seitz " <dcdocbrian@...> writes: > By design Graston would elicit the inflammation process. Problem > here could > be excessive inflammation which is unmanaged, so go slow and use a > lot of > ice post-tx! Reading about problem and medical management seems to > be > plantar fascitis approach anyway, including surgical removal (with > high > incidence of recurrence--again probably related to > hyper-inflammation poorly > managed.) I'd definitely approach it with Graston-type > treatment(SASTM). > > Seitz, DC > Tuality Physicians > 730-D SE Oak Street > Hillsboro, OR 97123 > (503)640-3724 > > Re: plantar fibromatosis > > have a patient with possible plantar fibromatosis (ledderhose > disease), > patient has tender nodules within bilateral plantar fascia, ortho > tests > and symptoms negative for fascitis, has anyone treated this > condition? > do you know if graston/ART would increase inflammation? > > Kollar > Allied Chiropractic > ________________________________________________________________________ > Check out AOL.com today. Breaking news, video search, pictures, > email > and IM. All on demand. Always Free. > > > > > OregonDCs rules: > 1. Keep correspondence professional; the purpose of the listserve is > to > foster communication and collegiality. No personal attacks on > listserve > members will be tolerated. > 2. Always sign your e-mails with your first and last name. > 3. The listserve is not secure; your e-mail could end up anywhere. > However, > it is against the rules of the listserve to copy, print, forward, > or > otherwise distribute correspondence written by another member > without his or > her consent, unless all personal identifiers have been removed. > Quote Link to comment Share on other sites More sharing options...
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